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Rural Health Information Hub

Rural Health
Resources by Topic: Frontier and remote areas

Oregon Small Rural Hospital Improvement Program (SHIP) Facilities
Shows a county-level map of Oregon identifying the locations of hospitals participating in the Small Rural Hospital Improvement Program (SHIP), whether they are type A or B, and whether they are located in a frontier county.
Date: 01/2021
Type: Map/Mapping System
Sponsoring organization: Oregon Office of Rural Health
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Alaska 2021 Primary Care Needs Assessment
Provides an overview of primary healthcare access and capacity to inform policy and programming that addresses the needs of Alaska's underserved communities. Includes state-specific information on key issues, special populations, resources and recommendations. Mentions rural throughout and contains sections on rural emergency medical services, Critical Access Hospitals, Federally Qualified Health Centers, Veterans Administration clinics, telemedicine, healthcare workforce recruitment and retention, and Health Professional Shortage Areas.
Date: 2021
Type: Document
Sponsoring organization: Alaska Division of Public Health
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2020 Health Professional Underserved Areas Report: Kansas Primary Care and Rural Health
Features information on Health Professional Shortage Areas (HPSAs) and Medically Underserved Areas (MUAs) in Kansas. Discusses healthcare workforce recruitment and retention programs during 2020 and provides county-level data and maps on Primary Care, Mental, and Dental HPSAs. Includes a table classifying counties as urban, semi-urban, densely-settled rural, rural, or frontier.
Date: 2021
Type: Document
Sponsoring organization: Kansas Department of Health and Environment
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Kansas Annual Summary of Vital Statistics, 2020
Provides statistics and data for the state of Kansas, with information on births, birth outcomes, teen pregnancies, mortality, and more. Includes data breakdowns by county and urban, semi-urban, densely-settled rural, rural, or frontier location.
Author(s): David Oakley, Greg Crawford, Cathryn Savage
Date: 12/2020
Type: Document
Sponsoring organization: Kansas Department of Health and Environment
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Frontier Community Health Integration Project (FCHIP) Demonstration Evaluation: Final Evaluation Report
Presents findings from an evaluation of the Frontier Community Health Integration Project (FCHIP) Demonstration. Describes the three possible interventions, including their impact, progress and accomplishments, challenges, and lessons learned. Identifies commonalities that emerged across the FCHIP interventions that may inform future demonstrations among rural healthcare providers.
Additional links: Findings At-A-Glance
Date: 12/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Rapid Detection of Tuberculosis in Remote Alaska
Study of a rapid testing method for active pulmonary tuberculosis (TB) administered in a remote area of western Alaska. Discusses challenges of diagnosing and treating TB in a timely manner in remote areas, and describes the process of creating and implementing a rapid testing program in partnership with healthcare organizations. Presents data from 223 patients who received the rapid test over 3 years, including positivity rates, test sensitivity and specificity, and effectiveness of the testing method.
Author(s): Ronald J. Bowerman
Citation: International Journal of Circumpolar Health, 79(1), 1827786
Date: 10/2020
Type: Document
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Youth Exposure to Marijuana Advertising in Oregon's Legal Retail Marijuana Market
Uses school-based survey results to investigate marijuana advertising exposure among 8th and 11th graders in Oregon. Provides data and statistics on survey respondents' characteristics and exposure to marijuana advertising, with information broken down by urban, rural, and frontier locations.
Author(s): Steven Fiala, Julia Dilley, Erik Everson, Caislin Firth, Julie Maher
Citation: Preventing Chronic Disease, 17
Date: 09/2020
Type: Document
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Crisis Services: Meeting Needs, Saving Lives
Presents the National Guidelines for Behavioral Health Crisis Care Best Practices Toolkit and a number of companion papers on crisis care. Toolkit highlights best practices for crisis care and the papers discuss a number of related topics, including homelessness, substance use, opioid-related deaths, and rural and frontier areas, among other issues.
Date: 08/2020
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Recruitment Best Practices of a Cardiovascular Risk Reduction Randomised Control Trial in Rural Alaska Native Communities
Describes the research methods of the Healthy and Empowering Alaskan Lives Towards Healthy Hearts (HEALTHH) project, which recruited Indigenous participants from the 16 communities that make up the rural Norton Sound region of Alaska to study smoking behavior and chronic disease prevention efforts among Alaska Native populations. Explores special considerations for research involving remote Alaska Native communities and analyzes data related to recruitment best practices, staffing issues, and barriers to enrolling study participants.
Author(s): Mariah Knox, Jordan Skan, Neal L. Benowitz, Matthew Schnellbaecher, Judith J. Prochaska
Citation: International Journal of Circumpolar Health, 79(1), 1806639
Date: 08/2020
Type: Document
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Strategies for the Delivery of Behavioral Health Crisis Services in Rural and Frontier Areas of the U.S.
Report highlights the challenges of providing behavioral health crisis services to rural and frontier communities. Details the barriers to crisis service delivery such as lack of transportation, travel distance, and broadband access, among others. Includes a discussion on the effect of COVID-19 pandemic rural crisis service delivery.
Author(s): Kristin A. Neylon
Date: 08/2020
Type: Document
Sponsoring organization: National Association of State Mental Health Program Directors
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