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Rural Health Information Hub

Rural Health
Resources by Topic: Access

More Employers Are Paying for Telemedicine, but Enrollee Take-Up Has Been Relatively Low
Analyzes 2018 Employer Health Benefit Survey (EHBS) data regarding telemedicine trends in employer health plan coverage. Includes discussion on telemedicine improving access to healthcare in rural areas. Covers statistics of telemedicine utilization between rural and urban large employer health plan enrollees.
Author(s): Matthew Rae, Cynthia Cox
Date: 10/2018
Sponsoring organization: KFF
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Broadband: Opportunities and Challenges in Rural America
Presents a U.S. Senate Committee on Commerce, Science, and Transportation hearing on broadband access in rural communities. Features testimony from representatives of Mescalero Apache Telecom, Golden West Telecommunications, Cheyenne River Sioux Telephone Authority, and U.S. Cellular Corp.
Date: 10/2018
Sponsoring organization: Senate Committee on Commerce, Science, and Transportation
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Oversight Hearing on "GAO Reports Relating to Broadband Internet Availability on Tribal Lands"
Presents a U.S. Senate Committee on Indian Affairs oversight hearing on broadband access on tribal lands. Discusses the U.S.Government Accountability Office (GAO) report: Broadband Internet: FCC's Data Overstate Access on Tribal Lands. Features testimony from representatives from the GAO, the Federal Communications Commission (FCC), the National Tribal Telecommunications Association, and AMERIND Risk.
Date: 10/2018
Sponsoring organization: Senate Committee on Indian Affairs
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Migrant Farmworker Nutritional Strategies: Implications for Diabetes Management
Presents findings of interviews with 200 Latino migrant farmworkers in North Carolina on food security and means of obtaining, preparing, and consuming food. Identifies common supports and barriers of dietary self-management and provides data on population characteristics. Highlights implications for migrant farmworkers with diabetes, and identifies strategies for improving access to suitable food.
Author(s): Sara A. Quandt, Augusta Groeschel-Johnson, Hannah Kinzer, et al.
Citation: Journal of Agromedicine, 23(4), 347-354
Date: 09/2018
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Travel Patterns of American Adults with Disabilities
Discusses travel habits of people with and without disabilities, including comparisons of duration and distance of travel among rural and urban dwellers. Briefly mentions rural disability prevalence and disparities in frequency of travel.
Author(s): Stephen Brumbaugh
Date: 09/2018
Sponsoring organization: U.S. Department of Transportation
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Analysis of Indiana's Primary Care Physicians Providing Obstetric Services
Quantifies and describes the Indiana primary care physicians who report providing some level of obstetric care. Includes county-level maps with data on infant mortality rates from 2012-2016 and access to prenatal, labor and delivery, postnatal, and comprehensive obstetric services, with shadings indicating rural counties.
Author(s): Hannah Maxey, Sierra Vaughn, Courtney Randolph
Date: 09/2018
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Pioneering Telehealth in Mississippi: Lessons for Facilities Leaders
Describes the implementation and accessibility of a virtual state healthcare program offering specialized care and public health services to rural communities through telehealth technology.
Author(s): Alex Raubicheck
Citation: HealthSpaces Blog
Date: 09/2018
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Ensuring Access to Quality Health Care in Vulnerable Communities
Highlights the health characteristics and conditions of vulnerable populations in rural and urban communities, and the essential healthcare services as identified by the American Hospital Association Task Force on Ensuring Access in Vulnerable Communities. Discusses several strategies recommended by the task force to address social determinants of health, enhance virtual care services to reform healthcare delivery and payment methods, and support hospitals in their efforts to provide the needed health services.
Author(s): Jay Bhatt, Priya Bathija
Citation: Academic Medicine, 93(9), 1271-1275
Date: 09/2018
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Substance Use Disorder Treatment Policy Recommendations for the State of Indiana: Final Report - September 2018
Assessment of Indiana's treatment system for substance use disorders (SUDs), based on interviews with stakeholder groups, consultation with national experts, focus groups, and a review of public data sets. Includes 6 recommendations in the categories of treatment system transformation, SUD workforce, and underserved populations. Discusses barriers to treatment in rural areas.
Date: 09/2018
Sponsoring organization: Pew
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Hepatitis C Within a Single Health System: Progression Along the Cascade to Cure Is Higher for Those With Substance Misuse When Linked to a Clinic With Embedded Support Services
Recognizes the barriers to treatment of hepatitis C virus (HCV) by identifying patient and HCV clinic characteristics associated with the achievement of sustained virologic response (SVR) in a large medical center serving a rural population. Characteristics documented included proximity to the health center, household income and assets, availability of private insurance, medical comorbidities, and patients with recorded substance misuse. Suggests models for expanding access to treatment in rural areas through increased prescribing by primary care providers and through telehealth.
Author(s): J. E. Sherbuk, K. A. McManus, E. T. Rogawski McQuade, et al.
Citation: Open Forum Infectious Diseases, 5(9)
Date: 09/2018
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