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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Tribal Broadband: Few Partnerships Exist and the Rural Utilities Service Needs to Identify and Address Any Funding Barriers Tribes Face
Examines tribal broadband access, federal funding to tribal entities for improving broadband access, and barriers to obtaining such federal funding. Identifies tribal partnership agreements that have increased broadband access and discusses the outcomes. Addresses challenges specific to rural areas and the healthcare benefits of broadband access.
Additional links: Full Report
Date: 09/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Rural Hospital Closures: Number and Characteristics of Affected Hospitals and Contributing Factors
Examines rural hospital closures from 2013-2017, including their financial health, hospital characteristics, and the impact on healthcare access. Compares data to 2008-2012 closures and discusses the implications for federal healthcare policies. Addresses the role of Medicare rural hospital designations, new healthcare delivery and payment models, and other rural Health and Human Services (HHS) programs. Identifies the number of rural hospitals that closed for each state.
Additional links: Full Report
Date: 09/2018
Type: Document
Sponsoring organization: Government Accountability Office
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America's Eating Habits: Food Away From Home
Examines how eating out and the availability of food options affect U.S. diets. Addresses rural/urban differences, socioeconomic factors, and relevant federal programs. Covers school lunch programs, quick-service restaurants, and full-service restaurants, including maps showing restaurant availability and growth by county.
Author(s): Michelle J. Saksena, Abigail M. Okrent, Tobenna D. Anekwe, et al.
Date: 09/2018
Type: Document
Sponsoring organization: USDA Economic Research Service
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Health Care in Rural America: Examining Experiences and Costs
Provides a recording of a Senate Subcommittee on Primary Health and Retirement Security meeting addressing rural healthcare challenges. Discusses healthcare access, workforce shortages, costs, reimbursement, care delivery issues, and potential solutions, such as telehealth.
Additional links: Alan Levine Testimony, Deborah Richter Testimony, Morgan Reed Testimony, Tom Glause Testimony
Date: 09/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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2017 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: 09/2018
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Health Insurance Coverage in Small Towns and Rural America: The Role of Medicaid Expansion
Analyzes health insurance coverage for low-income, rural adults in 46 states. Includes an examination of American Community Survey data to determine uninsured rates by age for 2008-2009 and 2015-2016. Covers effects of the Affordable Care Act (ACA) in small towns and rural areas, including Medicaid expansion. Provides county-level data, information on health insurance coverage for children, and maps in the additional links.
Additional links: Full Report, Interactive Map: The Percent of Adults in Small Towns and Rural Areas Covered by Medicaid, 2015/16, Interactive Map: The Percent of Children in Small Towns and Rural Areas Covered by Medicaid, 2015/16, Press Release, Update: State Data on Health Coverage in Small Towns and Rural Areas, 2015/16
Author(s): Jack Hoadley, Joan Alker, Mark Holmes
Date: 09/2018
Type: Document
Sponsoring organizations: Georgetown University Health Policy Institute, North Carolina Rural Health Research Program
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Pacific County, Wash.: Connection to Services Through Jail Screening and Referral
Describes efforts of a rural Washington State community to address the number of people with mental illnesses in their jail, as part of the national "Stepping Up" initiative. Examines the process of screening and providing connections to community-based providers.
Author(s): Nastassia Walsh
Date: 09/2018
Type: Document
Sponsoring organization: National Association of Counties
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Calaveras County, Calif.: Connecting Justice-Involved People to Treatment and Services
Describes best practice strategies used by a rural northern California county as part of the national "Stepping Up" initiative for the purpose of reducing the number of adults with mental illness in jails and connecting them to community-based treatment.
Author(s): Nastassia Walsh
Date: 09/2018
Type: Document
Sponsoring organization: National Association of Counties
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Nurse Practitioners: A Solution to America's Primary Care Crisis
Examines trends in supply and demand of nurse practitioners (NPs), including projected supply of physicians and NPs in rural areas. Includes a table listing state-level scope-of-practice regulatory restrictions on NPs as of 2018.
Author(s): Peter Buerhaus
Date: 09/2018
Type: Document
Sponsoring organization: American Enterprise Institute
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One Year after the Storms: Recovery and Health Care in Puerto Rico and the U.S. Virgin Islands
Issue brief describing status of the recovery in Puerto Rico and the U.S. Virgin Islands, following the September 2017 hurricanes. Draws on public reports and interviews conducted in July and September 2018 and earlier work focusing on the territories' status 6 months after the storms.
Author(s): Cornelia Hall, Robin Rudowitz, Samantha Artiga, Barbara Lyons
Date: 09/2018
Type: Document
Sponsoring organization: KFF
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