Rural Health
Resources by Topic: Healthcare needs and services
Factors Associated with COVID-19 Vaccine Hesitancy in South Central Appalachia
Analyzes factors associated with COVID-19 vaccine hesitancy from a survey of 181 Appalachian adults from February to June of 2021. Provides data on correlations between vaccine hesitancy and vaccine-related beliefs, attitudes toward COVID risk, adherence to prevention measures, and demographics. Highlights participants' geography and discusses disparities in rural Appalachia.
Author(s): Florence M. Weierbach, Rebecca Adkins Fletcher, Ingrid E. Luffman, et al.
Citation: Journal of Appalachian Health, 5(3), 71-84
Date: 12/2023
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Analyzes factors associated with COVID-19 vaccine hesitancy from a survey of 181 Appalachian adults from February to June of 2021. Provides data on correlations between vaccine hesitancy and vaccine-related beliefs, attitudes toward COVID risk, adherence to prevention measures, and demographics. Highlights participants' geography and discusses disparities in rural Appalachia.
Author(s): Florence M. Weierbach, Rebecca Adkins Fletcher, Ingrid E. Luffman, et al.
Citation: Journal of Appalachian Health, 5(3), 71-84
Date: 12/2023
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Rural America's OB Deserts Widen in Fallout From Pandemic
Explores the loss of obstetrics services in rural communities since 2011. Presents data on the number and percentage of rural hospitals that discontinued obstetrics services between 2011 and 2021. Discusses the impact of the loss of these services on maternal and infant health.
Date: 12/2023
Sponsoring organization: Chartis Center for Rural Health
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Explores the loss of obstetrics services in rural communities since 2011. Presents data on the number and percentage of rural hospitals that discontinued obstetrics services between 2011 and 2021. Discusses the impact of the loss of these services on maternal and infant health.
Date: 12/2023
Sponsoring organization: Chartis Center for Rural Health
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Bridging a Care Gap: Policy Opportunities for Improving Access to Home-Based Primary Care
Recording of a panel discussion on home-based primary care for rural older adults and policies that could address challenges with offering and accessing home-based primary care. Discusses telehealth, broadband, community infrastructure, service models, community health workers, and more. Transcript available in the video description.
Date: 12/2023
Sponsoring organization: Duke Margolis Institute for Health Policy
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Recording of a panel discussion on home-based primary care for rural older adults and policies that could address challenges with offering and accessing home-based primary care. Discusses telehealth, broadband, community infrastructure, service models, community health workers, and more. Transcript available in the video description.
Date: 12/2023
Sponsoring organization: Duke Margolis Institute for Health Policy
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Rural Long-Term Care Services and Supports
Policy position paper regarding challenges related to providing high-quality long-term care for older adults in rural areas. Describes how workforce shortages, long-term care financing, and administrative burden impact rural providers. Outlines policy recommendations for policy reforms to address these challenges and improve access to quality long-term care services.
Author(s): Shakeerah McCoy, Jeff Dunbar, Lex Pierre
Date: 12/2023
Sponsoring organization: National Rural Health Association
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Policy position paper regarding challenges related to providing high-quality long-term care for older adults in rural areas. Describes how workforce shortages, long-term care financing, and administrative burden impact rural providers. Outlines policy recommendations for policy reforms to address these challenges and improve access to quality long-term care services.
Author(s): Shakeerah McCoy, Jeff Dunbar, Lex Pierre
Date: 12/2023
Sponsoring organization: National Rural Health Association
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Pediatric Vaccination Rates in Rural America
Policy position paper regarding declining vaccination rates of children in rural communities. Compares rural and urban childhood vaccination rates and the potential for increasing health disparities. Describes a "5As of vaccine access" policy framework to evaluate current and future immunization policies and proposals. Offers recommended actions for federal, state, and local governments and organizations to improve rural vaccine uptake.
Author(s): Cynthia Calixte, Nitika Moibi, Andrea Stephenson Royster
Date: 12/2023
Sponsoring organization: National Rural Health Association
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Policy position paper regarding declining vaccination rates of children in rural communities. Compares rural and urban childhood vaccination rates and the potential for increasing health disparities. Describes a "5As of vaccine access" policy framework to evaluate current and future immunization policies and proposals. Offers recommended actions for federal, state, and local governments and organizations to improve rural vaccine uptake.
Author(s): Cynthia Calixte, Nitika Moibi, Andrea Stephenson Royster
Date: 12/2023
Sponsoring organization: National Rural Health Association
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Policy Solutions Addressing Psychiatric Boarding of Rural Youth
Policy position paper regarding psychiatric boarding - holding patients in an emergency department after the decision to admit or transfer has been made, but no beds are available - of rural children and adolescents. Describes recent trends in pediatric psychiatric boarding in rural areas. Offers policy recommendations to reduce boarding times and improve mental health outcomes in rural communities.
Author(s): Amah Riley, Jonathan Updike, Lauren Wood
Date: 12/2023
Sponsoring organization: National Rural Health Association
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Policy position paper regarding psychiatric boarding - holding patients in an emergency department after the decision to admit or transfer has been made, but no beds are available - of rural children and adolescents. Describes recent trends in pediatric psychiatric boarding in rural areas. Offers policy recommendations to reduce boarding times and improve mental health outcomes in rural communities.
Author(s): Amah Riley, Jonathan Updike, Lauren Wood
Date: 12/2023
Sponsoring organization: National Rural Health Association
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Nebraska Rural Health Advisory Commission's Annual Report, 2023
Provides information on the history of the Nebraska Rural Health Advisory Commission and includes an analysis of rural financial incentive programs for healthcare providers. Features county-level maps showing financial impact of Nebraska loan repayment program participants working in primary care, and currently obligated and all-time loan repayment and student loan program healthcare providers, with breakdowns by county and profession.
Date: 12/2023
Sponsoring organization: Nebraska Rural Health Advisory Commission
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Provides information on the history of the Nebraska Rural Health Advisory Commission and includes an analysis of rural financial incentive programs for healthcare providers. Features county-level maps showing financial impact of Nebraska loan repayment program participants working in primary care, and currently obligated and all-time loan repayment and student loan program healthcare providers, with breakdowns by county and profession.
Date: 12/2023
Sponsoring organization: Nebraska Rural Health Advisory Commission
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Improving the Maternity Care Safety Net: Establishing Maternal Mortality Surveillance for Non-Obstetric Providers and Institutions
Examines a quality improvement plan implemented by the Veterans Health Administration (VA) that utilizes system-level surveillance to monitor non-obstetric care for pregnant veterans. Examines maternal mortality of veterans using VA maternity care benefits, with 2011-2020 data broken down by age, race/ethnicity, and rural versus urban location.
Author(s): Joan L. Combellick, Bridget Basile Ibrahim, Aryan Esmaeili, et al.
Citation: International Journal of Environmental Research and Public Health, 21(1), 37
Date: 12/2023
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Examines a quality improvement plan implemented by the Veterans Health Administration (VA) that utilizes system-level surveillance to monitor non-obstetric care for pregnant veterans. Examines maternal mortality of veterans using VA maternity care benefits, with 2011-2020 data broken down by age, race/ethnicity, and rural versus urban location.
Author(s): Joan L. Combellick, Bridget Basile Ibrahim, Aryan Esmaeili, et al.
Citation: International Journal of Environmental Research and Public Health, 21(1), 37
Date: 12/2023
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December 2023 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2023 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, hospice services, outpatient dialysis services, ambulatory surgical center services, skilled nursing facilities, skilled nursing facility services, home health services, and inpatient rehabilitation facility services. Includes rural references throughout.
Date: 12/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2023 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, hospice services, outpatient dialysis services, ambulatory surgical center services, skilled nursing facilities, skilled nursing facility services, home health services, and inpatient rehabilitation facility services. Includes rural references throughout.
Date: 12/2023
Sponsoring organization: Medicare Payment Advisory Commission
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2023 Technical Expert Panel Meetings: Expanded Home Health Value-Based Purchasing Model Summary Report
Provides an overview of the Home Health Value-Based Purchasing (HHVBP) Model and the Expanded HHVBP Model. Summarizes discussions and feedback from the Expanded HHVBP Technical Expert Panel in 2023, including health equity approaches, performance measures, measure weights, and performance reporting. Includes rural references and considerations throughout.
Date: 12/2023
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Provides an overview of the Home Health Value-Based Purchasing (HHVBP) Model and the Expanded HHVBP Model. Summarizes discussions and feedback from the Expanded HHVBP Technical Expert Panel in 2023, including health equity approaches, performance measures, measure weights, and performance reporting. Includes rural references and considerations throughout.
Date: 12/2023
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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