Rural Health
Resources by Topic: Access
More Than a Smile: An Examination of Rural Dental Health Care in Nebraska
Explores the link between oral and total health, and identifies primary barriers to dental healthcare in rural Nebraska and efforts to increase access. Includes county-level maps of Nebraska and the United States, showing Dental Health Professional Shortages Areas as of 2019.
Author(s): Lauren Taylor, Jordan Rasmussen
Date: 11/2019
Type: Document
Sponsoring organization: Center for Rural Affairs
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Explores the link between oral and total health, and identifies primary barriers to dental healthcare in rural Nebraska and efforts to increase access. Includes county-level maps of Nebraska and the United States, showing Dental Health Professional Shortages Areas as of 2019.
Author(s): Lauren Taylor, Jordan Rasmussen
Date: 11/2019
Type: Document
Sponsoring organization: Center for Rural Affairs
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Advancing Health Equity Through Community Health Workers and Peer Providers: Mounting Evidence and Policy Recommendations
Reviews the results from 9 studies funded by the Patient Centered Outcomes Research Institute supporting the inclusion of community health workers (CHWs) and peer providers (PPs) as effective participants in addressing health and healthcare inequities, particularly for diverse communities. Each study presented focuses on a distinct function of utilizing CHWs and/or PPS such as mentoring, managing chronic conditions, and navigator support for serious mental illness and depression. Discusses why payers and providers should include CHWs and PPS in a variety of capacities to improve outcomes, add value to care, and control costs.
Date: 11/2019
Type: Document
Sponsoring organization: Families USA
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Reviews the results from 9 studies funded by the Patient Centered Outcomes Research Institute supporting the inclusion of community health workers (CHWs) and peer providers (PPs) as effective participants in addressing health and healthcare inequities, particularly for diverse communities. Each study presented focuses on a distinct function of utilizing CHWs and/or PPS such as mentoring, managing chronic conditions, and navigator support for serious mental illness and depression. Discusses why payers and providers should include CHWs and PPS in a variety of capacities to improve outcomes, add value to care, and control costs.
Date: 11/2019
Type: Document
Sponsoring organization: Families USA
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Growth and Distribution of Child Psychiatrists in the United States: 2007-2016
Results of a study exploring trends in the growth and distribution of child psychiatrists in the United States from 2007-2016, noting differences in access in urban and rural areas. Includes statistics on the numbers of children and child psychiatrists in each state, and a county-level map showing the percent of change during the decade studied.
Author(s): Ryan K. McBain, Aaron Kofner, Bradley D. Stein, et al.
Citation: Pediatrics, 144(6)
Date: 11/2019
Type: Document
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Results of a study exploring trends in the growth and distribution of child psychiatrists in the United States from 2007-2016, noting differences in access in urban and rural areas. Includes statistics on the numbers of children and child psychiatrists in each state, and a county-level map showing the percent of change during the decade studied.
Author(s): Ryan K. McBain, Aaron Kofner, Bradley D. Stein, et al.
Citation: Pediatrics, 144(6)
Date: 11/2019
Type: Document
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Urban and Rural Hospitalizations in Mississippi: Overview and Trend Analyses, 2014-2018
Results of a rural health surveillance system established by the Mississippi State Department of Health to monitor and report on the health status of rural residents and the capacity of the local healthcare systems serving this population. Features county-level maps and statistics from 2014-2018 on inpatient care, numbers of hospitals, hospital beds, percent of hospitalizations, and payment models, with breakdowns by metropolitan, micropolitan, and rural areas.
Date: 10/2019
Type: Document
Sponsoring organization: Mississippi State Department of Health
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Results of a rural health surveillance system established by the Mississippi State Department of Health to monitor and report on the health status of rural residents and the capacity of the local healthcare systems serving this population. Features county-level maps and statistics from 2014-2018 on inpatient care, numbers of hospitals, hospital beds, percent of hospitalizations, and payment models, with breakdowns by metropolitan, micropolitan, and rural areas.
Date: 10/2019
Type: Document
Sponsoring organization: Mississippi State Department of Health
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Promoting Maternal Health in Rural and Underserved Areas
Examines reasons for the rural obstetrical care crisis and discusses how public policy and technological innovation can improve healthcare quality and access in rural America. Includes sections on scope-of-practice restrictions and policy barriers to telemedicine's broad implementation.
Author(s): Darcy Nikol Bryan
Date: 10/2019
Type: Document
Sponsoring organization: Mercatus Center, George Mason University
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Examines reasons for the rural obstetrical care crisis and discusses how public policy and technological innovation can improve healthcare quality and access in rural America. Includes sections on scope-of-practice restrictions and policy barriers to telemedicine's broad implementation.
Author(s): Darcy Nikol Bryan
Date: 10/2019
Type: Document
Sponsoring organization: Mercatus Center, George Mason University
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Drive Times to Opioid Treatment Programs in Urban and Rural Counties in 5 U.S. States
Examines the driving times to opioid treatment programs in urban and rural counties in Indiana, Kentucky, Ohio, Virginia, and West Virginia. Compares drive times to Federally Qualified Health Centers and dialysis centers as possible prescribing and treatment locations.
Author(s): Paul J. Joudrey, E. Jennifer Edelman, Emily A. Wang
Citation: JAMA, 322(13), 1310-1312
Date: 10/2019
Type: Document
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Examines the driving times to opioid treatment programs in urban and rural counties in Indiana, Kentucky, Ohio, Virginia, and West Virginia. Compares drive times to Federally Qualified Health Centers and dialysis centers as possible prescribing and treatment locations.
Author(s): Paul J. Joudrey, E. Jennifer Edelman, Emily A. Wang
Citation: JAMA, 322(13), 1310-1312
Date: 10/2019
Type: Document
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Alaska Native Patient and Provider Perspectives on the Multitarget Stool DNA Test Compared with Colonoscopy for Colorectal Cancer Screening
Studies the potential for take-home multitarget stool DNA testing (MT-sDNA) for colorectal cancer to increase access to screening for Alaska Native communities. Discusses barriers to colonoscopy screening, including access to colonoscopy providers and patient resistance to the procedure. Analyzes data from surveys of patients and providers, comparing patient responses based on age and emphasizing acceptability of MT-sDNA among both groups.
Author(s): Diana G. Redwood, Ian D. Blake, Ellen M. Provost, et al.
Citation: Journal of Primary Care and Community Health, 10, 1-7
Date: 10/2019
Type: Document
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Studies the potential for take-home multitarget stool DNA testing (MT-sDNA) for colorectal cancer to increase access to screening for Alaska Native communities. Discusses barriers to colonoscopy screening, including access to colonoscopy providers and patient resistance to the procedure. Analyzes data from surveys of patients and providers, comparing patient responses based on age and emphasizing acceptability of MT-sDNA among both groups.
Author(s): Diana G. Redwood, Ian D. Blake, Ellen M. Provost, et al.
Citation: Journal of Primary Care and Community Health, 10, 1-7
Date: 10/2019
Type: Document
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California's Midwives: How Scope of Practice Laws Impact Care
Compares the scope of practice, professional licensures, regulatory systems, and educational requirements for licensed midwives (LMs) and nurse-midwives (NMs) in California. Appendix provides per capita distribution data for midwives by county within the state.
Author(s): Connie Kwong, Margot Brooks, Kim Q. Dau, Joanne Spetz
Date: 10/2019
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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Compares the scope of practice, professional licensures, regulatory systems, and educational requirements for licensed midwives (LMs) and nurse-midwives (NMs) in California. Appendix provides per capita distribution data for midwives by county within the state.
Author(s): Connie Kwong, Margot Brooks, Kim Q. Dau, Joanne Spetz
Date: 10/2019
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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Behavioral Health Service Provision by Primary Care Physicians
Results of a 2019 survey of 313 physicians, examining physician medical specialty and practice characteristics, patient population characteristics, physician practices for screening and diagnosing patients for behavioral health disorders, and roles in managing patients with behavioral health disorders. Features statistics on various types of disorders, with breakdowns by rural and nonrural settings.
Additional links: Policy Brief
Author(s): Angela J. Beck, Cory Page, Jessica Buche, Victoria Schoebel, Caitlyn Wayment
Date: 10/2019
Type: Document
Sponsoring organization: University of Michigan Behavioral Health Workforce Research Center
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Results of a 2019 survey of 313 physicians, examining physician medical specialty and practice characteristics, patient population characteristics, physician practices for screening and diagnosing patients for behavioral health disorders, and roles in managing patients with behavioral health disorders. Features statistics on various types of disorders, with breakdowns by rural and nonrural settings.
Additional links: Policy Brief
Author(s): Angela J. Beck, Cory Page, Jessica Buche, Victoria Schoebel, Caitlyn Wayment
Date: 10/2019
Type: Document
Sponsoring organization: University of Michigan Behavioral Health Workforce Research Center
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Maternal Health Begins Where Moms Live, Learn, and Work
Discusses the social and healthcare influences, particularly in rural areas, on maternal health and its effect on maternal mortality. Compares rural county and urban county data for Arizona state Medicaid coverage, amount of prenatal care received and when it was received, and the poverty rate.
Author(s): Bryna Koch, Benjamin Brady, Susan Coates, et al.
Date: 10/2019
Type: Document
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Discusses the social and healthcare influences, particularly in rural areas, on maternal health and its effect on maternal mortality. Compares rural county and urban county data for Arizona state Medicaid coverage, amount of prenatal care received and when it was received, and the poverty rate.
Author(s): Bryna Koch, Benjamin Brady, Susan Coates, et al.
Date: 10/2019
Type: Document
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