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Rural Health
Resources by Topic: Healthcare needs and services

American Indian and Alaska Native Communities Face a 'Disproportionate Burden of Oral Disease' - Reversing Inequities Involves Challenges and Opportunities
White paper explores the state of American Indian and Alaska Native oral health. Discusses some of the oral health disparities faced by AI/AN communities, such as historical and cultural factors, workforce shortages, and oral health literacy, among other factors. Presents solutions and strategic recommendations to address AI/AN oral health disparities.
Additional links: Executive Summary
Author(s): Mary Altenberg, Terrence Batliner, Tommie Chavis II, et al.
Date: 03/2023
Sponsoring organizations: CareQuest Institute for Oral Health, National Indian Health Board
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Leveraging Telemedicine To Eliminate Outcome Disparities For Rural-Born Newborns
Presentation slides from a webinar discussing the barriers affecting care for neonatal encephalopathy in rural areas. Describes telemedicine strategies evaluating neonatal encephalopathy and methods for improving parent understanding. Identifies other applications of telemedicine appropriate for the care of newborns and children.
Additional links: Transcript
Author(s): Alexa Craig
Date: 03/2023
Sponsoring organization: National Consortium of Telehealth Resource Centers
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Teleneurology via Tablet Technology: An Effective Low-Cost Method to Increase Healthcare Accessibility
Presents a study on the use of low-cost tablets in place of more expensive "telemedicine robots" as a means of providing teleneurology services to small rural hospitals. Evaluates a hub-and-spoke teleneurology program based at Vanderbilt University Medical Center serving smaller, community-based hospitals in Kentucky and Tennessee. Draws data from physician and patient surveys.
Author(s): Kelly Harper, Claire Hanson, Bryan Eoff, et al.
Citation: Rural and Remote Health, 23(1), 7591
Date: 03/2023
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The Mental Health, Substance Use, Physical Health, and Mental Health Treatment Need of Community Individuals Experiencing Homelessness in Hawai'i
Results of a study detailing the health-related needs of Hawai'i's unhoused people, most of whom live in rural areas. Features statistics on self-reported rates of depression and anxiety, illicit substance use, alcohol use, smoking, obesity, and overall physical health.
Author(s): Andrew M. Subica, Daryl S. Sampaga, Jana Ortiz-Misiaszek, Tammy K. K. Martin, Scott K. Okamoto
Citation: Community Mental Health Journal, 59, 1021–1026
Date: 03/2023
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Dental Care Use in the Midwest: Metro vs. Nonmetro
Examines dental care use in metro and nonmetro populations of the Midwest. Discusses reasons for seeking dental care and breaks down usage according to sex, race, and geography.
Author(s): Adee Athiyaman
Date: 03/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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MedPAC Report to the Congress: Medicare Payment Policy, 2023
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services; Medicare Advantage (MA), including a mandated report comparing per enrollee spending in the MA program with that of traditional fee-for-service (FFS) Medicare; and Medicare Part D.
Date: 03/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, March 2023
Reports on four aspects of Medicaid: 1) collecting and reporting Medicaid race and ethnicity data, 2) increasing the transparency and improving the collection of nursing facility payment data, 3) strengthening evidence under Medicaid drug coverage, and 4) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 4 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the number of hospitals with high levels of uncompensated care that also provide essential community services. Table 4-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Your Neighborhood Matters: An Ecological Social Determinant Study of the Relationship Between Residential Racial Segregation And the Risk of Firearm Fatalities
Examines the impact of county-level social determinants of health (SDOH) on firearm fatalities. Analyzes 802 firearm fatalities that occurred in Wisconsin counties in 2019 and their relationship to SDOH, such as segregation, income inequality, community resilience, and rural versus urban classification. Includes county-level maps depicting geographic distribution of segregation and firearm fatalities per 100,000 people.
Author(s): Abdul R. Shour, Ronald Anguzu, Yuhong Zhou, et al.
Citation: Injury Epidemiology, 10, 14
Date: 03/2023
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Implementation of a Women's Reproductive Behavioral Health Telemedicine Program: A Qualitative Study of Barriers and Facilitators In Obstetric and Pediatric Clinics
Results of a study exploring a South Carolina telemedicine program for the treatment of Perinatal Mood and Anxiety Disorders and Perinatal Substance Use Disorders in obstetric and pediatric providers in the outpatient community practice setting. Features statistics with breakdowns by urban or rural location.
Author(s): Katherine R. Sterba, Emily E. Johnson, Edie Douglas, et al.
Citation: BMC Pregnancy and Childbirth, 23, 167
Date: 03/2023
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Use of Telemedicine among Office-Based Physicians, 2021
Details the usage of telemedicine by physicians who are office-based, self-employed or employed by a health system, including their specialty, participation in payment models, satisfaction with telemedicine, and continued use post-pandemic. Provides data on rural and urban physician use of telemedicine tools and platforms integrated with electronic health records (EHR).
Author(s): Yuriy Pylypchuk, Wesley Barker
Citation: ONC Data Brief, 65
Date: 03/2023
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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