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Rural Health
Resources by Topic: Frontier and remote areas

Frontier and Remote (FAR) Level 1 Zip Code Areas, 2010
Printable map that identifies the frontier and remote (FAR) level one ZIP code areas in the United States. Data source: USDA Economic Research Service, 2015.
Date: 2015
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Paediatric Trauma on the Last Frontier: An 11-Year Review of Injury Mechanisms, High-Risk Injury Patterns and Outcomes in Alaskan Children
Describes the development of a pediatric trauma system in remote, very rural, and urban Alaska from 2001 to 2011 using trauma data for all children 17 years and under. Includes comparative data for the type of injury and frequency, geographic region, high risk patterns, and outcomes.
Author(s): Christopher W. Snyder, Oliver J. Muensterer, Frank Sacco, Shawn D. Safford
Citation: International Journal of Circumpolar Health, 73(1)
Date: 08/2014
Type: Document
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Pediatric Emergency Care Capabilities of Indian Health Service Emergency Medical Service Agencies Serving American Indians/Alaska Natives in Rural and Frontier Areas
Analyzes the Indian Health Service's (IHS) emergency medical services (EMS) agencies providing services for children. Discusses the importance of EMS services for healthcare access and challenges IHS EMS agencies face.
Author(s): Andrea L. Genovesi, Betty Hastings, Elizabeth A. Edgerton, Lenora Olson
Citation: Rural and Remote Health, 14(2), 2688
Date: 05/2014
Type: Document
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The Future of the Frontier Extended Stay Clinic
Describes the Centers for Medicaid and Medicare Services (CMS) Frontier Extended Stay Clinic (FESC) demonstration project. Identifies the successes and challenges, and discusses the financial sustainability of the FESC model. Includes policy recommendations and lessons learned.
Author(s): Susan Wilger, Saskia Van Hecke
Date: 02/2014
Type: Document
Sponsoring organization: National Rural Health Association
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The Role of Community Health Centers in Assessing the Social Determinants of Health for Planning and Policy: The Example of Frontier New Mexico
Discusses the use of the Tool for Health and Resilience in Vulnerable Environments (THRIVE) by a frontier-based community health center in New Mexico for evaluating and addressing social determinants of health.
Author(s): Sean Bruna, Lisa Cacari Stone, Susan Wilger, Jeremy Cantor, Carolina Guzman
Citation: Journal of Ambulatory Care Management, 37(3), 258-268
Date: 2014
Type: Document
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Evaluation of the Medicare Frontier Extended Stay Clinic Demonstration: Report to Congress
Reports on the results of a Medicare Frontier Extended Stay Clinic (FESC) demonstration project that used an enhanced clinic model in frontier areas to address the needs of seriously ill or injured patients who could not be transferred to a hospital or needed monitoring and observation for a limited period of time. Includes an overview of the demonstration and key findings from the project.
Date: 2014
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Characteristics of the Frontier Extended Stay Clinic: A New Facility Model
Describes the characteristics of five pilot Frontier Extended Stay Clinics (FESCs), four of which are located in rural frontier communities in Alaska and the other is located in Washington. Analyzes patient utilization and outcomes, and provides statistics on FESC extended-stay encounters by type and data year.
Author(s): Rosyland Frazier, Sanna Doucette
Citation: International Journal of Circumpolar Health, 72(1)
Date: 08/2013
Type: Document
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The Frontier Extended Stay Clinic Model: A Potential Health Care Delivery Alternative for Small Rural Communities
Describes how the Frontier Extended Stay Clinic model may be appropriate in rural communities other than the five original demonstration sites. Appendix includes data reports for the demonstration states.
Additional links: Appendix
Author(s): A. Clinton MacKinney, Fred Ullrich, Keith J. Mueller
Date: 08/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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The Utility of Rural and Underserved Designations in Geospatial Assessments of Distance Traveled to Healthcare Services: Implications for Public Health Research and Practice
Reviews different definitions and designations of rurality in relation to resident characteristics in a sample of 8 central Texas counties. Discusses the impact that rural definitions can have on research findings and health policy.
Author(s): Matthew Lee Smith, Justin B. Dickerson, Monica L. Wendel, et al.
Citation: Journal of Environmental and Public Health, 2013, 960157
Date: 06/2013
Type: Document
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Effectiveness of a Community Health Worker Cardiovascular Risk Reduction Program in Public Health and Health Care Settings
Evaluates the effectiveness of a Community Health Worker system of care to help decrease coronary heart disease in primarily rural and frontier Colorado counties. Includes data and statistics broken down by age, race, risk factors, and geographic location.
Author(s): Mori J. Krantz, Stephanie M. Coronel, Elizabeth M. Whitley, et al.
Citation: American Journal of Public Health, 103(1), 19-27
Date: 01/2013
Type: Document
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