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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Geographic Representativeness of a Web-Based Smoking Cessation Intervention: Reach Equity Analysis
Compares the use of a web-based smoking cessation program by 67,854 users across large metro, small metro, and nonmetro populations throughout the United States between 2013 and 2017. Examines if the location of program participants is proportional to the national smoking population.
Author(s): Michael S. Amato, Amanda L. Graham
Citation: Journal of Medical Internet Research, 20(10), e11668
Date: 10/2018
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A Regional Analysis of Hepatitis C Virus Collaborative Care with Pharmacists in Indian Health Service Facilities
Reports on an Indian Health Service (IHS) review to identify and address gaps in hepatitis C virus (HCV) treatment of American Indian/Alaska Natives (AI/ANs). The study took place at 11 separate healthcare facilities in mostly rural Oklahoma and Kansas. The HCV treatment included a strong pharmacy component with a collaborative practice agreement, and HCV telehealth services for specialist support.
Author(s): Rebecca Geiger, Jessica Steinert, Grant McElwee,et al.
Citation: Journal of Primary Care & Community Health, 9, 1-5
Date: 10/2018
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Utilization and Adherence in Medical Homes: An Assessment of Rural-Urban Differences for People with Severe Mental Illness
Discusses whether enrollment in medical homes improves care in rural versus urban settings for people with severe mental illness (SMI). Examines utilization measures of primary care, mental health, emergency department, inpatient hospitalizations, and medication adherence using data derived from North Carolina Medicaid claims from 2004–2007.
Author(s): Mona Kilany, Joseph P. Morrissey, Marisa Elena Domino, et al.
Citation: Medical Care, 56(10), 870-876
Date: 10/2018
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Leveraging Telehealth to Support Aging Americans
Reviews the potential benefits of telehealth for Americans 65 and older. Covers remote patient monitoring, federal and state regulations, and best practices from health insurers and healthcare providers. Includes case studies from rural areas.
Date: 10/2018
Sponsoring organizations: AHIP, Coalition to Transform Advanced Care
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Activation and Utilization of an Electronic Health Record Patient Portal at an Academic Medical Center: Impact of Patient Demographics and Geographic Location
Analyzes the rates of patient portal activation and usage associated with the University of Iowa Hospitals and Clinics by patients in rural and urban areas of the state. Identifies population groups with the lowest activation rates and discusses possible barriers to accessing patient portals.
Author(s): Sarah E. R. Oest, Maia Hightower, Matthew D. Krasowski
Citation: Academic Pathology, 5
Date: 10/2018
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Access in Brief: Rural and Urban Health Care
Compares healthcare access and use of services for children and adults with Medicaid to those with private insurance or no insurance for both rural and urban areas and for adults with disabilities. Includes access data by age group, income, and race/ethnicity and utilization data for office and emergency room visits. Addresses access to prescription drugs and eyeglasses as well as barriers to healthcare access.
Date: 10/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Geographic Availability of Low-Dose Computed Tomography for Lung Cancer Screening in the United States, 2017
Includes state-level tables and maps showing locations of lung cancer screening sites and percentage of population ages 55-79 lacking access to a center, and lung cancer mortality versus accessibility of screening centers. Helps identify rural areas in need of screening program creation or expansion.
Author(s): Jan M. Eberth, Parisa Bozorgi, Logan M. Lebrón, et al.
Citation: Preventing Chronic Disease, 15
Date: 10/2018
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Life in Rural America
Summarizes the results of a survey of rural adults living in the U.S. Includes survey response data and statistics on a variety of topics such as: drug addiction or abuse and opioids; the economy; health conditions; suicide; and more.
Additional links: Full Report
Date: 10/2018
Sponsoring organizations: Harvard T.H. Chan School of Public Health, NPR, Robert Wood Johnson Foundation
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Developing Telemental Health Partnerships Between State Medical Schools and Federally Qualified Health Centers: Navigating the Regulatory Landscape and Policy Recommendations
Provides recommendations for overcoming barriers to promoting telemental health services partnerships between medical schools and health centers. Discusses rural-urban disparities in provision of mental health services, credentialing, remote electronic health records access, insurance issues, and billing.
Author(s): John C. Fortney, Richard C. Veith, Amy M. Bauer, et al.
Citation: Journal of Rural Health, 35(3), 287-297
Date: 10/2018
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Key Informant Perspectives on Rural Social Isolation and Loneliness
Describes challenges and opportunities related to health impacts of social isolation in rural areas, using data from interviews with 22 experts from 11 states and the District of Columbia. Addresses gaps in the literature on rural-urban differences in social isolation and offers suggestions for policy changes and programmatic interventions.
Author(s): Carrie Henning-Smith, Alexandra Ecklund, Megan Lahr, et al.
Date: 10/2018
Sponsoring organization: University of Minnesota Rural Health Research Center
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