Rural Health
Resources by Topic: Healthcare facilities
COVID-19: HHS Agencies' Planned Reviews of Vaccine Distribution and Communication Efforts Should Include Stakeholder Perspectives
Discusses the perspectives of state and local health officials in four states and 12 national stakeholder organizations regarding federal COVID-19 vaccine distribution and education programs. Examines how the Centers for Disease Control and Prevention (CDC) and the Health Services and Research Administration (HRSA) plan to evaluate vaccine implementation efforts. Offers recommendations for CDC and HRSA to obtain input from and share lessons learned with key stakeholders. Includes information on the Rural Health Clinic COVID-19 Program and the Health Center COVID-19 Vaccine Program.
Additional links: Full Report
Date: 11/2021
Sponsoring organization: Government Accountability Office
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Discusses the perspectives of state and local health officials in four states and 12 national stakeholder organizations regarding federal COVID-19 vaccine distribution and education programs. Examines how the Centers for Disease Control and Prevention (CDC) and the Health Services and Research Administration (HRSA) plan to evaluate vaccine implementation efforts. Offers recommendations for CDC and HRSA to obtain input from and share lessons learned with key stakeholders. Includes information on the Rural Health Clinic COVID-19 Program and the Health Center COVID-19 Vaccine Program.
Additional links: Full Report
Date: 11/2021
Sponsoring organization: Government Accountability Office
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It Takes a Village: Rural Recruitment and Retention
Provides an overview of the challenges of recruiting and retaining healthcare professionals in rural areas. Features healthcare facilities in North Dakota and Kansas, describing how they work with their communities to attract healthcare providers.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2021
Sponsoring organization: Rural Health Information Hub
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Provides an overview of the challenges of recruiting and retaining healthcare professionals in rural areas. Features healthcare facilities in North Dakota and Kansas, describing how they work with their communities to attract healthcare providers.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2021
Sponsoring organization: Rural Health Information Hub
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How Critical Access Hospitals Are Addressing the Social Needs of Rural Populations
Describes Critical Access Hospital (CAH) initiatives that address the social needs of their communities. Summarizes interviews with 14 CAHs and identifies key facilitators and barriers to program success, as well as advice for other CAHs interested in implementing similar programs.
Author(s): Megan Lahr, Tongtan Chantarat, Mariah Quick, Madeleine Pick, Ira Moscovice
Date: 11/2021
Sponsoring organization: Flex Monitoring Team
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Describes Critical Access Hospital (CAH) initiatives that address the social needs of their communities. Summarizes interviews with 14 CAHs and identifies key facilitators and barriers to program success, as well as advice for other CAHs interested in implementing similar programs.
Author(s): Megan Lahr, Tongtan Chantarat, Mariah Quick, Madeleine Pick, Ira Moscovice
Date: 11/2021
Sponsoring organization: Flex Monitoring Team
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Access to Outpatient Services in Rural Communities Changes after Hospital Closure
Examines trends of Federally Qualified Health Center (FQHC) and Rural Health Quality (RHC) availability in rural areas before and after hospital closures. Explores the associations between poverty rates and access to FQHCs and RHCs following hospital closure.
Author(s): Katherine E.M. Miller, Kyle L. Miller, Kathleen Knocke, et al.
Citation: Health Services Research, 56(5), 788-801
Date: 10/2021
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Examines trends of Federally Qualified Health Center (FQHC) and Rural Health Quality (RHC) availability in rural areas before and after hospital closures. Explores the associations between poverty rates and access to FQHCs and RHCs following hospital closure.
Author(s): Katherine E.M. Miller, Kyle L. Miller, Kathleen Knocke, et al.
Citation: Health Services Research, 56(5), 788-801
Date: 10/2021
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National Advisory Committee on Rural Health and Human Services Meeting Summary, Washington, D.C., October 25-27, 2021
Summarizes the 89th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held virtually. Presents an overview of national and Arizona perspectives on the meeting's two areas of focus: behavioral health and primary care integration in rural America and the Rural Emergency Hospital designation.
Date: 10/2021
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Summarizes the 89th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held virtually. Presents an overview of national and Arizona perspectives on the meeting's two areas of focus: behavioral health and primary care integration in rural America and the Rural Emergency Hospital designation.
Date: 10/2021
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Rural Emergency Hospital: Policy Brief and Recommendations to the Secretary
Describes the development of the Rural Emergency Hospital (REH) designation in response to rural hospital closures and issues accessing emergency care. Lists statutory requirements for hospitals wishing to become an REH, and offers policy recommendations related to participation conditions, quality reporting, reimbursement, and emergency medical transfer agreement.
Date: 10/2021
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Describes the development of the Rural Emergency Hospital (REH) designation in response to rural hospital closures and issues accessing emergency care. Lists statutory requirements for hospitals wishing to become an REH, and offers policy recommendations related to participation conditions, quality reporting, reimbursement, and emergency medical transfer agreement.
Date: 10/2021
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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ICU Mortality in Patients With Coronavirus Disease 2019 Infection: Highlighting Healthcare Disparities in Rural Appalachia
Study examining 30-day COVID-19 mortality among ICU patients with acute respiratory distress syndrome transferred from rural Appalachian hospitals to West Virginia University Hospital in Morgantown, West Virginia between September 30, 2020 and December 1, 2020. Examines baseline patient demographics, comorbidities, and clinical outcomes, comparing patients transferred from Critical Access Hospitals and other rural facilities to non-COVID-19 ICU patients with acute respiratory distress syndrome.
Author(s): Sunil Sharma, Varun Badami, Edward Rojas, et al.
Citation: Critical Care Explorations, 3(10), e547
Date: 10/2021
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Study examining 30-day COVID-19 mortality among ICU patients with acute respiratory distress syndrome transferred from rural Appalachian hospitals to West Virginia University Hospital in Morgantown, West Virginia between September 30, 2020 and December 1, 2020. Examines baseline patient demographics, comorbidities, and clinical outcomes, comparing patients transferred from Critical Access Hospitals and other rural facilities to non-COVID-19 ICU patients with acute respiratory distress syndrome.
Author(s): Sunil Sharma, Varun Badami, Edward Rojas, et al.
Citation: Critical Care Explorations, 3(10), e547
Date: 10/2021
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The Use of Community Health Workers in Community Health Centers
Examines changes in the community health workers (CHWs) workforce among community health centers (CHCs) from 2016-2018 and factors associated with the use of CHWs. Features statistics on characteristics of CHCs in the study and factors associated with use of CHWs in CHCs, with breakdowns by rural location.
Author(s): Jeongyoung Park, Marsha Regenstein, Nicholas Chong, Chinelo L. Onyilofor
Citation: Medical Care, 59(10), S457-S462
Date: 10/2021
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Examines changes in the community health workers (CHWs) workforce among community health centers (CHCs) from 2016-2018 and factors associated with the use of CHWs. Features statistics on characteristics of CHCs in the study and factors associated with use of CHWs in CHCs, with breakdowns by rural location.
Author(s): Jeongyoung Park, Marsha Regenstein, Nicholas Chong, Chinelo L. Onyilofor
Citation: Medical Care, 59(10), S457-S462
Date: 10/2021
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Mapping the Location of Health Centers in Relation to "Maternity Care Deserts": Associations With Utilization of Women's Health Providers and Services
Explores the association between community health centers' (CHC) distance to a maternity care desert (MCD) and use of maternity-related healthcare services. Discusses the effects of rural hospital closures and provider shortages on patients' access to maternity care. Includes a county-level MCD map and county-level and CHC-level statistics related to MCDs.
Author(s): Anne R. Markus, Drishti Pillai
Citation: Medical Care, 59(10), S434-S440
Date: 10/2021
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Explores the association between community health centers' (CHC) distance to a maternity care desert (MCD) and use of maternity-related healthcare services. Discusses the effects of rural hospital closures and provider shortages on patients' access to maternity care. Includes a county-level MCD map and county-level and CHC-level statistics related to MCDs.
Author(s): Anne R. Markus, Drishti Pillai
Citation: Medical Care, 59(10), S434-S440
Date: 10/2021
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The Effect of National Health Service Corps Clinician Staffing on Medical and Behavioral Health Care Costs in Community Health Centers
Examines the contribution of National Health Service Corps (NHSC) and non-NHSC clinicians to medical and behavioral health costs per visit, using 2013-2017 data from 1,022 Federally Qualified Health Centers merged with the NHSC participant data. Features statistics on average costs per visit for medical or behavioral healthcare, with breakdowns including rural facility location.
Author(s): Xinxin Han, Patricia Pittman, Leighton Ku
Citation: Medical Care, 59(10), S428-S433
Date: 10/2021
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Examines the contribution of National Health Service Corps (NHSC) and non-NHSC clinicians to medical and behavioral health costs per visit, using 2013-2017 data from 1,022 Federally Qualified Health Centers merged with the NHSC participant data. Features statistics on average costs per visit for medical or behavioral healthcare, with breakdowns including rural facility location.
Author(s): Xinxin Han, Patricia Pittman, Leighton Ku
Citation: Medical Care, 59(10), S428-S433
Date: 10/2021
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