Rural Health
Resources by Topic: Access

Medicaid Income Eligibility Transitions Among Rural Adults
Research and policy brief examining the extent to which incomes of rural and urban residents shifted above or below the Medicaid expansion eligibility threshold during 2010. Features statistics with breakdowns by expansion and non-expansion states, rural or urban location, and starting income as a percent of federal poverty level.
Author(s): Erika Ziller, Deborah Thayer, Jennifer D. Lenardson
Date: 08/2018
Sponsoring organization: Maine Rural Health Research Center
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The HPV Vaccine: Access and Use in the U.S.
Fact sheet discussing HPV and related cancers, HPV vaccines, insurance coverage, and access. Includes statistics from 2011-2015 showing racial and ethnic disparities in cervical cancer incidence and mortality rates, and vaccination coverage as of 2016 among female adolescents with breakdowns by urban or rural status and by state.
Date: 08/2018
Sponsoring organization: KFF
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Increasing Colorectal Cancer Screening in Health Care Systems Using Evidence-Based Interventions
Evaluation results for the first program year of the Colorectal Cancer Control Program, a CDC-funded initiative intended to increase screening by primary care and gastroenterological providers among medically underserved populations. Features statistics on participating primary care clinics and screening-eligible patient population counts, with breakdowns by metro, urban, and rural locations.
Author(s): Amy DeGroff, Krishna Sharma, Anamika Satsangi, et al.
Citation: Preventing Chronic Disease, 15
Date: 08/2018
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Emerging Strategies to Ensure Access to Health Care Services: Rural Hospital-Health Clinic Integration
Provides an overview of the benefits of sharing resources between rural hospitals and clinics, including Federally Qualified Health Centers. Offers suggestions for federal policy solutions and actions for hospital and health system to deploy.
Date: 08/2018
Sponsoring organization: American Hospital Association
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Building a Community Health Worker Program: The Key to Better Care, Better Outcomes, & Lower Costs
A toolkit offering information and strategies to help hospitals and healthcare systems design and implement a community health worker (CHW) program targeted to the communities they serve. Highlights evidence-based best practices, sustainable financing of CHW activities, engaging stakeholders, and suggests outcome measures. Provides a chapter of case studies on rural, urban, and suburban settings.
Author(s): Beth A. Brooks, Sheila Davis, Loraine Frank-Lightfoot, et al.
Date: 07/2018
Sponsoring organizations: American Hospital Association, CommunityHealth Works
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Adult Experts' Perceptions of Telemental Health for Youth: A Delphi Study
Study exploring telemental health treatment based on online surveys of 25 adult experts, including mental health professionals, adults who experienced depression or suicidality as youth, and parents of youth with similar experiences, following the Delphi process. Discusses barriers to youth access to mental health services in rural and urban areas, including stigma, provider shortages, and transportation issues. Survey results also address the need for support of telemental health among healthcare organizations, especially in rural areas, and possible delivery modalities.
Author(s): Abigail Howard, Mindy Flanagan, Michelle Drouin, et al.
Citation: JAMIA Open, 1(1), 67-74
Date: 07/2018
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Trends in the Utilisation of Emergency Departments in California, 2005–2015: A Retrospective Analysis
Examines the characteristics of patients utilizing California's emergency departments (EDs) regarding age, sex, race/ethnicity, payer, and urban/rural residence, using data from the California Office of Statewide Health Planning and Development.
Author(s): Renee Y Hsia, Sarah H Sabbagh, Joanna Guo,Thomas J Nuckton, Matthew J Niedzwiecki
Citation: BMJ Open, 8(7)
Date: 07/2018
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5 Ways to Conduct Outreach in Rural Communities
Highlights 5 strategies to assist rural communities with outreach and enrollment of eligible children in Medicaid and Children's Health Insurance Program (CHIP).
Date: 07/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, InsureKidsNow.gov
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Price Variability Across Food Product and Vendor Type in Food Benefit Redemptions Under the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)
Examines variability in prices for WIC purchases in 4 WIC State agencies, using data on 2014 Electronic Benefit Transfer transactions. Features statistics including geographic distribution of WIC vendors by State agency, with breakdowns by urban, large rural, small rural, and isolated locations.
Additional links: Report Summary
Author(s): Patrick W. McLaughlin, Stacy Gleason, Margaret Wilkin
Date: 07/2018
Sponsoring organization: USDA Economic Research Service
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Oregon's State Health Assessment, 2018
Reports on the overall health of residents in state of Oregon. Includes information on social determinants of health, environmental health, prevention and health promotion, and other topics. Covers urban, rural, frontier statistics for economic disparities; educational attainment; food insecurity; homelessness; adult suicide rates; chronic disease; mortality; oral, primary care, and behavioral health workforce; communicable disease; and access to healthcare services.
Additional links: En Español
Date: 07/2018
Sponsoring organization: Oregon Health Authority
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