Rural Health
Resources by Topic: Access
States Could Better Leverage Coverage and Access Requirements To Promote Maternal Health Care Access in Medicaid Managed Care
Describes challenges to maternal healthcare access. Explores the provider coverage rules and network adequacy standards state Medicaid agencies have set for maternal healthcare in Medicaid managed care. Examines state oversight of quantitative network adequacy standards. Offers recommendations to the Centers for Medicare & Medicaid Services (CMS) to ensure access to pregnancy and postpartum care in Medicaid managed care. Includes rural references throughout.
Additional links: Report in Brief
Date: 09/2024
Sponsoring organization: Office of Inspector General (HHS)
view details
Describes challenges to maternal healthcare access. Explores the provider coverage rules and network adequacy standards state Medicaid agencies have set for maternal healthcare in Medicaid managed care. Examines state oversight of quantitative network adequacy standards. Offers recommendations to the Centers for Medicare & Medicaid Services (CMS) to ensure access to pregnancy and postpartum care in Medicaid managed care. Includes rural references throughout.
Additional links: Report in Brief
Date: 09/2024
Sponsoring organization: Office of Inspector General (HHS)
view details
Beyond Connectivity: The Role of Broadband in Rural Economic Growth and Resilience
Reports on the economic value of broadband infrastructure for rural areas. Provides a variety of data on broadband and economic growth in rural communities and compares rural and urban gaps in broadband access. Features a broadband development case study for Beltrami County, Minnesota, which includes discussion of broadband's value for telehealth and other aspects of healthcare delivery and availability.
Author(s): Amanda Weinstein, May Erouart, Adam Dewbury
Date: 09/2024
Sponsoring organization: Center on Rural Innovation
view details
Reports on the economic value of broadband infrastructure for rural areas. Provides a variety of data on broadband and economic growth in rural communities and compares rural and urban gaps in broadband access. Features a broadband development case study for Beltrami County, Minnesota, which includes discussion of broadband's value for telehealth and other aspects of healthcare delivery and availability.
Author(s): Amanda Weinstein, May Erouart, Adam Dewbury
Date: 09/2024
Sponsoring organization: Center on Rural Innovation
view details
Age-Friendly Health Systems Integration into Rural Primary Care Clinics: A Journey of One Geriatric Workforce Enhancement Program
Examines implementation of the Age-Friendly Health Systems (AFHS) 4Ms Framework in rural Arkansas primary care clinics. Details program aspects related to workforce training, workplace culture, and resource provision and discusses evidence-based approaches to implementation. Provides data on the AFHS 4Ms Framework's impact on patient engagement and healthcare quality for older adults in rural settings.
Author(s): Leah Tobey-Moore, Katherine Scalzo, Stacie Massey, Robin McAtee
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing
Date: 09/2024
view details
Examines implementation of the Age-Friendly Health Systems (AFHS) 4Ms Framework in rural Arkansas primary care clinics. Details program aspects related to workforce training, workplace culture, and resource provision and discusses evidence-based approaches to implementation. Provides data on the AFHS 4Ms Framework's impact on patient engagement and healthcare quality for older adults in rural settings.
Author(s): Leah Tobey-Moore, Katherine Scalzo, Stacie Massey, Robin McAtee
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing
Date: 09/2024
view details
A Rural Community Readiness Assessment of Prehospital Telestroke Services in the Ambulance
Assesses community perspectives on the acceptability of ambulance-based prehospital stroke telemedicine services in rural and urban communities in O'ahu, Hawai'i. Utilizes questionnaire results of 263 adults recruited from community events, with additional data from 29 follow-up interviews. Compares rural and urban attitudes toward ambulance telestroke services, local hospitals, and Hawai'i's healthcare system, and identifies positive and negative themes affecting acceptability.
Author(s): Angel Lynn E. Talana, Kyrillos B. Guirguis, J. Aaron Matthews, et al.
Citation: Hawai'i Journal of Health & Social Welfare, 83(9), 250-256
Date: 09/2024
view details
Assesses community perspectives on the acceptability of ambulance-based prehospital stroke telemedicine services in rural and urban communities in O'ahu, Hawai'i. Utilizes questionnaire results of 263 adults recruited from community events, with additional data from 29 follow-up interviews. Compares rural and urban attitudes toward ambulance telestroke services, local hospitals, and Hawai'i's healthcare system, and identifies positive and negative themes affecting acceptability.
Author(s): Angel Lynn E. Talana, Kyrillos B. Guirguis, J. Aaron Matthews, et al.
Citation: Hawai'i Journal of Health & Social Welfare, 83(9), 250-256
Date: 09/2024
view details
Intakes of Lean Proteins and Processed Meats and Differences in Mental Health between Rural and Metro Adults 50 Years and Older
Presents a study on the relationship between diet and mental health status of adults over 50 in rural and urban counties in North Dakota. Focuses specifically on lean versus processed protein intake and their correlation with reported rates of depression and anxiety. Breaks down data by demographic characteristics, including rural and urban location, and discusses food access issues in rural communities.
Author(s): Nathaniel R. Johnson, Sherri N. Stastny, Julie Garden-Robinson
Citation: Nutrients, 16(18), 3056
Date: 09/2024
view details
Presents a study on the relationship between diet and mental health status of adults over 50 in rural and urban counties in North Dakota. Focuses specifically on lean versus processed protein intake and their correlation with reported rates of depression and anxiety. Breaks down data by demographic characteristics, including rural and urban location, and discusses food access issues in rural communities.
Author(s): Nathaniel R. Johnson, Sherri N. Stastny, Julie Garden-Robinson
Citation: Nutrients, 16(18), 3056
Date: 09/2024
view details
Investigating FIT Kit Completion for CRC Screening in Younger Adults in Rural Areas
Investigates demographic factors for 1,230 rural Nebraskans that influence the return of a fecal immunochemical test (FIT) kit, a colorectal cancer screening tool that may be an inexpensive and convenient option for those with limited access to colonoscopies. Compares the study findings with national trends and discusses reasons and remedies for delays in return time for the kit.
Author(s): Cheryl L. Beseler, Jungyoon Kim, Melissa Leypoldt, et al.
Citation: Discover Social Science and Health, 4(41)
Date: 09/2024
view details
Investigates demographic factors for 1,230 rural Nebraskans that influence the return of a fecal immunochemical test (FIT) kit, a colorectal cancer screening tool that may be an inexpensive and convenient option for those with limited access to colonoscopies. Compares the study findings with national trends and discusses reasons and remedies for delays in return time for the kit.
Author(s): Cheryl L. Beseler, Jungyoon Kim, Melissa Leypoldt, et al.
Citation: Discover Social Science and Health, 4(41)
Date: 09/2024
view details
Disparities in the Real-World Prescription Pattern of Oral Anticoagulants for US Medicare Beneficiaries: A Geospatial Analysis
Analyzes geographic variations in oral anticoagulant prescribing, utilizing 2020 Medicare Provider Utilization and Payment data. Compares rural and urban clinicians' likelihood of prescribing warfarin only, direct oral anticoagulants (DOACs) only, or both warfarin and DOACs, and highlights regional prescribing patterns using color-coded, county-level maps.
Author(s): Jingrui Zou, Dong Liang, Yong Zhu
Citation: BMJ Open, 14, e081628
Date: 09/2024
view details
Analyzes geographic variations in oral anticoagulant prescribing, utilizing 2020 Medicare Provider Utilization and Payment data. Compares rural and urban clinicians' likelihood of prescribing warfarin only, direct oral anticoagulants (DOACs) only, or both warfarin and DOACs, and highlights regional prescribing patterns using color-coded, county-level maps.
Author(s): Jingrui Zou, Dong Liang, Yong Zhu
Citation: BMJ Open, 14, e081628
Date: 09/2024
view details
"Saving People's Lives": Access to Mental Health and Addiction Services in Rural Communities
Podcast episode discussing challenges of accessing mental health and addiction services in rural areas. Highlights strategies implemented by New Mexico's Presbyterian Española Hospital to address these challenges and increase access to treatment.
Date: 09/2024
Sponsoring organization: American Hospital Association
view details
Podcast episode discussing challenges of accessing mental health and addiction services in rural areas. Highlights strategies implemented by New Mexico's Presbyterian Española Hospital to address these challenges and increase access to treatment.
Date: 09/2024
Sponsoring organization: American Hospital Association
view details
Nonemergency Medical Transportation: Leading Practices Would Help the Federal Transit Administration Evaluate Its Pilot Program
Provides an overview of non-emergency medical transportation (NEMT) services and Federal Transit Administration (FTA) grant programs that can be used to support NEMT services. Evaluates the design and implementation of the FTA's Innovative Coordinated Access and Mobility (ICAM) pilot program, the only FTA program that includes NEMT as a primary objective. Discusses how FTA communicates the availability and use of its funding for NEMT. Offers recommendations for FTA related to evaluating ICAM and consolidating and publishing information about FTA funding for NEMT.
Additional links: Full Report
Date: 09/2024
Sponsoring organization: Government Accountability Office
view details
Provides an overview of non-emergency medical transportation (NEMT) services and Federal Transit Administration (FTA) grant programs that can be used to support NEMT services. Evaluates the design and implementation of the FTA's Innovative Coordinated Access and Mobility (ICAM) pilot program, the only FTA program that includes NEMT as a primary objective. Discusses how FTA communicates the availability and use of its funding for NEMT. Offers recommendations for FTA related to evaluating ICAM and consolidating and publishing information about FTA funding for NEMT.
Additional links: Full Report
Date: 09/2024
Sponsoring organization: Government Accountability Office
view details
Final Report of the Rural Texas Obstetrics Study
Uses data analysis, interviews, and surveys to report on rural obstetrics access issues in Texas. Discusses facility closures, distance to care, provider shortages, reimbursements, and healthcare quality. Offers an analysis of 15 facilities that closed OB departments to understand potential drivers of closures. Email address required to access report.
Date: 09/2024
Sponsoring organization: Stroudwater Associates
view details
Uses data analysis, interviews, and surveys to report on rural obstetrics access issues in Texas. Discusses facility closures, distance to care, provider shortages, reimbursements, and healthcare quality. Offers an analysis of 15 facilities that closed OB departments to understand potential drivers of closures. Email address required to access report.
Date: 09/2024
Sponsoring organization: Stroudwater Associates
view details