Rural Health
Resources by Topic: Healthcare needs and services
4C for Cherokee Children Cultural Connection
Discusses the trauma Cherokee children experience in the foster care system and a related program meant to mitigate the grief and loss after being removed from the home. Focuses on utilizing cultural knowledge to process trauma and improve physical and mental health. Transcript available below description.
Date: 02/2023
Sponsoring organization: Capacity Building Center for Tribes
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Discusses the trauma Cherokee children experience in the foster care system and a related program meant to mitigate the grief and loss after being removed from the home. Focuses on utilizing cultural knowledge to process trauma and improve physical and mental health. Transcript available below description.
Date: 02/2023
Sponsoring organization: Capacity Building Center for Tribes
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State-Based Recommendations to Support Rural Ambulance Agencies
Discusses challenges faced by rural ambulance agencies and emergency medical services (EMS) agencies. Identifies state-based policy opportunities to support rural ambulance agencies. Covers EMS as an essential service, professional management, EMS zones, and standby costs.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Alva O. Ferdinand, et al.
Date: 02/2023
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Discusses challenges faced by rural ambulance agencies and emergency medical services (EMS) agencies. Identifies state-based policy opportunities to support rural ambulance agencies. Covers EMS as an essential service, professional management, EMS zones, and standby costs.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Alva O. Ferdinand, et al.
Date: 02/2023
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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2021 Indiana Advanced Practice Registered Nurse Workforce Brief
Provides information on the advanced practice registered nurse (APRN) workforce in Indiana, such as demographic characteristics, educational requirements by role, training tracks and populations served, practice specialty, and more. Includes county-level map that shows population to APRN ratios as well as APRN role.
Author(s): Courtney Medlock, Reno Jamison, Hannah Maxey
Date: 02/2023
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Provides information on the advanced practice registered nurse (APRN) workforce in Indiana, such as demographic characteristics, educational requirements by role, training tracks and populations served, practice specialty, and more. Includes county-level map that shows population to APRN ratios as well as APRN role.
Author(s): Courtney Medlock, Reno Jamison, Hannah Maxey
Date: 02/2023
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Impact of Tele-Emergency Consultations on Pediatric Interfacility Transfers: A Cluster-Randomized Crossover Trial
Results of a study examining the use of pediatric critical care telemedicine compared with telephone consultations associated with transfer rates of acutely ill children from community and rural emergency departments. Features statistics including baseline characteristics and disposition of patients in the telemedicine and telephone groups.
Author(s): James P. Marcin, Hadley S. Sauers-Ford, Jamie L. Mouzoon, et al.
Citation: JAMA Network Open, 6(2)
Date: 02/2023
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Results of a study examining the use of pediatric critical care telemedicine compared with telephone consultations associated with transfer rates of acutely ill children from community and rural emergency departments. Features statistics including baseline characteristics and disposition of patients in the telemedicine and telephone groups.
Author(s): James P. Marcin, Hadley S. Sauers-Ford, Jamie L. Mouzoon, et al.
Citation: JAMA Network Open, 6(2)
Date: 02/2023
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Identifying Bottlenecks and Roadblocks in the Rural Mental Health Career Pipeline
Examines behavioral health workforce shortages in rural Minnesota, issues of access, acceptability and stigma around utilizing mental health professionals, recruiting and retaining behavioral workforce, struggles around education and internship opportunities, and more. Includes data related to the Minnesota behavioral workforce and associated issues such as poverty, suicide rates, rural versus urban provider comparisons, and more.
Additional links: Summary, Webinar
Date: 02/2023
Sponsoring organizations: Center for Rural Behavioral Health, Minnesota State University - Mankato, Center for Rural Policy and Development
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Examines behavioral health workforce shortages in rural Minnesota, issues of access, acceptability and stigma around utilizing mental health professionals, recruiting and retaining behavioral workforce, struggles around education and internship opportunities, and more. Includes data related to the Minnesota behavioral workforce and associated issues such as poverty, suicide rates, rural versus urban provider comparisons, and more.
Additional links: Summary, Webinar
Date: 02/2023
Sponsoring organizations: Center for Rural Behavioral Health, Minnesota State University - Mankato, Center for Rural Policy and Development
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Evaluation of Post-Discharge Engagement for Emergency Department Patients with Opioid Use History Who Received Telehealth Recovery Coaching Services
Examines successful interventions for patients in emergency departments (EDs) who receive peer recovery coach (PRC) services via telehealth that support patients with opioid use disorder (OUD). Analyzes 13 EDs in Indiana who implemented telehealth PRC services starting in 2018, including 7 rural Critical Access Hospitals (CAHs). Includes rate of successful follow-ups proceeding PRC services broken down by patient age, sex, race, drug use method, referral types, and metro, small, or rural living location.
Author(s): Dennis P. Watson, Peter Phalen, Spencer Medcalf, Sarah Messmer, Alan McGuire
Citation: Substance Abuse Treatment, Prevention, and Policy, 18(9)
Date: 02/2023
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Examines successful interventions for patients in emergency departments (EDs) who receive peer recovery coach (PRC) services via telehealth that support patients with opioid use disorder (OUD). Analyzes 13 EDs in Indiana who implemented telehealth PRC services starting in 2018, including 7 rural Critical Access Hospitals (CAHs). Includes rate of successful follow-ups proceeding PRC services broken down by patient age, sex, race, drug use method, referral types, and metro, small, or rural living location.
Author(s): Dennis P. Watson, Peter Phalen, Spencer Medcalf, Sarah Messmer, Alan McGuire
Citation: Substance Abuse Treatment, Prevention, and Policy, 18(9)
Date: 02/2023
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Factors Contributing to Reductions in Patient Wait Times at Indian Health Service Emergency Department Facilities: A Mixed-Methods Assessment
Presents findings of a mixed-methods assessment of the change in emergency department wait times at Indian Health Service (IHS) facilities before and after the announcement of wait time standards in 2019. Describes challenges to providing timely access to emergency and primary care, strategies to overcome these challenges, and the impact of the COVID-19 pandemic on wait times.
Date: 02/2023
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Presents findings of a mixed-methods assessment of the change in emergency department wait times at Indian Health Service (IHS) facilities before and after the announcement of wait time standards in 2019. Describes challenges to providing timely access to emergency and primary care, strategies to overcome these challenges, and the impact of the COVID-19 pandemic on wait times.
Date: 02/2023
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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VA Mental Health: Additional Action Needed to Assess Rural Veterans' Access to Intensive Care
Report examines the rate at which the Veterans Health Administration (VHA) Intensive Mental Health Care programs were being utilized in rural areas. Highlights the difference in the utilization rate of the inpatient, residential, and outpatient mental health programs for both rural and urban veterans. Makes suggestions for how the VHA can improve these rates going forward.
Additional links: Full Report
Date: 02/2023
Sponsoring organization: Government Accountability Office
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Report examines the rate at which the Veterans Health Administration (VHA) Intensive Mental Health Care programs were being utilized in rural areas. Highlights the difference in the utilization rate of the inpatient, residential, and outpatient mental health programs for both rural and urban veterans. Makes suggestions for how the VHA can improve these rates going forward.
Additional links: Full Report
Date: 02/2023
Sponsoring organization: Government Accountability Office
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Geography, Rurality, and Community Distress: Deaths Due to Suicide, Alcohol-Use, and Drug-Use among Colorado Veterans
Explores the connection between distressed communities and mortality disparities in the Colorado veteran population. Utilizes 2009-2020 Centers for Disease Control and Prevention (CDC) Wide-ranging Online Data for Epidemiologic Research (WONDER) to examine suicide, alcohol, and drug related mortalities, with demographic data broken down by sex, age, marital status, distressed community index (DCI), and frontier, rural, or urban location. Includes county-level maps showing DCI and rurality.
Author(s): Talia L. Spark, Colleen E. Reid, Rachel Sayko Adams, et al.
Citation: Injury Epidemiology, 10, 8
Date: 02/2023
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Explores the connection between distressed communities and mortality disparities in the Colorado veteran population. Utilizes 2009-2020 Centers for Disease Control and Prevention (CDC) Wide-ranging Online Data for Epidemiologic Research (WONDER) to examine suicide, alcohol, and drug related mortalities, with demographic data broken down by sex, age, marital status, distressed community index (DCI), and frontier, rural, or urban location. Includes county-level maps showing DCI and rurality.
Author(s): Talia L. Spark, Colleen E. Reid, Rachel Sayko Adams, et al.
Citation: Injury Epidemiology, 10, 8
Date: 02/2023
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Filling Behavioral Health Gaps in Rural Communities: A Unique Partnership in Washington State
Discusses a collaboration between a Critical Access Hospital (CAH) in Washington and state hospitals to accept patient transfers by utilizing swing beds to care for patients with complex behavioral health and social needs, such as substance use disorder, mental health, homelessness, and more. Includes data on swing bed admissions and information on incorporating behavioral health services into primary care.
Author(s): Sarah Klein, Martha Hostetter
Date: 02/2023
Sponsoring organization: The Commonwealth Fund
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Discusses a collaboration between a Critical Access Hospital (CAH) in Washington and state hospitals to accept patient transfers by utilizing swing beds to care for patients with complex behavioral health and social needs, such as substance use disorder, mental health, homelessness, and more. Includes data on swing bed admissions and information on incorporating behavioral health services into primary care.
Author(s): Sarah Klein, Martha Hostetter
Date: 02/2023
Sponsoring organization: The Commonwealth Fund
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