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Rural Health
Resources by Topic: Access

The Availability of Medication-Assisted Treatment for Opioid Addiction in Pennsylvania
Report details the availability of medication-assisted treatment (MAT) for opioid addiction throughout the state of Pennsylvania. Compares rural and urban counties and highlights MAT delivery methods to rural areas.
Additional links: Executive Summary
Author(s): Harry D. Holt, Matin Katirai, Whitney Katirai
Date: 03/2019
Sponsoring organization: Center for Rural Pennsylvania
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STOP Playbook: How Health Plans Are Tackling the Opioid Crisis
Offers strategies used by health plans to address opioid misuse through the Safe, Transparent Opioid Prescribing (STOP) Initiative, which focuses on improving prescribing patterns and practices. Includes strategies and examples for increasing substance abuse treatment access in rural areas. Summarizes the health insurance impacts of the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities legislation.
Date: 03/2019
Sponsoring organization: AHIP
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Strengthening Medicaid Long-term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Sponsoring organization: Center for Health Care Strategies
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Medications for Opioid Use Disorder Save Lives
Reports on the findings from an expert committee regarding the evidence behind using medications to treat opioid use disorder, as well as issues with accessing medication-based treatment. Chapter 3 includes a section focusing on rural populations and chapter 5 addresses rural/urban differences in the number of healthcare providers waivered to prescribe buprenorphine, a medication used to treat opioid-use disorder.
Additional links: Read Online
Author(s): Committee on Medication-Assisted Treatment for Opioid Use Disorder
Date: 03/2019
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Drilling Down on Dental Coverage and Costs for Medicare Beneficiaries
Examines the oral health of Medicare beneficiaries. Addresses the costs of not obtaining dental care, use of dental services, current sources of dental coverage, and out-of-pocket spending. Includes rural/urban breakdowns.
Date: 03/2019
Sponsoring organization: KFF
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Understanding the County Role in the Supplemental Nutrition Assistance Program
Describes the Supplemental Nutrition Assistance Program (SNAP) in terms of its role in the country's social safety-net and the ways counties help fund SNAP services to support low-income residents. Examines disparities in food insecurity between urban and rural areas, and features a county-level map showing food insecurity rates as of 2016. Also describes how SNAP supports local businesses and economies, and helps maintain food access in rural counties.
Date: 03/2019
Sponsoring organization: National Association of Counties
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Geographic Access to International Board-Certified Lactation Consultants in Pennsylvania
Study exploring access to International Board-Certified Lactation Consultants in rural and urban counties in Pennsylvania. Compiles county-level data that represents breastfeeding rates, geographic access to certified lactation consultants, and demographic characteristics. Compares proportions of urban and rural young children who have ready access, presenting that information in relation to nationwide disparities in breastfeeding support.
Author(s): Kristin N. Ray, Jill R. Demirci, Lori Uscher-Pines, Debra L. Bogen
Citation: Journal of Human Lactation, 35(1), 90-99
Date: 02/2019
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Una Mano Amiga: Pilot Test of a Patient Navigator Program for Southwest New Mexico
Reports on a pilot study of utilizing bilingual promotoras as patient navigators to help cancer patients and their families in 3 rural counties of southwest New Mexico navigate the healthcare system from cancer diagnosis to treatment.
Author(s): Hugo Vilchis, Lynn E. Onstad, Rachel Benavidez, et al.
Citation: Journal of Cancer Education, 34(1), 173-179
Date: 02/2019
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The Evidence on School-Based Health Centers: A Review
Reviews the literature on the impact of school-based health centers (SBHCs). Discusses the purpose and structure of SBHCs, their financial benefits, physical and mental health outcomes, their impact on education, and future directions. Briefly addresses their use in rural and tribal communities.
Author(s): Michael Arenson, Philip J. Hudson, NaeHyung Lee, Betty Lai
Citation: Global Pediatric Health, 6, 2333794X19828745
Date: 02/2019
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Behavioral Health: Research on Health Care Costs of Untreated Conditions is Limited
Report discusses the lack of sufficient research on the total cost healthcare when behavioral health services are inaccessible. Discusses some of the challenges to providing behavioral health access in rural areas.
Additional links: Full Report
Date: 02/2019
Sponsoring organization: Government Accountability Office
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