Rural Health
                Resources by Topic: Access
    
                    Insurance and Access to Care in Urban and Rural Areas, 2014-2015
        
Statistical brief using data from the Medical Expenditure Panel Survey Household Component to examine the percentages of people uninsured, those without a usual source of care, and those reporting unmet needs for medical or dental care and prescription drugs. Features statistics including selected characteristics of the study population, with breakdowns by 3 population levels of metropolitan areas and 4 categories of non-metro counties.
Author(s): James B. Kirby, Pradip Muhuri
Date: 05/2018
Sponsoring organization: Agency for Healthcare Research and Quality
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    Statistical brief using data from the Medical Expenditure Panel Survey Household Component to examine the percentages of people uninsured, those without a usual source of care, and those reporting unmet needs for medical or dental care and prescription drugs. Features statistics including selected characteristics of the study population, with breakdowns by 3 population levels of metropolitan areas and 4 categories of non-metro counties.
Author(s): James B. Kirby, Pradip Muhuri
Date: 05/2018
Sponsoring organization: Agency for Healthcare Research and Quality
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                    Telemedicine Reimbursement
        
Policy position brief showing how telemedicine can help safety net providers care for people who live and work in rural and underserved areas. Lists types of programs, explores reimbursement issues, gives examples of innovative programs with telemedicine components, and offers recommendations for increasing access and improving outcomes.
Author(s): Becky Sanders, Zach Allen, Greg Maurer
Date: 05/2018
Sponsoring organization: National Rural Health Association
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    Policy position brief showing how telemedicine can help safety net providers care for people who live and work in rural and underserved areas. Lists types of programs, explores reimbursement issues, gives examples of innovative programs with telemedicine components, and offers recommendations for increasing access and improving outcomes.
Author(s): Becky Sanders, Zach Allen, Greg Maurer
Date: 05/2018
Sponsoring organization: National Rural Health Association
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                    Improving Rural Oral Healthcare Access
        
Policy position brief discussing the oral and systemic health connection and the dental workforce shortage. Highlights the need for interprofessional education and offers recommendations for improving access to rural oral healthcare.
Author(s): Joni Nelson, Jacob Thatcher, Joy Williams
Date: 05/2018
Sponsoring organization: National Rural Health Association
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    Policy position brief discussing the oral and systemic health connection and the dental workforce shortage. Highlights the need for interprofessional education and offers recommendations for improving access to rural oral healthcare.
Author(s): Joni Nelson, Jacob Thatcher, Joy Williams
Date: 05/2018
Sponsoring organization: National Rural Health Association
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                    Immigrant Health Policy Paper
        
Policy position brief about new immigrants in rural areas, in terms of health care access, health disparities, economic contributions, health care facilities and Community Health Workers, and service strategies to benefit immigrants. Includes case studies of immigrants in Minnesota and immigrants employed in the meat-processing industry and in rural farming.
Author(s): Susan Kunz, April Fernandez, Matt Gilleskie, et al.
Date: 05/2018
Sponsoring organization: National Rural Health Association
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    Policy position brief about new immigrants in rural areas, in terms of health care access, health disparities, economic contributions, health care facilities and Community Health Workers, and service strategies to benefit immigrants. Includes case studies of immigrants in Minnesota and immigrants employed in the meat-processing industry and in rural farming.
Author(s): Susan Kunz, April Fernandez, Matt Gilleskie, et al.
Date: 05/2018
Sponsoring organization: National Rural Health Association
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                    EMS Services in Rural America: Challenges and Opportunities
        
Policy brief describing challenges for rural EMS providers, including workforce shortages and inconsistent funding. Features statistics including percentage of potentially excess deaths for 5 leading causes of death, with breakdowns by metropolitan and nonmetropolitan areas, and average EMS call time response and distribution of all-volunteer and all-paid staff EMS agencies, with breakdowns by 4 levels of population density. Discusses effects of the opioid crisis and Critical Access Hospital closures on provision of EMS services.
Author(s): Nikki King, Marcus Pigman, Sarah Huling, Brian Hanson
Date: 05/2018
Sponsoring organization: National Rural Health Association
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    Policy brief describing challenges for rural EMS providers, including workforce shortages and inconsistent funding. Features statistics including percentage of potentially excess deaths for 5 leading causes of death, with breakdowns by metropolitan and nonmetropolitan areas, and average EMS call time response and distribution of all-volunteer and all-paid staff EMS agencies, with breakdowns by 4 levels of population density. Discusses effects of the opioid crisis and Critical Access Hospital closures on provision of EMS services.
Author(s): Nikki King, Marcus Pigman, Sarah Huling, Brian Hanson
Date: 05/2018
Sponsoring organization: National Rural Health Association
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                    Addressing Health and Health Care Needs in the United States-Mexico Border Region
        
Policy position brief describing geography and demographics of the border region, population health and healthcare issues, factors contributing to the health crisis, public policy implications, and suggestions for addressing needs. Comprises Executive Summary and Full Report.
Author(s): Brian Lady, Carrie Henning-Smith, Susan Kunz
Date: 05/2018
Sponsoring organization: National Rural Health Association
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    Policy position brief describing geography and demographics of the border region, population health and healthcare issues, factors contributing to the health crisis, public policy implications, and suggestions for addressing needs. Comprises Executive Summary and Full Report.
Author(s): Brian Lady, Carrie Henning-Smith, Susan Kunz
Date: 05/2018
Sponsoring organization: National Rural Health Association
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                    What Unites and Divides Urban, Suburban and Rural Communities
        
Report highlights different outcomes and opinions of people in rural, suburban, and urban communities on a number of topics, including demographic shifts, urgent problems, and life satisfaction, among others. Features demographic data, a county level breakdown, and a case study highlighting a rural, suburban, and urban county.
Additional links: Full Report
Author(s): Kim Parker, Juliana Horowitz, Anna Brown, et al.
Date: 05/2018
Sponsoring organization: Pew
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    Report highlights different outcomes and opinions of people in rural, suburban, and urban communities on a number of topics, including demographic shifts, urgent problems, and life satisfaction, among others. Features demographic data, a county level breakdown, and a case study highlighting a rural, suburban, and urban county.
Additional links: Full Report
Author(s): Kim Parker, Juliana Horowitz, Anna Brown, et al.
Date: 05/2018
Sponsoring organization: Pew
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                    Reporting of Indian Health Service Coverage in the American Community Survey
        
Evaluates the extent to which American Indian and Alaska Native (AIAN) people incorrectly report Indian Health Services (IHS) coverage in the American Community Services (ACS), as well as characteristics associated with false negative and false positive misreporting. Includes data on urban/rural residence. Findings based on a comparison of the IHS portion of the 2014 ACS health insurance question to whether or not individuals are in the 2014 IHS Patient Registration data.
Author(s): Renuka Bhaskar, Rachel M. Shattuck, James Noon
Date: 05/2018
Sponsoring organization: U.S. Census Bureau
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    Evaluates the extent to which American Indian and Alaska Native (AIAN) people incorrectly report Indian Health Services (IHS) coverage in the American Community Services (ACS), as well as characteristics associated with false negative and false positive misreporting. Includes data on urban/rural residence. Findings based on a comparison of the IHS portion of the 2014 ACS health insurance question to whether or not individuals are in the 2014 IHS Patient Registration data.
Author(s): Renuka Bhaskar, Rachel M. Shattuck, James Noon
Date: 05/2018
Sponsoring organization: U.S. Census Bureau
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                    Rural Health Care in America: Challenges and Opportunities
        
Presents the U.S. Senate Committee on Finance full committee hearing on improving rural healthcare across the country. Addresses access to emergency services, rural hospital financial challenges and closures, Accountable Care Organizations, and regulatory and workforce challenges. Features testimonies from representatives of the NC Rural Health Research Program Sheps Center for Health Services Research, the RUPRI Center for Rural Health Policy Analysis, San Luis Valley Health, UnityPoint Health, and Geisinger Health.
Additional links: Statement by James E. Mathews, Statement by Orrin G. Hatch, Statement by Ron Wyden, Testimony by George H. Pink, Testimony by Karen M. Murphy, Testimony by Keith J. Mueller, Testimony by Konnie Martin, Testimony by Susan K. Thompson
Date: 05/2018
Sponsoring organization: Senate Committee on Finance
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    Presents the U.S. Senate Committee on Finance full committee hearing on improving rural healthcare across the country. Addresses access to emergency services, rural hospital financial challenges and closures, Accountable Care Organizations, and regulatory and workforce challenges. Features testimonies from representatives of the NC Rural Health Research Program Sheps Center for Health Services Research, the RUPRI Center for Rural Health Policy Analysis, San Luis Valley Health, UnityPoint Health, and Geisinger Health.
Additional links: Statement by James E. Mathews, Statement by Orrin G. Hatch, Statement by Ron Wyden, Testimony by George H. Pink, Testimony by Karen M. Murphy, Testimony by Keith J. Mueller, Testimony by Konnie Martin, Testimony by Susan K. Thompson
Date: 05/2018
Sponsoring organization: Senate Committee on Finance
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                    Behavioral Health Integration and Workforce Development
        
Examines the need for states to assess behavioral health integration (BHI) workforce needs, identify legal and policy barriers to practice, and effectively train and retain BHI practitioners, especially in underserved areas. Includes case studies of programs in Washington, Nebraska, and Michigan, and lists of resources.
Author(s): Rachel Block
Date: 05/2018
Sponsoring organization: Milbank Memorial Fund
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    Examines the need for states to assess behavioral health integration (BHI) workforce needs, identify legal and policy barriers to practice, and effectively train and retain BHI practitioners, especially in underserved areas. Includes case studies of programs in Washington, Nebraska, and Michigan, and lists of resources.
Author(s): Rachel Block
Date: 05/2018
Sponsoring organization: Milbank Memorial Fund
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