Rural Health
Resources by Topic: Access
Mountain-Pacific Quality Health Pilot: Closing the Gaps in Rural Complex Care
Profiles Mountain-Pacific Quality Health, a nonprofit corporation that established a pilot program to improve the health of rural patients through the use of technology and interdisciplinary care teams working together in Montana's Flathead Valley. Describes a $1 million innovation award from the Center for Medicare and Medicaid Innovation to support their use of ReSource Teams and help care for high-cost, high-need Medicare patients in the region.
Additional links: Case Study: Shared Military Background Helps Community Health Workers Connect with Patients in Rural Montana
Date: 10/2017
Sponsoring organization: Center for Health Care Strategies
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Profiles Mountain-Pacific Quality Health, a nonprofit corporation that established a pilot program to improve the health of rural patients through the use of technology and interdisciplinary care teams working together in Montana's Flathead Valley. Describes a $1 million innovation award from the Center for Medicare and Medicaid Innovation to support their use of ReSource Teams and help care for high-cost, high-need Medicare patients in the region.
Additional links: Case Study: Shared Military Background Helps Community Health Workers Connect with Patients in Rural Montana
Date: 10/2017
Sponsoring organization: Center for Health Care Strategies
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Veterans Health Administration: Better Data and Evaluation Could Help Improve Physician Staffing, Recruitment, and Retention Strategies
Reviews the Veterans Health Administration's (VHA) recruitment and retention strategies, specifically for VHA physicians working in the five areas identified as mission-critical: primary care, mental health, gastroenterology, orthopedic surgery, and emergency medicine. Presents information on how many VHA physicians provide care, the extent VHA measures physician workload and productivity, and how current recruitment and retention strategies are evaluated. Addresses rural shortages and makes recommendations for improving VHA workforce development and planning based on interviews with VHA officials and a review of VHA documentation.
Additional links: Full Report
Date: 10/2017
Sponsoring organization: Government Accountability Office
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Reviews the Veterans Health Administration's (VHA) recruitment and retention strategies, specifically for VHA physicians working in the five areas identified as mission-critical: primary care, mental health, gastroenterology, orthopedic surgery, and emergency medicine. Presents information on how many VHA physicians provide care, the extent VHA measures physician workload and productivity, and how current recruitment and retention strategies are evaluated. Addresses rural shortages and makes recommendations for improving VHA workforce development and planning based on interviews with VHA officials and a review of VHA documentation.
Additional links: Full Report
Date: 10/2017
Sponsoring organization: Government Accountability Office
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Implementing Medication-Assisted Treatment for Opioid Use Disorder in Rural Primary Care: Environmental Scan Volume 1
Details challenges and barriers to implementing medication-assisted treatment (MAT) for opioid use disorder (OUD) in a primary care setting, such as healthcare policy, workforce, and financing, among others. Includes 250 tools and resources to help overcome barriers and support implementation MAT in rural areas.
Additional links: Volume 2: Tools and Resources
Author(s): Garrett E. Moran, Caroline M. Snyder, Rebecca F. Noftsinger, Joshua K. Noda
Date: 10/2017
Sponsoring organization: Agency for Healthcare Research and Quality
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Details challenges and barriers to implementing medication-assisted treatment (MAT) for opioid use disorder (OUD) in a primary care setting, such as healthcare policy, workforce, and financing, among others. Includes 250 tools and resources to help overcome barriers and support implementation MAT in rural areas.
Additional links: Volume 2: Tools and Resources
Author(s): Garrett E. Moran, Caroline M. Snyder, Rebecca F. Noftsinger, Joshua K. Noda
Date: 10/2017
Sponsoring organization: Agency for Healthcare Research and Quality
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The Federal Response to the Opioid Crisis
Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the government's response on the opioid crisis. Includes testimonies from SAMHSA, CDC, NIH, and the FDA regarding current efforts to increase access to treatment for opioid addiction and promote preventative measures across the U.S.
Additional links: Written Testimony
Date: 10/2017
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the government's response on the opioid crisis. Includes testimonies from SAMHSA, CDC, NIH, and the FDA regarding current efforts to increase access to treatment for opioid addiction and promote preventative measures across the U.S.
Additional links: Written Testimony
Date: 10/2017
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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2016 National Healthcare Quality and Disparities Report: Chartbook on Rural Health Care
Summarizes trends in healthcare quality and disparities for rural populations. Includes quality measures for access to healthcare, patient safety, person- and family-centered care, care coordination, affordability, healthy living, and effective treatment.
Author(s): Barbara Barton, Irim Azam
Date: 10/2017
Sponsoring organization: Agency for Healthcare Research and Quality
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Summarizes trends in healthcare quality and disparities for rural populations. Includes quality measures for access to healthcare, patient safety, person- and family-centered care, care coordination, affordability, healthy living, and effective treatment.
Author(s): Barbara Barton, Irim Azam
Date: 10/2017
Sponsoring organization: Agency for Healthcare Research and Quality
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Rural Transportation Best Practice: Transportation for Individuals with Chronic Care Conditions
Highlights a program called Mountain Empire Older Citizens (MEOC), which is a transportation assistance service for individuals with chronic conditions in Big Stone Gap, VA. Details the demographics of the town, as well as the structure of the program.
Date: 10/2017
Sponsoring organization: National Aging and Disability Transportation Center
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Highlights a program called Mountain Empire Older Citizens (MEOC), which is a transportation assistance service for individuals with chronic conditions in Big Stone Gap, VA. Details the demographics of the town, as well as the structure of the program.
Date: 10/2017
Sponsoring organization: National Aging and Disability Transportation Center
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Access To Obstetric Services In Rural Counties Still Declining, With 9 Percent Losing Services, 2004-14
Results of a study identifying gaps in the availability of hospital-based obstetric services in rural America, and providing evidence of disparities in local access to obstetric services in vulnerable rural communities. Includes statistics on percentages of rural counties by status of hospital obstetric services from 2004–14, with breakdowns by micropolitan or noncore location, and a county-level map with shadings indicating full closure, continuous services, or no services.
Author(s): Peiyin Hung, Carrie E. Henning-Smith, Michelle M. Casey, Katy B. Kozhimannil
Citation: Health Affairs, 36(9), 1663-1671
Date: 09/2017
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Results of a study identifying gaps in the availability of hospital-based obstetric services in rural America, and providing evidence of disparities in local access to obstetric services in vulnerable rural communities. Includes statistics on percentages of rural counties by status of hospital obstetric services from 2004–14, with breakdowns by micropolitan or noncore location, and a county-level map with shadings indicating full closure, continuous services, or no services.
Author(s): Peiyin Hung, Carrie E. Henning-Smith, Michelle M. Casey, Katy B. Kozhimannil
Citation: Health Affairs, 36(9), 1663-1671
Date: 09/2017
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Utilizing Patient Geographic Information System Data to Plan Telemedicine Service Locations
Describes a model for determining optimal locations for telemedicine service providers by using electronic health record (EHR) data in a geographic information system (GIS). Demonstrates the method for extracting GIS patient data from EHRs using an EHR sample of 4,027 visits to a neurodevelopmental pediatric service provider in 2011-2012. Discusses potential and limitations for using EHR data and GIS mapping to plan for specific telemedicine interventions.
Author(s): Neelkamal Soares, Joseph Dewalle, Ben Marsh
Citation: Journal of the American Medical Informatics Association, 24(5), 891-896
Date: 09/2017
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Describes a model for determining optimal locations for telemedicine service providers by using electronic health record (EHR) data in a geographic information system (GIS). Demonstrates the method for extracting GIS patient data from EHRs using an EHR sample of 4,027 visits to a neurodevelopmental pediatric service provider in 2011-2012. Discusses potential and limitations for using EHR data and GIS mapping to plan for specific telemedicine interventions.
Author(s): Neelkamal Soares, Joseph Dewalle, Ben Marsh
Citation: Journal of the American Medical Informatics Association, 24(5), 891-896
Date: 09/2017
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Variations in Obesity Rates between US Counties: Impacts of Activity Access, Food Environments, and Settlement Patterns
Describes differences in obesity rates among U.S. counties based on rurality, region, poverty level, and ethnicity. Analyzes access to physical activity facilities, food environments, and settlement patterns, defined as residential density and car dependence, to determine potential explanations for geographic variations.
Author(s): Peter Congdon
Citation: International Journal of Environmental Research and Public Health, 14(9), 1023
Date: 09/2017
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Describes differences in obesity rates among U.S. counties based on rurality, region, poverty level, and ethnicity. Analyzes access to physical activity facilities, food environments, and settlement patterns, defined as residential density and car dependence, to determine potential explanations for geographic variations.
Author(s): Peter Congdon
Citation: International Journal of Environmental Research and Public Health, 14(9), 1023
Date: 09/2017
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Population-Based Geographic Access to Parent and Satellite National Cancer Institute Cancer Center Facilities
Examines geographic access to National Cancer Institute cancer centers with breakdowns by age group, race/ethnicity, education level, income level, and rurality. Discusses differences for rural populations and Native Americans.
Author(s): Tracy Onega, Jennifer Alford-Teaster, Fahui Wang
Citation: Cancer, 123(17), 3305-3311
Date: 09/2017
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Examines geographic access to National Cancer Institute cancer centers with breakdowns by age group, race/ethnicity, education level, income level, and rurality. Discusses differences for rural populations and Native Americans.
Author(s): Tracy Onega, Jennifer Alford-Teaster, Fahui Wang
Citation: Cancer, 123(17), 3305-3311
Date: 09/2017
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