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Rural Health
Resources by Topic: Frontier and remote areas

Rural and Frontier Healthcare Coalitions: A Preparedness and Response Snapshot
Summarizes interviews with rural and frontier healthcare coalitions from nine states. Describes the characteristics of healthcare coalitions. Covers strengths, barriers, and opportunities for rural and frontier healthcare coalitions.
Author(s): Shannon Davis
Date: 09/2018
Type: Document
Sponsoring organization: National Association of County and City Health Officials
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Report to Congress: Demonstration Project on Community Health Integration Models in Certain Rural Counties, Interim Report 2018
Provides an overview of and first year findings from the Frontier Community Health Integration Project Demonstration (FCHIP), which includes 10 Critical Access Hospitals (CAHs) in three states: North Dakota, Montana, and Nebraska. The demonstration intends to increase the quality and coordination of care, with focuses on access to and payments for telehealth, ambulance services, and skilled nursing facility/nursing facility beds, as well as related regulatory challenges.
Date: 09/2018
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Frontier and Remote Paramedicine Practitioner Models
Reviews paramedic service delivery models in the U.S. and other English speaking countries, focusing on models with the potential to support and improve health and well-being of frontier populations.
Author(s): Peter O'Meara, Gary Wingrove, Michael Nolan
Citation: Rural and Remote Health, 18(3)
Date: 08/2018
Type: Document
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Perceptions of Driving after Marijuana Use Compared to Alcohol Use among Rural American Young Adults
Examines the perceptions of young adults aged 18-25 regarding the acceptability and danger associated with driving after marijuana use as opposed to alcohol use in rural and frontier areas of Montana.
Author(s): Kaylin M. Greene
Citation: Drug and Alcohol Review, 37(5), 637-644
Date: 07/2018
Type: Document
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Oregon's State Health Assessment, 2018
Reports on the overall health of residents in state of Oregon. Includes information on social determinants of health, environmental health, prevention and health promotion, and other topics. Covers urban, rural, frontier statistics for economic disparities; educational attainment; food insecurity; homelessness; adult suicide rates; chronic disease; mortality; oral, primary care, and behavioral health workforce; communicable disease; and access to healthcare services.
Date: 07/2018
Type: Document
Sponsoring organization: Oregon Health Authority
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Realizing the Benefits of Rural Broadband: Challenges and Solutions
Presents the U.S. House of Representatives Energy and Commerce Committee hearing on the benefits, challenges, and solutions to rural broadband issues. Features testimony from an Associate Administrator and Chief Nursing Officer at Wallowa Memorial Hospital, a 25-bed Critical Access Hospital (CAH) in Enterprise, Oregon, on the role broadband plays in healthcare access via telehealth to rural and frontier areas.
Additional links: Jenni Word Testimony
Date: 07/2018
Type: Video/Multimedia
Sponsoring organizations: House Energy and Commerce Committee, Subcommittee on Communications and Technology
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A Compass for Families: Head Start in Rural America
Report details the importance of Head Start programs to rural communities. Discusses the services Head Start provides for rural families, such as child care, connection to health services, and transportation, among others. Features county level data and rural-urban comparisons.
Author(s): Rasheed Malik, Leila Schochet
Date: 04/2018
Type: Document
Sponsoring organization: Center for American Progress
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Market Characteristics Associated with Rural Hospitals' Provision of Post-Acute Care
Findings brief summarizing hospital- and market-level factors related to post-acute care (PAC) provided in rural hospitals from 2012-2015. Features statistics from 2012-2015 rural Medicare cost reports, PAC provision by census region in 2015, and percent of hospitals in frontier and remote areas in 2015 with breakdowns by type and PAC provision.
Author(s): Abby F. Hoffman, Randy K. Randolph, Alex R. Schulte, George H. Pink
Date: 04/2018
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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QIOs in Action: Promoting Antimicrobial Stewardship in Rural Alaska
Describes efforts of Mountain-Pacific Quality Health and the Indian Health Service as they work together to provide education and resources to promote antimicrobial stewardship best practices among Alaska residents and providers.
Citation: QIO News
Date: 04/2018
Type: Document
Sponsoring organization: Quality Improvement Organization Program
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The Electronic Health Literacy and Utilization of Technology for Health in a Remote Hawaiian Community: Lana'i
Examines the use of communication technology by community, staff, and board members of Lanai Community Health Center in Hawaii. Evaluates their level of electronic health literacy and offers recommendations for rural communities regarding the use of technology-enabled care.
Author(s): Nash AK Witten, Joseph Humphry
Citation: Hawai'i Journal of Medicine and Public Health, 77(3), 51-59
Date: 03/2018
Type: Document
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