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Rural Health Information Hub

Rural Health
Resources by Topic: Broadband

Connecting Rural Older Americans with Technology: Lessons from Senior Planet
Highlights an initiative aiming to increase technology literacy among rural older adults in New York through the launch of technology centers, local partnerships, and training. Discusses implementation and lessons learned, including adapting the program to offer a home-based component.
Date: 2020
Sponsoring organization: Senior Planet
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A Portrait of Louisiana 2020: Human Development in an Age of Uncertainty
Assesses well-being and access to opportunities among Louisiana residents by examining health disparities, access to healthy food, social determinants of health, racial inequality, and other topics. Provides human development index (HDI) scores for Louisiana state by sex, race, ethnicity, and parish.
Author(s): Kristen Lewis
Date: 2020
Sponsoring organization: Measure of America
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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
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Telehealth: An Opportunity for State and Territorial Health Agencies to Improve Access to Needed Health Services
Reports results from a 2019 telehealth capacity survey of state and territorial health agencies. Identifies strategies these agencies can take to advance state use of telehealth related to infrastructure, collaboration, and policy.
Author(s): Alexandra Kearly, Janet Oputa, Paris Harper-Hardy
Citation: Journal of Public Health Management and Practice, 26(1), 86-90
Date: 2020
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Demand for Broadband in Rural Areas: Implications for Universal Access
Reports on the characteristics of demand for fixed broadband among households and small businesses in rural areas and how they affect private sector infrastructure investments. Discusses the role of schools and libraries as providers of broadband service and training to rural residents, and how broadband enabled services, such as telemedicine, may encourage rural households and small businesses to adopt the technology. Highlights federal programs and policies that may increase or impede broadband demand, and offers options for the U.S. Congress to consider as it addresses rural broadband demand.
Date: 12/2019
Sponsoring organization: Congressional Research Service
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Intergovernmental Advisory Committee to the Federal Communications Commission Advisory Recommendation No: 2019-2 in the Matter of State, Local Tribal, and Territorial Regulatory and Other Barriers and Incentives to Telemedicine
Examines the technical infrastructure necessary for effective telemedicine delivery in state, territorial, tribal, and local (rural and urban) areas. Discusses the regulatory barriers including legislation, licensing, reimbursement, malpractice insurance, and privacy that obstruct its development and utilization, and offers recommendations addressing these barriers. Appendix A presents case studies of broadband and telehealth development in several states and territories.
Date: 11/2019
Sponsoring organizations: Federal Communications Commission, Intergovernmental Advisory Committee to the Federal Communications Commission
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Telecommunications: FCC Should Take Additional Action to Manage Fraud Risks in Its Program to Support Broadband Service in High-Cost Areas
Examines the funding reforms and fraud controls implemented by the Federal Communications Commission (FCC) for small, rural telecommunications carriers, identified as "rate-of-return carriers". Includes recommendations to the FCC supporting fraud risk management, regular assessments, and newly designed strategies. Appendix I identifies key elements of a fraud-risk management assessment process.
Additional links: Full Report
Date: 10/2019
Sponsoring organization: Government Accountability Office
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Oversight Hearing on "GAO Report on Tribal Access to Spectrum: Promoting Communications Services in Indian Country"
Presents the Senate Committee on Indian Affairs oversight hearing on the need for accelerating deployment of high-speed cable internet to improve tribal access to broadband services specifically licensed spectrum. Features testimony from representatives from Federal Communications Commission (FCC), the Government Accountability Office (GAO), Gila River Telecommunications, Inc. Chairperson Belinda Nelson, and Chief Technology Director for Santa Fe Indian School Kimball Sekaquaptewa.
Date: 09/2019
Sponsoring organization: Senate Committee on Indian Affairs
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Provider Shortages and Limited Availability of Behavioral Health Services in New Mexico's Medicaid Managed Care
Examines the supply and distribution of behavioral health providers and prescribers across New Mexico, with a focus on services available to Medicaid managed care enrollees. Includes data for rural and frontier counties. Discusses rural broadband connectivity challenges that impact the use of telehealth to address access. Offers policy recommendations. Findings are likely to be relevant to behavioral healthcare access in other states' rural and frontier counties.
Date: 09/2019
Sponsoring organization: Office of Inspector General (HHS)
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Greater Good Podcasts Rural Health Segment, Part 1: How Did We Get Here? Rural Health Challenges in America
Set of three podcast episodes featuring Erika Ziller and Yvonne Jonk of the Maine Rural Health Research Center discussing current rural health issues and challenges, as well as historical factors related to the current rural health system. Addresses rural aging and long-term care, dental care, health insurance coverage, and health-related impacts of growing up in a rural community. Also compares rural health in Maine, other parts of the U.S., and rural communities in other countries.
Additional links: Part 2: Growing Up Rural, Part 3: Rural Health in Maine and America vs. the World
Author(s): Carrie Wilshusen, Erika Ziller, Yvonne Jonk
Date: 09/2019
Sponsoring organization: University of Maine Graduate and Professional Center
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