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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Maternal Morbidity and Mortality Measurement Recommendations Report
Provides an overview of two measurement frameworks, one for maternal morbidity and one for maternal mortality. Includes a list of short- and long-term recommendations for each measurement topic, which cover equitable treatment; timely access to treatment and services; follow-up and care coordination of care; protocols and guidelines; substance use disorders, mental health, and behavioral health; access to pain management and labor support; and patient- and family-reported outcomes and experiences of care. Discusses three potential, actionable measure concepts for maternal mortality.
Date: 08/2021
Sponsoring organization: National Quality Forum
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Youth Perceptions of Vaccination for COVID-19 in the United States
Results of a national text message survey on the perspectives of youths aged 14-24 years regarding COVID-19 vaccine acceptability, perceived barriers to vaccination, and anticipated changes in behavior. Table 1 features demographic statistics with breakdowns including urban, suburban, and rural location.
Author(s): Stephen M. Gorga, Eric J. Brandt, Julia Rosenberg, et al.
Citation: JAMA Health Forum, 2(8)
Date: 08/2021
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State Strategies to Increase COVID-19 Vaccine Uptake in Rural Communities
Discusses the role of governors in addressing COVID-19 vaccine confidence, access, and uptake in rural communities. Presents three considerations for governors and state officials, examples of best and promising practices, and short- and long-term strategies for addressing challenges to vaccination efforts in rural areas.
Date: 08/2021
Sponsoring organization: National Governors Association
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Rural Residency Training as a Strategy to Address Rural Health Disparities: Barriers to Expansion and Possible Solutions
Identifies barriers rural communities face in developing and sustaining graduate medical education programs, and proposes potential solutions including regulatory fixes and legislative action. Includes definitions of key concepts and terminology in the Supplementary Data section.
Additional links: Supplementary Data
Author(s): Emily M. Hawes, Erin Fraher, Steven Crane, et al.
Citation: Journal of Graduate Medical Education, 13(4), 461-465
Date: 08/2021
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Nurse Perspectives Regarding Implementation of an Asthma Monitoring Mobile Health Application in the School Setting
Study exploring nurse experiences with school-based telehealth (SBTH) implementation, specifically SBTH asthma programs in South Carolina. Discusses barriers to asthma care for rural children and the potential for SBTH and mobile health to treat childhood asthma. Draws data from 26 survey respondents that addresses interests in specific mobile application features and issues related to caregiver and family participation.
Author(s): Emily E. Johnson, Claire MacGeorge, Annie Andrews, et al.
Citation: Telemedicine and e-Health, 27(8), 955-962
Date: 08/2021
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State and Regional Differences in Access to Hospital-Based Obstetric Services for Rural Residents, 2018
Highlights a study on rural access to hospital-based obstetric services by state and region. Compares rates regionally and by state across the country and discusses the factors that affect obstetrics access.
Author(s): Julia D. Interrante, Mariana S. Tuttle, Bridget Basile Ibrahim, et al.
Date: 08/2021
Sponsoring organization: University of Minnesota Rural Health Research Center
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Potential Implications of SARS-CoV-2 Delta Variant Surges for Rural Areas and Hospitals
Opinion piece highlighting features of rural healthcare systems that make it more difficult for those hospitals to withstand surges in COVID-19 cases. Suggests possible solutions for institutions, governments, and society as they navigate the potentially rural-dominant Delta variant phase.
Author(s): Sameer S. Kadri, Steven Q. Simpson
Citation: JAMA
Date: 08/2021
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The Swing Bed Program: Impacting Patients, Providers, and Community
Brief video overview of the swing bed program, which helps rural hospitals provide patient- and community-centric post-acute healthcare. Describes the history, related policy issues, early implementation, and evolution of the program.
Date: 08/2021
Sponsoring organization: Rural Health Information Hub
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History of the Swing Bed: A Look Through the Rural Rearview Mirror
Reviews the history of the swing bed program, which helps rural hospitals serve patients and the community through provision of post-acute care. Shares insights from experts who describe early implementation and key program elements that have contributed to the program's success.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 08/2021
Sponsoring organization: Rural Health Information Hub
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Understanding the Rural Swing Bed: More than Just a Reimbursement Policy
Provides an overview of the swing bed program and its role as a patient-centric post-acute care solution that helps rural hospitals serve their communities. Discusses the impact of the program, reimbursement, quality measures, and more.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 08/2021
Sponsoring organization: Rural Health Information Hub
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