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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Arizona Primary Care Physician Workforce Report
Features data, using Rural Urban Commuting Areas (RUCA) codes, to assess the distribution of the physician workforce in Arizona, and highlights differences in the distribution by training location and physician specialty. To be used as a guide in the development of policies and programs addressing the healthcare needs of all communities within the state.
Date: 10/2019
Sponsoring organization: Arizona Center for Rural Health
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Enhancing Services for Deaf, Hard of Hearing, and Deafblind Patients in Rural America
Discusses the barriers to care that rural patients who are deaf, hard of hearing, or deafblind face, including lack of accommodations and inadequate clinician training. Features a Michigan clinic with American Sign Language-fluent staff, a New Jersey state division providing deaf sensitivity training, and a Colorado program that brings interpreters to rural communities.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 10/2019
Sponsoring organization: Rural Health Information Hub
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Reported Importance and Access to Health Care Providers Who Understand or Share Cultural Characteristics With Their Patients Among Adults, by Race and Ethnicity
Examines the importance and frequency of seeing culturally competent health care providers among U.S. adults, with data by race and ethnicity. Includes metropolitan and nonmetropolitan data for Hispanic, non-Hispanic White, non-Hispanic Black, and other non-Hispanic adults.
Author(s): Emily P. Terlizzi, Eric M. Connor, Carla E. Zelaya, et al.
Date: 10/2019
Sponsoring organization: National Center for Health Statistics
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Impact of Rural Residence on Kidney Transplant Rates Among Waitlisted Candidates in the VA Transplant Programs
Details a study on the role rurality plays in kidney transplantation access among veterans. Breaks down data of waitlisted veterans by age, sex, and location, among other measures. Compares rates veterans and non-veterans for reference.
Author(s): Amy O'Shea, Carrie L. Franciscus, Peter J. Kaboli, Roberto S. Kalil
Citation: Transplantation, 103(9), 1945-1952
Date: 09/2019
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Impact of Rural Address and Distance from Clinic on Depression Outcomes Within a Primary Care Medical Home Practice
Compares rural and urban outcomes and rates of recovery for patients diagnosed with depression, describing mental healthcare disparities. Discusses Collaborative Care Management (CCM), which involves nurse care coordinators, behavioral health practitioners, and physicians working together to treat primary care patients with depression. Studies 3,870 patients in southeast Minnesota, analyzing remission data and patients' distance from their primary care clinic. Discusses the impact of rural residence, distance from providers, accessibility of care, and CCM on recovery rates.
Author(s): Hailon Wong, Kyle Moore, Kurt B. Angstman, Gregory M. Garrison
Citation: BMC Family Practice, 20, 123
Date: 09/2019
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Traumatic Injury and Access to Care in Rural Areas: Leveraging Linked Data and Geographic Information Systems for Planning and Advocacy
Analyzes county-level data representing traumatic injury rates in rural Colorado. Discusses challenges to trauma care in rural areas, including distance to trauma centers, rates of injury, prevention resources, EMS response times, and limited EMS capacity. Includes county-level maps showing transportation time to trauma centers, mortality rates, and hospitalization rates for traumatic injury.
Author(s): Paula Yuma, Rebecca Orsi, Julie Dunn, et al.
Citation: Rural Remote Health, 19(3), 5089
Date: 09/2019
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The Use of and Experiences With Telelactation Among Rural Breastfeeding Mothers: Secondary Analysis of a Randomized Controlled Trial
Study exploring a telehealth video-based lactation service offered to rural Pennsylvania mothers through a Critical Access Hospital. Discusses data on study participation, number of telelactation video calls per participant, nature of the participants' concerns or questions, breastfeeding experience, and infant age. Describes challenges of providing lactation support in rural areas and presents telelactation services as a potential solution.
Author(s): Kandice Kapinos, Virginia Kotzias, Debra Bogen, et al.
Citation: Journal of Medical Internet Research, 21(9), e13967
Date: 09/2019
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Inclusive Public Health Preparedness Program to Promote Resilience in Rural Appalachia (2016–2018)
Describes a collaborative planning process for responding to public health emergencies in a rural Appalachian setting where citizens are more vulnerable to emergencies and natural disasters. Emphasizes the importance of including rural populations with access and functional needs in the planning process to create all-inclusive, all-hazards emergency response services.
Author(s): Jennifer Schroeder, Erin Bouldin
Citation: American Journal of Public Health, 109(Suppl 4), S283-S285
Date: 09/2019
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America's Care of Serious Illness: A State-by-State Report Card on Access to Palliative Care in Our Nation's Hospitals
Examines access to palliative care services in hospitals. Includes some data on access to palliative care in rural hospitals with 50 or more beds and in hospitals with fewer than 50 beds, many of which are in rural areas.
Date: 09/2019
Sponsoring organizations: Center to Advance Palliative Care, National Palliative Care Research Center
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Child Care Challenges for Medicaid Work Requirements
Examines the impact of Medicaid work requirements on low-income parents related to finding and affording child care. Discusses challenges related to accessing child care and afterschool programs in rural areas.
Author(s): Gina Adams, Eva H. Allen, Anuj Gangopadhyaya, Genevieve M. Kenney
Date: 09/2019
Sponsoring organization: Urban Institute
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