Rural Health
Resources by Topic: Access
Improving Access to Risk Appropriate Care and Maternal Health Outcomes through Provider Engagement
A podcast episode that discusses maternal mortality rates in the United States and strategies to improve access to and quality of maternal healthcare. Includes examples of how to engage providers in efforts to improve maternal healthcare equity in underserved and rural communities.
Author(s): Robert Johnson, Eugene C. Toy, Lily Lou
Date: 05/2023
Sponsoring organization: Association of State and Territorial Health Officials
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A podcast episode that discusses maternal mortality rates in the United States and strategies to improve access to and quality of maternal healthcare. Includes examples of how to engage providers in efforts to improve maternal healthcare equity in underserved and rural communities.
Author(s): Robert Johnson, Eugene C. Toy, Lily Lou
Date: 05/2023
Sponsoring organization: Association of State and Territorial Health Officials
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Emergency Department Preparedness to Care for Sexual Assault Survivors: A Nationwide Study
Surveys 315 sexual assault (SA) advocates to determine emergency department staff preparedness and available resources for SA survivors. Discusses rural and urban access to sexual assault nurse examiners and implications for quality of care.
Author(s): Kristen Chalmers, Meredith Hollender, Liam Spurr, et al.
Citation: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 24(3)
Date: 05/2023
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Surveys 315 sexual assault (SA) advocates to determine emergency department staff preparedness and available resources for SA survivors. Discusses rural and urban access to sexual assault nurse examiners and implications for quality of care.
Author(s): Kristen Chalmers, Meredith Hollender, Liam Spurr, et al.
Citation: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 24(3)
Date: 05/2023
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State Medicaid Telehealth Coverage Policy Decisions Since the COVID-19 Public Health Emergency
Describes changes to state Medicaid telehealth policy flexibilities and/or new policies enacted during the COVID-19 PHE as of April–May 2022. Focuses on flexibilities that were rolled back, as well as those made permanent in whole or in part. Examines the decision-making processes behind Medicaid telehealth policy changes. Summarizes findings from guided discussions with state Medicaid representatives across four domains: 1) state attitudes and perspectives on telehealth and telehealth policies; 2) state telehealth policy decision-making processes; 3) states' future plans for telehealth; and 4) challenges and lessons learned. Outlines potential opportunities for the future of telehealth. Includes rural references throughout.
Additional links: Executive Summary
Author(s): Peggy G. Chen, Sara E. Heins, Stephanie Dellva
Date: 05/2023
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Describes changes to state Medicaid telehealth policy flexibilities and/or new policies enacted during the COVID-19 PHE as of April–May 2022. Focuses on flexibilities that were rolled back, as well as those made permanent in whole or in part. Examines the decision-making processes behind Medicaid telehealth policy changes. Summarizes findings from guided discussions with state Medicaid representatives across four domains: 1) state attitudes and perspectives on telehealth and telehealth policies; 2) state telehealth policy decision-making processes; 3) states' future plans for telehealth; and 4) challenges and lessons learned. Outlines potential opportunities for the future of telehealth. Includes rural references throughout.
Additional links: Executive Summary
Author(s): Peggy G. Chen, Sara E. Heins, Stephanie Dellva
Date: 05/2023
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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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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