Rural Health
Resources by Topic: Access
Healthcare: A Key Challenge in Alabama's Black Belt
Issue brief examining healthcare access in Alabama's Black Belt region compared to national trends. Covers hospital beds in relation to population, rural hospital closures, COVID-19 strain, and policy impacts.
Author(s): Emily Jacobs, Hunter Whann, Emily Grace Corley, Jonathan Bowen, Noel Keeney
Date: 10/2020
Sponsoring organization: University of Alabama Education Policy Center
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Issue brief examining healthcare access in Alabama's Black Belt region compared to national trends. Covers hospital beds in relation to population, rural hospital closures, COVID-19 strain, and policy impacts.
Author(s): Emily Jacobs, Hunter Whann, Emily Grace Corley, Jonathan Bowen, Noel Keeney
Date: 10/2020
Sponsoring organization: University of Alabama Education Policy Center
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Bringing Lawyers onto the Health Center Care Team to Promote Patient & Community Health
Discusses the role of health center medical-legal partnerships (MLPs) to address social determinants of health. Offers information and tools for health centers, primary care associations, and other organizations to start, strengthen, and sustain an MLP. Describes how to develop screening, referral, and service delivery workflows; how integrating legal services can support health center workforce development; and types of projects MLPs can engage in to help health centers address social determinants of health and health equity at a policy level.
Author(s): Kate Marple. Mallory Curran, Ellen Lawton, Danielle Rahajason
Date: 10/2020
Sponsoring organization: National Center for Medical-Legal Partnership
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Discusses the role of health center medical-legal partnerships (MLPs) to address social determinants of health. Offers information and tools for health centers, primary care associations, and other organizations to start, strengthen, and sustain an MLP. Describes how to develop screening, referral, and service delivery workflows; how integrating legal services can support health center workforce development; and types of projects MLPs can engage in to help health centers address social determinants of health and health equity at a policy level.
Author(s): Kate Marple. Mallory Curran, Ellen Lawton, Danielle Rahajason
Date: 10/2020
Sponsoring organization: National Center for Medical-Legal Partnership
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Development and Implementation of a Telenephrology Dashboard for Active Surveillance of Kidney Disease: A Quality Improvement Project
Explores a study on the use of telehealth for early detection and intervention in cases of kidney disease among rural veterans. Evaluates a telenephrology consultation program run by the VA Health Care System at a number of locations in rural Iowa.
Author(s): Melissa L. Swee, M. Lee Sanders, Kantima Phisitkul, et al.
Citation: BCM Nephrology, 21, 424
Date: 10/2020
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Explores a study on the use of telehealth for early detection and intervention in cases of kidney disease among rural veterans. Evaluates a telenephrology consultation program run by the VA Health Care System at a number of locations in rural Iowa.
Author(s): Melissa L. Swee, M. Lee Sanders, Kantima Phisitkul, et al.
Citation: BCM Nephrology, 21, 424
Date: 10/2020
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Engaging Communities to Preserve Access to Emergency Medical Services in Rural Maine
White paper focusing on rural EMS issues and how Informed Community Self Determination (ICSD) might be implemented to address these issues in Maine. Intended to ensure that individuals understand the EMS capabilities in their community, that the services are the type and level needed, and that services are adequately funded.
Date: 10/2020
Sponsoring organization: Maine Rural Health Action Network
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White paper focusing on rural EMS issues and how Informed Community Self Determination (ICSD) might be implemented to address these issues in Maine. Intended to ensure that individuals understand the EMS capabilities in their community, that the services are the type and level needed, and that services are adequately funded.
Date: 10/2020
Sponsoring organization: Maine Rural Health Action Network
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Child Care in 25 States: What We Know and Don't Know
Compares the supply and demand for childcare services in 25 states, and examines potential reasons behind resulting child care gaps. Features state-by-state data on child care need, including urban versus rural comparisons. Discusses challenges with data collection and offers recommendations for improvement.
Additional links: Webinar Recording
Author(s): Linda K. Smith, Anubhav Bagley, Benjamin Wolters
Date: 10/2020
Sponsoring organization: Bipartisan Policy Center
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Compares the supply and demand for childcare services in 25 states, and examines potential reasons behind resulting child care gaps. Features state-by-state data on child care need, including urban versus rural comparisons. Discusses challenges with data collection and offers recommendations for improvement.
Additional links: Webinar Recording
Author(s): Linda K. Smith, Anubhav Bagley, Benjamin Wolters
Date: 10/2020
Sponsoring organization: Bipartisan Policy Center
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Rapid Detection of Tuberculosis in Remote Alaska
Study of a rapid testing method for active pulmonary tuberculosis (TB) administered in a remote area of western Alaska. Discusses challenges of diagnosing and treating TB in a timely manner in remote areas, and describes the process of creating and implementing a rapid testing program in partnership with healthcare organizations. Presents data from 223 patients who received the rapid test over 3 years, including positivity rates, test sensitivity and specificity, and effectiveness of the testing method.
Author(s): Ronald J. Bowerman
Citation: International Journal of Circumpolar Health, 79(1), 1827786
Date: 10/2020
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Study of a rapid testing method for active pulmonary tuberculosis (TB) administered in a remote area of western Alaska. Discusses challenges of diagnosing and treating TB in a timely manner in remote areas, and describes the process of creating and implementing a rapid testing program in partnership with healthcare organizations. Presents data from 223 patients who received the rapid test over 3 years, including positivity rates, test sensitivity and specificity, and effectiveness of the testing method.
Author(s): Ronald J. Bowerman
Citation: International Journal of Circumpolar Health, 79(1), 1827786
Date: 10/2020
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A Non-Randomized Pilot Study to Test the Feasibility of Treating Chronic Pain and Opioid Prescription Use in Rural Areas with Acceptance and Commitment Therapy (T-PACT)
Describes a pilot study examining research feasibility, methods, and processes for administering acceptance and commitment therapy (ACT) as a treatment for chronic non-cancer pain (CNCP) and a possible alternative to prescribed opioids. The research team included four Clinical and Translational Science Award (CTSA) hubs that administered the study in rural areas of New Mexico, North Carolina, Kansas, and Kentucky. Discusses survey data and lessons learned from the pilot study, including unexpected barriers to participation.
Author(s): Robert L. Rhyne, Heidi Rishel Brakey, Jacquie R. Halladay, et al.
Citation: Journal of Clinical and Translational Science, 4(5), 472-476
Date: 10/2020
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Describes a pilot study examining research feasibility, methods, and processes for administering acceptance and commitment therapy (ACT) as a treatment for chronic non-cancer pain (CNCP) and a possible alternative to prescribed opioids. The research team included four Clinical and Translational Science Award (CTSA) hubs that administered the study in rural areas of New Mexico, North Carolina, Kansas, and Kentucky. Discusses survey data and lessons learned from the pilot study, including unexpected barriers to participation.
Author(s): Robert L. Rhyne, Heidi Rishel Brakey, Jacquie R. Halladay, et al.
Citation: Journal of Clinical and Translational Science, 4(5), 472-476
Date: 10/2020
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Psychiatrist and Psychologist Experiences with Telehealth and Remote Collaborative Care in Primary Care: A Qualitative Study
Discusses delivery of mental health services to rural patients through telehealth referral and remote collaborative care based on focus group sessions with 10 telepsychiatrists and 4 telepsychologists working in primary care clinics in Washington, Michigan, and Arkansas. Summarizes participant experiences of challenges and successes with telehealth delivery models.
Author(s): Molly Howland, McKenna Tennant, Deborah J. Bowen, et al.
Citation: Journal of Rural Health, 37(4), 780-787
Date: 10/2020
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Discusses delivery of mental health services to rural patients through telehealth referral and remote collaborative care based on focus group sessions with 10 telepsychiatrists and 4 telepsychologists working in primary care clinics in Washington, Michigan, and Arkansas. Summarizes participant experiences of challenges and successes with telehealth delivery models.
Author(s): Molly Howland, McKenna Tennant, Deborah J. Bowen, et al.
Citation: Journal of Rural Health, 37(4), 780-787
Date: 10/2020
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Prevalence and Characteristics of Telehealth Utilization in the United States
Results of a survey of 2555 people conducted between February-April 2019 to estimate the use of different forms of telehealth and reasons for nonuse. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Shira H. Fischer, Kristin N. Ray, Ateev Mehrotra, Erika Litvin Bloom, Lori Uscher-Pines
Citation: JAMA Network Open, 3(10)
Date: 10/2020
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Results of a survey of 2555 people conducted between February-April 2019 to estimate the use of different forms of telehealth and reasons for nonuse. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Shira H. Fischer, Kristin N. Ray, Ateev Mehrotra, Erika Litvin Bloom, Lori Uscher-Pines
Citation: JAMA Network Open, 3(10)
Date: 10/2020
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Assessment of Changes in Rural and Urban Primary Care Workforce in the United States From 2009 to 2017
Results of a study comparing the primary care workforce and its growth between urban and rural counties or county-equivalents from 2009-2017. Features county-level maps showing the distribution of primary care physicians and non-physician clinicians, and statistics with breakdowns by provider type and rural or urban location.
Author(s): Donglan Zhang, Heejung Son, Ye Shen
Citation: JAMA Network Open, 3(10)
Date: 10/2020
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Results of a study comparing the primary care workforce and its growth between urban and rural counties or county-equivalents from 2009-2017. Features county-level maps showing the distribution of primary care physicians and non-physician clinicians, and statistics with breakdowns by provider type and rural or urban location.
Author(s): Donglan Zhang, Heejung Son, Ye Shen
Citation: JAMA Network Open, 3(10)
Date: 10/2020
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