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Rural Health Information Hub

Rural Health
Resources by Topic: Culture and cultural competency

On the Front Lines of Health Equity: Community Health Workers
Provides an overview of the roles of community health workers (CHWs) and the benefits they can bring to healthcare organizations and communities. Serves as a resource for organizations planning and implementing a new CHW program. Includes information and best practices on assessing community needs, recruiting CHWs, and securing sustainable program funding.
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Road to Equity: Examining Structural Racism in Health Care
Recordings of a 2-day forum on health equity, structural racism in healthcare, and the role of federal agencies in responding to issues of inequity. Day 2 includes a presentation on rural-specific issues including health disparities, access to healthcare, facility closures and workforce issues.
Additional links: Day 1 Transcript, Day 2 Recording, Day 2 Transcript
Date: 04/2021
Type: Video/Multimedia
Sponsoring organization: CDC's Office of Minority Health & Health Equity
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State Health Disparities Research in Rural America: Gaps and Future Directions in an Era of COVID-19
Discusses research methods and partnerships to address rural health disparities. Highlights recommendations from a national workshop on rural health disparities, including community participation in rural health research, innovative research design, interventions that are relevant to rural challenges, and cultural competence in rural research.
Author(s): Lisa Cacari Stone, Mary C. Roary, Augusto Diana, Patricia A. Grady
Citation: The Journal of Rural Health, 37(3), 460-466
Date: 04/2021
Type: Document
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Notes from the Field: COVID-19 Case Investigation and Contact Tracing Program — Spirit Lake Tribe, North Dakota, September–November 2020
Reports on how the CDC helped the Spirit Lake Tribe build a tribally managed program to address increasing COVID-19 cases through comprehensive case investigations, case notification, contact tracing, contact testing, and contact management. Describes the work of Spirit Lake community members who served as investigators and contact tracers, providing culturally appropriate advice about the need to isolate or quarantine. Discusses housing challenges that impacted isolation and quarantine efforts.
Author(s): James Matthias, Tracy Charboneau, Cheri Schaffer, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(14), 533-534
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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COVID-19 Incidence and Mortality Among American Indian/Alaska Native and White Persons — Montana, March 13–November 30, 2020
Examines COVID-19 incidence and mortality rates among American Indian/Alaska Native (AI/AN) and White people in Montana. Discusses factors that may have contributed to greater incidence and mortality for the AI/AN population and the need for culturally appropriate public health measures and vaccine allocation strategies to address disparities.
Author(s): Laura L. Williamson, Todd S. Harwell, Todd M. Koch, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(14), 510-513
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Healing Tool - Pocket Guide for Addressing Behavioral Health Goals in Native Communities
Provides data and strategies for addressing mental health and substance use issues in American Indian and Alaska Native communities. Discusses issues around stigma, medication-assisted treatment, and traditional healing practices, among other measures, for creating culturally competent care in tribal communities.
Author(s): Shirley M. Cain
Date: 03/2021
Type: Document
Sponsoring organization: National American Indian and Alaska Native Addiction Technology Transfer Center
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CHWs At Work: Making a Difference for Oklahoma's Marshallese Community
Highlights an Oklahoma program that uses community health workers (CHWs) for outreach to the Marshallese community in a three-county area. Provides a brief history and overview of the Marshallese population and discusses the health concerns the CHWs address.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Critical Access Hospital in Oregon Uses Advisory Council and Trainings to Improve Cultural Competency
Features St. Charles Madras, a Critical Access Hospital in Oregon. Highlights how it improved care for American Indian and Latino patients by creating a Patient Family Advisory Council, implementing cultural competency trainings, and installing new artwork representing its community.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 02/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Medicaid's Role in Health Care for American Indians and Alaska Natives
Provides an overview of the federal government's role in providing healthcare to American Indians and Alaska Natives (AI/AN). Discusses AI/AN demographics, economic and health disparities, and access to healthcare and insurance coverage. Describes the structure of the Indian Health Service (IHS), services provided, and IHS financing and spending. Highlights special rules and protections that apply to AI/AN Medicaid beneficiaries. Presents a series of policy issues that have been raised regarding the Medicaid and IHS relationship, as well as opportunities for improving Medicaid's role in providing healthcare to AI/AN populations.
Date: 02/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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US Public Health Response to COVID-19 and Chronic Disease: Continuing the Commitment to Improve Population Health
Special supplement comprising peer-reviewed articles related to different communities' responses to COVID-19 and other pandemics. Includes commentaries on cultural matters, use of telehealth and other types of technology, and methods of serving specific populations.
Citation: Preventing Chronic Disease, 17
Date: 02/2021
Type: Website
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