Rural Health
Resources by Topic: Access
Sociodemographic Differences in Nonfinancial Access Barriers to Health Care Among Adults: United States, 2022
Examines nonfinancial reasons adults delay medical care, such as work or other time commitments, lack of available appointments, not having access to clinic or provider hours, difficulty finding provider match for insurance, and length of time to get to provider's office. Utilizes 2022 National Health Interview Survey to break down healthcare access barriers according to sex, age, race/ethnicity, family income, education, employment, insurance status, and urbanization level, including large central metropolitan, large fringe metropolitan, medium and small metropolitan, or nonmetropolitan.
Author(s): Amanda E. Ng, Dzifa Adjaye-Gbewonyo, James M. Dahlhamer
Date: 08/2024
Sponsoring organization: National Center for Health Statistics
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Examines nonfinancial reasons adults delay medical care, such as work or other time commitments, lack of available appointments, not having access to clinic or provider hours, difficulty finding provider match for insurance, and length of time to get to provider's office. Utilizes 2022 National Health Interview Survey to break down healthcare access barriers according to sex, age, race/ethnicity, family income, education, employment, insurance status, and urbanization level, including large central metropolitan, large fringe metropolitan, medium and small metropolitan, or nonmetropolitan.
Author(s): Amanda E. Ng, Dzifa Adjaye-Gbewonyo, James M. Dahlhamer
Date: 08/2024
Sponsoring organization: National Center for Health Statistics
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Palliative Care in Rural Communities
Presents the CARE (Complex, Access, Resourceful, Extraordinary) Framework to highlight the challenges and benefits of healthcare delivery in rural communities. Highlights multiple models for palliative care outside acute care settings with consideration for the CARE Framework.
Author(s): Tracy Fasolino, Kathleen Valentine, Megan E. Mayfield, William E. Rosa, Anne Koci
Citation: American Journal of Nursing, 128(4), 50-55
Date: 07/2024
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Presents the CARE (Complex, Access, Resourceful, Extraordinary) Framework to highlight the challenges and benefits of healthcare delivery in rural communities. Highlights multiple models for palliative care outside acute care settings with consideration for the CARE Framework.
Author(s): Tracy Fasolino, Kathleen Valentine, Megan E. Mayfield, William E. Rosa, Anne Koci
Citation: American Journal of Nursing, 128(4), 50-55
Date: 07/2024
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Factors Associated With Surveillance Testing in Individuals With COVID-19 Symptoms During the Last Leg of the Pandemic: Multivariable Regression Analysis
Examines demographic, clinical, and behavioral factors associated with COVID-19 testing in a predominantly rural, underserved population in West Virginia between May and November 2022. Utilizes Rapid Acceleration of Diagnostics for Underserved Populations program (RADx-UP2) survey data of 2103 individuals. Includes a geospatial analysis of associations between county-level community distress and likelihood of being symptomatic when presenting for testing.
Author(s): Timothy Dotson, Brad Price, Brian Witrick, et al.
Citation: JMIR Public Health and Surveillance, 2024(10), e52762
Date: 07/2024
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Examines demographic, clinical, and behavioral factors associated with COVID-19 testing in a predominantly rural, underserved population in West Virginia between May and November 2022. Utilizes Rapid Acceleration of Diagnostics for Underserved Populations program (RADx-UP2) survey data of 2103 individuals. Includes a geospatial analysis of associations between county-level community distress and likelihood of being symptomatic when presenting for testing.
Author(s): Timothy Dotson, Brad Price, Brian Witrick, et al.
Citation: JMIR Public Health and Surveillance, 2024(10), e52762
Date: 07/2024
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Differences in Lifestyle Behaviors, Quality of Life, and Access to Healthcare among Rural and Urban Cancer Survivors
Examines lifestyle behaviors, healthcare access, quality of life, and psychological distress among 188 rural and 242 urban cancer survivors. Discusses rural-urban differences in obesity, smoking, alcohol consumption, factors influencing access to care, and more.
Author(s): Tiffany D. Ho, Bonny Morris, Kristina L. Tatum, et al.
Citation: Preventive Oncology & Epidemiology, 2(1), 2374967
Date: 07/2024
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Examines lifestyle behaviors, healthcare access, quality of life, and psychological distress among 188 rural and 242 urban cancer survivors. Discusses rural-urban differences in obesity, smoking, alcohol consumption, factors influencing access to care, and more.
Author(s): Tiffany D. Ho, Bonny Morris, Kristina L. Tatum, et al.
Citation: Preventive Oncology & Epidemiology, 2(1), 2374967
Date: 07/2024
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Expanding America's Bandwidth: Gaps in Rural and Underserved Communities
Discusses the availability of broadband, devices, and digital skills and their impact on communities. Describes barriers to connectivity among rural and underserved communities and the federal funding programs designated for infrastructure development and internet adoption.
Date: 07/2024
Sponsoring organization: Board of Governors of the Federal Reserve System
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Discusses the availability of broadband, devices, and digital skills and their impact on communities. Describes barriers to connectivity among rural and underserved communities and the federal funding programs designated for infrastructure development and internet adoption.
Date: 07/2024
Sponsoring organization: Board of Governors of the Federal Reserve System
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Veterans in Focus: Disability and Veterans in Rural America
Fact sheet highlighting 2018-2022 American Community Survey 5-year estimates related to rural disabled veterans. Includes data on service-connected disability, geography including rural and urban comparisons, and access to Department of Veterans Affairs (VA) healthcare facilities. Discusses opportunities for Centers for Independent Living.
Author(s): Hannah W. Pepprock, Lillie Greiman
Date: 07/2024
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Fact sheet highlighting 2018-2022 American Community Survey 5-year estimates related to rural disabled veterans. Includes data on service-connected disability, geography including rural and urban comparisons, and access to Department of Veterans Affairs (VA) healthcare facilities. Discusses opportunities for Centers for Independent Living.
Author(s): Hannah W. Pepprock, Lillie Greiman
Date: 07/2024
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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The State of Mental Health in America
Report presents data on mental health and substance use for youth and adults across all 50 states. Highlights barriers to mental health wellness, such as lack of mental healthcare coverage, mental health workforce shortages, and cost of treatment, among other factors. Discusses some challenges specific to rural communities.
Author(s): Maddy Reinert, Danielle Fritze, Theresa Nguyen
Date: 07/2024
Sponsoring organization: Mental Health America
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Report presents data on mental health and substance use for youth and adults across all 50 states. Highlights barriers to mental health wellness, such as lack of mental healthcare coverage, mental health workforce shortages, and cost of treatment, among other factors. Discusses some challenges specific to rural communities.
Author(s): Maddy Reinert, Danielle Fritze, Theresa Nguyen
Date: 07/2024
Sponsoring organization: Mental Health America
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Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2023
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes changes in the quality of care during the first four years of the demonstration for states with available quality measures, as well as quality bonus payments states made to CCBHCs based on quality measure performance. Builds on findings on demonstration implementation, quality improvement, and costs outlined in previous evaluation reports, focusing on data collected since spring 2022.
Date: 07/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica, RAND Corporation
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Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes changes in the quality of care during the first four years of the demonstration for states with available quality measures, as well as quality bonus payments states made to CCBHCs based on quality measure performance. Builds on findings on demonstration implementation, quality improvement, and costs outlined in previous evaluation reports, focusing on data collected since spring 2022.
Date: 07/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica, RAND Corporation
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2024 National Telehealth Conference Summary Report
Offers a summary of the 2024 Health Resources and Services Administration (HRSA) National Telehealth Conference by conference session. Covers increasing access to tele-behavioral healthcare through interstate licensure, expanding access to telehealth services for underserved and low-income communities, and federal efforts for telehealth policy and innovation. Appendices include conference materials and resources.
Additional links: 2024 National Telehealth Conference Session Recordings
Date: 07/2024
Sponsoring organization: Health Resources and Services Administration
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Offers a summary of the 2024 Health Resources and Services Administration (HRSA) National Telehealth Conference by conference session. Covers increasing access to tele-behavioral healthcare through interstate licensure, expanding access to telehealth services for underserved and low-income communities, and federal efforts for telehealth policy and innovation. Appendices include conference materials and resources.
Additional links: 2024 National Telehealth Conference Session Recordings
Date: 07/2024
Sponsoring organization: Health Resources and Services Administration
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Rural-Urban Mild Cognitive Impairment Comparison in West Michigan Through EHR
Analyzed electronic health record data for 1,528,464 patients to highlight rural and urban differences in mild cognitive impairment incidence, risk factors, and healthcare access in West Michigan. Discusses implications of study findings on dementia diagnosis, access to specialists, and more.
Author(s): Xiaodan Zhang, Martin Witteveen-Lane, Christine Skovira, et al.
Citation: Alzheimer's & Dementia Translational Research & Clinical Interventions
Date: 07/2024
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Analyzed electronic health record data for 1,528,464 patients to highlight rural and urban differences in mild cognitive impairment incidence, risk factors, and healthcare access in West Michigan. Discusses implications of study findings on dementia diagnosis, access to specialists, and more.
Author(s): Xiaodan Zhang, Martin Witteveen-Lane, Christine Skovira, et al.
Citation: Alzheimer's & Dementia Translational Research & Clinical Interventions
Date: 07/2024
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