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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Proximity to Hospital-Based Obstetric Care in a Maternity Desert in the Deep South
Examines access to hospital facilities with maternity services in a rural Alabama county by measuring driving distance from maternal residence to birth hospital. Discusses the impact of maternity care deserts on rural residents.
Author(s): Jenna James, Steven R. Schultze, Alyssa Lee, Allen Perkins, Casey L. Daniel
Citation: American Journal of Public Health, 114(S4), S289-S336
Date: 05/2024
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Rural Health Care: Supporting Lives and Improving Communities
Presents the U.S. Senate Committee on Finance May 16, 2024, hearing on rural healthcare. Discusses the financial vulnerability of rural hospitals, the rural healthcare workforce and graduate medical education (GME), access to maternal healthcare, health information technology and telehealth, and more. Features testimony from the Chartis Center for Rural Health; Grande Ronde Hospital, a Critical Access Hospital in Oregon; the Wisconsin Collaborative for Rural Graduate Medical Education; and the Rural Policy Research Institute.
Additional links: Jeremy P. Davis, Grande Ronde Hospital - Testimony, Keith J. Mueller, Rural Policy Research Institute - Testimony, Lori Rodefeld, Wisconsin Collaborative for Rural Graduate Medical Education - Testimony, Michael Topchik, Chartis Center for Rural Health - Testimony
Date: 05/2024
Sponsoring organization: Senate Committee on Finance
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Housing for Rural Residents Recovering from Substance Use Disorders
Presents a study featuring a number of programs providing housing for substance use disorder (SUD) recovery in rural communities. Discusses three different case studies on programs in MN, OR, and WV. Highlights the community need, organizational structure, and key features of each program.
Author(s): Katie Rydberg, Ingrid Jacobson, Mariana Tuttle, et al.
Date: 05/2024
Sponsoring organization: University of Minnesota Rural Health Research Center
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Social Determinants of Health and Delivery of Rehabilitation to Older Adults During ICU Hospitalization
Analyzes likelihood of receiving physical therapy or occupational therapy during ICU hospitalization among older adults. Utilizes 2011-2018 National Health and Aging Trends Study (NHATS) data of 1,618 hospitalizations. Highlights social determinants of health associated with disparities in rehabilitation service delivery, including rural status, dual eligibility for Medicare and Medicaid, and limited English proficiency.
Author(s): Snigdha Jain, Terrence E. Murphy, Jason R. Falvey, et al.
Citation: JAMA Network Open, 7(5), e2410713
Date: 05/2024
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Map the Meal Gap 2024: A Report on County and Congressional District Food Insecurity and County Food Cost in the United States in 2022
Provides information on food insecurity in the United States, focusing on how race and ethnicity impact access to food. Includes county-level U.S. maps that show food insecurity for children and the overall U.S. population. Includes regional data on counties with high food insecurity as well as by rural versus urban status.
Additional links: Technical Appendix
Author(s): M. Hake, A. Dewey, E. Engelhard, S. Dawes
Date: 05/2024
Sponsoring organization: Feeding America
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Trends and Disparities in Pandemic Telehealth Use among People with Disabilities
Examines the use of telehealth services by Medicare beneficiaries with disabilities by analyzing data from the Medicare Telehealth Trends Dashboard; the 2021 Medicare Current Beneficiary Survey (MCBS) and MCBS Winter 2021 Supplement; and the Census Bureau's Household Pulse Survey data from July 21, 2021, to August 8, 2022. Presents data on patterns of telehealth utilization by Medicare beneficiaries with disabilities by type of Medicare eligibility and number and type of disabilities, modes of telehealth used by the number and type of disabilities, and the availability of different modes of telehealth and access to video-enabled services. Exhibit 8 compares telehealth utilization trends among Medicare fee-for-service beneficiaries between 2019 and 2021 by Medicare eligibility and rural and urban status.
Author(s): Madjid Karimi, Lok Wong Samson, Sara J. Couture, et al.
Date: 05/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Navigating Geographical Disparities: Access to Obstetric Hospitals in Maternity Care Deserts and Across the United States
Examines disparities related to maternity care access by analyzing travel distances to obstetric care across the United States. Provides data to nearest obstetric hospital by census tract, with further breakdowns according to maternity care desert (MCD) designation, rurality, race/ethnicity, and travel time. Includes U.S. maps showing spatial clusters of distance and travel time to obstetric care.
Author(s): Jazmin Fontenot, Christina Brigance, Ripley Lucas, Ashley Stoneburner
Citation: BMC Pregnancy and Childbirth, 24, 350
Date: 05/2024
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Coming to Terms with Housing and Homelessness in Rural Places with Jess Huff, Erin Carreon, and Mallory VanMeeter
Podcast episode discussing rural youth homelessness. Covers challenges to identifying, counting, and providing services for rural homeless teens; the role of community support services; the long-term impacts of homelessness; and how rural communities can address and prevent youth homelessness.
Date: 05/2024
Sponsoring organization: Impact! Communications, Inc.
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Markup of H.R. 8261, H.R. 7931, H.R. 8245, H.R. 8244, H.R. 8235, and H.R. 8246
Recording of a May 8, 2024, House Ways and Means Committee markup of six bills regarding rural health. Legislation covers the extension of telehealth flexibilities, location requirements for Critical Access Hospitals in mountainous areas, the rural nursing home and physician workforce, and Rural Emergency Hospital eligibility.
Date: 05/2024
Sponsoring organization: House Ways and Means Committee
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2024 Medicaid in Montana: How Medicaid Impacts Montana's State Budget, Economy, and Health
Report details the effect Medicaid has on healthcare, the economy, and the state budget of Montana, discussing Medicaid enrollment, service utilization, spending, and the impact of expansion. Discusses rural throughout.
Additional links: Databook
Date: 05/2024
Sponsoring organization: Montana Healthcare Foundation
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