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Rural Health
Resources by Topic: Chronic disease management

Opioid-Related Hospitalization and Its Association With Chronic Diseases: Findings From the National Inpatient Sample, 2011-2015
Results of a study examining whether opioid-related hospitalization is associated with cancer, stroke, obesity, asthma, liver or spinal disease, and arthritis. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Janani Rajbhandari-Thapa, Donglan Zhang, Heather M. Padilla, Sae Rom Chung
Citation: Preventing Chronic Disease, 16
Date: 11/2019
Type: Document
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Geographic Disparities Associated with Travel to Medical Care and Attendance in Programs to Prevent/Manage Chronic Illness Among Middle-Aged and Older Adults in Texas
Examines 2,108 rural and urban middle-aged and older adults in Texas with one or more chronic conditions who travel long distances to receive medical care and their utilization of programs focused on prevention and chronic disease management. Participants from 9 counties responded to health assessment surveys regarding their number of doctor's visits within the previous year, distance to receive medical care, residential status, and other personal characteristics.
Author(s): Matthew L. Smith, Samuel D. Towne Jr., Caroline D Bergeron, et al.
Citation: Rural and Remote Health,19(4), 5147
Date: 11/2019
Type: Document
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Office-Based Spirometry: Key to Diagnosing Rural COPD Patients
Describes the use of spirometry in the diagnosis of chronic obstructive pulmonary disease (COPD). Provides an overview of required equipment, staffing needs, and interpretation for rural offices interested in offering spirometry. Features a West Virginia Federally Qualified Health Center (FQHC) pulmonary rehabilitation program.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Diagnosing the Rural COPD Patient: Ask About Symptoms, Use Spirometry
Provides insights on the diagnosis of chronic obstructive pulmonary disease (COPD), discussing common symptom patterns associated with COPD, spirometry as the diagnostic test for the condition, and tools and resources for COPD patient care.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Iowa TelePrEP: A Public-Health-Partnered Telehealth Model for Human Immunodeficiency Virus Preexposure Prophylaxis Delivery in a Rural State
Describes a regional telehealth program developed through a partnership of the Iowa Department of public health, disease specialists, and human immunodeficiency virus (HIV) testing programs addressing the barriers in accessing HIV preexposure prophylaxis (PrEP) in rural areas due to stigma and the long distances to providers.
Author(s): Angela B. Hoth, Cody Shafer, Dena Behm Dillon, et al.
Citation: Sexually Transmitted Diseases, 46(8), 507-512
Date: 08/2019
Type: Document
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Medicaid: Efforts to Identify, Predict, or Manage High-Expenditure Beneficiaries
Describes strategies used in 7 states to manage beneficiaries' healthcare costs while ensuring quality care, and lists resources the Centers for Medicare and Medicaid Services provides to help states identify, predict, and manage high-expenditure beneficiaries. Discusses effects of social determinants of health and staff shortages in rural areas. Includes statistics for Medicaid expenditures among beneficiaries enrolled only in Medicaid, for fiscal years 2009-2011.
Additional links: Full Report
Date: 08/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Making Connections: Nationwide Implementation of Video Telehealth Tablets to Address Access Barriers in Veterans
Results of a survey of 68 facility telehealth coordinators to evaluate implementation of a Department of Veterans Affairs initiative to provide tablets to high-need veterans with chronic conditions. Features statistics including demographics of tablet recipients and tablet users, with breakdowns by urban, rural, and highly rural location.
Author(s): Donna M. Zulman, Emily P. Wong, Cindie Slightam, et al.
Citation: JAMIA Open, 2(3), 323–329
Date: 08/2019
Type: Document
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Implementation of Liver Cancer Education Among Health Care Providers and Community Coalitions in the Cherokee Nation
Describes an intervention in 2017-2018 to plan and implement activities to increase knowledge and awareness of liver cancer prevention among Cherokee Nation health care providers. Includes recommendations to improve viral hepatitis surveillance, increase support for strategies to eliminate hepatitis B virus, and enhance services including risk factor screening and serologic testing.
Author(s): Behnoosh Momin, Jorge Mera, Whitney Essex, et al.
Citation: Preventing Chronic Disease, 16
Date: 08/2019
Type: Document
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Creating a Public Health Community of Practice to Support American Indian and Alaska Native Communities in Addressing Chronic Disease
Describes use of the ECHO (Extension for Community Healthcare Outcomes) model to support and evaluate program objectives of the Centers for Disease Control and Prevention's Good Health and Wellness in Indian Country (GHWIC) program.
Author(s): Shawna L. Williams, Alexis Kaigler, Amy Armistad, David K. Espey, Bruce B. Struminger
Citation: Preventing Chronic Disease, 16
Date: 08/2019
Type: Document
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A Rural Hospital Guide to Improving Chronic Obstructive Pulmonary Disease
A guide for rural hospital leaders, Rural Health Clinics, and their partners to help them understand rural chronic obstructive pulmonary disease (COPD) services and adopt best practices for COPD diagnosis, treatment, and long-term care. Addresses rural COPD prevalence and services, clinical diagnosis and treatment, service models, care management, technologies, and community support services. Includes considerations for implementing a pulmonary rehab program, roles and staffing needed, and basic billing and coding.
Date: 08/2019
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates, Technical Assistance and Services Center
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