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Rural Health
Resources by Topic: Healthcare business and finance

A Cost Analysis of a Community Health Worker Program in Rural Vermont
Examines the cost and effectiveness of a hospital affiliated community health program staffed by 3 community health workers in rural Vermont. Cost data was compiled from 2 categories that included the personnel involved and operational costs from 2010 to 2011.
Author(s): Alberta M. Mirambeau, Guijing Wang, Laural Ruggles, Diane O. Dunet
Citation: Journal of Community Health, 38(6), 1050–1057
Date: 12/2013
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Promising Approaches to Integrating Community Health Workers into Health Systems: Four Case Studies
Identifies the scope of practice, supervision, financing, and the workforce standards implemented by states and employers in the development of community health worker (CHW) programs. Four case studies that include rural counties illustrate the challenges and opportunities for integrating CHWs into health systems.
Author(s): Lauren Eyster, Randall R. Bovbjerg
Date: 12/2013
Sponsoring organization: Urban Institute
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Summary Health Statistics for the U.S. Population: National Health Interview Survey, 2012
Summarizes data from a national survey on topics that include health status, health insurance coverage, injury, healthcare access and utilization, and limitations in activities. Includes some data by place of residence for large metropolitan statistical areas (MSAs), small MSAs, and nonmetro (not in an MSA) areas.
Date: 12/2013
Sponsoring organization: National Center for Health Statistics
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Indian Health Service: Opportunities May Exist to Improve the Contract Health Services Program
Examines the challenges involved with timely payments from the Indian Health Service's (IHS) Contract Health Services Program for the care of American Indians and Alaska Natives. Covers IHS's performance measures and other factors that impact the length of time between the provision of healthcare services and IHS Contract Health Services Program reimbursements to providers.
Additional links: Full Report
Date: 12/2013
Sponsoring organization: Government Accountability Office
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Implications for Beneficiary Travel Time if Financially-Vulnerable Critical Access Hospitals Close
Examines potential increases in beneficiary travel times and distances if financially-vulnerable Critical Access Hospitals (CAHs) close. Analysis is based on a review of 93 CAHs identified as financially-vulnerable and likely to close if reimbursement methods or eligibility requirements change.
Author(s): Victoria A. Freeman, Randy K. Randolph, George Pink, Mark Holmes
Date: 12/2013
Sponsoring organization: North Carolina Rural Health Research Program
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Helping Primary Care Practices Attain Patient-Centered Medical Home (PCMH) Recognition Through Collaboration With a University
Evaluates a model supporting rural primary care practices during their development to achieve recognition as a National Center for Quality Assurance patient-centered medical home (PCMH). This model was a collaboration between Community Care of North Carolina and Appalachian State University's College of Health Sciences where undergraduate healthcare management and preprofessional students were guided by the PCMH team to work directly with the practices.
Author(s): Sandi J. Lane, R.W. "Chip" Watkins
Citation: Journal of the American Board of Family Medicine, 26(6), 784-786
Date: 11/2013
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CDC Health Disparities and Inequalities Report - United States, 2013
Addresses the differences in mortality and disease risk factors related to behaviors, access to healthcare, and social determinants of health in both rural and urban settings.
Citation: MMWR (Morbidity and Mortality Weekly Report), 62(3)
Date: 11/2013
Sponsoring organization: Centers for Disease Control and Prevention
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Geography and the Medicaid Mental Health Care Infrastructure: Implications for Health Care Reform
Examines the availability of outpatient mental health facilities that accept Medicaid across U.S. counties and whether specific population groups such as minorities, people living in poverty, and rural residents may be less likely to access these facilities.
Author(s): Janet R. Cummings, Hefei Wen, Michelle Ko, Benjamin G. Druss
Citation: JAMA Psychiatry, 70(10), 1084-1090
Date: 10/2013
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Trends in Rural Health Clinics and Needs During U.S. Health Care Reform
Describes the changes that have occurred in Rural Health Clinics (RHCs) and the characteristics that have remained the same from the late 1990s to 2007. Identifies some of the needs of RHCs as they transition through healthcare reform.
Author(s): Judith Ortiz, Natthani Meemon, Yue Zhou, Thomas T.H. Wan
Citation: Primary Health Care Research & Development, 14(4), 360-366
Date: 10/2013
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Impact of Rural Residence on Forgoing Healthcare after Cancer Because of Cost
Discusses the rural-urban disparities when rural patients who are cancer survivors forgo healthcare because of the cost.
Author(s): Nynikka R.A. Palmer, Ann M. Geiger, Lingyi Lu, L. Douglas Case, Kathryn E. Weaver
Citation: Cancer Epidemiology, Biomarkers & Prevention, 22(10), 1668-1676
Date: 10/2013
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