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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare needs and services

A Multi-Year Look at Maternal Mortality in Missouri 2018-2020 Pregnancy-Associated Mortality Review
Provides an overview of maternal mortality in Missouri, with a focus on maternal health, demographic disparities, context surrounding maternal mortality, and prevention strategies. Includes county-level map as well as rural versus urban comparisons of mortality rates.
Date: 07/2023
Sponsoring organization: Missouri Department of Health and Senior Services
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Health Panel Comment Letter – HHS Smoking Cessation Framework 2023
Offers comments in response to the U.S. Department of Health and Human Services (HHS) Request for Information on the draft HHS 2023 Framework to Support and Accelerate Smoking Cessation. Discusses tobacco use in rural areas, incorporating payment strategies to incentivize clinical providers and health plans to address tobacco cessation, the importance of culturally competent interventions, and more.
Date: 07/2023
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Tackling the Maternal and Infant Health Crisis: A Governor's Playbook
Provides an overview of maternal morbidity and mortality trends, including racial and geographic disparities, as well as the underlying causes of poor maternal health in the United States. Outlines 32 recommendations across five priority areas that can be implemented in coordination with critical stakeholders, such as industry and community leaders, community-based organizations, faith-based organizations, and people with lived experience. Priority 3 covers recommendations related to disparities affecting Black and American Indian/Alaska Native individuals. Includes rural references throughout.
Date: 07/2023
Sponsoring organizations: Afton Bloom, Boldly Go Philanthropy, National Governors Association
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Urban-Rural Differences in Mental Health Concerns: Findings from a Survey of the American General Population
Provides metro versus nonmetro population comparisons related to mental health perceptions, concerns, knowledge, and awareness, utilizing 2022 National Alliance on Mental Illness survey data.
Author(s): Adee Athiyaman
Date: 07/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Rural Health Policy Landscape: Implications for Addressing Behavioral Health
Presentation slides from a July 22, 2023, presentation at the 48th Annual Rural Social Work Conference. Provides an overview of the federal, state, and commercial insurance policy landscapes regarding healthcare value and payment. Offers policy recommendations related to rural behavioral health.
Author(s): Keith J. Mueller
Date: 07/2023
Sponsoring organization: Rural Policy Research Institute
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Availability of Cancer Care Services and the Organization of Care Delivery at Critical Access Hospitals
Examines the availability and organization of cancer care services at Critical Access Hospitals (CAHs). Summarizes results of a survey of nursing and patient care leaders at 135 CAHs. Describes cancer treatment, diagnostic, and screening services provided at CAHs and the staff used to deliver patient care. Identifies four levels of CAH cancer care services.
Author(s): Ira Moscovice, Helen Parsons, Nathan Bean, et al.
Citation: Cancer Medicine, 2023
Date: 07/2023
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Emergency Medical Services Outcome Measurement Strategies for State Flex Programs
Presents a framework regarding emergency medical services (EMS) outcome measurement for State Flex Programs (SFPs). Outlines a series of sequential steps, including identifying the needs to be addressed, educational programming, developing shared learning collaboratives/cohorts to support performance improvement, and implementing interventions. Offers practical examples of EMS performance improvement activities with short, intermediate, and long-term outcomes.
Author(s): John Gale, Karen Pearson, Celia Jewell, Sara Kahn-Troster, Kenneth Rosati
Date: 07/2023
Sponsoring organization: Flex Monitoring Team
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The Frontier of Harm Reduction: Expanding Services for Rural People Who Use Drugs
Describes how harm reduction approaches help reduce health risks related to substance use and explains how these approaches are being adapted in rural areas. Highlights innovative harm reduction strategies being used in rural communities in Alaska, Wisconsin, and South Dakota.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 07/2023
Sponsoring organization: Rural Health Information Hub
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Homicides Among Infants in the United States, 2017–2020
Report details the rate of infant homicides from 2017-2020. Highlights the factors that correlate with infant homicide such as the age of mother, access to prenatal care, level of education, and rurality, among other factors.
Author(s): Isabelle Horon, Anne K. Driscoll
Citation: National Vital Statistics Reports, 72(9)
Date: 07/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Jumping Through Hoops: Community Care Clinician and Staff Experiences Providing Primary Care to Rural Veterans
Presents a study on the experiences of rural, non-VA clinicians who treat rural veterans. Discusses some of the challenges rural providers face providing care to veterans via the MISSION Act. Explores issues regarding communication, accessing medical records, and responsibility sharing with the VA, among others.
Author(s): Mary Patzel, Chrystal Barnes, NithyaPriya Ramalingam, et al.
Citation: Journal of General Internal Medicine, 38(3), 821–828
Date: 07/2023
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