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Rural Health
Resources by Topic: Appalachia

Ohio's Rural and Urban Counties
Map of rural, partially rural, urban, and Appalachian counties in Ohio overlaid with locations of Rural Health Clinics (RHCs), Critical Access Hospitals (CAHs), and Federally Qualified Health Centers (FQHCs).
Date: 2020
Type: Map/Mapping System
Sponsoring organization: Ohio Primary Care Office
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The Rural Health Care Coordination Network Partnership Program: Williamson Health and Wellness Center
Describes and examines the impact of a care coordination program developed by the Williamson Health and Wellness Center based in Williamson, West Virginia. Describes the program's use of care teams of community health workers, a registered nurse, and a nurse practitioner providing care coordination to patients with diabetes, congestive heart failure (CHF), and chronic obstructive pulmonary disease (COPD). Funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018, with additional private funding from a network of local philanthropies.
Date: 2020
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Minnesota Rural Health Research Center
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Introducing the L.A.U.N.C.H Collaborative
Describes the Linking & Amplifying User-Centered Networks through Connected Health (L.A.U.N.C.H.) demonstration project, based in Appalachian Kentucky and aimed at preventing cancer and removing obstacles faced by cancer patients in rural and underserved areas, through improvements in broadband access.
Author(s): F. Douglas Scutchfield, Kevin Patrick
Citation: Journal of Appalachian Health, 2(1), 1-5
Date: 2020
Type: Document
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Access to Autism Spectrum Disorder Services for Rural Appalachian Citizens
Summarizes the challenges of accessibility and affordability faced by residents of rural southwest Virginia as they seek services for Autism Spectrum Disorder (ASD). Highlights the effects of extreme poverty and the need for cultural sensitivity among service providers. Offers suggestions for policymakers and features demographic statistics on caregivers and providers.
Author(s): Angela Scarpa, Laura S. Jensen, Denis Gracanin, Sharon L. Ramey, Angela V. Dahiya
Citation: Journal of Appalachian Health, 2(1), 25-40
Date: 2020
Type: Document
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A Healthy Attitude: Rural Leaders in TN County Organize to Address Well-Being in Appalachia
Describes ways in which local leaders in Grundy County, Tennessee implemented programs to promote physical activity, support children and families, increase access to philanthropic resources, and establish a working relationship with a nearby university.
Author(s): Tim Marema, Erin Bouldin
Citation: Journal of Appalachian Health, 2(1), 60-64
Date: 2020
Type: Document
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Development and Early Outcomes of the Watauga Compassionate Community Initiative, North Carolina
Examines the work of a rural North Carolina community group dedicated to promoting health and resiliency on the local level, by preventing childhood trauma and helping adults who had adverse childhood experiences. Describes their organizing model, including goals of raising awareness, using data to inform actions, and creating context for health families through policies.
Author(s): Tim Marema, Erin Bouldin
Citation: Journal of Appalachian Health, 2(1), 41-46
Date: 2020
Type: Document
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Mortality-to-Incidence Ratios by U.S. Congressional District: Implications for Epidemiologic, Dissemination and Implementation Research, and Public Health Policy
Analyzes congressional district-specific mortality-to-incidence ratios (MIR) between 2011 and 2015 for all cancers and for cancers of breast, cervix, colorectal, esophagus, lung, oral, pancreas, and prostate cancers. Compares MIRs across regions, state Medicaid expansion status, race, and rurality. Discusses implications for policymakers and researchers.
Author(s): Jan M. Eberth, Whitney E. Zahnd, Swann Arp Adams, et al.
Citation: Preventative Medicine, 129(S), 105849
Date: 12/2019
Type: Document
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Study Protocol of Coaching End-of-Life Palliative Care for Advanced Heart Failure Patients and Their Family Caregivers in Rural Appalachia: A Randomized Controlled Trial
Describes a clinical trial to study an end-of-life palliative care program for heart failure patients in rural West Virginia. Discusses the prevalence of heart failure in rural Appalachia and the need for palliative care training for family caregivers.
Author(s): Ubolrat Piamjariyakul, Trisha Petitte, Angel Smothers, et al.
Citation: BMC Palliative Care, 18, 119
Date: 12/2019
Type: Document
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Rural Women's First-person Perspectives on the Role of Mental Health in Substance Use
Presents a study highlighting rural women's perspectives on the co-occurring mental health and substance use disparities among rural populations. Analyzes interviews with incarcerated rural women with co-occurring substance use and mental health symptoms.
Author(s): Claire Snell-Rood, Michele Staton, Athena Kheibari
Citation: Rural and Remote Health, 19(4), 5279
Date: 11/2019
Type: Document
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Building Interventions When Distress Is under Debate: A Case Study from Appalachia
Discusses the various forms of distress experienced by women living in Appalachia and the challenges for healthcare professionals seeking to create culturally acceptable methods of identifying distress and developing appropriate resources for recovery. Describes a 3-year program to identify and adapt an evidence-based culturally appropriate intervention for this patient population.
Author(s): Claire Snell-Rood, Ryan Jenkins, Keisha Hudson, et al.
Citation: Transcultural Psychiatry, 56(5), 918-946
Date: 10/2019
Type: Document
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