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Rural Health Information Hub

Rural Health
Resources by Topic: Access

The American Opioid Epidemic in Special Populations: Five Examples
Report on the disproportionate impacts of the opioid crisis on populations, in the criminal justice system, rural residents, veterans, young adults, and individuals who inject drugs. Offers statistical data for each group and discussion of opioid use disorder and mortality, barriers to treatment, promising strategies to address treatment issues, and research and policy priorities. Section on rural populations offers data on drug overdose deaths, rates of opioid prescription, and the association between economic distress and opioid-involved deaths.
Author(s): Carlos Blanco, Mir M. Ali, Aaron Beswick, et al.
Date: 10/2020
Sponsoring organization: National Academy of Medicine
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Telebehavioral Health: An Effective Alternative to In-Person Care
Issue brief discussing telehealth treatment modalities based on a 2019 review of clinical outcomes related to telebehavioral health. Covers three state-level approaches: the Portland Veterans Affairs Medical Center Rural Telemental Health Program (VA RTMH), which serves rural Oregon veterans, and Medicaid policies in Texas and Massachusetts. Addresses telebehavioral health policy details, implementation, and considerations for states looking to develop new telebehavioral health policies during the COVID-19 pandemic.
Author(s): Brittany Lazur, Lily Sobolik, Valerie King
Date: 10/2020
Sponsoring organization: Milbank Memorial Fund
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Rural America's Senior Citizens: Considerations for Transportation, Healthcare Access, Connectedness, Nutrition and Economics
Policy paper providing an overview of rural older adults. Examines the challenges rural older adults face in accessing healthcare. Discusses how transportation, social isolation, nutrition, and economics impact the health outcomes of this population.
Author(s): Tasha Brown, Kay Miller Temple, Josie Rudolphi
Date: 10/2020
Sponsoring organization: National Rural Health Association
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Overview of Rural Child Health
Policy position paper presenting an overview rural child health and factors influencing health disparities in rural children. Highlights disparities in mortality, physical health, preventive health, and oral health. Includes policy recommendations to address these disparities.
Author(s): Peiyin Hung, Matthew Workman, Kim Mohan
Date: 10/2020
Sponsoring organization: National Rural Health Association
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Rural/Urban Differences in Children's Health
Examines differences in child health conditions by rural and urban residency. Explores differences in mental and behavioral health, weight status and physical activity, adverse childhood experiences, and access to healthcare.
Date: 10/2020
Sponsoring organization: Maternal and Child Health Bureau
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The Impact of Coronavirus on Households in Rural America
Reports on the experiences of rural households during the COVID-19 pandemic. Discusses impacts on finances, employment, healthcare, housing, food, and child care. Concerns related to healthcare include access to care during the pandemic, concerns for those with special health issues such as chronic conditions, and use of telehealth.
Date: 10/2020
Sponsoring organizations: Harvard T.H. Chan School of Public Health, National Public Radio, Robert Wood Johnson Foundation
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The Unseen Picture: Issues with Health Care, Discrimination, Police and Safety, and Housing Experienced by Native American Populations in Rural America
Report presents a study on the experiences of rural Native American adults related to housing, discrimination, policing, and healthcare access, quality, and affordability. Compares the experiences of rural Native American and rural White adults. Breaks down data by sex, age, and U.S. region, among other measures.
Author(s): Mary T.G. Findling, Robert J. Blendon, John M. Benson, Carolyn Miller
Citation: Journal of Rural Health, 38(1), 180-186
Date: 10/2020
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Characteristics of US Rural Hospitals by Obstetric Service Availability, 2017
Examines the characteristics of rural hospitals that did not provide obstetric care in 2017. Compares rural hospitals that did and did not have obstetrics services by financial structure, location, and hospital size and emergency department availability and volume. Discusses the public health implications of this analysis.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Mariana S. Tuttle, Carrie Henning-Smith, Lindsay Admon
Citation: American Journal of Public Health, 110(9), 1315-1317
Date: 09/2020
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Louisiana Primary Care Needs Assessment: Closing the Gap on Healthcare Disparities and Workforce Shortages
Identifies unmet needs and disparities in health outcomes in Louisiana, explores health workforce concerns, and discusses barriers to accessing healthcare. Includes a section on Health Professional Shortage Areas and mentions rural throughout.
Author(s): Hayley Alexander, Barrie Black, Nicole Coarsey, Kimberly Brent
Date: 09/2020
Sponsoring organization: Well-Ahead Louisiana
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2019 National Healthcare Quality and Disparities Report
Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Includes a discussion of disparities encountered by race/ethnicity and geographic locations along the rural-urban continuum. Addresses access to healthcare, patient safety, person-centered care, care coordination, affordability, healthy living, and effective treatment.
Date: 09/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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