Rural Health
Resources by Topic: Health workforce
Health Care Workforce: Views on Expanding Medicare Graduate Medical Education Funding to Nurse Practitioners and Physician Assistants
Describes the Department of Health and Human Services' (HHS) Medicare Graduate Medical Education (GME) program. Provides an overview of current federal funding for physician, nurse practitioner (NP), and physician assistant (PA) training. Explores the potential benefits and challenges of expanding the Medicare GME program to include funding for graduate NP and PA training.
Additional links: Full Report
Date: 12/2019
Sponsoring organization: Government Accountability Office
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Describes the Department of Health and Human Services' (HHS) Medicare Graduate Medical Education (GME) program. Provides an overview of current federal funding for physician, nurse practitioner (NP), and physician assistant (PA) training. Explores the potential benefits and challenges of expanding the Medicare GME program to include funding for graduate NP and PA training.
Additional links: Full Report
Date: 12/2019
Sponsoring organization: Government Accountability Office
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Professional and Cultural Development of Medical Students Mentoring Adolescents in a Predominately Native Hawaiian Community
Describes the development and design of the the Nānākuli Pathways to Health (NPH) program, a mentoring and health career curriculum, to determine its impact on students' professional development while serving in a rural, underserved Native Hawaiian community.
Author(s): Malia S. Lee, Sachi K. Kaulukukui, Mai S. Smith, Jerrick J.K. Laimana, Kelli-Ann N.F. Voloch
Citation: Hawai'i Journal of Medicine and Public Health, 78(12 Suppl 3), 35-40
Date: 12/2019
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Describes the development and design of the the Nānākuli Pathways to Health (NPH) program, a mentoring and health career curriculum, to determine its impact on students' professional development while serving in a rural, underserved Native Hawaiian community.
Author(s): Malia S. Lee, Sachi K. Kaulukukui, Mai S. Smith, Jerrick J.K. Laimana, Kelli-Ann N.F. Voloch
Citation: Hawai'i Journal of Medicine and Public Health, 78(12 Suppl 3), 35-40
Date: 12/2019
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Making Community Health Workers (CHWs) Fundamental: New Research Strengthens the Case for State Policymakers to Include CHWs in Care Delivery Teams
Summarizes key findings from previous Patient-Centered Outcomes Research Institute (PCORI) funded studies in 9 states on Community Health Workers (CHWs) interventions and their effect on diverse ethnic, racial, socioeconomic and geographic backgrounds, including rural. Offers evidence-based recommendations to help state policymakers integrate CHWs into healthcare delivery teams to improve health outcomes and reduce the cost of healthcare for individuals and populations.
Author(s): Denisse Sanchez, Sinsi Hernández-Cancio, Eliot Fishman
Date: 12/2019
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Summarizes key findings from previous Patient-Centered Outcomes Research Institute (PCORI) funded studies in 9 states on Community Health Workers (CHWs) interventions and their effect on diverse ethnic, racial, socioeconomic and geographic backgrounds, including rural. Offers evidence-based recommendations to help state policymakers integrate CHWs into healthcare delivery teams to improve health outcomes and reduce the cost of healthcare for individuals and populations.
Author(s): Denisse Sanchez, Sinsi Hernández-Cancio, Eliot Fishman
Date: 12/2019
Sponsoring organization: Patient-Centered Outcomes Research Institute
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State Incentive Programs that Encourage Allied Health Professionals to Provide Care for Rural and Underserved Populations
Policy brief investigating allied health incentive programs at the state level by examining their goals, policies, practices, and available data on their achievement in recruiting and retaining allied health professionals to rural and underserved areas. Nearly 70 programs were surveyed and documented that provided financial support or training opportunities for 39 different types of allied health professionals and students in return for a service commitment.
Author(s): Malaika R. Schwartz, Davis G. Patterson, Rachelle L. McCarty
Date: 12/2019
Sponsoring organization: UW Center for Health Workforce Studies
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Policy brief investigating allied health incentive programs at the state level by examining their goals, policies, practices, and available data on their achievement in recruiting and retaining allied health professionals to rural and underserved areas. Nearly 70 programs were surveyed and documented that provided financial support or training opportunities for 39 different types of allied health professionals and students in return for a service commitment.
Author(s): Malaika R. Schwartz, Davis G. Patterson, Rachelle L. McCarty
Date: 12/2019
Sponsoring organization: UW Center for Health Workforce Studies
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CDFIs 'Make Dreams Come True' by Creating Opportunity in Rural Spaces
Describes the role that Community Development Financial Institutions (CDFIs) can play in helping rural areas gain access to flexible financing options to support rural health projects. Highlights how the Claude Worthington Benedum Foundation and Healthcare Georgia Foundation work with CDFIs to help address rural health concerns. Also features a CDFI recipient of Uplift America, the South Carolina Community Loan Fund, that has helped support a health professions high school.
Author(s): Jenn Lukens
Date: 12/2019
Sponsoring organization: Rural Health Information Hub
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Describes the role that Community Development Financial Institutions (CDFIs) can play in helping rural areas gain access to flexible financing options to support rural health projects. Highlights how the Claude Worthington Benedum Foundation and Healthcare Georgia Foundation work with CDFIs to help address rural health concerns. Also features a CDFI recipient of Uplift America, the South Carolina Community Loan Fund, that has helped support a health professions high school.
Author(s): Jenn Lukens
Date: 12/2019
Sponsoring organization: Rural Health Information Hub
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A Model for Assessing Necessary Conditions for Rural Health Care's Mobile Health Readiness: Qualitative Assessment of Clinician-Perceived Barriers
Explores organizational readiness to adopt mobile health (mHealth) technologies such as Fitbit, My Fitness Pal, and Apple iWatch, among others. Reports on interviews with 13 clinicians from different specialty areas and their perceived barriers to adopt mHealth technologies, including unfamiliarity, clinician time, and electronic medical record and data keeping. Identifies a gap between patient usage versus healthcare organization usage of mHealth and presents a needs assessment model to successfully implement mHealth in unique ways to improve rural healthcare delivery.
Author(s): Bryan Weichelt, Casper Bendixsen, Timothy Patrick
Citation: JMIR MHealth UHealth, 7(11)
Date: 11/2019
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Explores organizational readiness to adopt mobile health (mHealth) technologies such as Fitbit, My Fitness Pal, and Apple iWatch, among others. Reports on interviews with 13 clinicians from different specialty areas and their perceived barriers to adopt mHealth technologies, including unfamiliarity, clinician time, and electronic medical record and data keeping. Identifies a gap between patient usage versus healthcare organization usage of mHealth and presents a needs assessment model to successfully implement mHealth in unique ways to improve rural healthcare delivery.
Author(s): Bryan Weichelt, Casper Bendixsen, Timothy Patrick
Citation: JMIR MHealth UHealth, 7(11)
Date: 11/2019
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Oral Health Status of Low-Income Children in Pennsylvania: A Rural-Urban Comparison
Describes research examining the oral health component of the Medical Assistance (MA) program for Pennsylvania children, additional oral health programs and services, the supply and distribution of Pennsylvania dentists, and the overall oral healthcare delivery system for low-income children in rural Pennsylvania. Features statistics including the number of general dentists and specialists who were active MA providers as of 2017, with breakdowns by urban or rural location, and a county-level map showing low-income Dental Health Professional Shortage Areas by rural status as of 2018.
Additional links: Executive Summary
Author(s): Lisa Davis, Kelly Braun, Myron R. Schwartz
Date: 11/2019
Sponsoring organization: Center for Rural Pennsylvania
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Describes research examining the oral health component of the Medical Assistance (MA) program for Pennsylvania children, additional oral health programs and services, the supply and distribution of Pennsylvania dentists, and the overall oral healthcare delivery system for low-income children in rural Pennsylvania. Features statistics including the number of general dentists and specialists who were active MA providers as of 2017, with breakdowns by urban or rural location, and a county-level map showing low-income Dental Health Professional Shortage Areas by rural status as of 2018.
Additional links: Executive Summary
Author(s): Lisa Davis, Kelly Braun, Myron R. Schwartz
Date: 11/2019
Sponsoring organization: Center for Rural Pennsylvania
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Intergovernmental Advisory Committee to the Federal Communications Commission Advisory Recommendation No: 2019-2 in the Matter of State, Local Tribal, and Territorial Regulatory and Other Barriers and Incentives to Telemedicine
Examines the technical infrastructure necessary for effective telemedicine delivery in state, territorial, tribal, and local (rural and urban) areas. Discusses the regulatory barriers including legislation, licensing, reimbursement, malpractice insurance, and privacy that obstruct its development and utilization, and offers recommendations addressing these barriers. Appendix A presents case studies of broadband and telehealth development in several states and territories.
Date: 11/2019
Sponsoring organizations: Federal Communications Commission, Intergovernmental Advisory Committee to the Federal Communications Commission
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Examines the technical infrastructure necessary for effective telemedicine delivery in state, territorial, tribal, and local (rural and urban) areas. Discusses the regulatory barriers including legislation, licensing, reimbursement, malpractice insurance, and privacy that obstruct its development and utilization, and offers recommendations addressing these barriers. Appendix A presents case studies of broadband and telehealth development in several states and territories.
Date: 11/2019
Sponsoring organizations: Federal Communications Commission, Intergovernmental Advisory Committee to the Federal Communications Commission
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Beyond the Numbers: Access to Reproductive Health Care for Low-Income Women in Five Communities
Highlights the key findings, major themes, and the extent of the challenges faced by low-income women in accessing reproductive and sexual healthcare in urban and rural areas. Identifies promising practices developed by providers to address barriers to care and improve access to healthcare.
Author(s): Usha Ranji, Michelle Long, Alina Salganicoff, et al.
Date: 11/2019
Sponsoring organizations: Health Management Associates, KFF
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Highlights the key findings, major themes, and the extent of the challenges faced by low-income women in accessing reproductive and sexual healthcare in urban and rural areas. Identifies promising practices developed by providers to address barriers to care and improve access to healthcare.
Author(s): Usha Ranji, Michelle Long, Alina Salganicoff, et al.
Date: 11/2019
Sponsoring organizations: Health Management Associates, KFF
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More Than a Smile: An Examination of Rural Dental Health Care in Nebraska
Explores the link between oral and total health, and identifies primary barriers to dental healthcare in rural Nebraska and efforts to increase access. Includes county-level maps of Nebraska and the United States, showing Dental Health Professional Shortages Areas as of 2019.
Author(s): Lauren Taylor, Jordan Rasmussen
Date: 11/2019
Sponsoring organization: Center for Rural Affairs
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Explores the link between oral and total health, and identifies primary barriers to dental healthcare in rural Nebraska and efforts to increase access. Includes county-level maps of Nebraska and the United States, showing Dental Health Professional Shortages Areas as of 2019.
Author(s): Lauren Taylor, Jordan Rasmussen
Date: 11/2019
Sponsoring organization: Center for Rural Affairs
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