Rural Health
Resources by Topic: Access
Rural Healthy People 2020: A Companion Document to Healthy People 2020, Volume 1
Provides a rural focus for the Healthy People 2020 priorities. Includes overviews of the top 10 rural health priority areas identified by rural stakeholders. (Volume 2 discusses priorities 11-20.) Topics addressed include: health insurance, primary care, emergency services, nutrition and weight status, diabetes, mental health, substance abuse, heart disease and stroke, physical activity, older adults, maternal and child health, and tobacco use. Each overview includes reviews of the relevant literature and models that rural communities can use to address the issues. Document is available for free download, after providing brief information about intended use.
Author(s): Jane N. Bolin, Gail Bellamy, Alva O. Ferdinand, Bita Kash, Janet W. Helduser
Date: 2015
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Provides a rural focus for the Healthy People 2020 priorities. Includes overviews of the top 10 rural health priority areas identified by rural stakeholders. (Volume 2 discusses priorities 11-20.) Topics addressed include: health insurance, primary care, emergency services, nutrition and weight status, diabetes, mental health, substance abuse, heart disease and stroke, physical activity, older adults, maternal and child health, and tobacco use. Each overview includes reviews of the relevant literature and models that rural communities can use to address the issues. Document is available for free download, after providing brief information about intended use.
Author(s): Jane N. Bolin, Gail Bellamy, Alva O. Ferdinand, Bita Kash, Janet W. Helduser
Date: 2015
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Access to Behavioral Health Care for Geographically Remote Service Members and Dependents in the U.S.
Offers a geospatial analysis using TRICARE and other data to determine access to and utilization of mental and behavioral healthcare services for veterans who reside in remote locations. Recommends two pathways for improving access to care: telehealth service and collaborative care between primary care and specialty behavioral care.
Author(s): Ryan Andrew Brown, Grant N. Marshall, Joshua Breslau, et al.
Date: 2015
Type: Document
Sponsoring organization: RAND Corporation
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Offers a geospatial analysis using TRICARE and other data to determine access to and utilization of mental and behavioral healthcare services for veterans who reside in remote locations. Recommends two pathways for improving access to care: telehealth service and collaborative care between primary care and specialty behavioral care.
Author(s): Ryan Andrew Brown, Grant N. Marshall, Joshua Breslau, et al.
Date: 2015
Type: Document
Sponsoring organization: RAND Corporation
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The Effects of Expanding Public Insurance to Rural Low-Income Childless Adults
Details a study on the effects of the Affordable Care Act (ACA) Medicaid expansion on healthcare usage for rural adults without children in Wisconsin from 2007-2012. Discusses the frequency and type of care sought after participants gained coverage. Records visits in 3 categories: Emergency department visits, hospitalizations, and outpatient visits.
Author(s): Marguerite E. Burns, Laura Dague, Thomas DeLeire, et al.
Citation: Health Services Research, 49(s2), 2173-2187
Date: 12/2014
Type: Document
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Details a study on the effects of the Affordable Care Act (ACA) Medicaid expansion on healthcare usage for rural adults without children in Wisconsin from 2007-2012. Discusses the frequency and type of care sought after participants gained coverage. Records visits in 3 categories: Emergency department visits, hospitalizations, and outpatient visits.
Author(s): Marguerite E. Burns, Laura Dague, Thomas DeLeire, et al.
Citation: Health Services Research, 49(s2), 2173-2187
Date: 12/2014
Type: Document
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Determinants of Supplemental Nutrition Assistance Program Participation from 2008 to 2012
A discussion of the social and economic determinants of enrollment in the SNAP program. Includes data and statistics regarding economic variables, the effect of state policy on program use, demographics of the recipients, and length of use and re-entry into the program. Rural specific information included on pages A 33-34 and the food access table (A.29).
Author(s): James Mabli, Thomas Godfrey, Nancy Wemmerus, Joshua Leftin, Stephan Tordella
Date: 12/2014
Type: Document
Sponsoring organization: USDA Food and Nutrition Service
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A discussion of the social and economic determinants of enrollment in the SNAP program. Includes data and statistics regarding economic variables, the effect of state policy on program use, demographics of the recipients, and length of use and re-entry into the program. Rural specific information included on pages A 33-34 and the food access table (A.29).
Author(s): James Mabli, Thomas Godfrey, Nancy Wemmerus, Joshua Leftin, Stephan Tordella
Date: 12/2014
Type: Document
Sponsoring organization: USDA Food and Nutrition Service
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Transportation Disadvantaged Populations: Nonemergency Medical Transportation Not Well Coordinated, and Additional Federal Leadership Needed
Discusses the federal programs that support nonemergency medical transportation (NEMT) and how coordination of these programs between federal agencies is limited. Coordination between state and local level NEMT services and the challenges that accompany NEMT coordination are reviewed.
Additional links: Full Report
Date: 12/2014
Type: Document
Sponsoring organization: Government Accountability Office
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Discusses the federal programs that support nonemergency medical transportation (NEMT) and how coordination of these programs between federal agencies is limited. Coordination between state and local level NEMT services and the challenges that accompany NEMT coordination are reviewed.
Additional links: Full Report
Date: 12/2014
Type: Document
Sponsoring organization: Government Accountability Office
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The Role of Medicare and the Indian Health Service for American Indians and Alaska Natives: Health, Access and Coverage
Examines the health, healthcare access, income, and education disparities that exist within the Native American and Alaskan Native population, as well as the roles of Medicare and the Indian Health Service (IHS) in addressing these disparities.
Author(s): Cristina Boccuti, Christina Swoope, Samantha Artiga
Date: 12/2014
Type: Document
Sponsoring organization: KFF
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Examines the health, healthcare access, income, and education disparities that exist within the Native American and Alaskan Native population, as well as the roles of Medicare and the Indian Health Service (IHS) in addressing these disparities.
Author(s): Cristina Boccuti, Christina Swoope, Samantha Artiga
Date: 12/2014
Type: Document
Sponsoring organization: KFF
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Understanding Connections Between Rural Communities and Family Well-Being: A Study of Hampton, Iowa
Discusses how geographic location can affect the health and welfare of rural residents, particularly low-income residents. Study was developed from interviews with residents in Hampton, Iowa.
Author(s): Cynthia Needles Fletcher
Date: 12/2014
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Discusses how geographic location can affect the health and welfare of rural residents, particularly low-income residents. Study was developed from interviews with residents in Hampton, Iowa.
Author(s): Cynthia Needles Fletcher
Date: 12/2014
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Measuring Access to Healthful, Affordable Food in American Indian and Alaska Native Tribal Areas
Compares the distances to food markets that provide healthful and affordable foods in tribal areas with that of the general U.S. population, and the effect of distance and limited food availability on the health of tribal populations.
Additional links: Report Summary
Author(s): Phillip Kaufman, Chris Dicken, Ryan Williams
Date: 12/2014
Type: Document
Sponsoring organization: USDA Economic Research Service
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Compares the distances to food markets that provide healthful and affordable foods in tribal areas with that of the general U.S. population, and the effect of distance and limited food availability on the health of tribal populations.
Additional links: Report Summary
Author(s): Phillip Kaufman, Chris Dicken, Ryan Williams
Date: 12/2014
Type: Document
Sponsoring organization: USDA Economic Research Service
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Access to Health Care in the U.S.-México Border Region: Challenges and Opportunities
Identifies ways in which the United States-Mexico Border Health Commission and other interested organizations can increase healthcare access for border populations in the U.S. Compares provisions of health reform in both countries to recognize potential binational public health collaborations. Discusses the socioeconomic challenges in healthcare access and the enrollment gaps in health insurance offered through the market place.
Date: 11/2014
Type: Document
Sponsoring organization: United States-México Border Health Commission
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Identifies ways in which the United States-Mexico Border Health Commission and other interested organizations can increase healthcare access for border populations in the U.S. Compares provisions of health reform in both countries to recognize potential binational public health collaborations. Discusses the socioeconomic challenges in healthcare access and the enrollment gaps in health insurance offered through the market place.
Date: 11/2014
Type: Document
Sponsoring organization: United States-México Border Health Commission
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The Obstetric Care Workforce in Critical Access Hospitals (CAHs) and Rural Non-CAHs
Examines current obstetric practice models in Critical Access Hospitals (CAHs) and other rural hospitals to understand obstetric care services and obstetric workforce issues. Reports on the types of clinicians providing obstetric care in rural hospitals, including obstetricians, family physicians, certified nurse midwives, and general surgeons.
Author(s): Katy Kozhimannil, Michelle Casey, Peiyin Hung, Shailendra Prasad, Ira Moscovice
Date: 11/2014
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Examines current obstetric practice models in Critical Access Hospitals (CAHs) and other rural hospitals to understand obstetric care services and obstetric workforce issues. Reports on the types of clinicians providing obstetric care in rural hospitals, including obstetricians, family physicians, certified nurse midwives, and general surgeons.
Author(s): Katy Kozhimannil, Michelle Casey, Peiyin Hung, Shailendra Prasad, Ira Moscovice
Date: 11/2014
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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