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Rural Health
Resources by Topic: Access

What's Next? Practical Suggestions for Rural Communities Facing a Hospital Closure
Presents alternative healthcare solutions for rural Texas communities that are facing a rural hospital closure. Examines the current state of healthcare delivery and outlines the regulatory and legislative obstacles to maintaining rural hospital services. Appendices provide additional information including maps of rural Texas hospital closures, a list of useful resources, reflections from rural hospital leaders, and more.
Date: 2017
Type: Document
Sponsoring organizations: A&M Rural and Community Health Institute, Episcopal Health Foundation
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Saving the Last Grocery Store
Describes how a rural Colorado community re-opened its only grocery store as a co-op, after a severe blizzard that cut off the town for days made the need for a local store apparent to residents. Discusses the challenges facing rural grocery stores.
Author(s): Lorraine Armstrong
Citation: Rural Cooperatives, 84(3), 12-15
Date: 2017
Type: Document
Sponsoring organization: USDA Rural Development
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Aging in Rural Communities: Older Persons' Narratives of Relocating in Place to Maintain Rural Identity
Uses data from 16 in-depth, semi-structured interviews with older adults living in a rural area to examine their assessment of their current living situation. Seeks to understand the perspective of older persons who move from a rural area to a more populous, but still rural community. Also discusses the influence of overall health status and access to healthcare services when making relocation decisions.
Author(s): Joyce Weil
Citation: Online Journal of Rural Research & Policy, 12(1)
Date: 2017
Type: Document
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Rural Grant Evaluation Report: Journeys Home Home Visiting Project
Report evaluating home-based domestic abuse and sexual violence advocacy programs supported by a Vermont rural grant funded by the U.S. Department of Justice. Describes the project's response to issues of cultural competency and access to survivor-centered advocacy and its emphasis on strengthening relationships between rural caregivers and children affected by violence and abuse. Presents statistical data from program-wide surveys of adult clients, children of clients, and Vermont Network Against Domestic and Sexual Violence staff members along with qualitative data from four participant interviews.
Author(s): Emily F. Rothman, Amy Torchia
Date: 12/2016
Type: Document
Sponsoring organization: Vermont Network Against Domestic and Sexual Violence
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Impact of a Community Dental Access Program on Emergency Dental Admissions in Rural Maryland
Describes the expansion of a rural Maryland community dental access program (CDP) that serves uninsured and underinsured low-income residents following a funding increase from the Health Resources and Services Administration's Federal Office of Rural Health Policy in 2012. Tracks claims data between 2011–2015, comparing CDP claim rates to Medicaid-funded visits to local emergency departments for non-traumatic dental needs, estimating cost savings from the expanded CDP.
Author(s): Sandi Rowland, Jonathan P. Leider, Clare Davidson, Joanne Brady, Alana Knudson
Citation: American Journal of Public Health, 106(12), 2165-2170
Date: 12/2016
Type: Document
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Farmers' Market Challenges in a Rural Setting: A Case Study of the Elaney Wood Heritage Farmers Market
Highlights challenges experienced by a farmers market in Snow Hill, North Carolina. Describes efforts to build both a customer base and a vendor base.
Date: 12/2016
Type: Document
Sponsoring organization: Rural Advancement Foundation International
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Medication-Assisted Treatment Models of Care for Opioid Use Disorder in Primary Care Settings
Report details 12 promising medication-assisted treatment (MAT) models for treatment of opioid use disorder in a primary care setting. Discusses rural issues in several models.
Date: 12/2016
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Health Districts in Oregon
Describes Oregon's current health district landscape and explains the legal role of health districts under Oregon law. Includes background information on the organization and purpose of health districts, and the role they play in maintaining healthcare access for rural areas.
Author(s): Paul B. McGinnis, Sonya Howk, Emerson Ong, Jennifer Simeon
Date: 12/2016
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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Utilization of Oral Health Services by Medicaid-Insured Adults in New York, 2012-2013
Presents a report on the rates of enrollment and utilization of adult Medicaid dental benefits in New York State from 2012-2013. Analyzes data by age, race, and gender, as well as by county, which is broken down by rural, urban, or mixed rural-urban status.
Author(s): Simona Surdu, Margaret Langelier, Jean Moore
Date: 12/2016
Type: Document
Sponsoring organization: Oral Health Workforce Research Center
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A Comparison of Medicaid Dental Claims Data in 2 States with Different Adult Dental Benefits, 2012-2013
Compares enrollment and utilization of adult Medicaid dental benefits in Oklahoma and New York from 2012-2013. Analyzes for age, race, and gender, as well as for rural, urban, and mixed urban-rural areas.
Author(s): Simona Surdu, Margaret Langelier, Jean Moore
Date: 12/2016
Type: Document
Sponsoring organization: Oral Health Workforce Research Center
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