Rural Health
Resources by Topic: Access
Advancing Health Equity and Access Using Telemedicine: A Geospatial Assessment
Highlights a study on the effectiveness of a virtual urgent care (VUC) program in expanding healthcare access and addressing health equity in rural populations in North Carolina. Compares rural versus urban areas and breaks down data by rates of poverty, Medicare and Medicaid enrollment, and broadband access, among other measures.
Author(s): Saif Khairat, Timothy Haithcoat, Songzi Liu, et al.
Citation: Journal of the American Medical Informatics Association, 26(8-9), 796–805
Date: 08/2019
Type: Document
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Highlights a study on the effectiveness of a virtual urgent care (VUC) program in expanding healthcare access and addressing health equity in rural populations in North Carolina. Compares rural versus urban areas and breaks down data by rates of poverty, Medicare and Medicaid enrollment, and broadband access, among other measures.
Author(s): Saif Khairat, Timothy Haithcoat, Songzi Liu, et al.
Citation: Journal of the American Medical Informatics Association, 26(8-9), 796–805
Date: 08/2019
Type: Document
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Rural Access to MAT in Pennsylvania (RAMP): A Hybrid Implementation Study Protocol for Medication Assisted Treatment Adoption among Rural Primary Care Providers
Presents a study on the implementation of an intervention designed to expand access to medication-assisted treatment for people with opioid use disorder in rural Pennsylvania. Highlights the collaborators and roles within the intervention, breaking down the delivery and support infrastructure.
Author(s): Gerald Cochran, Evan S. Cole, Jack Warwick, et al.
Citation: Addiction Science & Clinical Practice, 14, 25
Date: 08/2019
Type: Document
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Presents a study on the implementation of an intervention designed to expand access to medication-assisted treatment for people with opioid use disorder in rural Pennsylvania. Highlights the collaborators and roles within the intervention, breaking down the delivery and support infrastructure.
Author(s): Gerald Cochran, Evan S. Cole, Jack Warwick, et al.
Citation: Addiction Science & Clinical Practice, 14, 25
Date: 08/2019
Type: Document
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Promoting Positive Mental Health in Rural Schools
Provides resources and information to assist with the mental health training and technical assistance needs of schools, administrators, teachers, support staff, and others serving rural and remote communities and students. Profiles a rural student who faces a variety of challenges, such as food insecurity, limited access to providers, drug use, mental health, social isolation, and more.
Author(s): Thomasine Heitkamp, Sarah Nielsen, Shawnda Schroeder
Date: 08/2019
Type: Document
Sponsoring organization: Mental Health Technology Transfer Center Network
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Provides resources and information to assist with the mental health training and technical assistance needs of schools, administrators, teachers, support staff, and others serving rural and remote communities and students. Profiles a rural student who faces a variety of challenges, such as food insecurity, limited access to providers, drug use, mental health, social isolation, and more.
Author(s): Thomasine Heitkamp, Sarah Nielsen, Shawnda Schroeder
Date: 08/2019
Type: Document
Sponsoring organization: Mental Health Technology Transfer Center Network
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Rural America Has a Maternal Mortality Problem. Midwives Might Help Solve It.
Highlights the role of certified professional midwives in providing access to maternal and newborn care using an example from an Amish area of Tennessee. Discusses differences in state policies and integration with local health systems. Includes a map identifying maternal mortality rates by state.
Author(s): April Simpson
Date: 08/2019
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Highlights the role of certified professional midwives in providing access to maternal and newborn care using an example from an Amish area of Tennessee. Discusses differences in state policies and integration with local health systems. Includes a map identifying maternal mortality rates by state.
Author(s): April Simpson
Date: 08/2019
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Addressing Rural Hospital Closures Through Infrastructure Reform
Provides a historical overview of rural Medicare reimbursement and provider designations and discusses their impact on hospital closures. Supports changing the rural health infrastructure to provide more flexibility for rural hospitals and to emphasize primary care and emergency care access.
Author(s): Eleni Salyers
Date: 08/2019
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Provides a historical overview of rural Medicare reimbursement and provider designations and discusses their impact on hospital closures. Supports changing the rural health infrastructure to provide more flexibility for rural hospitals and to emphasize primary care and emergency care access.
Author(s): Eleni Salyers
Date: 08/2019
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Effects of the Patient Protection and Affordable Care Act on Coverage and Access to Care in Metropolitan vs. Non-Metropolitan Areas through 2016
Examines the combined effects of the Patient Protection and Affordable Care Act (PPACA) insurance provisions versus the effect of the Medicaid expansions, using recent national data to show possible differences between metropolitan and nonmetropolitan areas. Features statistics including changes in each of the years between 2013 and 2016, with breakdowns by metropolitan and nonmetropolitan areas.
Author(s): George L. Wehby, Wei Lyu, Dan M. Shane
Date: 08/2019
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines the combined effects of the Patient Protection and Affordable Care Act (PPACA) insurance provisions versus the effect of the Medicaid expansions, using recent national data to show possible differences between metropolitan and nonmetropolitan areas. Features statistics including changes in each of the years between 2013 and 2016, with breakdowns by metropolitan and nonmetropolitan areas.
Author(s): George L. Wehby, Wei Lyu, Dan M. Shane
Date: 08/2019
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Perceived Facilitators and Barriers to Rural Nursing Practice
Results of a web-based survey of 435 nurses, examining perceived facilitators and barriers to nursing practice, job satisfaction, and self-identified challenges in nursing work environments and patient care. Features statistics including educational training and work preparation, educational characteristics of ambulatory care nurses, and demographic characteristics of survey participants, with breakdowns by rural, suburban, and urban location.
Author(s): Janice C. Probst, Selina Hunt McKinney, Whitney Zahnd, Eboni Haynes
Date: 08/2019
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Results of a web-based survey of 435 nurses, examining perceived facilitators and barriers to nursing practice, job satisfaction, and self-identified challenges in nursing work environments and patient care. Features statistics including educational training and work preparation, educational characteristics of ambulatory care nurses, and demographic characteristics of survey participants, with breakdowns by rural, suburban, and urban location.
Author(s): Janice C. Probst, Selina Hunt McKinney, Whitney Zahnd, Eboni Haynes
Date: 08/2019
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Department of Health Care Services: It Has Not Ensured That Medi-Cal Beneficiaries in Some Rural Counties Have Reasonable Access to Care
Findings from a study to determine whether rural beneficiaries of the Medi-Cal Regional Model health plan were given acceptable access to care and adequate quality of care after the state transitioned into managed care plans in 2013. Includes county-level map showing Medi-Cal Managed Care Models and statistics showing maximum distance required to access care, with breakdowns by provider type.
Author(s): Elaine M. Howle
Citation: California State Auditor Report 2018-122
Date: 08/2019
Type: Document
Sponsoring organization: Auditor of the State of California
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Findings from a study to determine whether rural beneficiaries of the Medi-Cal Regional Model health plan were given acceptable access to care and adequate quality of care after the state transitioned into managed care plans in 2013. Includes county-level map showing Medi-Cal Managed Care Models and statistics showing maximum distance required to access care, with breakdowns by provider type.
Author(s): Elaine M. Howle
Citation: California State Auditor Report 2018-122
Date: 08/2019
Type: Document
Sponsoring organization: Auditor of the State of California
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Life-Saving Naloxone from Pharmacies
Describes the role naloxone plays in reversing the effects of an opioid overdose. Discusses the need for greater access to naloxone, particularly in rural areas, and highlights trends in opioid and naloxone prescribing. Includes links to related CDC resources.
Date: 08/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Describes the role naloxone plays in reversing the effects of an opioid overdose. Discusses the need for greater access to naloxone, particularly in rural areas, and highlights trends in opioid and naloxone prescribing. Includes links to related CDC resources.
Date: 08/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Arizona Opioid Action Plan Version 2.0, July 2019 - June 2021
Outlines the Arizona Department of Health Services' goals and recommendations for responding to the state's opioid-related public health emergency declaration. Intended to serve as an action plan and primary data source, containing information on opioid legislation, federal barriers, public education, youth prevention, medical education curriculum, and more. Includes rural-specific information and recommendations.
Date: 07/2019
Type: Document
Sponsoring organization: Arizona Department of Health Services
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Outlines the Arizona Department of Health Services' goals and recommendations for responding to the state's opioid-related public health emergency declaration. Intended to serve as an action plan and primary data source, containing information on opioid legislation, federal barriers, public education, youth prevention, medical education curriculum, and more. Includes rural-specific information and recommendations.
Date: 07/2019
Type: Document
Sponsoring organization: Arizona Department of Health Services
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