Rural Health
Resources by Topic: Access
Findings from the Field: Medicaid Delivery Systems and Access to Care in Four States in Year Three of the ACA
Explores the experiences of four states that participated in Medicaid expansion as part of the Patient Protection and Affordable Care Act (ACA): Colorado, Connecticut, Kentucky, and Washington. Examines what each state is doing to transition, from outreach and enrollment activities, to improving delivery systems and access to care. Contains rural-specific content and information on how the states are dealing with the expanded Medicaid population. Addresses how Community Health Centers have responded to the Medicaid expansion.
Author(s): Samantha Artiga, Robin Rudowitz, Jennifer Tolbert, Julia Paradise, Melissa Majerol
Date: 09/2016
Type: Document
Sponsoring organization: KFF
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Explores the experiences of four states that participated in Medicaid expansion as part of the Patient Protection and Affordable Care Act (ACA): Colorado, Connecticut, Kentucky, and Washington. Examines what each state is doing to transition, from outreach and enrollment activities, to improving delivery systems and access to care. Contains rural-specific content and information on how the states are dealing with the expanded Medicaid population. Addresses how Community Health Centers have responded to the Medicaid expansion.
Author(s): Samantha Artiga, Robin Rudowitz, Jennifer Tolbert, Julia Paradise, Melissa Majerol
Date: 09/2016
Type: Document
Sponsoring organization: KFF
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Utility of the Living (Well Through) Intergenerational Fitness and Exercise Program as a County-Delivered Extension Program
Evaluates the suitability of the county Extension to deliver the Living (well through) Intergenerational Fitness and Exercise (LIFE) program, a group-based exercise program for rural residing older adults providing low-cost, effective physical activities to address chronic health conditions and improve health-related quality of life.
Author(s): Ashleigh J. Sowle, Sarah L. Francis, Jennifer A. Margrett, Warren D. Franke
Citation: Journal of Extension, 54(4), rb5
Date: 08/2016
Type: Document
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Evaluates the suitability of the county Extension to deliver the Living (well through) Intergenerational Fitness and Exercise (LIFE) program, a group-based exercise program for rural residing older adults providing low-cost, effective physical activities to address chronic health conditions and improve health-related quality of life.
Author(s): Ashleigh J. Sowle, Sarah L. Francis, Jennifer A. Margrett, Warren D. Franke
Citation: Journal of Extension, 54(4), rb5
Date: 08/2016
Type: Document
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Why Are Obstetric Units in Rural Hospitals Closing Their Doors?
Examines factors associated with obstetric unit closure based on a mixed methods study of rural hospitals in 9 states between 2010 and 2014. Addresses hospital characteristics such as accreditation, ownership, and Critical Access Hospital status; distance to next closest hospital with obstetric services; and county-level characteristics including health workforce supply.
Author(s): Peiyin Hung, Katy B. Kozhimannil, Michelle M. Casey, Ira S. Moscovice
Citation: Health Services Research, 51(4), 1546-1560
Date: 08/2016
Type: Document
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Examines factors associated with obstetric unit closure based on a mixed methods study of rural hospitals in 9 states between 2010 and 2014. Addresses hospital characteristics such as accreditation, ownership, and Critical Access Hospital status; distance to next closest hospital with obstetric services; and county-level characteristics including health workforce supply.
Author(s): Peiyin Hung, Katy B. Kozhimannil, Michelle M. Casey, Ira S. Moscovice
Citation: Health Services Research, 51(4), 1546-1560
Date: 08/2016
Type: Document
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Veterans Rural Health Advisory Committee Letter of Recommendations to Secretary, 2016
Details the recommendations of the Veterans Rural Health Advisory Committee to the Secretary of Veterans Affairs. Makes recommendations about the response time from the VA, reimbursement delays for non-VA providers, utilization of telehealth, and the implementation of quality care standards, among others.
Author(s): Margaret Puccinelli, Janice Casillas, Syreeta Long, et al.
Date: 08/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Details the recommendations of the Veterans Rural Health Advisory Committee to the Secretary of Veterans Affairs. Makes recommendations about the response time from the VA, reimbursement delays for non-VA providers, utilization of telehealth, and the implementation of quality care standards, among others.
Author(s): Margaret Puccinelli, Janice Casillas, Syreeta Long, et al.
Date: 08/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Intersection of Living in a Rural Versus Urban Area and Race/Ethnicity in Explaining Access to Health Care in the United States
Examines healthcare access for Hispanic, African American, and White rural and urban residents. Reports on access to a usual source of healthcare, healthcare needs met, cholesterol screening, cervical screening, and dental visits.
Author(s): Julia T. Caldwell, Chandra L. Ford, Steven P. Wallace, May C. Wang, Lois M. Takahashi
Citation: American Journal of Public Health, 106(8), 1463-9
Date: 08/2016
Type: Document
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Examines healthcare access for Hispanic, African American, and White rural and urban residents. Reports on access to a usual source of healthcare, healthcare needs met, cholesterol screening, cervical screening, and dental visits.
Author(s): Julia T. Caldwell, Chandra L. Ford, Steven P. Wallace, May C. Wang, Lois M. Takahashi
Citation: American Journal of Public Health, 106(8), 1463-9
Date: 08/2016
Type: Document
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Telehealth Parity Laws
Policy brief discussing federal and state activities related to telehealth, as well as Medicaid and private insurer reimbursement for telehealth services. Identifies the arguments in favor of and against paying for telehealth at parity with in-person care. Discusses the role telehealth can play in rural access to healthcare.
Citation: Health Affairs
Date: 08/2016
Type: Document
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Policy brief discussing federal and state activities related to telehealth, as well as Medicaid and private insurer reimbursement for telehealth services. Identifies the arguments in favor of and against paying for telehealth at parity with in-person care. Discusses the role telehealth can play in rural access to healthcare.
Citation: Health Affairs
Date: 08/2016
Type: Document
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Remedy for the Rural Opioid Epidemic: Leaders Discuss Medication-Assisted Addiction Treatment in Primary Care
Summarizes a meeting focused on understanding the opioid challenges in rural Northern California and identifying potential solutions. Provides maps highlighting opioid overdose death rates by county and the availability of licensed narcotic treatment programs.
Date: 07/2016
Type: Document
Sponsoring organization: California Health Care Foundation
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Summarizes a meeting focused on understanding the opioid challenges in rural Northern California and identifying potential solutions. Provides maps highlighting opioid overdose death rates by county and the availability of licensed narcotic treatment programs.
Date: 07/2016
Type: Document
Sponsoring organization: California Health Care Foundation
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Spatial Access to Primary Care Providers in Appalachia Evaluating Current Methodology
Determines the spatial access to primary care physicians and compares access to care between urban and rural Appalachian counties in Pennsylvania, Ohio, Kentucky, and North Carolina.
Author(s): Joseph Donohoe, Vince Marshall, Xi Tan, et al.
Citation: Journal of Primary Care and Community Health, 7(3), 149-158
Date: 07/2016
Type: Document
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Determines the spatial access to primary care physicians and compares access to care between urban and rural Appalachian counties in Pennsylvania, Ohio, Kentucky, and North Carolina.
Author(s): Joseph Donohoe, Vince Marshall, Xi Tan, et al.
Citation: Journal of Primary Care and Community Health, 7(3), 149-158
Date: 07/2016
Type: Document
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The Texas Mental Health Workforce: Continuing Challenges and Sensible Strategies
Policy brief featuring a report on the mental healthcare workforce in Texas, including a comparison of rural and urban counties. Discusses barriers to workforce expansion and strategies for drawing more mental health providers to the state.
Date: 07/2016
Type: Document
Sponsoring organization: Hogg Foundation for Mental Health
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Policy brief featuring a report on the mental healthcare workforce in Texas, including a comparison of rural and urban counties. Discusses barriers to workforce expansion and strategies for drawing more mental health providers to the state.
Date: 07/2016
Type: Document
Sponsoring organization: Hogg Foundation for Mental Health
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Integrated Care in a Frontier Community
Examines the Southeast Health Group (SHG) in La Junta, Colorado, which coordinates physical and behavioral health using patient-centered, wellness-based care coordination to empower patients and promote self-directed care. Focuses on hiring providers who share SHG's philosophy of care, using community resources, and engaging peer support specialists.
Date: 07/2016
Type: Document
Sponsoring organization: Rural Health Value
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Examines the Southeast Health Group (SHG) in La Junta, Colorado, which coordinates physical and behavioral health using patient-centered, wellness-based care coordination to empower patients and promote self-directed care. Focuses on hiring providers who share SHG's philosophy of care, using community resources, and engaging peer support specialists.
Date: 07/2016
Type: Document
Sponsoring organization: Rural Health Value
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