Rural Health
Resources by Topic: Access
Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2023
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes changes in the quality of care during the first four years of the demonstration for states with available quality measures, as well as quality bonus payments states made to CCBHCs based on quality measure performance. Builds on findings on demonstration implementation, quality improvement, and costs outlined in previous evaluation reports, focusing on data collected since spring 2022.
Date: 07/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica, RAND Corporation
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Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes changes in the quality of care during the first four years of the demonstration for states with available quality measures, as well as quality bonus payments states made to CCBHCs based on quality measure performance. Builds on findings on demonstration implementation, quality improvement, and costs outlined in previous evaluation reports, focusing on data collected since spring 2022.
Date: 07/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica, RAND Corporation
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2024 National Telehealth Conference Summary Report
Offers a summary of the 2024 Health Resources and Services Administration (HRSA) National Telehealth Conference by conference session. Covers increasing access to tele-behavioral healthcare through interstate licensure, expanding access to telehealth services for underserved and low-income communities, and federal efforts for telehealth policy and innovation. Appendices include conference materials and resources.
Additional links: 2024 National Telehealth Conference Session Recordings
Date: 07/2024
Sponsoring organization: Health Resources and Services Administration
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Offers a summary of the 2024 Health Resources and Services Administration (HRSA) National Telehealth Conference by conference session. Covers increasing access to tele-behavioral healthcare through interstate licensure, expanding access to telehealth services for underserved and low-income communities, and federal efforts for telehealth policy and innovation. Appendices include conference materials and resources.
Additional links: 2024 National Telehealth Conference Session Recordings
Date: 07/2024
Sponsoring organization: Health Resources and Services Administration
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Rural-Urban Mild Cognitive Impairment Comparison in West Michigan Through EHR
Analyzed electronic health record data for 1,528,464 patients to highlight rural and urban differences in mild cognitive impairment incidence, risk factors, and healthcare access in West Michigan. Discusses implications of study findings on dementia diagnosis, access to specialists, and more.
Author(s): Xiaodan Zhang, Martin Witteveen-Lane, Christine Skovira, et al.
Citation: Alzheimer's & Dementia Translational Research & Clinical Interventions
Date: 07/2024
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Analyzed electronic health record data for 1,528,464 patients to highlight rural and urban differences in mild cognitive impairment incidence, risk factors, and healthcare access in West Michigan. Discusses implications of study findings on dementia diagnosis, access to specialists, and more.
Author(s): Xiaodan Zhang, Martin Witteveen-Lane, Christine Skovira, et al.
Citation: Alzheimer's & Dementia Translational Research & Clinical Interventions
Date: 07/2024
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Report to Congress: Addressing the Maternal Health Crisis in the United States: An Update from the U.S. Department of Health and Human Services
Reports on efforts by the U.S. Department of Health and Human Services (HHS) to improve maternal health outcomes, including programs related to care delivery, access to care, and social factors influencing health. Presents data and discussion of maternal health trends, identifies key drivers, highlights relevant HHS programs and actions, and presents a framework to measure progress. Details rural access and outcome disparities and features rural-focused programs.
Date: 07/2024
Sponsoring organization: U.S. Department of Health and Human Services
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Reports on efforts by the U.S. Department of Health and Human Services (HHS) to improve maternal health outcomes, including programs related to care delivery, access to care, and social factors influencing health. Presents data and discussion of maternal health trends, identifies key drivers, highlights relevant HHS programs and actions, and presents a framework to measure progress. Details rural access and outcome disparities and features rural-focused programs.
Date: 07/2024
Sponsoring organization: U.S. Department of Health and Human Services
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Disability and Independence in Rural America: White Paper
Provides an overview of disability and independence in rural America. Describes disability prevalence in rural areas and U.S. Department of Health and Human Services (HHS) programs for people with disabilities. Outlines key considerations for rural disability services, including access, Medicaid and Medicare coverage, workforce, and telehealth and technology. Highlights themes that emerged during the September 2023 National Advisory Committee on Rural Health and Human Service (NACRHHS) meeting regarding areas for disability and independence policy improvement. Appendix A summarizes NACRHHS subcommittee site visits of two organizations serving rural Colorado residents.
Date: 07/2024
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of disability and independence in rural America. Describes disability prevalence in rural areas and U.S. Department of Health and Human Services (HHS) programs for people with disabilities. Outlines key considerations for rural disability services, including access, Medicaid and Medicare coverage, workforce, and telehealth and technology. Highlights themes that emerged during the September 2023 National Advisory Committee on Rural Health and Human Service (NACRHHS) meeting regarding areas for disability and independence policy improvement. Appendix A summarizes NACRHHS subcommittee site visits of two organizations serving rural Colorado residents.
Date: 07/2024
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Variation in Dentist Participation Between Dental Medicaid Managed Care Organizations
Examines the variation in Medicaid managed care organization (MCO) participation among private practice dentists in Iowa. Describes factors associated with Medicaid MCO participation, including dentists' personal and practice characteristics, including practice type, rural or urban location, and dental Health Professional Shortage Area (HPSA) designation.
Author(s): Pamela C. Nwachukwu, Peter C. Damiano, Steven Levy, et al.
Citation: Journal of Public Health Dentistry,
Date: 07/2024
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Examines the variation in Medicaid managed care organization (MCO) participation among private practice dentists in Iowa. Describes factors associated with Medicaid MCO participation, including dentists' personal and practice characteristics, including practice type, rural or urban location, and dental Health Professional Shortage Area (HPSA) designation.
Author(s): Pamela C. Nwachukwu, Peter C. Damiano, Steven Levy, et al.
Citation: Journal of Public Health Dentistry,
Date: 07/2024
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Economic Role of Oklahoma Hospitals: Industry Profile & Economic Impacts
Reports on the economic impact of hospitals in Oklahoma, including data on revenue, hospital-supported jobs, direct wages, and more. See pages 10-11 for discussion of rural hospital access disparities.
Date: 07/2024
Sponsoring organization: Oklahoma Hospital Association
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Reports on the economic impact of hospitals in Oklahoma, including data on revenue, hospital-supported jobs, direct wages, and more. See pages 10-11 for discussion of rural hospital access disparities.
Date: 07/2024
Sponsoring organization: Oklahoma Hospital Association
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Geographic Variation in Shortfalls of Dementia Specialists in the United States
Reports on distribution of dementia specialists to identify potential dementia care shortage areas for the older adult population. Discusses the impact on rural residents.
Author(s): Jodi L. Liu, Lawrence Baker, Annie Yu-An Chen, Jue (Jessie) Wang
Citation: Health Affairs Scholar, 2(7)
Date: 07/2024
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Reports on distribution of dementia specialists to identify potential dementia care shortage areas for the older adult population. Discusses the impact on rural residents.
Author(s): Jodi L. Liu, Lawrence Baker, Annie Yu-An Chen, Jue (Jessie) Wang
Citation: Health Affairs Scholar, 2(7)
Date: 07/2024
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Understanding Willingness and Barriers to Participate in Clinical Trials during Pregnancy and Lactation: Findings from a US Study
Analyzes attitudes, perceptions, and other factors influencing participation in clinical trials among 654 pregnant and postpartum people. Provides data on associations between likelihood of participation, motivators and deterrents, and patient characteristics including comparisons by rural, urban, and suburban area.
Author(s): Melanie H. Jacobson, Emily Yost, Shirley V. Sylvester, et al.
Citation: BMC Pregnancy and Childbirth, 24, 504
Date: 07/2024
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Analyzes attitudes, perceptions, and other factors influencing participation in clinical trials among 654 pregnant and postpartum people. Provides data on associations between likelihood of participation, motivators and deterrents, and patient characteristics including comparisons by rural, urban, and suburban area.
Author(s): Melanie H. Jacobson, Emily Yost, Shirley V. Sylvester, et al.
Citation: BMC Pregnancy and Childbirth, 24, 504
Date: 07/2024
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Spatial Accessibility and Uptake of Pediatric COVID-19 Vaccinations by Social Vulnerability
Examines pediatric uptake of COVID-19 vaccines by vaccination site, travel time to nearest site, and county-level social vulnerability. Utilizes 2022 U.S. Vaccine Tracking System data to analyze 15,233,956 vaccine doses administered across 27,526 sites, with breakdowns according to sociodemographics, including rural versus urban location.
Author(s): Rohan Khazanchi, Benjamin Rader, Jonathan Cantor, et al.
Citation: Pediatrics, 154(2)
Date: 07/2024
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Examines pediatric uptake of COVID-19 vaccines by vaccination site, travel time to nearest site, and county-level social vulnerability. Utilizes 2022 U.S. Vaccine Tracking System data to analyze 15,233,956 vaccine doses administered across 27,526 sites, with breakdowns according to sociodemographics, including rural versus urban location.
Author(s): Rohan Khazanchi, Benjamin Rader, Jonathan Cantor, et al.
Citation: Pediatrics, 154(2)
Date: 07/2024
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