Rural Health
Resources by Topic: Access
Hearing on Enhancing Access to Care at Home in Rural and Underserved Communities
Recording of a March 12, 2024, House Committee on Ways and Means hearing regarding opportunities and challenges to enhance access to care in patients' homes and modernizing care in rural and underserved communities, with a focus on telehealth and health information technology. Features testimony from two rural patients and representatives from Intermountain Health; Cadence, a company with expertise in chronic care management through remote physiologic monitoring; and Harvard Medical School and Beth Israel Deaconess Medical Center.
Additional links: Ateev Mehrotra, Harvard Medical School and Beth Israel Deaconess Medical Center - Testimony, Bell Maddux, Home Dialysis Patient - Testimony, Chris Altchek, Cadence - Testimony, Nathan Starr, Intermountain Health - Testimony, Roy Underhill, Hospital at Home Patient - Testimony
Date: 03/2024
Sponsoring organization: House Ways and Means Committee
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Recording of a March 12, 2024, House Committee on Ways and Means hearing regarding opportunities and challenges to enhance access to care in patients' homes and modernizing care in rural and underserved communities, with a focus on telehealth and health information technology. Features testimony from two rural patients and representatives from Intermountain Health; Cadence, a company with expertise in chronic care management through remote physiologic monitoring; and Harvard Medical School and Beth Israel Deaconess Medical Center.
Additional links: Ateev Mehrotra, Harvard Medical School and Beth Israel Deaconess Medical Center - Testimony, Bell Maddux, Home Dialysis Patient - Testimony, Chris Altchek, Cadence - Testimony, Nathan Starr, Intermountain Health - Testimony, Roy Underhill, Hospital at Home Patient - Testimony
Date: 03/2024
Sponsoring organization: House Ways and Means Committee
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Generic Drug Utilization and Spending Among Medicare Part D Enrollees in 2022
Issue brief on prescriptions for generic drugs filled by Medicare Part D enrollees using 2022 Part D prescription drug event (PDE) data. Covers commonly used prescription drugs, costs, and conditions treated, and includes data breakdowns by plan type, race and ethnicity, and level of rurality throughout. Discusses formulary design to improve access by promoting affordability and reducing confusion among enrollees.
Author(s): Yevgeniy Feyman, Bisma Sayed, Kenneth Finegold, et al.
Date: 03/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Issue brief on prescriptions for generic drugs filled by Medicare Part D enrollees using 2022 Part D prescription drug event (PDE) data. Covers commonly used prescription drugs, costs, and conditions treated, and includes data breakdowns by plan type, race and ethnicity, and level of rurality throughout. Discusses formulary design to improve access by promoting affordability and reducing confusion among enrollees.
Author(s): Yevgeniy Feyman, Bisma Sayed, Kenneth Finegold, et al.
Date: 03/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural–Urban Differences in Out-of-Network Treatment Initiation and Engagement Rates for Substance Use Disorders
Explores disparities in access to substance use disorder treatments among privately insured individuals in rural and urban areas between 2016-2018. Compares rates of initial and ongoing treatment for alcohol use disorder, opioid use disorder, and other drug use disorders overall and from out-of-network providers for urban and rural patients.
Author(s): Eli Raver, Sheldon M. Retchin, Yiting Li, Andrew D. Carlo, Wendy Y. Xu
Citation: Health Services Research
Date: 03/2024
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Explores disparities in access to substance use disorder treatments among privately insured individuals in rural and urban areas between 2016-2018. Compares rates of initial and ongoing treatment for alcohol use disorder, opioid use disorder, and other drug use disorders overall and from out-of-network providers for urban and rural patients.
Author(s): Eli Raver, Sheldon M. Retchin, Yiting Li, Andrew D. Carlo, Wendy Y. Xu
Citation: Health Services Research
Date: 03/2024
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Rural Women Have a Prolonged Recovery Process after Esophagectomy
Examines esophagectomy treatment and outcomes among rural and urban women and men using 2003-2022 patient care data from a high-volume cancer center. Discusses sex-based and geographic disparities in esophageal cancer surgery recovery and care access, and highlights the need for interventions to improve care for rural women.
Author(s): Julia Schroeder, Kiran Lagisetty, William Lynch, et al.
Citation: Cancers, 16(6), 1078
Date: 03/2024
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Examines esophagectomy treatment and outcomes among rural and urban women and men using 2003-2022 patient care data from a high-volume cancer center. Discusses sex-based and geographic disparities in esophageal cancer surgery recovery and care access, and highlights the need for interventions to improve care for rural women.
Author(s): Julia Schroeder, Kiran Lagisetty, William Lynch, et al.
Citation: Cancers, 16(6), 1078
Date: 03/2024
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Inflation Reduction Act Research Series: Projected Impacts for Rural Medicare Enrollees
Provides an overview of how the Inflation Reduction Act (IRA) is intended to improve prescription drug affordability for Medicare enrollees. Describes Medicare enrollment in rural areas and rural residents' health status and access to care. Outlines the projected impact of drug-related IRA provisions for rural Medicare beneficiaries, including the expansion of financial assistance through the low-income subsidy program, out-of-pocket spending caps for insulin, changes in Part D benefit design, and more.
Date: 03/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of how the Inflation Reduction Act (IRA) is intended to improve prescription drug affordability for Medicare enrollees. Describes Medicare enrollment in rural areas and rural residents' health status and access to care. Outlines the projected impact of drug-related IRA provisions for rural Medicare beneficiaries, including the expansion of financial assistance through the low-income subsidy program, out-of-pocket spending caps for insulin, changes in Part D benefit design, and more.
Date: 03/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Cross-Sectional Analysis of Primary Care Clinics' Policies, Practices, and Availability of Patient Support Services During the COVID-19 Pandemic
Examines healthcare access related to missed or no-show appointments, with a focus on patient barriers, no-show policies, and patient support services. Analyzes survey responses from Nebraska primary care clinics, examining rural versus urban differences in clinic ability to address social determinants of health (SDOH).
Author(s): Kendra L. Ratnapradipa, Runqiu Wang, Josiane Kabayundo, et al.
Citation: BMC Health Services Research, 24, 279
Date: 03/2024
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Examines healthcare access related to missed or no-show appointments, with a focus on patient barriers, no-show policies, and patient support services. Analyzes survey responses from Nebraska primary care clinics, examining rural versus urban differences in clinic ability to address social determinants of health (SDOH).
Author(s): Kendra L. Ratnapradipa, Runqiu Wang, Josiane Kabayundo, et al.
Citation: BMC Health Services Research, 24, 279
Date: 03/2024
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The Impact of Rural General Hospital Closures on Communities—A Systematic Review of the Literature
Presents a literature review of studies on the health and economic effects hospital closures have had on rural communities. Analyzes 21 studies completed in the previous 8 years and details the economic and healthcare access outcomes identified.
Author(s): Carol A. Mills, Valerie A. Yeager, Kathleen T. Unroe, et al.
Citation: Journal of Rural Health, 40(2), 238-248
Date: 03/2024
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Presents a literature review of studies on the health and economic effects hospital closures have had on rural communities. Analyzes 21 studies completed in the previous 8 years and details the economic and healthcare access outcomes identified.
Author(s): Carol A. Mills, Valerie A. Yeager, Kathleen T. Unroe, et al.
Citation: Journal of Rural Health, 40(2), 238-248
Date: 03/2024
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2023 Maine Perinatal Health Disparities Needs Assessment
Qualitative assessment of the perinatal system of care in Maine, based on information from interviews and rural focus groups. Includes information on perinatal health indicators and the perinatal workforce capacity, and offers recommendations for improvement.
Author(s): Cecelia Stewart, Allison Tippery, Hailey Marnell-Bozdag, Frances Tarbell
Date: 02/2024
Sponsoring organization: Maine Center for Disease Control and Prevention
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Qualitative assessment of the perinatal system of care in Maine, based on information from interviews and rural focus groups. Includes information on perinatal health indicators and the perinatal workforce capacity, and offers recommendations for improvement.
Author(s): Cecelia Stewart, Allison Tippery, Hailey Marnell-Bozdag, Frances Tarbell
Date: 02/2024
Sponsoring organization: Maine Center for Disease Control and Prevention
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Association Between a Network-Based Physician Linchpin Score and Cancer Patient Mortality: A Seer-Medicare Analysis
Presents a study on patient-sharing networks among multidisciplinary teams treating cancer patients and, specifically, the oncologists hold these networks together as "linchpins". Discusses these linchpin oncologists and evaluates the effect they have on cancer outcomes. Explores the affect this has on patients with a number of variables, including living in a rural area.
Author(s): Erika L Moen, Rachel O Schmidt, Tracy Onega, et al.
Citation: Journal of the National Cancer Institute, 116(2), 230-238
Date: 02/2024
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Presents a study on patient-sharing networks among multidisciplinary teams treating cancer patients and, specifically, the oncologists hold these networks together as "linchpins". Discusses these linchpin oncologists and evaluates the effect they have on cancer outcomes. Explores the affect this has on patients with a number of variables, including living in a rural area.
Author(s): Erika L Moen, Rachel O Schmidt, Tracy Onega, et al.
Citation: Journal of the National Cancer Institute, 116(2), 230-238
Date: 02/2024
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An Exploration of Rural Housing Insecurity As A Public Health Problem in California's Rural Northern Counties
Explores housing insecurity in rural contexts through interviews with 153 adults in California's North State, a rural region with relatively high rates of poverty and unemployment. Discusses challenges related to housing affordability and availability, stability, quality, and community participation, including housing's influence on access to essential services and employment.
Author(s): Tamar MJ Antin, Emile Sanders, Sharon Lipperman-Kreda, Geoffrey Hunt, Rachelle Annechino
Citation: Journal of Community Health, 49(4), 644-655
Date: 02/2024
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Explores housing insecurity in rural contexts through interviews with 153 adults in California's North State, a rural region with relatively high rates of poverty and unemployment. Discusses challenges related to housing affordability and availability, stability, quality, and community participation, including housing's influence on access to essential services and employment.
Author(s): Tamar MJ Antin, Emile Sanders, Sharon Lipperman-Kreda, Geoffrey Hunt, Rachelle Annechino
Citation: Journal of Community Health, 49(4), 644-655
Date: 02/2024
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