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Rural Health
Resources by Topic: Access

Evaluation of CMS's Federally Qualified Health Center (FQHC) Advanced Primary Care Practice (APCP) Demonstration
Reports on a 3 year demonstration project regarding the change of Federally Qualified Health Centers (FQHCs) into advanced primary care practices (APCPs) that provide comprehensive patient-centered healthcare for Medicare beneficiaries. Examines the processes and challenges involved in this change and the effects of the APCP model on access, quality and cost of care delivered to Medicare and Medicaid patients. Includes a rural/urban comparison of findings and data.
Author(s): Katherine L. Kahn, Justin W. Timbie, Mark W. Friedberg, et al.
Date: 07/2015
Type: Document
Sponsoring organization: RAND Corporation
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Rural-Urban Difference in Female Breast Cancer Diagnosis in Missouri
Analyzes and compares the effect of geographic distance and access to a mammography healthcare facility on late detection of breast cancer diagnosis in women residing in rural and urban Missouri.
Author(s): Faustine Williams, Stephen Jeanetta, David O'Brien, John Fresen
Citation: Rural and Remote Health, 15(3), 3063
Date: 07/2015
Type: Document
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Hospital Policy Issues: Statement by Mark Miller, Medicare Payment Advisory Commission before Subcommittee on Health, Committee on Ways and Means, U.S. House of Representatives
Testimony from the Medicare Payment Advisory Commission's executive director presented at a July 22nd, 2015, Ways and Means subcommittee hearing concerning Medicare hospital payment issues, rural health issues, and beneficiary access to care. Discusses Medicare's rural hospital payment adjustments, how they impact access to care, and principles to consider in evaluating rural add-on payments. Also discusses MedPAC recommendations related to graduate medical education (GME), including some related to rural training.
Author(s): Mark E. Miller
Date: 07/2015
Type: Document
Sponsoring organizations: House Ways and Means Committee, Subcommittee on Health, Medicare Payment Advisory Commission
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The Use of Telemedicine to Address Access and Physician Workforce Shortages
Policy statement discussing opportunities to use telemedicine technologies to address pediatric workforce shortages in rural and urban settings. Offers information on improving access to care, physician capacity, quality of care, and costs of care.
Author(s): James P. Marcin, Mary E. Rimsza, William B. Moskowitz
Citation: Pediatrics, 136(1), 202-209
Date: 07/2015
Type: Document
Sponsoring organization: American Academy of Pediatrics
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Rural Food and Physical Activity Assessment Using an Electronic Tablet-Based Application, New York, 2013-2014
Evaluates the effectiveness of a community assessment tool focused on the built environment and used to capture images such as sidewalks, walkable destinations, restaurants, and food stores, in an effort to identify barriers and facilitators to healthy eating and active living. Includes resident perspectives on community features and opportunities for improvement.
Author(s): Rebecca A. Seguin, Emily H. Morgan, Leah M. Connor, et al.
Citation: Preventing Chronic Disease, 12
Date: 07/2015
Type: Document
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Cultural Beliefs and Understandings of Cervical Cancer Among Mexican Immigrant Women in Southeast Georgia
Investigates the knowledge and beliefs among rural Latina immigrant women in southeastern Georgia about the causes of cervical cancer and apparent barriers to cervical cancer screening. A cross-sectional survey of 39 Mexican women was conducted and the information gathered was applied to inform and test the development and effect of using trained lay health advisors or promotoras to increase compliance with cervical cancer screening.
Author(s): John S. Luque, Yelena N. Tarasenko, Jonathan N. Maupin, et al.
Citation: Journal of Immigrant and Minority Health, 17(3), 713-721
Date: 06/2015
Type: Document
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Effect of Acculturation and Access to Care on Colorectal Cancer Screening in Low-Income Latinos
Examines the associations between acculturation, access to and utilization of healthcare services, and colorectal cancer (CRC) in low-income Latino men and women living in colonias of the Texas-Mexico border area.
Author(s): Lara S. Savas, Sally W. Vernon, John S. Atkinson, Maria E. Fernández
Citation: Journal of Immigrant and Minority Health, 17(3) 696-703
Date: 06/2015
Type: Document
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Adjuvant Therapy Use Among Appalachian Breast Cancer Survivors
Explores adjuvant hormone therapy behaviors in a four-state region of Appalachia. Evaluates the influences on adherence to the therapy, especially issues of access to cancer care resources in rural areas of the region.
Author(s): Xi Tan, Vincent D. Marshall, Roger T. Anderson, et al.
Citation: Medicine, 94(26), e1071
Date: 06/2015
Type: Document
Sponsoring organization: National Cancer Institute
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Disparities in Individuals' Access and Use of Health IT in 2013
Reports on patients' use of different types of health information technology (HIT) as of 2013, prior to a federal push to expand patient access to and use of HIT. Includes data specific to rural patients' use of HIT, showing lower use compared to urban patients. HIT types included emailing a provider, text messaging a provider, looking at test results online, and using a smart phone health app.
Author(s): Vaishali Patel, Wesley Barker, Erin Siminerio
Date: 06/2015
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Older Americans Act: Updated Information on Unmet Need for Services
Examines older adults' reported need for home and community-based services and the potential unmet need for these services. Includes metropolitan and non-metropolitan data on food insecurity and receipt of congregate and home-delivered meals.
Additional links: Full Report
Date: 06/2015
Type: Document
Sponsoring organization: Government Accountability Office
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