Rural Health
Resources by Topic: Access
Understanding Symptom Burden in Patients with Advanced Cancer Living in Rural Areas
Explores research methods for understanding differences in rural and urban cancer care, treatment, and symptom-based stressors. Discusses challenges in recruiting and retaining rural study participants and capturing differences between rural patients receiving local care and those receiving care in metro areas. Studies the severity of advanced cancer symptoms for 21 rural patients in Iowa, drawing data from patient surveys. Describes disparities in advanced cancer diagnosis and differences in treatment experiences.
Author(s): Stephanie Gilbertson-White, Yelena Perkhounkova, Seyedehtanaz Saeidzadeh, et al.
Citation: Oncology Nursing Forum, 46(4), 428-441
Date: 07/2019
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Explores research methods for understanding differences in rural and urban cancer care, treatment, and symptom-based stressors. Discusses challenges in recruiting and retaining rural study participants and capturing differences between rural patients receiving local care and those receiving care in metro areas. Studies the severity of advanced cancer symptoms for 21 rural patients in Iowa, drawing data from patient surveys. Describes disparities in advanced cancer diagnosis and differences in treatment experiences.
Author(s): Stephanie Gilbertson-White, Yelena Perkhounkova, Seyedehtanaz Saeidzadeh, et al.
Citation: Oncology Nursing Forum, 46(4), 428-441
Date: 07/2019
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Geriatrician Roles and the Value of Geriatrics in an Evolving Healthcare System
Research report focusing on how geriatric roles are changing as healthcare systems and organizations reorganize care. Features information on ways telemedicine is used in geriatric care delivery in rural areas, including the TeleECHO (Extension for Community Health Outcomes) model.
Author(s): Timothy Bates, Aubri Kottek, Joanne Spetz
Date: 07/2019
Sponsoring organization: University of California San Francisco Health Workforce Research Center on Long-Term Care
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Research report focusing on how geriatric roles are changing as healthcare systems and organizations reorganize care. Features information on ways telemedicine is used in geriatric care delivery in rural areas, including the TeleECHO (Extension for Community Health Outcomes) model.
Author(s): Timothy Bates, Aubri Kottek, Joanne Spetz
Date: 07/2019
Sponsoring organization: University of California San Francisco Health Workforce Research Center on Long-Term Care
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Critical Crossroads: Pediatric Mental Health Care in the Emergency Department: A Care Pathway Resource Toolkit
Toolkit designed to support hospitals that provide high-quality, effective emergency care to pediatric patients in psychiatric distress. Includes case stories from rural emergency departments in various states.
Date: 07/2019
Sponsoring organizations: Health Resources and Services Administration, Maternal and Child Health Bureau
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Toolkit designed to support hospitals that provide high-quality, effective emergency care to pediatric patients in psychiatric distress. Includes case stories from rural emergency departments in various states.
Date: 07/2019
Sponsoring organizations: Health Resources and Services Administration, Maternal and Child Health Bureau
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Immigrant Doctors Can Help Lower Physician Shortages in Rural America
Report highlighting physician shortages in rural areas and exploring pathways by which immigrants come to practice in those areas. Provides recommendations for state and federal policies that would better incorporate immigrant doctors into the effort to ease healthcare shortages in rural areas. Includes statistics on the number and percentage of International Medical Graduates who were resident physicians in the United States in 2017, with breakdowns by citizenship or visa status.
Author(s): Silva Mathema
Date: 07/2019
Sponsoring organization: Center for American Progress
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Report highlighting physician shortages in rural areas and exploring pathways by which immigrants come to practice in those areas. Provides recommendations for state and federal policies that would better incorporate immigrant doctors into the effort to ease healthcare shortages in rural areas. Includes statistics on the number and percentage of International Medical Graduates who were resident physicians in the United States in 2017, with breakdowns by citizenship or visa status.
Author(s): Silva Mathema
Date: 07/2019
Sponsoring organization: Center for American Progress
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State-Level and County-Level Estimates of Health Care Costs Associated with Food Insecurity
Results of a study to estimate state- and county-level healthcare costs associated with food insecurity, using data from the 2011-2013 National Health Interview Survey/Medical Expenditure Panel Survey. Features statistics including demographic characteristics of participants, with breakdown by location in a nonmetropolitan area.
Author(s): Seth A. Berkowitz, Sanjay Basu, Craig Gundersen, Hilary K. Seligman
Citation: Preventing Chronic Disease, 16
Date: 07/2019
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Results of a study to estimate state- and county-level healthcare costs associated with food insecurity, using data from the 2011-2013 National Health Interview Survey/Medical Expenditure Panel Survey. Features statistics including demographic characteristics of participants, with breakdown by location in a nonmetropolitan area.
Author(s): Seth A. Berkowitz, Sanjay Basu, Craig Gundersen, Hilary K. Seligman
Citation: Preventing Chronic Disease, 16
Date: 07/2019
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Opportunities and Challenges Addressing Access to Healthy Food in Five Rural Louisiana Food Stores
Results of a rural food store intervention implemented in 3 Louisiana parishes where obesity prevalence was greater than 40%. Describes implications for public health and offers recommendations for future interventions.
Author(s): Michelle Kendall, Stephanie T. Broyles, Jamila Freightman, Melissa Cater, Denise Holston
Citation: Preventing Chronic Disease, 16
Date: 07/2019
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Results of a rural food store intervention implemented in 3 Louisiana parishes where obesity prevalence was greater than 40%. Describes implications for public health and offers recommendations for future interventions.
Author(s): Michelle Kendall, Stephanie T. Broyles, Jamila Freightman, Melissa Cater, Denise Holston
Citation: Preventing Chronic Disease, 16
Date: 07/2019
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Facilitators and Barriers to the Implementation of the HPV VACs (Vaccinate Adolescents Against Cancers) Program: A Consolidated Framework for Implementation Research Analysis
Results of a study examining the delivery of the human papillomavirus virus (HPV) vaccine in a primary care setting, using data from telephone interviews with representatives of 9 Federally Qualified Health Center (FQHC) systems. Features statistics including characteristics of the FQHCs, with breakdowns by urban, suburban, rural, or mixed locations.
Author(s): Cam Escoffery, Kara Riehman, Lesley Watson, et al.
Citation: Preventing Chronic Disease, 16
Date: 07/2019
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Results of a study examining the delivery of the human papillomavirus virus (HPV) vaccine in a primary care setting, using data from telephone interviews with representatives of 9 Federally Qualified Health Center (FQHC) systems. Features statistics including characteristics of the FQHCs, with breakdowns by urban, suburban, rural, or mixed locations.
Author(s): Cam Escoffery, Kara Riehman, Lesley Watson, et al.
Citation: Preventing Chronic Disease, 16
Date: 07/2019
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Access to Primary Care Clinics for Patients With Chronic Pain Receiving Opioids
Results of a study of 194 Michigan primary care clinics, to assess their willingness to continue prescribing opioids to new patients and to determine whether this differs across payer types. Includes statistics on characteristics of clinics accepting new patients currently taking opioids, with breakdowns by urban and rural location.
Author(s): Pooja A. Lagisetty, Nathaniel Healy, Claire Garpestad, et al.
Citation: JAMA Network Open, 2(7)
Date: 07/2019
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Results of a study of 194 Michigan primary care clinics, to assess their willingness to continue prescribing opioids to new patients and to determine whether this differs across payer types. Includes statistics on characteristics of clinics accepting new patients currently taking opioids, with breakdowns by urban and rural location.
Author(s): Pooja A. Lagisetty, Nathaniel Healy, Claire Garpestad, et al.
Citation: JAMA Network Open, 2(7)
Date: 07/2019
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Our Wireless Future: Building a Comprehensive Approach to Spectrum Policy
Documents related to a U.S. House Committee on Energy and Commerce hearing focused on policies affecting access to wireless internet. Addresses access to wireless in rural tribal areas, spectrum for emergency operations, options for expanding rural broadband access, and uses for broadband access. Includes testimony from the Federal Communications Commission, MuralNet, Competitive Carriers Association, National Telecommunications and Information Administration, and others.
Additional links: Hearing Recording, Julius P. Knapp Testimony, Mariel Triggs Testimony, Michael Calabrese Testimony, Peter Pitsch Testimony, Tim Donovan Testimony
Date: 07/2019
Sponsoring organization: House Committee on Energy and Commerce
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Documents related to a U.S. House Committee on Energy and Commerce hearing focused on policies affecting access to wireless internet. Addresses access to wireless in rural tribal areas, spectrum for emergency operations, options for expanding rural broadband access, and uses for broadband access. Includes testimony from the Federal Communications Commission, MuralNet, Competitive Carriers Association, National Telecommunications and Information Administration, and others.
Additional links: Hearing Recording, Julius P. Knapp Testimony, Mariel Triggs Testimony, Michael Calabrese Testimony, Peter Pitsch Testimony, Tim Donovan Testimony
Date: 07/2019
Sponsoring organization: House Committee on Energy and Commerce
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Telehealth in Rural America
Policy brief focused on telehealth in the rural U.S. Addresses state and national policies related to insurance coverage of telehealth, infrastructure challenges such as broadband access, licensure issues, reimbursement, and other barriers to telehealth access.
Author(s): Windy Alonso, Elizabeth Crouch, Nicole Thorell
Date: 07/2019
Sponsoring organization: National Rural Health Association
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Policy brief focused on telehealth in the rural U.S. Addresses state and national policies related to insurance coverage of telehealth, infrastructure challenges such as broadband access, licensure issues, reimbursement, and other barriers to telehealth access.
Author(s): Windy Alonso, Elizabeth Crouch, Nicole Thorell
Date: 07/2019
Sponsoring organization: National Rural Health Association
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