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Rural Health Information Hub

Rural Health
Resources by Topic: Chronic disease management

The Interplay of Financial Toxicity, Health Care Team Communication, and Psychosocial Well-being among Rural Cancer Patients and Survivors
Examines the relationship among financial toxicity, healthcare team communication, and psychosocial health among rural oncology patients. Analyzes 273 patients who participated in the Cancer Support Community's Cancer Experience Registry between 2017-2023 by demographic information, depression, anxiety, social functioning, and healthcare team communication variables and their correlation with financial toxicity.
Author(s): Melissa F. Miller, Julie S. Olson, Kara Doughtie, Alexandra K. Zaleta, Kimberly P. Rogers
Citation: Journal of Rural Health, 40(1), 128-137
Date: 07/2023
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Impact of the COVID-19 Pandemic on Cancer Patients in Western Pennsylvania: Rural–Urban Disparities
Examines the impact of COVID-19 and related concerns on cancer patients in rural and urban areas of Pennsylvania. Analyzes a sample of 1,980 patient surveys from August-December 2020 and March 2021 by patient perception of pandemic-related distress, cancer care, COVID-19 impact on personal health, and more. Includes rural versus urban data on COVID-19 concerns related to cancer care as well as demographic breakdowns.
Author(s): Kathryn Demanelis, Margaret Rosenzweig, Linda B. Robertson, et al.
Citation: Cancer Causes Control, 34(7), 595-609
Date: 05/2023
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Montana Health Network Provides Care Coordination for Chronic Disease Management
Features a regional care coordination program serving eastern Montana that uses registered nurses to check in with adult patients with chronic conditions and connect them with any needed referrals or community resources.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 05/2023
Sponsoring organization: Rural Health Information Hub
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Challenges and Recommendations for Improving Access to Evidence-Based COPD Management among Rural Veterans: Rural Primary Care Provider Perspectives
Highlights a study on the perspectives of primary care providers serving rural veterans on the challenges of providing evidence-based COPD management care in rural communities. Details key barriers and makes policy recommendations.
Author(s): Talitha Wilson, R. Adams Dudley, Ken M. Kunisaki, et al.
Citation: Journal of General Internal Medicine, 38, 2843-2845
Date: 04/2023
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Pennsylvania State Health Improvement Plan, 2023-2028
Multi-year strategic plan developed by the Pennsylvania Department of Health and the Healthy Pennsylvania Partnership, a multi-sector partnership of stakeholders and collaborators. Outlines steps and partnerships needed to achieve health equity, chronic disease prevention, and whole person care, and encourages policymakers, healthcare providers, nonprofits, and residents to promote and support health improvements throughout Pennsylvania.
Date: 03/2023
Sponsoring organization: Pennsylvania Department of Health
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Rural Healthcare Disparities in the United States: Can Our Payer Structures Help Us Get Upstream?
Describes a care model utilizing community health workers (CHWs) to engage patients by screening for diseases, and offering education and information to help them manage their chronic conditions in an accessible, non-traditional settings such as a food bank distribution centers, county fairs, livestock auctions, and educational events in rural Idaho. Discusses the value of CHWs, along with a primary care team, in improving outcomes for populations at risk, and the absence of payment models to support this model.
Author(s): Kelly McGrath
Citation: Journal of General Internal Medicine, 38 (Suppl 1), 16-17
Date: 03/2023
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COVID-19 Impacts on Primary Care Clinic Care Management Processes
Examines the relationship between COVID-19 primary care disruptions and worsened health outcomes for patients with chronic diseases. Analyzes 269 primary care clinics in Minnesota in 2017, 2019, and 2021 to observe changes in care management processes (CMPs). Presents rural versus urban clinic data related to CMPs reported on the Physician Practice Connections Readiness Survey (PPC-RS).
Author(s): Leif I. Solberg, Caroline S. Carlin, Kevin A. Peterson
Citation: The Annals of Family Medicine, 21(1), 40-45
Date: 01/2023
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Increasing Patient Activation in American Indian Families with or at Risk for Chronic Kidney Disease
Compares the efficacy of usual care versus usual care plus chronic kidney disease (CKD) education at home among American Indian people at risk for CKD caused by type 2 diabetes. Discusses the impact of home-based kidney care models and details chronic disease challenges and public health approaches in tribal areas.
Additional links: Research Summary
Author(s): Vallabh (Raj) Shah, V. Shane Pankratz, Monica Cardona, Mark Unruh, Kevin English
Date: 2023
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Rural Wisconsin Chronic Disease Toolkit 2023
A toolkit that describes rural-relevant best practices that have been successful in improving chronic disease outcomes and population health. Provides resources to address communication, Body Mass Index, diabetes care, blood pressure control, chronic disease management, and more.
Date: 2023
Sponsoring organization: Rural Wisconsin Health Cooperative
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Engaging At-Risk Rural Residents in Secondary Lung Cancer Prevention
Presents the results of a qualitative study analyzing interview transcripts of rural residents in Maine at risk for lung cancer based on smoking history and age to identify key themes that influence their understanding and attitudes regarding lung cancer risk, low-dose computed tomography (LDCT) screening tests, and the role of patient-provider relationships.
Author(s): Erika Ziller, Jean A. Talbot, Martha Elbaum, et al.
Citation: Journal of Primary Care & Community Health, 14
Date: 2023
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