Rural Health
Resources by Topic: Access
Meeting the Challenge of Caring for Persons Living with Dementia and Their Care Partners and Caregivers: A Way Forward
Examines the existing evidence on care interventions, services, and supports for people with dementia and their caregivers. Discusses gaps in the current evidence base and opportunities for future research. Describes interventions that can be implemented in a variety of settings to continue to expand the evidence base. Includes rural references and considerations throughout.
Additional links: Read Online
Date: 02/2021
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Examines the existing evidence on care interventions, services, and supports for people with dementia and their caregivers. Discusses gaps in the current evidence base and opportunities for future research. Describes interventions that can be implemented in a variety of settings to continue to expand the evidence base. Includes rural references and considerations throughout.
Additional links: Read Online
Date: 02/2021
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Child Care in Rural Minnesota After 2020: A Unique Opportunity
Summarizes changes in child care in Minnesota from 2000-2020. Describes the COVID-19 pandemic's effect on child care and employment, and features discussion on how a lack of child care can affect parents' abilities to secure and maintain jobs. Includes data and statistics on changes in childcare provider licenses and capacity. Offers recommendations for recovering from the pandemic and keeping child care intact in rural Minnesota.
Additional links: Webinar Recording
Author(s): Marnie Werner
Date: 02/2021
Sponsoring organization: Center for Rural Policy and Development
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Summarizes changes in child care in Minnesota from 2000-2020. Describes the COVID-19 pandemic's effect on child care and employment, and features discussion on how a lack of child care can affect parents' abilities to secure and maintain jobs. Includes data and statistics on changes in childcare provider licenses and capacity. Offers recommendations for recovering from the pandemic and keeping child care intact in rural Minnesota.
Additional links: Webinar Recording
Author(s): Marnie Werner
Date: 02/2021
Sponsoring organization: Center for Rural Policy and Development
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Care Outcomes Among Black or African American Persons with Diagnosed HIV in Rural, Urban, and Metropolitan Statistical Areas — 42 U.S. Jurisdictions, 2018
Examines HIV care outcomes among Black people with diagnosed HIV infection living in rural (less than 50,000 population), urban (50,000–499,999 population), and metropolitan (500,000 population or more) areas.
Author(s): Shacara Johnson Lyons, André F. Dailey, Chenchen Yu, Anna Satcher Johnson
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(7), 229-235
Date: 02/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Examines HIV care outcomes among Black people with diagnosed HIV infection living in rural (less than 50,000 population), urban (50,000–499,999 population), and metropolitan (500,000 population or more) areas.
Author(s): Shacara Johnson Lyons, André F. Dailey, Chenchen Yu, Anna Satcher Johnson
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(7), 229-235
Date: 02/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Trends in Nursing Home Closures in Nonmetropolitan and Metropolitan Counties in the United States, 2008-2018
Policy brief documenting closures of facilities dually certified by Medicare and Medicaid or facilities certified by Medicaid only. Identifies areas lacking nursing homes and summarizes characteristics of open and closed nursing homes. Features statistics with breakdowns by metropolitan and nonmetropolitan areas, and county-level maps showing areas with one or more nursing home closures from 2008-2018 and counties considered nursing home deserts.
Author(s): Hari Sharma, Redwan Bin Abdul Baten, Fred Ullrich, A. Clinton MacKinney, Keith J. Mueller
Date: 02/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Policy brief documenting closures of facilities dually certified by Medicare and Medicaid or facilities certified by Medicaid only. Identifies areas lacking nursing homes and summarizes characteristics of open and closed nursing homes. Features statistics with breakdowns by metropolitan and nonmetropolitan areas, and county-level maps showing areas with one or more nursing home closures from 2008-2018 and counties considered nursing home deserts.
Author(s): Hari Sharma, Redwan Bin Abdul Baten, Fred Ullrich, A. Clinton MacKinney, Keith J. Mueller
Date: 02/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Crises Collide: The COVID-19 Pandemic and the Stability of the Rural Health Safety Net
Examines the vulnerability of rural hospitals based on financial and operational metrics, and the impact of COVID-19 on these hospitals. Discusses declining access to obstetrics and chemotherapy services at rural hospitals. Includes a chart highlighting financial indicators and information on the availability of intensive care beds at rural hospitals by state.
Date: 02/2021
Sponsoring organization: Chartis Center for Rural Health
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Examines the vulnerability of rural hospitals based on financial and operational metrics, and the impact of COVID-19 on these hospitals. Discusses declining access to obstetrics and chemotherapy services at rural hospitals. Includes a chart highlighting financial indicators and information on the availability of intensive care beds at rural hospitals by state.
Date: 02/2021
Sponsoring organization: Chartis Center for Rural Health
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Medicaid's Role in Health Care for American Indians and Alaska Natives
Provides an overview of the federal government's role in providing healthcare to American Indians and Alaska Natives (AI/AN). Discusses AI/AN demographics, economic and health disparities, and access to healthcare and insurance coverage. Describes the structure of the Indian Health Service (IHS), services provided, and IHS financing and spending. Highlights special rules and protections that apply to AI/AN Medicaid beneficiaries. Presents a series of policy issues that have been raised regarding the Medicaid and IHS relationship, as well as opportunities for improving Medicaid's role in providing healthcare to AI/AN populations.
Date: 02/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of the federal government's role in providing healthcare to American Indians and Alaska Natives (AI/AN). Discusses AI/AN demographics, economic and health disparities, and access to healthcare and insurance coverage. Describes the structure of the Indian Health Service (IHS), services provided, and IHS financing and spending. Highlights special rules and protections that apply to AI/AN Medicaid beneficiaries. Presents a series of policy issues that have been raised regarding the Medicaid and IHS relationship, as well as opportunities for improving Medicaid's role in providing healthcare to AI/AN populations.
Date: 02/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Alternatives to Hospital Closure: Findings from a National Survey of CAH Executives
Discusses factors leading to rural hospital closures and alternatives to closure to maintain access to healthcare in rural areas and/or Critical Access Hospital (CAH) viability. Presents data from a survey of 227 CAH CEOs and other management staff, discussing their responses to a list of alternatives to hospital closure, including Rural Health Clinic (RHC) certification, conversion to emergency or urgent care services, Federally Qualified Health Center (FQHC) certification, and other alternatives.
Author(s): Sharita Thomas, Kristie Thompson, Kathleen Knocke, George Pink
Date: 02/2021
Sponsoring organization: North Carolina Rural Health Research Program
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Discusses factors leading to rural hospital closures and alternatives to closure to maintain access to healthcare in rural areas and/or Critical Access Hospital (CAH) viability. Presents data from a survey of 227 CAH CEOs and other management staff, discussing their responses to a list of alternatives to hospital closure, including Rural Health Clinic (RHC) certification, conversion to emergency or urgent care services, Federally Qualified Health Center (FQHC) certification, and other alternatives.
Author(s): Sharita Thomas, Kristie Thompson, Kathleen Knocke, George Pink
Date: 02/2021
Sponsoring organization: North Carolina Rural Health Research Program
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Health System Challenges for Critical Access Hospitals: Findings from a National Survey of CAH Executives
Results of a 2019 survey of 174 respondents, examining challenges including uncompensated care, affordability of health insurance, patients seeking care beyond their local hospital, and prescription drug prices. Intended to help rural health policymakers in development of strategies to maintain Critical Access Hospital viability and access to healthcare in rural communities.
Author(s): Sharita Thomas, Kristie Thompson, Kathleen Knocke, George Pink
Date: 02/2021
Sponsoring organization: North Carolina Rural Health Research Program
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Results of a 2019 survey of 174 respondents, examining challenges including uncompensated care, affordability of health insurance, patients seeking care beyond their local hospital, and prescription drug prices. Intended to help rural health policymakers in development of strategies to maintain Critical Access Hospital viability and access to healthcare in rural communities.
Author(s): Sharita Thomas, Kristie Thompson, Kathleen Knocke, George Pink
Date: 02/2021
Sponsoring organization: North Carolina Rural Health Research Program
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Visualizing Potential Effects of Dentist Retirements on Accessibility to Dental Care Among Children in Alabama, 2019
Examines dental access among Alabama residents aged 20 or younger. Discusses how dentist retirements may impact access to dental care, with data breakdowns by rural/urban status. Features maps with county-level information on dental access in Alabama.
Author(s): Steven Samsel, Ryan Tramp, Irem Sengul Orgut, et al.
Citation: Preventing Chronic Disease, 18
Date: 02/2021
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Examines dental access among Alabama residents aged 20 or younger. Discusses how dentist retirements may impact access to dental care, with data breakdowns by rural/urban status. Features maps with county-level information on dental access in Alabama.
Author(s): Steven Samsel, Ryan Tramp, Irem Sengul Orgut, et al.
Citation: Preventing Chronic Disease, 18
Date: 02/2021
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The Intersection of Rural Residence and Minority Race/Ethnicity in Cancer Disparities in the United States
Examines differences in cancer rates and outcomes according to individuals' rural residence and race/ethnicity. Discusses the role racism and social determinants of health play in cancer disparities. Includes cancer incidence and mortality rates by racial/ethnic groups and rural versus urban location.
Author(s): Whitney E. Zahnd, Cathryn Murphy, Marie Knoll, et al.
Citation: International Journal of Environmental Research and Public Health, 18(4), 1384
Date: 02/2021
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Examines differences in cancer rates and outcomes according to individuals' rural residence and race/ethnicity. Discusses the role racism and social determinants of health play in cancer disparities. Includes cancer incidence and mortality rates by racial/ethnic groups and rural versus urban location.
Author(s): Whitney E. Zahnd, Cathryn Murphy, Marie Knoll, et al.
Citation: International Journal of Environmental Research and Public Health, 18(4), 1384
Date: 02/2021
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