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Rural Health
Resources by Topic: Emergency medical technicians and paramedics

Rural First Responder Access to Mental Health Care: A National Crisis
Explores mental health challenges experienced by first responders and increased risk of suicide. Describes barriers to accessing adequate mental healthcare within the scope of their employment, especially in rural areas where services remain limited and stigma may be associated with the need for assistance.
Author(s): Jeffrey Hintz, Carrie Hintz
Date: 10/2019
Type: Document
Sponsoring organization: Journal of Emergency Medical Services
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Update of Evaluation of California's Community Paramedicine Pilot Program
Updates the evaluation of the California Emergency Medical Services Authority pilot community paramedicine program, which began in 2014 to test 7 community paramedicine concepts and has involved 14 communities, including rural Butte county. Provides an overview of the projects, summarizes how the community paramedics were trained, reports on the patients served and program effectiveness, and discusses potential savings for Medi-Cal and Medicare.
Date: 08/2019
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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Mobile Telehealth Units and Care Coordinators Improve Emergency Care Services for Rural Arizona Patients
Features an Arizona program focused on lowering ER readmissions through care coordination and EMS telehealth services. Explains how the telehealth services are provided via mobile telehealth units. Describes how care coordination helps meet the behavioral health needs of patients with chronic diseases.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 08/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Mental Health Crisis in Colorado
Explores mental healthcare access in Colorado. News series from The Gazette details Colorado's mental healthcare system for youth, veterans, jails, and in rural areas, among other areas of disparity.
Date: 06/2019
Type: Document
Sponsoring organization: The Gazette
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What Happened: A Community Paramedic Program
Provides presentation slides describing the community paramedic model and community paramedic programs in Arkansas from the Arkansas 2019 Annual Rural Health Conference. Identifies program focus areas, funding sources, collaboration with other community organizations, and some program outcomes.
Author(s): Gerald Cantrell
Date: 06/2019
Type: Presentation Slides
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Making Informed Decisions about Rural EMS
Provides an overview of the Informed Self-Determination Process, which can help a rural community make an informed decision about the level of emergency medical services (EMS) response the community wants and will support. Highlights how this approach was used in St. George, Maine.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 04/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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EMS Agenda 2050: A People-Centered Vision for the Future of Emergency Medical Services
Serves as an update to the 1996 EMS Agenda for the Future. Reports the vision of emergency medical services (EMS) of the future and describes 6 guiding principles to help EMS and communities create a more people-centered EMS system. Discusses challenges specific to rural communities, such as EMS workforce issues.
Additional links: Infographic
Date: 01/2019
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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The Relationship Between Rural Setting and Health: Factors that Influence Individuals With or at Risk of CVD - A Summary of the Literature
Describes current literature on rural challenges and opportunities, including cardiovascular risk due to obesity, lack of access to healthcare, workforce shortages, importance of paramedics and community health workers, telehealth and broadband, and impact of the substance use disorder epidemic. Intended to help stakeholders understand the causes of health disparities and to support action to improve the health of rural communities.
Date: 2019
Type: Document
Sponsoring organization: American Heart Association
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Trauma Training Initiative Teaches Rural Laypeople How to "Stop the Bleed"
Features the Stop the Bleed initiative, which trains community members to help control blood loss while waiting for medical help. Highlights training provided in rural North Dakota and Nebraska.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 10/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Community Health Needs Assessments: Resources for Community Paramedicine & Mobile Integrated Healthcare
Provides information for emergency medical service (EMS) agencies exploring community paramedicine and mobile integrated healthcare (CP-MIH). Includes resources to match CP-MIH services with targeted community health needs and covers rural CP-MIH program examples.
Date: 10/2018
Type: Document
Sponsoring organization: National Association of State EMS Officials
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