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Rural Health
Resources by Topic: Culture and cultural competency

Advancing Transcultural Care through Cultural Competency
Profiles St. Charles Madras Hospital, a Critical Access Hospital in Jefferson County, Oregon. Discusses the hospital's efforts to establish cultural competence through the implementation of components of evidence-based guidelines to improve the American Indian and Hispanic or Latino patient experiences.
Date: 01/2022
Type: Document
Sponsoring organization: American Hospital Association
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Partnering to Improve Health and Wellbeing via Community Based Care Coordination in Rural Minnesota
Case study featuring Winona Health, an independent, community-owned, and vertically integrated healthcare system serving rural Minnesota. Describes efforts underway to address the social determinants of health in the community through the Winona Wellbeing Collaborative. Also discusses efforts to build intercultural skill throughout the Winona Health organization.
Date: 01/2022
Type: Document
Sponsoring organization: American Hospital Association
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The Clinical and Business Cases for Opening a Maternity Care Unit in a CAH
A case study of a rural North Carolina partnership that worked together to add a new wing for a maternity unit at a 25-bed Critical Access Hospital. Explains how the service was planned to be financially viable. Describes maternal and infant health disparities in the region and discusses how this new service will meet the needs of the population with culturally and linguistically accessible care.
Date: 01/2022
Type: Document
Sponsoring organization: American Hospital Association
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Impact of Assistance Programs on Indigenous Ways of Life in 12 Rural Remote Western Alaska Native Communities: Elder Perspectives Shared in Formative Work for the "Got Neqpiaq?" Project
Explores a study evaluating the perception of Alaska Native elders from the Yukon-Kuskokwim area of Alaska on the efficacy and cultural competence of government assistance programs. Discusses and evaluates a number of programs, such as Head Start, Temporary Assistance for Needy Families (TANF), Supplemental Nutrition Assistance Program (SNAP), and Special Supplemental Nutrition Program of Women, Infants, and Children (WIC), among others.
Author(s): Amanda K. Walch, Kathryn A. Ohle, Kathryn R. Koller, et al.
Citation: International Journal of Circumpolar Health, 81(1)
Date: 01/2022
Type: Document
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Weaving Pathways: Talking with Our Elders
Highlights a program aimed at increasing end-of-life planning in American Indian and Alaska Native communities. Explores the barriers to AI/AN elders creating healthcare directives, the lessons learn from the initial pilot program, and the program's impact.
Author(s): Mary J Owen, Peter M Nalin, Charlie A Bouverette, et al.
Citation: Rural and Remote Health, 22(1)
Date: 01/2022
Type: Document
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Planning a Reentry Program: A Toolkit for Tribal Communities
Toolkit provides information and guidance for developing a reentry program for American Indians and Alaska Natives who are transitioning from the criminal justice system to civilian life. Highlights evidence-based practices for reentry programs, including partnerships to connect returning citizens to housing, job training and placement, and medical, mental health, and/or substance use treatment, among other services.
Date: 12/2021
Type: Document
Sponsoring organizations: Bureau of Justice Assistance, Center for Court Innovation, Community Justice & Safety For All, U.S. Department of Justice
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Trans*Forming Access and Care in Rural Areas: A Community-Engaged Approach
Article exploring the healthcare experiences and barriers to accessing services for rural transgender and gender diverse (TGD) populations based on qualitative data gathered in Appalachia. Describes the limited research on TGD populations and health and barriers to care including transportation, gender-affirming care access, provider knowledge and inclusivity, and avoidance of care.
Author(s): Megan E. Gandy, Kacie M. Kidd, James Weiss, Judith Leitch, Xavier Hersom
Citation: International Journal of Environmental Research and Public Health, 18(23), 12700
Date: 12/2021
Type: Document
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Indigenous Agricultural Workers
Highlights a report on indigenous agricultural workers from Central and South America. Details demographic, historical, and health information, among other factors.
Date: 12/2021
Type: Document
Sponsoring organization: National Center for Farmworker Health
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At the Heart of Community-Engaged Research in Halifax County, N.C.
Describes a research project through North Carolina Central University (NCCU) that examines health disparities in rural Halifax County, NC and that places emphasis on building trust between researchers and the community. Discusses community-engaged research methodologies and the process of training researchers to conduct such research.
Date: 11/2021
Type: Document
Sponsoring organization: National Institute on Minority Health and Health Disparities
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Episode 69: Engaging Indigenous Families and Communities
Podcast discusses the approaches tribal communities have taken to support Native families. Highlights strategies employed by caseworkers to address trauma-related child welfare issues. Features a discussion with representatives of the National Native Children's Trauma Center.
Additional links: Podcast Transcript
Date: 11/2021
Type: Video/Multimedia
Sponsoring organization: Administration for Children and Families
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