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Rural Health
Resources by Topic: Access

Integrating Serious Illness Care into Primary Care Delivery: Proceedings of a Workshop
Summarizes presentations and discussions from a June 2021 workshop on challenges and opportunities to integrate serious illness care into primary care settings. Covers the shared principles of primary and serious illness care, the interdisciplinary teams in each discipline, policy issues that serve as barriers or incentives, and best practices. Includes examples of integrating serious illness care into primary care settings in rural areas.
Additional links: Read Online
Date: 01/2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Disaster Recovery: School Districts in Socially Vulnerable Communities Faced Heightened Challenges after Recent Natural Disasters
Examines 5 school districts in socially vulnerable communities and describes problems faced by students after disasters, including housing instability, food insecurity, and lack of access to mental health services, especially in rural communities. Includes a state- and territory-level map showing school districts that received federal recovery grants for 2017-2019 presidentially-declared disasters.
Additional links: Full Report
Date: 01/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Prescription Drug Affordability among Medicare Beneficiaries
Examines the affordability of prescription drugs among Medicare beneficiaries. Explores whether Medicare beneficiaries skipped doses, took less medication, delayed filling a prescription, or did not fill needed prescriptions due to cost concerns. Explores affordability concerns by race and ethnicity, sex, family income, urban versus rural counties, and presence of select chronic conditions.
Author(s): Wafa Tarazi, Kenneth Finegold, Steven Sheingold, Nancy De Lew, Benjamin D. Sommers
Date: 01/2022
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Geospatial Analysis of Access to Emergency Cesarean Delivery for Military and Civilian Populations in the US
Results of a study of 29 military medical treatment facilities (MTFs) and 2,363 civilian hospitals, to identify opportunities for military-civilian partnership in obstetric care and to assess whether civilian use of MTFs could improve access to emergency cesarean delivery care, particularly for women in rural areas. Features a county-level map showing coverage of population within a 30-minute travel time to a facility providing emergency cesarean delivery care, and statistics on travel time coverage to civilian hospitals and MTFs providing emergency cesarean delivery care.
Author(s): Tarsicio Uribe-Leitz, Bridget Matsas, Michael K. Dalton, et al.
Citation: JAMA Network Open, 5(1)
Date: 01/2022
Type: Document
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Less Internet Access Available for Rural Residents in Counties with Persistent Poverty in the U.S. Deep South and Southwest
County-level map depicting internet availability and persistent poverty counties, distinguishing rural and urban counties. Chart based on USDA Economic Research Service calculations and Federal Communications Commission Form 477 Broadband Deployment data.
Date: 01/2022
Type: Map/Mapping System
Sponsoring organization: USDA Economic Research Service
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Evaluation of State-Led Surveillance of Neonatal Abstinence Syndrome — Six U.S. States, 2018–2021
Examines data collection challenges and infrastructure gaps that impact surveillance of neonatal abstinence syndrome (NAS), based on information from six states with mandated NAS reporting. Includes brief discussion of rural concerns, including disparities in the incidence of opioid use disorder and NAS and gaps in rural infrastructure and access to care.
Author(s): Shahla M. Jilani, Kristina West, Laura Jacobus-Kantor, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(2), 37-42
Date: 01/2022
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Benefits of a Telehealth Approach to Treating Mental Illness among Veterans in Rural Settings
Details a study on the VA's use of telemedicine to provide mental healthcare to rural veterans. Focuses on underserved veterans with post-traumatic stress disorder (PTSD), especially women with military sexual trauma (MST). Includes feedback from veterans on their experience with tele-mental health treatment.
Date: 01/2022
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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Chronic Diseases and Associated Risk Factors Among Adults in Puerto Rico After Hurricane Maria
Highlights a study on the prevalence of chronic diseases in Puerto Rico before Hurricane Maria and the level of support available to patients before and after the storm. Bases conclusions on 2 studies conducted in 2015 and 2019. Breaks down data by participant characteristics, such as age, employment, and rurality of residence, among other measures.
Author(s): Josiemer Mattei, Martha Tamez, June O'Neill, et al.
Citation: JAMA Network Open, 5(1), e2139986
Date: 01/2022
Type: Document
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High-Performing Rural Health System
Update to the September 2011 RUPRI Health Panel document "The High Performance Rural Health Care System of the Future." Describes affordable and accessible healthcare for all rural residents through a sustainable system delivering high quality, high value services. Defines pillars of accessibility, affordability, community health, and quality.
Author(s): Andrew Coburn, Alva O. Ferdinand, Alana Knudson, et al.
Date: 01/2022
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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An Enhanced Method for Identifying Hospital-Based Obstetric Unit Status
Results of a study using data from American Hospital Association annual surveys from 2010-2018 to conduct single- and multi-year assessments of obstetric unit status and to identify closures of obstetric units. Compares results obtained through the enhanced method with results of a survey sample of rural hospitals with obstetric units open at the time of the assessment and those with recently closed units.
Author(s): Julia D. Interrante, Caitlin Carroll, Sara C. Handley, Katy Kozhimannil
Date: 01/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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