Rural Health
Resources by Topic: Frontier and remote areas
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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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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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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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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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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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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Defining Rural Population Health and Health Equity
Establishes a unified definition of population health and health equity in rural and frontier communities. Intended to educate rural health and clinical partners and to help engage rural health stakeholders in discussions to improve the health and well-being of rural people. Provides examples of community-based programs addressing health inequities.
Citation: NOSORH Issue Brief, 2(5), 1-4
Date: 07/2020
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Establishes a unified definition of population health and health equity in rural and frontier communities. Intended to educate rural health and clinical partners and to help engage rural health stakeholders in discussions to improve the health and well-being of rural people. Provides examples of community-based programs addressing health inequities.
Citation: NOSORH Issue Brief, 2(5), 1-4
Date: 07/2020
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Organizational Readiness to Implement System Changes in an Alaskan Tribal Dental Care Organization
Study of an Alaska tribal dental care organization's readiness for system-level changes based on surveys of dental providers, assistants, and support staff employed by the organization at 15 clinics in remote villages and 3 main dental clinics located in cities. Discusses perceptions of staff regarding workforce issues and support for change related to policies and evidence-based practices. Scores each area of readiness for change based on survey data, including organizational functioning, resources, and management.
Author(s): C.L. Randall, K. Hort, C.E. Huebner, et al.
Citation: Journal of Clinical and Translational Research, 5(2), 156-165
Date: 04/2020
Type: Document
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Study of an Alaska tribal dental care organization's readiness for system-level changes based on surveys of dental providers, assistants, and support staff employed by the organization at 15 clinics in remote villages and 3 main dental clinics located in cities. Discusses perceptions of staff regarding workforce issues and support for change related to policies and evidence-based practices. Scores each area of readiness for change based on survey data, including organizational functioning, resources, and management.
Author(s): C.L. Randall, K. Hort, C.E. Huebner, et al.
Citation: Journal of Clinical and Translational Research, 5(2), 156-165
Date: 04/2020
Type: Document
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North Dakota Frontier Counties
Map of North Dakota identifying the counties designated as frontier based on 2018 population estimates.
Date: 02/2020
Type: Map/Mapping System
Sponsoring organization: University of North Dakota Center for Rural Health
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Map of North Dakota identifying the counties designated as frontier based on 2018 population estimates.
Date: 02/2020
Type: Map/Mapping System
Sponsoring organization: University of North Dakota Center for Rural Health
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Report to Congress: Demonstration Project on Community Health Integration Models in Certain Rural Counties - Final Report
Presents findings from the Frontier Community Health Integration Project Demonstration (FCHIP) demonstration project over the 3-year project period. Shares results for the 10 participating Critical Access Hospitals in three states: North Dakota, Montana, and Nevada. The demonstration focused on interventions addressing ambulance services, skilled nursing facility/nursing facility beds, and telehealth. Offers recommendations for legislative and administrative action.
Date: 2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Presents findings from the Frontier Community Health Integration Project Demonstration (FCHIP) demonstration project over the 3-year project period. Shares results for the 10 participating Critical Access Hospitals in three states: North Dakota, Montana, and Nevada. The demonstration focused on interventions addressing ambulance services, skilled nursing facility/nursing facility beds, and telehealth. Offers recommendations for legislative and administrative action.
Date: 2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Frontier Counties
Printable map that shows the location of frontier counties nationwide. Data source: U.S. Census Bureau, 2020.
Date: 2020
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Printable map that shows the location of frontier counties nationwide. Data source: U.S. Census Bureau, 2020.
Date: 2020
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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