Rural America's OB Deserts Widen in Fallout From Pandemic
Explores the loss of obstetrics services in rural communities since 2011. Presents data on the number and percentage of rural hospitals that discontinued obstetrics services between 2011 and 2021. Discusses the impact of the loss of these services on maternal and infant health.
Date: 12/2023 Type: Document Sponsoring organization: Chartis Center for Rural Health view details
Bridging a Care Gap: Policy Opportunities for Improving Access to Home-Based Primary Care
Recording of a panel discussion on home-based primary care for rural older adults and policies that could address challenges with offering and accessing home-based primary care. Discusses telehealth, broadband, community infrastructure, service models, community health workers, and more. Transcript available in the video description.
Date: 12/2023 Type: Video/Multimedia Sponsoring organization: Duke Margolis Institute for Health Policy view details
Rural Long-Term Care Services and Supports
Policy position paper regarding challenges related to providing high-quality long-term care for older adults in rural areas. Describes how workforce shortages, long-term care financing, and administrative burden impact rural providers. Outlines policy recommendations for policy reforms to address these challenges and improve access to quality long-term care services.
Author(s): Shakeerah McCoy, Jeff Dunbar, Lex Pierre Date: 12/2023 Type: Document Sponsoring organization: National Rural Health Association view details
Pediatric Vaccination Rates in Rural America
Policy position paper regarding declining vaccination rates of children in rural communities. Compares rural and urban childhood vaccination rates and the potential for increasing health disparities. Describes a "5As of vaccine access" policy framework to evaluate current and future immunization policies and proposals. Offers recommended actions for federal, state, and local governments and organizations to improve rural vaccine uptake.
Author(s): Cynthia Calixte, Nitika Moibi, Andrea Stephenson Royster Date: 12/2023 Type: Document Sponsoring organization: National Rural Health Association view details
Policy Solutions Addressing Psychiatric Boarding of Rural Youth
Policy position paper regarding psychiatric boarding - holding patients in an emergency department after the decision to admit or transfer has been made, but no beds are available - of rural children and adolescents. Describes recent trends in pediatric psychiatric boarding in rural areas. Offers policy recommendations to reduce boarding times and improve mental health outcomes in rural communities.
Author(s): Amah Riley, Jonathan Updike, Lauren Wood Date: 12/2023 Type: Document Sponsoring organization: National Rural Health Association view details
Medicare Advantage Growth and Its Impact on Rural Health Care
Policy position paper regarding the impact of the increase of Medicare Advantage (MA) enrollment in rural areas on healthcare access, delivery, and financial viability. Offers policy recommendations to support rural MA beneficiaries, healthcare
providers, and hospitals at a local level, as well as rural healthcare provision within the MA framework.
Author(s): Carrie Shaver, Kevin Lambing, Lisa Rantz Date: 12/2023 Type: Document Sponsoring organization: National Rural Health Association view details
Health Equity: A Native American Perspective
Discusses health equity from a Native American perspective. Highlights a model of equity that goes beyond overcoming barriers around access and incorporates cultural knowledge, spiritual well-being, and community involvement, among other factors.
Author(s): John Lowe Citation: Milbank Quarterly Date: 12/2023 Type: Document Sponsoring organization: Milbank Memorial Fund view details
A Community-Engaged Approach to Understanding Suicide in a Small Rural County in Georgia: A Two-Phase Content Analysis of Individual and Focus Group Interviews
Evaluates the need for suicide prevention and appropriateness of prevention efforts in a rural Georgia county by presenting analysis of 20 individual interviews and 2 focus groups conducted August 2021-June 2022. Covers individual and community contextual drivers of suicide, facilitators and barriers of medical and social support access, linkage gaps in mental health care services, and community response. Discusses schools, a military base, nonprofit and religious organizations, and other institutional supports for suicide prevention.
Author(s): Kimberly Beth Roth, Eleni Gaveras, Fatima Ghiathi, et al. Citation: International Journal of Environmental Research and Public Health, 20(24), 7145 Date: 12/2023 Type: Document view details
Confronting Workforce Shortages and Health Worker Well-Being
Six videos addressing the impact of healthcare worker shortages and how those shortages affect individual well-being and the ability to provide care in rural communities. Includes a keynote presentation by the Chief Medical Officer of the Indian Health Service. Transcripts available under the descriptions of the videos.
Date: 12/2023 Type: Video/Multimedia Sponsoring organization: National Academy of Medicine view details