Rural Health
Resources by Topic: Culture and cultural competency
The Never-Ending Maze: Continued Failure to Protect Indigenous Women from Sexual Violence in the USA
Report examining criminal justice, healthcare, and support service issues related to disparities in sexual violence for American Indian and Alaska Native women. Covers challenges due to jurisdictional limitations, challenges and opportunities in tribal policing, the need for training and access to rape kits at Indian Health Service (IHS) facilities, and culturally competent support for survivors of sexual violence.
Date: 05/2022
Type: Document
Sponsoring organization: Amnesty International
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Report examining criminal justice, healthcare, and support service issues related to disparities in sexual violence for American Indian and Alaska Native women. Covers challenges due to jurisdictional limitations, challenges and opportunities in tribal policing, the need for training and access to rape kits at Indian Health Service (IHS) facilities, and culturally competent support for survivors of sexual violence.
Date: 05/2022
Type: Document
Sponsoring organization: Amnesty International
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Assessing the Effectiveness of Policies to Improve Access to Primary Care for Underserved Populations: Case Study Analysis: Grant County, New Mexico
Case study of policy initiatives to increase access to primary care, focusing on rural Grant County, New Mexico. Discusses challenges to expanding the primary care workforce, bringing outpatient clinics into communities, mobile clinics and telehealth, affordability, and more.
Author(s): Maanasa Kona, Megan Houston, Jalisa Clark, Emma Walsh-Alker
Date: 05/2022
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Case study of policy initiatives to increase access to primary care, focusing on rural Grant County, New Mexico. Discusses challenges to expanding the primary care workforce, bringing outpatient clinics into communities, mobile clinics and telehealth, affordability, and more.
Author(s): Maanasa Kona, Megan Houston, Jalisa Clark, Emma Walsh-Alker
Date: 05/2022
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Strategies to Support Healthy Relationships for American Indian and Alaska Native Fathers
Provides strategies that can be utilized by American Indian and Alaskan Native (AI/AN) fathers to develop strong coparenting and familial relationships that are based on AI/AN cultural values. Discusses benefits of supporting the fatherhood role, such as increased health and emotional benefits and a decrease in substance abuse and domestic violence in AI/AN communities. Includes strategies based on interviews with experts and fathers, a scan of available research, and an awareness of the historical trauma present in AI/AN communities.
Author(s): April Wilson, Isabel Griffith, Deana Around Him, et al.
Date: 04/2022
Type: Document
Sponsoring organizations: Administration for Children and Families, Child Trends
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Provides strategies that can be utilized by American Indian and Alaskan Native (AI/AN) fathers to develop strong coparenting and familial relationships that are based on AI/AN cultural values. Discusses benefits of supporting the fatherhood role, such as increased health and emotional benefits and a decrease in substance abuse and domestic violence in AI/AN communities. Includes strategies based on interviews with experts and fathers, a scan of available research, and an awareness of the historical trauma present in AI/AN communities.
Author(s): April Wilson, Isabel Griffith, Deana Around Him, et al.
Date: 04/2022
Type: Document
Sponsoring organizations: Administration for Children and Families, Child Trends
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Precious Moments: Tribal Home Visiting Programs Support Families During Pregnancy and Postpartum
Provides an overview of how 7 Tribal Home Visiting grantees provide support to American Indian and Alaskan Native (AI/AN) families during pregnancy and postpartum. Focuses on providing culturally competent care related to AI/AN traditions, addressing historical and personal trauma in caregiving, improving maternal health outcomes, and providing education on breastfeeding, postpartum depression, healthy diet, and more.
Date: 04/2022
Type: Document
Sponsoring organizations: Administration for Children and Families, Tribal Home Visiting
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Provides an overview of how 7 Tribal Home Visiting grantees provide support to American Indian and Alaskan Native (AI/AN) families during pregnancy and postpartum. Focuses on providing culturally competent care related to AI/AN traditions, addressing historical and personal trauma in caregiving, improving maternal health outcomes, and providing education on breastfeeding, postpartum depression, healthy diet, and more.
Date: 04/2022
Type: Document
Sponsoring organizations: Administration for Children and Families, Tribal Home Visiting
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Building a Culturally Aware Native Hawaiian Health Professions Workforce
Highlights the Native Hawaiian Health Scholarship Program's efforts to build the Native Hawaiian health workforce. Describes the development of the program and changes to make the program more culturally aware and to integrate Native Hawaiian values into workforce training and professional development.
Author(s): Donna-Marie Palakiko, Kai'olu DeFries, Kilohana Haitsuka, Lisa L. Ka'anoi
Citation: Hawaii Journal of Health and Social Welfare, 81(4), Supplement 2, 15-19
Date: 04/2022
Type: Document
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Highlights the Native Hawaiian Health Scholarship Program's efforts to build the Native Hawaiian health workforce. Describes the development of the program and changes to make the program more culturally aware and to integrate Native Hawaiian values into workforce training and professional development.
Author(s): Donna-Marie Palakiko, Kai'olu DeFries, Kilohana Haitsuka, Lisa L. Ka'anoi
Citation: Hawaii Journal of Health and Social Welfare, 81(4), Supplement 2, 15-19
Date: 04/2022
Type: Document
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Healthcare Accessibility for the Deaf and Hard of Hearing: A Descriptive Study of Rural Health Care Systems
Reports on survey results from 18 hospitals associated with rural healthcare systems regarding accessibility tools for deaf or hard of hearing patients. Presents information on tools for communication, perspectives on available tools, and types of available education for healthcare workers caring for deaf and hard of hearing patients.
Author(s): Amanda Reinhart
Date: 04/2022
Type: Document
Sponsoring organization: Illinois Critical Access Hospital Network
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Reports on survey results from 18 hospitals associated with rural healthcare systems regarding accessibility tools for deaf or hard of hearing patients. Presents information on tools for communication, perspectives on available tools, and types of available education for healthcare workers caring for deaf and hard of hearing patients.
Author(s): Amanda Reinhart
Date: 04/2022
Type: Document
Sponsoring organization: Illinois Critical Access Hospital Network
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A Qualitative Study of Rural Healthcare Providers' Views of Social, Cultural, and Programmatic Barriers to Healthcare Access
Examines barriers to healthcare access in rural populations based on semi-structured interviews with 12 healthcare providers practicing in Montana. Focuses on domains of cultural considerations, patient-provider communication, and provider-provider communication.
Author(s): Nicholas C. Coombs, Duncan G. Campbell, James Caringi
Citation: BMC Health Services Research, 22, 438
Date: 04/2022
Type: Document
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Examines barriers to healthcare access in rural populations based on semi-structured interviews with 12 healthcare providers practicing in Montana. Focuses on domains of cultural considerations, patient-provider communication, and provider-provider communication.
Author(s): Nicholas C. Coombs, Duncan G. Campbell, James Caringi
Citation: BMC Health Services Research, 22, 438
Date: 04/2022
Type: Document
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Overcoming Technical and Cultural Challenges to Delivering Equitable Care for LGBTQ+ Individuals in a Rural, Underserved Area
Offers guidance for healthcare organizations when addressing the health inequities experienced by LGBTQ+ populations based on the 5-year experience of a rural integrated health system. Topics cover collecting sexual orientation and gender identity (SOGI) data for electronic health records (EHRs), clinical decision support and workflows using SOGI, strengthening the culture of diversity and inclusion within the organization, and partnering with local organizations to develop trust.
Author(s): Heather L. Marney, David K. Vawdrey, Leyla Warsame, et al.
Citation: Journal of the American Medical Informatics Association, 29(2), 372-378
Date: 03/2022
Type: Document
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Offers guidance for healthcare organizations when addressing the health inequities experienced by LGBTQ+ populations based on the 5-year experience of a rural integrated health system. Topics cover collecting sexual orientation and gender identity (SOGI) data for electronic health records (EHRs), clinical decision support and workflows using SOGI, strengthening the culture of diversity and inclusion within the organization, and partnering with local organizations to develop trust.
Author(s): Heather L. Marney, David K. Vawdrey, Leyla Warsame, et al.
Citation: Journal of the American Medical Informatics Association, 29(2), 372-378
Date: 03/2022
Type: Document
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Building Trust in Public Health Emergency Preparedness and Response (PHEPR) Science: Proceedings of a Workshop—in Brief
Summarizes findings from a March 2022 workshop focused on trustworthiness of Public Health Emergency Preparedness and Response (PHEPR) institutions and researchers. Discusses how to promote trust in public health agencies and establishing communication strategies to address misinformation. Includes cultural issues related to rural and tribal communities.
Additional links: Read Online
Date: 03/2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summarizes findings from a March 2022 workshop focused on trustworthiness of Public Health Emergency Preparedness and Response (PHEPR) institutions and researchers. Discusses how to promote trust in public health agencies and establishing communication strategies to address misinformation. Includes cultural issues related to rural and tribal communities.
Additional links: Read Online
Date: 03/2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Codesigning a Community-Based Participatory Research Project to Assess Tribal Perspectives on Privacy and Health Data Sharing: A Report from the Strong Heart Study
Presents findings from a workshop on health data privacy and sharing preferences with 14 tribal leaders whose communities are involved in the Strong Hearts Study. Discusses protocol for consulting tribal communities prior to engaging in biomedical research, issues of data safety, and respecting the distinct preferences of communities.
Author(s): Cynthia Triplett, Burgundy J. Fletcher, Riley I Taitingfong, et al.
Citation: Journal of the American Medical Informatics Association, 29(6), 1120-1127
Date: 03/2022
Type: Document
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Presents findings from a workshop on health data privacy and sharing preferences with 14 tribal leaders whose communities are involved in the Strong Hearts Study. Discusses protocol for consulting tribal communities prior to engaging in biomedical research, issues of data safety, and respecting the distinct preferences of communities.
Author(s): Cynthia Triplett, Burgundy J. Fletcher, Riley I Taitingfong, et al.
Citation: Journal of the American Medical Informatics Association, 29(6), 1120-1127
Date: 03/2022
Type: Document
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