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Rural Health
Resources by Topic: Culture and cultural competency

The Rural Household Production of Health Approach: Applying Lessons from Zambia to Rural Cancer Disparities in the U.S.
Examines the household production of health approach (HHPH) to understand how rural populations allocate resources when seeking medical treatment. Discusses how this approach can yield new understandings of rural cancer research in the U.S. that considers people's familial and cultural realities. Focuses on gendered responsibilities in the household, particularly for women, as they relate to healthcare access.
Author(s): Mutale Chileshe, Emma Nelson Bunkley, Jean Hunleth
Citation: International Journal of Environmental Research and Public Health, 19(2)
Date: 01/2022
Type: Document
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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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Adapting Evidence-Based Practices for Under-Resourced Populations
Describes various methods of adapting evidence-based practices (EBPs) to meet the needs of populations who experience barriers in receiving behavioral health services due to a variety of factors including race, ethnicity, geography, income, sexual orientation, and disability. Offers guidance on implementing adapted EBPs with examples for behavioral health professionals, administrators, researchers, and others involved with helping individuals in need of mental health and substance use disorder services.
Date: 2022
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Suicide Prevention in Indigenous Communities: Proceedings of a Workshop
Report details the proceedings of a workshop addressing suicide prevention for American Indians and Alaska Natives living in tribal communities. Highlights suicide rates and prevention strategies in indigenous communities. Makes recommendations for improvement of data quality, cultural competency, and research, among other factors.
Additional links: Read Online
Author(s): Division of Behavioral and Social Sciences and Education
Date: 2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Promoting Health Equity in Cancer Care: Proceedings of a Workshop
Presents proceedings from a 2021 workshop on issues related to disparities in cancer incidence, care, and patient outcomes. Discusses structural racism, social determinants of health, and health disparities for specific populations such as minorities and those living in rural areas. Provides strategies for understanding cultural factors related to establishing quality cancer care for all patients.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Addressing Structural Racism, Bias, and Health Communication as Foundational Drivers of Obesity: Proceedings of a Workshop Series
Presents proceedings from a 2021 workshop series on issues related to obesity such as structural racism, stigma, weight bias, health communication, and potential data-driven solutions. Includes strategies for developing positive interactions with diverse populations as well as information specific to tribal areas.
Additional links: Read Online
Author(s): Food and Nutrition Board
Date: 2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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