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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Access to Care: Health Centers and Providers in Underserved Communities
Recording of a January 29, 2019, Senate Committee on Health, Education, Labor and Pensions hearing on the importance of community health centers and National Health Service Corps providers in helping to address issues of access to primary care for rural and urban underserved communities.
Additional links: Andrea Anderson Testimony, Dennis Freeman, Cherokee Health Systems Testimony, John B. Waits, Cahaba Medical Care FQHC Testimony
Date: 01/2019
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Medicaid in the Territories: Program Features, Challenges, and Changes
Issue brief examining key issues and trends in the Medicaid program for Puerto Rico, the U.S. Virgin Islands, the Northern Mariana Islands, Guam, and American Samoa, using findings drawn from a budget survey and interviews with Medicaid officials. Focuses on Medicaid financing, eligibility and enrollment, benefits, provider access and delivery systems, and the changes from fiscal years 2017 to 2019. Features statistics including Medicaid and Children's Health Insurance Program enrollment as of July 2016, and Medicaid funding and spending in these territories as of fiscal year 2017.
Author(s): Cornelia Hall, Robin Rudowitz, Kathleen Gifford
Date: 01/2019
Sponsoring organization: KFF
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Understanding the Many Roles of COPD Foundation State Captains: Q&A with John Linnell
An interview with John Linnell, a rural COPD Foundation State Captain, who talks about COPD and how he and other Captains can be partners in efforts to impact the disease.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2019
Sponsoring organization: Rural Health Information Hub
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Strengthening Healthcare Along the Gulf Coast: The Gulf Region Health Outreach Program's Primary Care Capacity Project
Reports on the Primary Care Capacity Project, which expanded primary care access to Gulf Coast counties through community health centers as part of the Deepwater Horizon settlement. Addresses initiatives targeting expanded access for rural areas, a pilot Community-Centered Health Home (CCHH) model intended to address social determinants of health through community collaborations, and more.
Date: 01/2019
Sponsoring organization: Louisiana Public Health Institute
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To Oversee or Not to Oversee? Lessons from the Repeal of North Carolina's Certificate of Public Advantage Law
Describes North Carolina's experience with its Certificate of Public Advantage (COPA) statute, which provided the state oversight on hospital mergers that could support continued access to care, particularly in rural areas. Focuses on the impact of the statute's repeal. Compares differences in North Carolina's COPA to Tennessee and Virginia's COPA laws, discussing the implications for rural populations.
Author(s): Erin C. Fuse Brown
Date: 01/2019
Sponsoring organization: Milbank Memorial Fund
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Access to Rural Maternity Care
Policy paper describing obstetric care for rural women in the U.S. Covers challenges to providing access to rural maternity care, such as healthcare quality, birth outcomes, workforce shortages, access, and financial challenges. Includes discussion on policy alternatives and considerations to address workforce issues, barriers to practicing obstetrics in rural areas, and increasing access to maternity care services.
Author(s): Britta Anderson, Adam Gingery, Maeve McClellan, et al.
Date: 01/2019
Sponsoring organization: National Rural Health Association
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Rural Eye Healthcare: Optometrist Explains the Benefits of the Medical Model of Optometry
A rural optometrist from a California Federally Qualified Health Center discusses the connection between vision and overall health and the health benefits that optometric care brings to rural patients. Also discusses additional community health training optometry graduates may consider, such as an Indian Health Service residency program for optometrists.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2019
Sponsoring organization: Rural Health Information Hub
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Teleophthalmology: Ophthalmologists Talk Remote Eye Care Solutions
Discusses the role of remote eye care technology in meeting rural eye care needs. Highlights the use of teleophthalmology in rural Oregon. Features a collaboration of the Joslin Diabetes Center and the Indian Health Service to address diabetic retinopathy using remote surveillance.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2019
Sponsoring organization: Rural Health Information Hub
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Eye Health Needs: Preserving the Eyesight of Rural Populations
Explains the importance of vision care in health and describes how rural vision care can be improved to increase quality of life and prevent disability in rural patients. Features a rural Federally Qualified Health Center that has added eye care to its services and a vision van that provides care in underserved areas.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2019
Sponsoring organization: Rural Health Information Hub
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Rural Health Care Access: Research Report
Summarizes rural health priorities for rural and Appalachian counties to assist local public health departments in Ohio with the public health accreditation process. Provides information on access to healthcare services in rural and Appalachian counties and covers strategies to improve access to care.
Author(s): Michele Morrone, Cory Cronin, Shannon Nicks, Kristin Schuller
Date: 01/2019
Sponsoring organization: The Appalachian Institute to Advance Health Equity Science
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