Rural Health
Resources by Topic: Access
Rural Health Challenges and Opportunities
Presentation slides discussing rural health challenges, including access and affordability, poor health, and underlying factors driving the stress on rural health systems. Outlines policy opportunities to improve affordability and create incentives for improved health.
Author(s): Timothy McBride
Date: 05/2023
Sponsoring organizations: Center for Advancing Health Services, Policy and Economics Research, RUPRI Center for Rural Health Policy Analysis
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Presentation slides discussing rural health challenges, including access and affordability, poor health, and underlying factors driving the stress on rural health systems. Outlines policy opportunities to improve affordability and create incentives for improved health.
Author(s): Timothy McBride
Date: 05/2023
Sponsoring organizations: Center for Advancing Health Services, Policy and Economics Research, RUPRI Center for Rural Health Policy Analysis
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Chartbook: Geographic Distribution of Children and Child Care and Early Education Providers in 2012 and 2019
Examines supply of child care and early education services compared to demand in rural and urban areas. Includes information on children's participation in center-based care and several types of home-based care.
Date: 05/2023
Sponsoring organization: Administration for Children and Families
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Examines supply of child care and early education services compared to demand in rural and urban areas. Includes information on children's participation in center-based care and several types of home-based care.
Date: 05/2023
Sponsoring organization: Administration for Children and Families
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The Impacts of Opioid Addiction on the Rural Workforce
A recorded webinar that examines how the rural workforce has been impacted by opioid addiction. Discusses issues of healthcare access, poverty, mental health, and farmworker health, along with data on workforce impacts. Includes resources to support opioid recovery and examples of recovery efforts in specific regions, such as Appalachia.
Additional links: Executive Summary, Presentation, Transcript
Author(s): Kellie Kubena, Carol Wetuski, Lauren Wood, et al.
Date: 05/2023
Sponsoring organizations: Appalachian Regional Commission, First Tennessee Development District, Office of Workforce Investment (OWI), U.S. Department of Agriculture
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A recorded webinar that examines how the rural workforce has been impacted by opioid addiction. Discusses issues of healthcare access, poverty, mental health, and farmworker health, along with data on workforce impacts. Includes resources to support opioid recovery and examples of recovery efforts in specific regions, such as Appalachia.
Additional links: Executive Summary, Presentation, Transcript
Author(s): Kellie Kubena, Carol Wetuski, Lauren Wood, et al.
Date: 05/2023
Sponsoring organizations: Appalachian Regional Commission, First Tennessee Development District, Office of Workforce Investment (OWI), U.S. Department of Agriculture
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Family Child Care Networks: Actions Needed to Better Assess Quality Improvement Efforts
Describes characteristics of Child Care and Development Fund (CCDF)-supported networks, including their funding, service population, and services provided. Presents stakeholder views on whether and how providers benefit from networks and factors providers consider in deciding whether to join a network. Discusses how the Administration for Children and Families' Office of Child Care (OCC) supports and assesses states' efforts to improve the quality of family child care. Includes rural references throughout.
Additional links: Full Report
Date: 05/2023
Sponsoring organization: Government Accountability Office
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Describes characteristics of Child Care and Development Fund (CCDF)-supported networks, including their funding, service population, and services provided. Presents stakeholder views on whether and how providers benefit from networks and factors providers consider in deciding whether to join a network. Discusses how the Administration for Children and Families' Office of Child Care (OCC) supports and assesses states' efforts to improve the quality of family child care. Includes rural references throughout.
Additional links: Full Report
Date: 05/2023
Sponsoring organization: Government Accountability Office
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Integrating Behavioral Health and Primary Care in Rural America
Recording of a May 2023 webinar discussing behavioral health and primary care integration in rural areas. Explores the importance of integration in rural areas, the barriers to integration, and opportunities for policies that can improve access to care. Features opening remarks from Tom Morris, Associate Administrator for Rural Health Policy at the Health Resources and Services Administration (HRSA), and a panel of providers from Missouri, New Hampshire, and Texas. Transcript available in the video description.
Date: 05/2023
Sponsoring organization: Bipartisan Policy Center
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Recording of a May 2023 webinar discussing behavioral health and primary care integration in rural areas. Explores the importance of integration in rural areas, the barriers to integration, and opportunities for policies that can improve access to care. Features opening remarks from Tom Morris, Associate Administrator for Rural Health Policy at the Health Resources and Services Administration (HRSA), and a panel of providers from Missouri, New Hampshire, and Texas. Transcript available in the video description.
Date: 05/2023
Sponsoring organization: Bipartisan Policy Center
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Mortality Among US Veterans Admitted to Community vs Veterans Health Administration Hospitals for COVID-19
Reviewed 64,856 Veterans Health Administration (VHA) elderly enrollees between March 1, 2020 and December 31, 2021 to compare COVID-19 health outcomes for those admitted to VHA hospitals to those admitted to community hospitals. Discusses access to VHA hospitals for rural veterans. Makes recommendations for future COVID-19 surges and other pandemics.
Author(s): Michael E. Ohl, Kelly Richardson Miell, Brice F. Beck, et al.
Citation: JAMA Network Open, 6(5)
Date: 05/2023
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Reviewed 64,856 Veterans Health Administration (VHA) elderly enrollees between March 1, 2020 and December 31, 2021 to compare COVID-19 health outcomes for those admitted to VHA hospitals to those admitted to community hospitals. Discusses access to VHA hospitals for rural veterans. Makes recommendations for future COVID-19 surges and other pandemics.
Author(s): Michael E. Ohl, Kelly Richardson Miell, Brice F. Beck, et al.
Citation: JAMA Network Open, 6(5)
Date: 05/2023
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Study of Telehealth Expansion and Payment Parity: Preliminary Report to the Minnesota Legislature 2023
Provides an overview of telehealth usage in Minnesota, with a focus on the impacts of the COVID-19 pandemic on telehealth; issues of access, quality, satisfaction, and equity; payment parity; audio-only telehealth; and more. Includes 2021 Minnesota Health Access (MNHA) Survey data about telehealth satisfaction for various populations, including rural, as well as telehealth implications for rural areas.
Date: 05/2023
Sponsoring organization: Minnesota Department of Health
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Provides an overview of telehealth usage in Minnesota, with a focus on the impacts of the COVID-19 pandemic on telehealth; issues of access, quality, satisfaction, and equity; payment parity; audio-only telehealth; and more. Includes 2021 Minnesota Health Access (MNHA) Survey data about telehealth satisfaction for various populations, including rural, as well as telehealth implications for rural areas.
Date: 05/2023
Sponsoring organization: Minnesota Department of Health
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Achieving Behavioral Health Care Integration in Rural America
Provides an overview of behavioral health and primary care integration and how integration may be different in rural areas than in urban and suburban areas. Examines the barriers to integration in rural areas and opportunities for policies that can improve access to care. Offers policy recommendations to better coordinate and integrate primary care and behavioral health services for high-risk groups and expand the ability of primary care providers to handle the lower-acuity behavioral health needs of patients through enhanced payments, training, and improved access to behavioral health providers for consultation and referral. Builds on the March 2021 report, Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration.
Author(s): Kendall Strong, Michele Gilbert, Julia Harris, et al.
Date: 05/2023
Sponsoring organization: Bipartisan Policy Center
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Provides an overview of behavioral health and primary care integration and how integration may be different in rural areas than in urban and suburban areas. Examines the barriers to integration in rural areas and opportunities for policies that can improve access to care. Offers policy recommendations to better coordinate and integrate primary care and behavioral health services for high-risk groups and expand the ability of primary care providers to handle the lower-acuity behavioral health needs of patients through enhanced payments, training, and improved access to behavioral health providers for consultation and referral. Builds on the March 2021 report, Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration.
Author(s): Kendall Strong, Michele Gilbert, Julia Harris, et al.
Date: 05/2023
Sponsoring organization: Bipartisan Policy Center
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New England Health System CEOs Address Rural Healthcare Crisis In A Live Conversation
Recording of a May 22, 2023, roundtable discussion with the chief executive officers (CEOs) of Dartmouth Health, MaineHealth, and the University of Vermont Health Network regarding the challenges rural healthcare providers face. Covers workforce challenges, regulatory and inflation challenges, and innovations to preserve access to care. Transcript is available in the video description.
Date: 05/2023
Sponsoring organization: Dartmouth Health
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Recording of a May 22, 2023, roundtable discussion with the chief executive officers (CEOs) of Dartmouth Health, MaineHealth, and the University of Vermont Health Network regarding the challenges rural healthcare providers face. Covers workforce challenges, regulatory and inflation challenges, and innovations to preserve access to care. Transcript is available in the video description.
Date: 05/2023
Sponsoring organization: Dartmouth Health
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Ambulance Deserts: Geographic Disparities in the Provision of Ambulance Services
Chartbook presenting data on ambulance deserts from 41 states in 2021-2022, and identifying places and people that are more than 25 minutes from an ambulance station. Include maps of ambulance desert locations and health care facility locations for every state with available data, and documents coverage gaps in the provision of ambulance services across geographic areas across the United States.
Author(s): Yvonne Jonk, Carly Milkowski, Zachariah Croll, Karen Pearson
Date: 05/2023
Sponsoring organization: Maine Rural Health Research Center
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Chartbook presenting data on ambulance deserts from 41 states in 2021-2022, and identifying places and people that are more than 25 minutes from an ambulance station. Include maps of ambulance desert locations and health care facility locations for every state with available data, and documents coverage gaps in the provision of ambulance services across geographic areas across the United States.
Author(s): Yvonne Jonk, Carly Milkowski, Zachariah Croll, Karen Pearson
Date: 05/2023
Sponsoring organization: Maine Rural Health Research Center
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