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Rural Health
Resources by Topic: Access

Change in Profitability and Financial Distress of Critical Access Hospitals from Loss of Cost-Based Reimbursement
Examines how proposed changes to Critical Access Hospital (CAH) cost-based reimbursement would affect the financial vulnerability of CAHs. Uses models to forecast the financial impact of 20 and 30 percent reductions in Medicare revenue, and the resulting implications for rural healthcare access.
Author(s): Mark Holmes, George H. Pink
Date: 12/2013
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Implications for Beneficiary Travel Time if Financially-Vulnerable Critical Access Hospitals Close
Examines potential increases in beneficiary travel times and distances if financially-vulnerable Critical Access Hospitals (CAHs) close. Analysis is based on a review of 93 CAHs identified as financially-vulnerable and likely to close if reimbursement methods or eligibility requirements change.
Author(s): Victoria A. Freeman, Randy K. Randolph, George Pink, Mark Holmes
Date: 12/2013
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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CDC Health Disparities and Inequalities Report - United States, 2013
Addresses the differences in mortality and disease risk factors related to behaviors, access to healthcare, and social determinants of health in both rural and urban settings.
Citation: MMWR (Morbidity and Mortality Weekly Report), 62(3)
Date: 11/2013
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Demographic and Economic Characteristics Associated with Sole County Pharmacy Closures, 2006-2010
Describes demographic and economic characteristics associated with counties experiencing closure of their sole pharmacy which results in patients having reduced access to key health services like drug dispensing, immunizations, patient assessments, and medication therapy management services.
Author(s): Paula Weigel, Fred Ullrich, Keith Mueller
Date: 11/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Oregon Indigenous Farmworkers: Results of Promotor Intervention on Pesticide Knowledge and Organophosphate Metabolite Levels
Highlights a study on changes in health knowledge relating to pesticides of indigenous farmworkers in Oregon. Details the results of participants' pesticide knowledge from pre/post-intervention questionnaires and biological testing.
Author(s): Linda McCauley, Jennifer D. Runkle, Julie Samples, et al.
Citation: Journal of Occupational and Environmental Medicine, 55(10), 1164-1170
Date: 10/2013
Type: Document
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Identification of Barriers to the Prevention and Treatment of Heat-Related Illness in Latino Farmworkers Using Activity-Oriented, Participatory Rural Appraisal Focus Group Methods
Examines the barriers to prevent and provide treatment for heat-related illness (HRI) for Latino farmworkers in Central Washington State. Research was conducted through interviews, and by examining transcripts, field notes and investigator triangulation.
Author(s): Michelle Lam, Jennifer Krenz, Pablo Palmández, et al.
Citation: BMC Public Health, 3,1004
Date: 10/2013
Type: Document
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Barriers to Colorectal Cancer Screening Among American Indian Men Aged 50 or Older, Kansas and Missouri, 2006-2008
Results from five focus groups designed to raise awareness, promote discourse, identify barriers, and develop culturally relevant education strategies related to screening and early detection.
Author(s): Aimee S. James, Melissa K. Filippi,Christina M. Pacheco, et al.
Citation: Preventing Chronic Disease, 10
Date: 10/2013
Type: Document
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Prevention and Health Promotion among Vulnerable Populations on the U.S.-México Border: Synthesis Report
Summarizes the findings from six regional United States–Mexico Border Health Commission stakeholder planning meetings organized by the New Mexico Department of Health Office of Border Health and the California Department of Public Health Office of Binational Border Health. The objective of these meetings was to collect information from agencies and organizations that provide health and human services, and/or advocate for improving access to these services for at risk populations on the U.S. side of the U.S.–Mexico border region.
Date: 10/2013
Type: Document
Sponsoring organization: United States-México Border Health Commission
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The Influence of Visiting Consultant Clinics on Measures of Access to Cancer Care: Evidence from the State of Iowa
Reports on a study measuring the impact of visiting consultant clinics (VCC) and geographic access to specialized healthcare for cancer patients in rural areas. Includes descriptive statistics and tables on VCCs and travel times.
Author(s): Roger Tracy, Inwoo Nam, Thomas S Gruca
Citation: Health Services Research, 48(5), 1719-1729
Date: 10/2013
Type: Document
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Geography and the Medicaid Mental Health Care Infrastructure: Implications for Health Care Reform
Examines the availability of outpatient mental health facilities that accept Medicaid across U.S. counties and whether specific population groups such as minorities, people living in poverty, and rural residents may be less likely to access these facilities.
Author(s): Janet R. Cummings, Hefei Wen, Michelle Ko, Benjamin G. Druss
Citation: JAMA Psychiatry, 70(10), 1084-1090
Date: 10/2013
Type: Document
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