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Rural Health
Resources by Topic: Chronic disease management

Living With Diabetes in Appalachia: A Focus Group Study
Focus group study in rural West Virginia examining how adults with type 2 diabetes manage the challenges brought on by their condition. Aims to inform holistic nursing practices in Appalachia by analyzing participants' responses to various interview questions.
Author(s): Roger Carpenter, Mary Jane Smith
Citation: Holistic Nursing Practice, 32(4), 196-201
Date: 2018
Type: Document
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Factors Influencing Patient Adherence with Diabetic Eye Screening in Rural Communities: A Qualitative Study
Reports on a study in rural Wisconsin to understand the circumstances affecting diabetic patient's adherence to yearly eye screening in order to design effective interventions and increase screenings in rural health settings.
Author(s): Yao Liu, Nicholas J. Zupan, Olayinka O. Shiyanbola, et al.
Citation: PLoS One, 13(11)
Date: 2018
Type: Document
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Connected Care Toolkit: Chronic Care Management Resources for Health Care Professionals and Communities
A guide for healthcare professionals to support them in offering chronic care management (CCM) services. Provides links to CMS resources, including guides targeted to Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Also includes educational materials to help patients understand CCM services.
Date: 2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Meadville Medical Center: Care Coordination for Adults and Children
Describes the Meadville Medical Center Community Care Network (CCN), an interdisciplinary team of clinicians who focus on using care coordination to help patients manage chronic conditions and achieve their health and wellness goals. CCN's goal is to engage patients and encourage them to take ownership of their health, thereby reducing hospital readmissions, conserving resources, and improving the health of the population.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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Medical-Legal Partnership Addresses Social Determinants of Health
Explores how FirstHealth of the Carolinas, a private, nonprofit healthcare network based in Pinehurst, North Carolina, reduced emergency department utilization and hospital readmission rates systemwide through the use of transitional care clinics (TCCs) and medical-legal partnerships (MLPs). Highlights how addressing non-medical factors can affect health outcomes.
Date: 08/2017
Type: Document
Sponsoring organization: Rural Health Value
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Dissemination of Chronic Disease Self-Management Education (CDSME) Programs in the United States: Intervention Delivery by Rurality
Describes the distribution of chronic disease self-management education (CDSME) programs across the U.S. by participants enrolled, workshops delivered, and counties reached. Compares the CDSME program distribution by rural designation, for example metro, nonmetro areas adjacent and not adjacent to metro areas. Includes a map of CDSME program distribution by rurality for every county in the U.S. and provides statistics on CDSME workshops and participants by rurality and workshop type.
Author(s): Matthew Lee Smith, Samuel D. Towne, Jr., Angelica Herrera-Venson, et al.
Citation: International Journal of Environmental Research and Public Health, 14(6), 638
Date: 06/2017
Type: Document
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Rural Promising Practice Issue Brief: IMPROVE: Integrated Management and Polypharmacy Review of Vulnerable Elders
Highlights a model for delivering integrated care management for older rural veterans with co-occurring chronic diseases. Presents methods for rural providers to help patients manage their prescriptions and avoid polypharmacy.
Additional links: Overview
Date: 05/2017
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Diabetes Self-Management Education Programs in Nonmetropolitan Counties — United States, 2016
Examines the availability of diabetes self-management education (DSME) programs in nonmetropolitan counties. Includes data on related characteristics for nonmetro counties with and without DSME programs, including diabetes incidence and prevalence, race/ethnicity, income, educational attainment, and other demographic information.
Author(s): Stephanie A. Rutledge, Svetlana Masalovich, Rachel J. Blacher, Magon M. Saunders
Citation: MMWR Surveillance Summaries, 66(10), 1-6
Date: 04/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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The Association of Health Literacy and Blood Pressure Reduction in a Cohort of Patients with Hypertension: The Heart Healthy Lenoir Trial
Analyzes the impact of a multi-level quality improvement (QI) intervention, the Heart Healthy Lenoir (HHL) Study, with a focus on health literacy to improve systolic blood pressure (SBP) control in patients being treated in rural primary clinics of Eastern North Carolina. Discusses the components of the health literacy practice and patient level activities of the QI intervention. Offers a detailed table identifying the change in SBP by literacy level.
Author(s): Jacqueline R. Halladay, Katrina E. Donahue, Crystal W. Cené, et al.
Citation: Patient Education and Counseling, 100(3), 542-549
Date: 03/2017
Type: Document
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Cultural Dance Program Improves Hypertension Management for Native Hawaiians and Pacific Islanders: a Pilot Randomized Trial
Results of a 12-week hula-based intervention coupled with self-care education on blood pressure management, done in Honolulu in 2012-2013. Features demographic statistics with breakdowns by ethnic group, and intervention effects on blood pressure from baseline to 3-month follow-up.
Author(s): Joseph Keawe'aimoku Kaholokula, Mele Look, Tricia Mabellos, et al.
Citation: Journal of Racial and Ethnic Health Disparities, 4(1), 35-46
Date: 02/2017
Type: Document
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