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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Overview of the Universal Service Fund and Selected Federal Broadband Programs
Provides an overview of federal programs supporting broadband deployment. Highlights programs established in response to the COVID-19 pandemic.
Date: 06/2021
Sponsoring organization: Congressional Research Service
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VA Community Care: Understanding Veterans' Access, Utilization, and Satisfaction
Supplemental journal features a wide variety articles pertaining to veterans' access to care, utilization, and the VA's Community Care Network (CCN). Discusses the CCN's relationship with the MISSION Act, telehealth, and challenges facing rural veterans, among other issues.
Citation: Medical Care, 59, (6, Suppl 3)
Date: 06/2021
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Access to Mechanical Thrombectomy for Ischemic Stroke in the United States
Examines access to mechanical thrombectomy for ischemic stroke, utilizing 2016-2018 emergency department and acute care hospital data for facilities in 11 states. Provides data on rural and urban differences in likelihood of presenting at thrombectomy gap, gateway, and hub facilities after ischemic stroke.
Author(s): Hooman Kamel, Neal S Parikh, Abhinaba Chatterjee, et al.
Citation: Stroke, 52(8), 2554-2561
Date: 05/2021
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Texas Women and Women's Health Providers: Metro v. Non-Metro
Report on the number of women's health providers in rural and urban areas of Texas. Includes a county-level breakdown of the ratio of providers per 100,000 people as well as counties with no providers. Also includes a comparison of the number of types of providers and average ages between rural and urban areas.
Date: 05/2021
Sponsoring organization: Texas Health and Human Services
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Use of the Spatial Access Ratio to Measure Geospatial Access to Emergency General Surgery Services in California
Evaluates the ability of Spatial Access Ratio (SPAR) to identify disparities in emergency general surgery (EGS) access in California. Compares the locations of 238 EGS-capable hospitals to the location of California residents with focus on the socio-demographic characteristics of population size, poverty rate, health insurance coverage, and rural or urban status. Table 2 shows access to EGS hospitals by rurality, among other data. Discusses the use of SPAR to allocate resources differently.
Author(s): Marta McCrum, Neng Wan, Steven Lizotte, et al.
Citation: The Journal of Trauma and Acute Care Surgery, 90(5), 853-860
Date: 05/2021
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Mental Health in Ohio: 2019 Update
Examines mental health in Ohio and intersecting issues such as comorbidities, healthcare access, insurance status, and being part of a minority group, based on results of the 2019 Ohio Medicaid Assessment Survey (OMAS) and the Ohio COVID-19 Survey series. Includes data breakdowns based on age, sex, race/ethnicity, and rural Appalachian, rural non-Appalachian, suburban, and/or metropolitan location, among others.
Author(s): Dushka Crane, Andreas Teferra, Tim Sahr, at al.
Date: 05/2021
Sponsoring organizations: Medicaid Technical Assistance and Policy Program, Ohio Department of Aging, Ohio Department of Health, Ohio Department of Medicaid, Ohio Department of Mental Health and Addiction Services
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Health of Older Ohioans: 2019 Update
Reports on disease prevalence, chronic conditions, and social determinants of health of the Ohio population aged 60 or older, based on data from the 2019 Ohio Medicaid Assessment Survey (OMAS). Includes age distribution of older Ohioans by rural Appalachian, rural non-Appalachian, suburban, and metropolitan county types.
Author(s): Virginia Nivar, Thomas Albani, Concetta Reda, et al.
Date: 05/2021
Sponsoring organizations: Medicaid Technical Assistance and Policy Program, Ohio College of Medicine Government Resource Center, Ohio Department of Health, Ohio Department of Medicaid
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Child and Adolescent Health in Ohio: 2019 Update
Examines health outcomes for children in Ohio based on 2019 Ohio Medicaid Assessment Survey (OMAS) data. Reports on health status, access to healthcare, utilization of healthcare, and dental care, with demographic information broken down by age, race/ethnicity, income, insurance status, and rural Appalachian, rural non-Appalachian, suburban, or metropolitan location.
Author(s): Christopher Browning, Kenneth Steinman, Dushka Crane, Yoshie Kim, Andreas Teferra
Date: 05/2021
Sponsoring organizations: Medicaid Technical Assistance and Policy Program, Ohio Department of Aging, Ohio Department of Health, Ohio Department of Medicaid, Ohio Department of Mental Health and Addiction Services
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Marketplace Premiums and Participation in 2021
Report examining changes in marketplace insurance premiums and insurer participation at the state and rating region level from 2020-2021. Offers data on state average benchmark premium and percent changes over time between 2017-2020. Appendix B offers tables for select states with select urban and rural regional data.
Author(s): John Holahan, Jessica Banthin, Erik Wengle
Date: 05/2021
Sponsoring organization: Urban Institute
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Outreach to New Mothers Through Direct Mail and Email: Recruitment in the Early Check Research Study
Results of a study to evaluate outreach approaches implemented during phase I of a recruitment strategy for Early Check, a statewide newborn screening research study geared toward mothers from North Carolina or South Carolina who gave birth in North Carolina from September 2018 through March 2019. Features statistics with breakdowns including urban or rural residence.
Author(s): Ryan S. Paquin, Megan A. Lewis, Blake A. Harper, et al.
Citation: Clinical and Translational Science, 14(3), 880-889
Date: 05/2021
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