Rural Health
Resources by Topic: Access
The Health Equity & Access for Rural Dually Eligible Individuals (HEARD) Toolkit: Raising Rural Voices from New Mexico, North Dakota, and Tennessee to Create Action
Provides an overview on the access barriers and health disparities of Medicaid and Medicare dually eligible individuals residing in rural areas. Presents research and stakeholder feedback from New Mexico, North Dakota, and Tennessee to provide information to policymakers. Discusses topics such as community planning related to equity and infrastructure, workforce capacity and community health workers (CHWs), and social determinants of health.
Author(s): Ellen Breslin, Samantha Di Paola, Susan McGeehan, Rebecca Kellenberg, Andrea Maresca
Date: 01/2023
Sponsoring organization: Health Management Associates
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Provides an overview on the access barriers and health disparities of Medicaid and Medicare dually eligible individuals residing in rural areas. Presents research and stakeholder feedback from New Mexico, North Dakota, and Tennessee to provide information to policymakers. Discusses topics such as community planning related to equity and infrastructure, workforce capacity and community health workers (CHWs), and social determinants of health.
Author(s): Ellen Breslin, Samantha Di Paola, Susan McGeehan, Rebecca Kellenberg, Andrea Maresca
Date: 01/2023
Sponsoring organization: Health Management Associates
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Supplemental Nutrition Assistance Program: Nebraska's Eligibility Decision
Details the benefits and eligibility requirements of the Supplemental Nutrition Assistance Program (SNAP). Offers statistics and demographics on households participating in Nebraska's SNAP. Highlights the effect inflation and the higher cost of food has on low-income populations. Makes recommendations for policymakers to consider when evaluating eligibility limits that affect the availability of food and safeguard against hunger for low-income households.
Author(s): Derrik Conard
Date: 01/2023
Sponsoring organization: Center for Rural Affairs
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Details the benefits and eligibility requirements of the Supplemental Nutrition Assistance Program (SNAP). Offers statistics and demographics on households participating in Nebraska's SNAP. Highlights the effect inflation and the higher cost of food has on low-income populations. Makes recommendations for policymakers to consider when evaluating eligibility limits that affect the availability of food and safeguard against hunger for low-income households.
Author(s): Derrik Conard
Date: 01/2023
Sponsoring organization: Center for Rural Affairs
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Examining Rural Telehealth During the Public Health Emergency
Examines the use of telehealth visits for rural and urban fee-for-service Medicare enrollees between January 2018 and June 2021. Compares telehealth utilization before the COVID-19 pandemic (2018-2019) with telehealth utilization from January 2020 to June 2021. Describes the demographic, geographical, and technological characteristics of telehealth services that were associated with increased telehealth use. Explores the extent to which the increased implementation and utilization of telehealth during the PHE impacted the cost of patient care and provider utilization.
Date: 01/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, CMS Alliance to Modernize Healthcare
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Examines the use of telehealth visits for rural and urban fee-for-service Medicare enrollees between January 2018 and June 2021. Compares telehealth utilization before the COVID-19 pandemic (2018-2019) with telehealth utilization from January 2020 to June 2021. Describes the demographic, geographical, and technological characteristics of telehealth services that were associated with increased telehealth use. Explores the extent to which the increased implementation and utilization of telehealth during the PHE impacted the cost of patient care and provider utilization.
Date: 01/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, CMS Alliance to Modernize Healthcare
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Travel Times to Facilities Offering Oral Medication Therapy for COVID-19
Results of a study exploring accessibility of oral COVID-19 therapeutics across the United States, by examining travel times to places where these medications are available. Features a county-level map with shadings showing ranges of travel time by census tract.
Author(s): Peter A. Kahn, Xiaohan Ying, Walter S. Mathis
Citation: JAMA Network Open, 6(1)
Date: 01/2023
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Results of a study exploring accessibility of oral COVID-19 therapeutics across the United States, by examining travel times to places where these medications are available. Features a county-level map with shadings showing ranges of travel time by census tract.
Author(s): Peter A. Kahn, Xiaohan Ying, Walter S. Mathis
Citation: JAMA Network Open, 6(1)
Date: 01/2023
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Telerehabilitation Has Potential, but More Research, Funding, and Advocacy Are Needed
Reviews existing evidence on the use of telerehabilitation in the delivery of rehabilitation services, including physical therapy. Identifies barriers to the effective implementation of telerehabilitation and suggests potential areas that professional advocacy and policy can address to improve access to telerehabilitation services.
Author(s): Elizabeth Cornforth
Citation: Health Affairs Forefront
Date: 01/2023
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Reviews existing evidence on the use of telerehabilitation in the delivery of rehabilitation services, including physical therapy. Identifies barriers to the effective implementation of telerehabilitation and suggests potential areas that professional advocacy and policy can address to improve access to telerehabilitation services.
Author(s): Elizabeth Cornforth
Citation: Health Affairs Forefront
Date: 01/2023
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Spatial Analysis of Access to Psychiatrists for US Military Personnel and Their Families
Examines the location and capacity of psychiatrists within a 30-minute driving time of TRICARE beneficiaries. Explores how geographic access to psychiatrists affects veteran TRICARE beneficiaries in rural and low-income communities. Breaks down community data by region, rural or urban status, and economic makeup, among other measures.
Author(s): Marigee Bacolod, Jennifer Heissel, Yu-Chu Shen
Citation: JAMA Network Open, 6(1), e2249314
Date: 01/2023
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Examines the location and capacity of psychiatrists within a 30-minute driving time of TRICARE beneficiaries. Explores how geographic access to psychiatrists affects veteran TRICARE beneficiaries in rural and low-income communities. Breaks down community data by region, rural or urban status, and economic makeup, among other measures.
Author(s): Marigee Bacolod, Jennifer Heissel, Yu-Chu Shen
Citation: JAMA Network Open, 6(1), e2249314
Date: 01/2023
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Participation in Project ECHO to Advance Rural Primary Care Providers' Ability to Address Patient Mental Health Needs
Features a study on the role continuing education programs, such as Project ECHO, can play in aiding rural primary care providers (PCPs) to integrate behavioral healthcare into their practice. Focuses on the Advanced Primary Care (APC ECHO) Adult Psychiatry Module and evaluates its efficacy in facilitating behavioral health integration in to rural PCPs.
Author(s): Ariel Porto, Rosemary Motz, Maximillian Morris, et al.
Citation: Medical Education Online, 28(1), 2164470
Date: 01/2023
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Features a study on the role continuing education programs, such as Project ECHO, can play in aiding rural primary care providers (PCPs) to integrate behavioral healthcare into their practice. Focuses on the Advanced Primary Care (APC ECHO) Adult Psychiatry Module and evaluates its efficacy in facilitating behavioral health integration in to rural PCPs.
Author(s): Ariel Porto, Rosemary Motz, Maximillian Morris, et al.
Citation: Medical Education Online, 28(1), 2164470
Date: 01/2023
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2023 Alaska Scorecard: Key Issues Impacting Alaska Mental Health Trust Beneficiaries
Report explores mental health data for the state of Alaska and compares rates to national data and to a state-level baseline. Details data by indicator, such as healthcare access, economic and social well-being, and suicide prevention, among other measures.
Date: 2023
Sponsoring organization: Alaska Mental Health Trust Authority
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Report explores mental health data for the state of Alaska and compares rates to national data and to a state-level baseline. Details data by indicator, such as healthcare access, economic and social well-being, and suicide prevention, among other measures.
Date: 2023
Sponsoring organization: Alaska Mental Health Trust Authority
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Status Report of the Alabama Primary Care Physician Workforce, 2023
Discusses distribution of Alabama's primary care physicians (PHPs) and their availability to state residents. Features county-level maps showing 78 Alabama cities and towns and the practice locations of PCPs, Alabama towns and cities with shortages of PCPs and those with an adequate number or a surplus of PCPs as of 2023, and statistics on physician need in Alabama population centers as of 2024, with breakdowns by urban or rural location.
Date: 2023
Sponsoring organization: Alabama Office of Healthcare Workforce
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Discusses distribution of Alabama's primary care physicians (PHPs) and their availability to state residents. Features county-level maps showing 78 Alabama cities and towns and the practice locations of PCPs, Alabama towns and cities with shortages of PCPs and those with an adequate number or a surplus of PCPs as of 2023, and statistics on physician need in Alabama population centers as of 2024, with breakdowns by urban or rural location.
Date: 2023
Sponsoring organization: Alabama Office of Healthcare Workforce
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Rural Healthy People 2030
Presents literature reviews of 20 rural public health priority topics identified through a survey of rural stakeholders. Reviews the scope of each topic, discusses related goals and objectives from the national Healthy People 2030 initiative, identifies affected populations, highlights interventions and solutions, and more. Topics include mental health, substance use, social determinants of health, access to care, quality of care, chronic health conditions, and COVID-19.
Author(s): Alva O. Ferdinand, Jane N. Bolin, Timothy Callaghan, et al.
Date: 2023
Sponsoring organization: Southwest Rural Health Research Center
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Presents literature reviews of 20 rural public health priority topics identified through a survey of rural stakeholders. Reviews the scope of each topic, discusses related goals and objectives from the national Healthy People 2030 initiative, identifies affected populations, highlights interventions and solutions, and more. Topics include mental health, substance use, social determinants of health, access to care, quality of care, chronic health conditions, and COVID-19.
Author(s): Alva O. Ferdinand, Jane N. Bolin, Timothy Callaghan, et al.
Date: 2023
Sponsoring organization: Southwest Rural Health Research Center
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