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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Community Health and Economic Prosperity: Engaging Businesses as Stewards and Stakeholders — A Report of the Surgeon General
Report examining the relationship between businesses and community vitality in the United States, including impacts on health, environment, and equality. Discusses the U.S. health disadvantage compared to other nations and the role of neighborhoods and businesses in shaping health and economic opportunity. Describes initiatives from business leaders in rural and tribal communities.
Date: 01/2021
Sponsoring organizations: Centers for Disease Control and Prevention, U.S. Department of Health and Human Services
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Rural Renewal: Three Success Stories, Capturing Prosperity/Health
Showcases success stories from 3 rural communities that sought to address local health concerns, such as inadequate prenatal care and access to healthy food, and increase access to healthcare and related services. Describes community-based initiatives implemented in Nebraska, New Mexico, and South Carolina.
Author(s): Phillip L. Polakoff, Dennis Berens, David Angelson
Date: 01/2021
Sponsoring organization: A Healthier WE
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Oklahoma Rural Hospital Closures by the Numbers
Research brief discussing rural hospital closures in Oklahoma and impacts of closures on access to care. Presents data on closures between 2005 and 2020, noting driving distance to the nearest open hospital. Addresses demographic characteristics of counties with closed hospitals and health equity impacts of closures.
Date: 01/2021
Sponsoring organization: Oklahoma State University Center for Rural Health
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Characteristics and Challenges of Rural Ambulance Agencies - A Brief Review and Policy Considerations
Examines challenges including prolonged response and transport times, insufficient payment by insurers, transitions from volunteer to paid workforce, and lack of plans and policies to coordinate services. Features recommendations for identifying public policy considerations to stabilize rural ambulance agencies.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Andrew F. Coburn, et al.
Date: 01/2021
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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COVID-19: Urgent Federal Actions to Accelerate America's Response
Presents six short-term recommendations for the Biden administration and Congress to address the COVID-19 pandemic. Highlights the need for policies and strategies to prevent or mitigate health disparities, including in rural and tribal areas.
Additional links: Webinar Recording
Date: 01/2021
Sponsoring organization: Bipartisan Policy Center
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Mandated Report on Non-Emergency Medical Transportation Further Findings
Provides an overview of the non-emergency medical transportation (NEMT) Medicaid benefit. Presents findings from an analysis of administrative data on NEMT utilization and spending, including utilization by urban and rural status. Includes findings from a series of focus groups with NEMT benefit enrollees on the value of the program, challenges, and ideas for improvement.
Author(s): Kacey Buderi, Aaron Pervin
Date: 01/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Maine Health Access Foundation: Reaching Out to Organizations to Provide Directed Grants
An interview with Barbara Leonard and Ruta Kadonoff of the Maine Health Access Foundation. Discusses how the foundation provided unrestricted COVID-19 grants and open competitive grants and partnered with other philanthropies pooling together COVID-19 response funds. Describes the foundation's support for EMS, telehealth, tribal communities, behavioral health, and other concerns important to rural Maine.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 01/2021
Sponsoring organization: Rural Health Information Hub
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Physician Density by Specialty Type in Urban and Rural Counties in the US, 2010 to 2017
Examines trends in physician density in rural and urban counties among primary care physicians, medical specialists, surgical specialists, or other specialists. Features statistics with breakdowns by large metropolitan, medium or small metropolitan, or rural counties.
Author(s): Sara R. Machado, Sahan Jayawardana, Elias Mossialos, Muthiah Vaduganathan
Citation: JAMA Network Open, 4(1)
Date: 01/2021
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Telehealth After COVID-19: Clarifying Policy Goals for a Way Forward
Examines how telehealth may be used to improve healthcare quality, reduce costs, improve access to care, and meet other policy objections. Presents recommendations for telehealth policy after the COVID-19 pandemic.
Author(s): Lori Uscher-Pines, Monique Martineau
Date: 01/2021
Sponsoring organization: RAND Corporation
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Barriers to Health Care Access for Rural Medicare Beneficiaries: Recommendations from Rural Health Clinics
Presents findings from an online survey of Rural Health Clinics, describing barriers for Medicare patients in accessing healthcare services. Includes recommendations for improving access to care for rural Medicare beneficiaries.
Author(s): Megan Lahr, Carrie Henning-Smith, Adrita Rahman, Ashley M. Hernandez
Date: 01/2021
Sponsoring organization: University of Minnesota Rural Health Research Center
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