Rural Health
Resources by Topic: Access
Birth Settings in America: Outcomes, Quality, Access, and Choice
Examines factors that influence maternal and newborn care in the United States, including social determinants such as geographic variability in access to birth settings. Explores challenges faced by women in rural and underserved areas. Includes statistics on infant mortality rates in 2014 with breakdowns by rural or urban locations, and county-level maps showing access to providers and hospitals offering obstetric services.
Additional links: Read Online
Author(s): Board on Children, Youth, and Families
Date: 2020
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Examines factors that influence maternal and newborn care in the United States, including social determinants such as geographic variability in access to birth settings. Explores challenges faced by women in rural and underserved areas. Includes statistics on infant mortality rates in 2014 with breakdowns by rural or urban locations, and county-level maps showing access to providers and hospitals offering obstetric services.
Additional links: Read Online
Author(s): Board on Children, Youth, and Families
Date: 2020
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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The VA MISSION Act of 2018: A Potential Game Changer for Rural GME Expansion and Veteran Health Care
Describes features of the VA Maintaining Internal Systems and Strengthening Integrated Outside Networks (MISSION) Act of 2018, including expansion of graduate medical education (GME) to rural areas, modernization of facilities, and financial aid for providers willing to accept VA assignments in shortage areas. Explores ways in which the MISSION Act can promote more effective and efficient care programs for veterans in rural and underserved areas.
Author(s): Anthony P. Albanese, Edward T. Bope, Karen M. Sanders, Marjorie Bowman
Citation: Journal of Rural Health, 36(1), 133-136
Date: 2020
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Describes features of the VA Maintaining Internal Systems and Strengthening Integrated Outside Networks (MISSION) Act of 2018, including expansion of graduate medical education (GME) to rural areas, modernization of facilities, and financial aid for providers willing to accept VA assignments in shortage areas. Explores ways in which the MISSION Act can promote more effective and efficient care programs for veterans in rural and underserved areas.
Author(s): Anthony P. Albanese, Edward T. Bope, Karen M. Sanders, Marjorie Bowman
Citation: Journal of Rural Health, 36(1), 133-136
Date: 2020
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Bringing Palliative Care To Underserved Rural Communities
Discusses challenges and strategies related to providing palliative care to rural, predominantly Black communities in the South. Focuses on bridging cultural divides and integrating patient spirituality into the healthcare process.
Author(s): Charlotte Huff
Citation: Health Affairs, 38(12)
Date: 12/2019
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Discusses challenges and strategies related to providing palliative care to rural, predominantly Black communities in the South. Focuses on bridging cultural divides and integrating patient spirituality into the healthcare process.
Author(s): Charlotte Huff
Citation: Health Affairs, 38(12)
Date: 12/2019
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Importance of the Supplemental Nutrition Assistance Program in Rural America
Discusses the impact of the Supplemental Nutrition Assistance Program (SNAP) on rural communities, addressing rural-specific needs, challenges, and considerations related to program implementation. Describes rural health disparities and food access issues in rural areas, and the potential effects of changes to SNAP on rural participants.
Author(s): Lisa Harnack, Sruthi Valluri, Simone A. French
Citation: American Journal of Public Health, 109(12), 1641-1645
Date: 12/2019
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Discusses the impact of the Supplemental Nutrition Assistance Program (SNAP) on rural communities, addressing rural-specific needs, challenges, and considerations related to program implementation. Describes rural health disparities and food access issues in rural areas, and the potential effects of changes to SNAP on rural participants.
Author(s): Lisa Harnack, Sruthi Valluri, Simone A. French
Citation: American Journal of Public Health, 109(12), 1641-1645
Date: 12/2019
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The Landscape of Obstetric Resources and Risks in Indiana: A Framework for Informing Policy
Provides insight on access to obstetric care resources and infant or maternal health risk factors in Indiana communities. Presents a framework that can be used for targeting state and health system policy and planning by analyzing resources, such as obstetric providers and hospitals with obstetric services, and health risks. Includes a county-level map with breakdowns showing 4 levels of access to obstetric care services, 3 levels of maternal or infant health risks, and shadings to indicate rural counties.
Author(s): Hannah Maxey, Courtney Randolph, Sierra Vaughn
Date: 12/2019
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Provides insight on access to obstetric care resources and infant or maternal health risk factors in Indiana communities. Presents a framework that can be used for targeting state and health system policy and planning by analyzing resources, such as obstetric providers and hospitals with obstetric services, and health risks. Includes a county-level map with breakdowns showing 4 levels of access to obstetric care services, 3 levels of maternal or infant health risks, and shadings to indicate rural counties.
Author(s): Hannah Maxey, Courtney Randolph, Sierra Vaughn
Date: 12/2019
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Mortality-to-Incidence Ratios by U.S. Congressional District: Implications for Epidemiologic, Dissemination and Implementation Research, and Public Health Policy
Analyzes congressional district-specific mortality-to-incidence ratios (MIR) between 2011 and 2015 for all cancers and for cancers of breast, cervix, colorectal, esophagus, lung, oral, pancreas, and prostate cancers. Compares MIRs across regions, state Medicaid expansion status, race, and rurality. Discusses implications for policymakers and researchers.
Author(s): Jan M. Eberth, Whitney E. Zahnd, Swann Arp Adams, et al.
Citation: Preventative Medicine, 129(S), 105849
Date: 12/2019
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Analyzes congressional district-specific mortality-to-incidence ratios (MIR) between 2011 and 2015 for all cancers and for cancers of breast, cervix, colorectal, esophagus, lung, oral, pancreas, and prostate cancers. Compares MIRs across regions, state Medicaid expansion status, race, and rurality. Discusses implications for policymakers and researchers.
Author(s): Jan M. Eberth, Whitney E. Zahnd, Swann Arp Adams, et al.
Citation: Preventative Medicine, 129(S), 105849
Date: 12/2019
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Access to Specialty Healthcare in Urban Versus Rural US Populations: A Systematic Literature Review
Surveys research between January 2013 – August 2018 on healthcare access, seeking clear definition and understanding of barriers to specialty care. Draws data from 67 peer-reviewed articles, presenting a conceptual framework based on common themes. Discusses issues of availability, perception, policy, stigma, and other access factors.
Author(s): Melissa E. Cyr, Anna G. Etchin, Barbara J. Guthrie, James C. Benneyan
Citation: BMC Health Services Research, 19, 974
Date: 12/2019
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Surveys research between January 2013 – August 2018 on healthcare access, seeking clear definition and understanding of barriers to specialty care. Draws data from 67 peer-reviewed articles, presenting a conceptual framework based on common themes. Discusses issues of availability, perception, policy, stigma, and other access factors.
Author(s): Melissa E. Cyr, Anna G. Etchin, Barbara J. Guthrie, James C. Benneyan
Citation: BMC Health Services Research, 19, 974
Date: 12/2019
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Study Protocol of Coaching End-of-Life Palliative Care for Advanced Heart Failure Patients and Their Family Caregivers in Rural Appalachia: A Randomized Controlled Trial
Describes a clinical trial to study an end-of-life palliative care program for heart failure patients in rural West Virginia. Discusses the prevalence of heart failure in rural Appalachia and the need for palliative care training for family caregivers.
Author(s): Ubolrat Piamjariyakul, Trisha Petitte, Angel Smothers, et al.
Citation: BMC Palliative Care, 18, 119
Date: 12/2019
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Describes a clinical trial to study an end-of-life palliative care program for heart failure patients in rural West Virginia. Discusses the prevalence of heart failure in rural Appalachia and the need for palliative care training for family caregivers.
Author(s): Ubolrat Piamjariyakul, Trisha Petitte, Angel Smothers, et al.
Citation: BMC Palliative Care, 18, 119
Date: 12/2019
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Access, Quality, and Financial Performance of Rural Hospitals Following Health System Affiliation
Examines the impact of health system affiliation on rural hospitals' quality and financial performance, as well as patients' access to care. Compares rural hospitals affiliated with a health system between 2008-2017 with those that did not affiliate with a health system.
Author(s): Claire E. O'Hanlon, Ashley M. Kranz, Maria DeYoreo, Ammarah Mahmud, Cheryl L. Damberg, Justin W. Timbie
Citation: Health Affairs, 38(12), 2095-2104
Date: 12/2019
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Examines the impact of health system affiliation on rural hospitals' quality and financial performance, as well as patients' access to care. Compares rural hospitals affiliated with a health system between 2008-2017 with those that did not affiliate with a health system.
Author(s): Claire E. O'Hanlon, Ashley M. Kranz, Maria DeYoreo, Ammarah Mahmud, Cheryl L. Damberg, Justin W. Timbie
Citation: Health Affairs, 38(12), 2095-2104
Date: 12/2019
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Challenges in Managing Acute Cardiovascular Diseases and Follow Up Care in Rural Areas: A Narrative Review
Explores the challenges of acute coronary syndrome (ACS) management and follow-up care in rural areas. Details access and workforce issues that make ACS care challenging in rural and remote areas.
Author(s): Sandra C. Thompson, Lee Nedkoff, Judith Katzenellenbogen, et al.
Citation: International Journal of Environmental Research and Public Health, 16(24), 5126
Date: 12/2019
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Explores the challenges of acute coronary syndrome (ACS) management and follow-up care in rural areas. Details access and workforce issues that make ACS care challenging in rural and remote areas.
Author(s): Sandra C. Thompson, Lee Nedkoff, Judith Katzenellenbogen, et al.
Citation: International Journal of Environmental Research and Public Health, 16(24), 5126
Date: 12/2019
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