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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare needs and services

Closing the Gap: How a Community Effort Can Improve Rural Maternity Care
Case study of a Critical Access Hospital (CAH) that increased access to maternal healthcare in rural North Carolina by opening a maternity care center. Discusses recruitment and retention of healthcare professionals and collaboration among healthcare organizations in the community.
Author(s): Jesus Ruiz
Citation: Annals of Family Medicine, 22(1), 68
Date: 01/2024
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Hospital Financing: Volume Limits and Reporting Could Help Manage Risks of Expanding FHA's Mortgage Insurance Program
Describes the Federal Housing Administration's (FHA) Hospital Mortgage Insurance Program, which insures loans for capital improvements at hospitals; loans insured through the program between 2000 and 2022. Explores characteristics of hospitals ineligible for the program that may impact their financing options. Examines the potential effects and risks of extending Hospital Mortgage Insurance Program eligibility to currently ineligible hospital types on program participation risks. Offers recommendations to Congress if it decides to expand program eligibility to hospitals that primarily provide non-acute care services.
Additional links: Full Report
Date: 01/2024
Sponsoring organization: Government Accountability Office
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Billing Requirements for Intensive Outpatient Program Services for Federally Qualified Health Centers & Rural Health Clinics
Provides an overview of Medicare coverage for intensive outpatient program (IOP) services and billing requirements for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs).
Date: 01/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Alzheimer Disease or Other Dementias in Adult Day Services Centers, 2020
Examines the prevalence of Alzheimer disease and other dementias among adult day services center (ADSC) participants using data from the ADSC component of the 2020 National Post-acute and Long-term Care Study (NPALS). Compares the prevalence of these conditions in ADSCs that provide specialized care for dementia with other ADSCs by census region, metropolitan statistical area status, chain affiliation, and ownership type.
Author(s): Priyanka Singh, Jessica P. Lendon, Manisha Sengupta
Date: 01/2024
Sponsoring organization: National Center for Health Statistics
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Place of Care in the Last Three Years of Life for Medicare Beneficiaries
Examines place of care during the last 3 years of life according to days of institutional care (hospital inpatient or skilled nursing facility), skilled home care (home healthcare or hospice), or personal home. Analyzes sociodemographic factors of 199,828 Medicare beneficiaries, with data broken down by median days in care, age at death, sex, race/ethnicity, insurance type, health conditions, and metro versus nonmetro neighborhood.
Author(s): Haiqun Lin, Irina B. Grafova, Anum Zafar, et al.
Citation: BMC Geriatrics, 24, 91
Date: 01/2024
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Rural-Urban Disparities in Colorectal Cancer Screening, Diagnosis, Treatment, and Survivorship Care: A Systematic Review and Meta-Analysis
Systematic review of 39 studies on rural-urban colorectal cancer (CRC) disparities. Summarizes study results related to CRC screening, stage at diagnosis, treatment, and survivorship care. Discusses barriers to access, identifies trends, and evaluates study characteristics.
Author(s): Aryana Sepassi, Meng Li, Jason Zell, Alexandre Chan, Ila M Saunders, Dana B Mukamel
Citation: The Oncologist, 29(4), e431-e446
Date: 01/2024
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Investing in North Carolina's Caregiving Workforce: Recommendations to Strengthen North Carolina's Nursing, Direct Care, and Behavioral Health Workforce
Reports on North Carolina's caregiving workforce, with focus areas in nursing, behavioral health, and direct care. Provides context, describes existing solutions, and makes recommendations for addressing challenges and shortages in each focus area. Highlights state health investment, and lists current caregiving workforce initiatives. Mentions rural communities throughout.
Date: 01/2024
Sponsoring organization: North Carolina Department of Health and Human Services
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Overdose Prevention Policy Considerations: A Policy Playbook for State and Territorial Health Officials and Agencies
Provides an overview of policy considerations related to overdose prevention, with a focus on health equity and stigma reduction, community distribution, drug checking equipment, syringe service programs, and substance use support peer programs. Includes case examples, strategies for overdose prevention interventions, and considerations for rural and frontier areas.
Author(s): Victoria Pless, Kaela Hurd, Kayley Humm, Arieana Love
Date: 01/2024
Sponsoring organization: Association of State and Territorial Health Officials
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2022 National Survey on Drug Use and Health: Among the American Indian or Alaska Native (AIAN) Population Aged 12 or Older
Highlights data from the 2022 National Survey on Drug Use and Health pertaining specifically to American Indians and Alaska Natives (AI/AN) over the age of 12. Compares AI/AN rates of drug use and mental illness, as well as co-occurring disorders, to rates for the U.S. as a whole.
Date: 01/2024
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Trends in Emergency Department Visits Among People Younger Than Age 65 by Insurance Status: United States, 2010–2021
Provides data on people younger than 65 who visited emergency rooms from 2010-2021 by insurance status, with further data breakdowns by age, sex, and metro versus nonmetro statistical area.
Author(s): Loredana Santo, Susan M. Schappert, Jill J. Ashman
Date: 01/2024
Sponsoring organization: National Center for Health Statistics
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