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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Rural Ohio Counties Face Challenges with Access to Health Providers
An Ohio map that shows select counties and their ratios of population to primary care, dental, and mental health providers, with lowest access areas all located in rural or partially rural counties.
Date: 08/2024
Sponsoring organization: Health Policy Institute of Ohio
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Dialysis More Available Than Patient Education in Counties With High Diabetes Prevalence
Compares availability of dialysis and diabetes self-management education and support (DSMES) services at the county level, and discusses impacts of DSMES access on prevalence of end stage renal disease. Analyzes county-level characteristics associated with availability of dialysis or DSMES, including rurality, diabetes prevalence, presence of a Federally Qualified Health Center or Rural Health Clinic, and more.
Author(s): Janice C. Probst, Nicholas Yell, Gabriel A. Benavidez, et al.
Citation: Preventing Chronic Disease, 21, 240052
Date: 08/2024
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Making Broadband Work for Rural Communities and Native Nations
Case study of broadband deployment efforts to promote digital equity in rural areas and Native nations. Discusses topics including organizational alignment, infrastructure, sustainability, and information exchange.
Date: 08/2024
Sponsoring organization: Aspen Institute
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The Implicit and Explicit Exclusion of People with Disabilities in Clinical Trials
Reports on barriers for people with disabilities in participating in clinical research trials and offers recommendations to various federal agencies for removing those barriers. Discusses rural concerns including opportunities for participation due to distance.
Date: 08/2024
Sponsoring organization: National Council on Disability
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The Rural Mortality Penalty in U.S. Hospital Patients with COVID-19
Examines whether rural-urban disparities in patient condition at hospital admission affect all-cause mortality among patients hospitalized with COVID-19 from March 2020 to February 2023, utilizing Epic Cosmos data of 1,119,199 patients. Provides data on rural versus urban differences in patient condition at admission, overall health, vaccination status, age, and other demographics. Discusses factors associated with reduced access to care in rural areas.
Author(s): Jeffrey A. Thompson, Dinesh Pal Mudaranthakam, Lynn Chollet-Hinton
Citation: Population Health Metrics, 22, 20
Date: 08/2024
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Access in Brief: Seniors and Adults with Physical Disabilities
Explores access to Medicaid-funded long-term services and supports (LTSS) among Medicaid beneficiaries age 65 and older and Medicaid beneficiaries aged 18-64 with physical disabilities. Describes the demographics, health status, service use, and experiences with Medicaid home and community-based services (HCBS) of these Medicaid beneficiaries using data from the 2017-2018 National Core Indicators Aging and Disabilities (NCI-AD) Adult Consumer Survey. Presents data by race and ethnicity, dually eligible status, and age.
Date: 08/2024
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Pediatric Subspecialty Outreach Clinics: Reach and Impact on Access to Care
Examines the impact of pediatric subspecialty clinics on driving times to children's subspecialty care in Maine. Compares distance to outreach clinics and clinical hubs for seven pediatric subspecialties, utilizing Google Maps driving time estimates for each Maine ZIP code tabulation area. Includes breakdowns by rural versus urban area.
Author(s): James C. Bohnhoff, Anya Cutler, Sean Hagenbuch, Kristen Kurland
Citation: BMC Pediatrics, 24, 519
Date: 08/2024
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Youth in Crisis: How an Innovative Program is Addressing Pediatric Mental Health
Highlights a New Hampshire pediatric behavioral health training program using the Project ECHO model. Discusses access to care, workforce shortages, benefits of collaboration, and community engagement. Transcript beneath the audio player.
Date: 08/2024
Sponsoring organization: American Hospital Association
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Changes in Rural Pharmacy Presence 2023
Data brief exploring availability of retail pharmacy services in rural areas of the U.S. Provides information on rural communities that have kept, lost, or gained a retail pharmacy between 2018 and 2023. Features statistics on numbers of pharmacies in rural areas in 2018 and 2023, with breakdowns by communities with one pharmacy, two pharmacies, or three or more pharmacies.
Author(s): Fred Ullrich, Keith Mueller
Date: 08/2024
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Community Health Centers' Progress and Challenges in Meeting Patients' Essential Primary Care Needs: Findings from the Commonwealth Fund 2024 National Survey of Federally Qualified Health Centers
Summarizes findings from the 2024 Commonwealth Fund National Survey of Federally Qualified Health Centers (FQHCs), which received responses from 737 FQHC leaders in fall 2023 and spring 2024. Explores the extent to which FQHCs achieve primary care accessibility, comprehensiveness, and coordination. Compares findings to data from the 2018 version of this survey to assess how care delivery changed over time. Describes barriers FQHCs face in offering high-quality care. Presents data by rural and urban location throughout.
Author(s): Celli Horstman, Corinne Lewis, Alexandra Bryan, Sara Federman
Date: 08/2024
Sponsoring organization: Commonwealth Fund
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