Rural Health
Resources by Topic: Frontier and remote areas
Nevada Rural and Frontier Health Data Book - Tenth Edition
Provides an overview of the health and healthcare in rural and frontier Nevada. Offers state and county-level data on the resident population, economic and social characteristics, insurance coverage, population health, the healthcare workforce, and the healthcare delivery system.
Author(s): Tabor Griswold, John Packham, Jeannine Warner, Laima Etchegoyhen
Date: 02/2021
Sponsoring organizations: Nevada State Office of Rural Health, University of Nevada, Reno School of Medicine Office of Statewide Initiatives
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Provides an overview of the health and healthcare in rural and frontier Nevada. Offers state and county-level data on the resident population, economic and social characteristics, insurance coverage, population health, the healthcare workforce, and the healthcare delivery system.
Author(s): Tabor Griswold, John Packham, Jeannine Warner, Laima Etchegoyhen
Date: 02/2021
Sponsoring organizations: Nevada State Office of Rural Health, University of Nevada, Reno School of Medicine Office of Statewide Initiatives
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Arizona Frontier, Indian, Rural and Urban Primary Care Areas 2021
A map identifying rural, frontier, urban, and Indian primary care areas in Arizona.
Date: 2021
Sponsoring organization: Arizona Bureau of Health Systems Development
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A map identifying rural, frontier, urban, and Indian primary care areas in Arizona.
Date: 2021
Sponsoring organization: Arizona Bureau of Health Systems Development
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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: 11/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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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: 11/2020
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
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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
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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
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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
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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
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
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 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 tribal 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
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Describes the research methods of the Healthy and Empowering Alaskan Lives Towards Healthy Hearts (HEALTHH) project, which recruited 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 tribal 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
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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
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
Sponsoring organization: National Association of State Mental Health Program Directors
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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
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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
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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
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
Sponsoring organization: University of North Dakota Center for Rural Health
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