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Rural Health Information Hub

Rural Health
Resources by Topic: Access

How Narrow or Broad are ACA Marketplace Physician Networks?
Examines physician networks and participation in Qualified Health Plans (QHPs) and how network size impacts costs and access for patients. Utilizes 2021 physician workforce and provider network data to analyze patient access to physicians in their network, distribution of Marketplace enrollees and plans, availability of specialists, share of physicians included in enrollees' provider networks by rural versus urban location, and more.
Author(s): Matthew Rae, Karen Pollitz, Kaye Pestaina, et al.
Date: 08/2024
Sponsoring organization: KFF
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Surgeon and Care Team Network Measures and Timely Breast Cancer Treatment
Presents a study exploring patient-sharing network characteristics associated with delays in treatment for breast cancer patients. Discusses factors that affect surgeon and care team patient-sharing networks that can lead to delays in surgeries and post-surgical treatments. Highlights the role rurality plays in the structure and delays within patient-sharing networks.
Author(s): Ramsey Ash, Bruno T. Scodari, Andrew P. Schaefer, et al.
Citation: JAMA Network Open, 7(8), e2427451
Date: 08/2024
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Empowering Education and Support for Breastfeeding People Living in Rural Communities
Presents a scenario which demonstrates common challenges and barriers to support for breastfeeding people in rural communities. Discusses no-cost services which support mental health and provide evidence-based information on vaccination and medication for breastfeeding people.
Author(s): Angela Messer
Date: 08/2024
Sponsoring organization: MotherToBaby
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Prioritizing Actions to Improve HPV Vaccination with Rural U.S. Communities
Poster describing the actions of the St. Jude HPV Cancer Prevention Program to address low human papillomavirus (HPV) vaccination rates in rural communities. Details priority actions emerging from discussions of 24 subject matter experts, provides data on program engagement, and discusses next steps.
Author(s): Cristóbal Valdebenito, Duha Magzoub, Julia Brown, et al.
Date: 08/2024
Sponsoring organization: St. Jude Children's Research Hospital
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Use of Telehealth to Improve Healthcare Access and Outcomes in Surgical Oncology
Explores the role of telehealth in improving healthcare access and outcomes in surgical oncology. Discusses geographic barriers to surgical oncology interventions how telehealth can help mitigate barriers to access. Highlights strategies to improve telehealth access and adoption.
Author(s): Elliot A. Asare, Lauren Cowan, Tracy Onega
Citation: Journal of Surgical Oncology
Date: 08/2024
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A Qualitative Study Identifying Implementation Strategies Using the i-PARIHS Framework to Increase Access to Pre-Exposure Prophylaxis at Federally Qualified Health Centers in Mississippi
Examines barriers and facilitators of pre-exposure prophylaxis (PrEP) use at Federally Qualified Health Centers (FQHCs) in Mississippi, utilizing interview data from 19 FQHC staff and 17 PrEP-eligible patients. Identifies implementation strategies to increase PrEP use and improve HIV prevention. Includes discussion of rural-specific factors influencing access.
Author(s): Trisha Arnold, Laura Whiteley, Kayla K. Giorlando, et al.
Citation: Implementation Science Communications, 5, 92
Date: 08/2024
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Examining U.S. Disparities in Smoking among Rural Versus Urban Women of Reproductive Age: 2002–2019
Examines rural and urban trends in cigarette smoking prevalence and first-time quit ratios among adult women aged 18-44, utilizing 2002-2019 U.S. National Survey on Drug Use and Health (NSDUH) data. Includes data on pregnant and non-pregnant women. Discusses the significance of smoking behaviors and access to cessation support for multigenerational rural health disparities.
Author(s): Stephen T. Higgins, Tyler Erath, Fang-Fang Chen
Citation: Preventive Medicine, 108115
Date: 08/2024
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Data Snapshot: Health in Rural and Appalachian Ohio
Provides data on drivers and outcomes of health in rural and Appalachian Ohio. Focuses on mortality rates, access to broadband and exercise infrastructure, insurance coverage, poverty, behavioral health, chronic conditions, and supply of primary care, dental, and mental healthcare providers.
Date: 08/2024
Sponsoring organization: Health Policy Institute of Ohio
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Access to Care Report
Infographic highlighting access challenges for nursing homes between 2020 and 2024. Includes data on facility downsizing and closures, supply, and rural nursing home deserts.
Date: 08/2024
Sponsoring organization: American Health Care Association
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Hawaiʻi Strategic Prevention Framework Partnerships for Success: Community Health Improvement Plan
Presents a plan to improve substance use prevention in Hawaiʻi, outlining goals and guiding decision-making and project administration. Includes discussion of rural and Native Hawaiian populations affected by substance use and treatment disparities.
Date: 08/2024
Sponsoring organization: State of Hawaii Department of Health (DOH) Alcohol and Drug Abuse Division (ADAD)
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