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Rural Health
Resources by Topic: Healthcare needs and services

April 2023 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2023 meeting. Covers automatic adjustments to Disproportionate Share Hospital (DSH) allotments, DSH third-party payer policy, integrating care for dually eligible beneficiaries, access to Medicaid coverage and care for adults leaving incarceration, adult access to covered dental benefits, access to home- and community-based services, and an update on the COVID-19 public health emergency (PHE) unwinding. Includes rural references and considerations throughout.
Date: 04/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Harm Reduction and Recovery Services Support (HRRSS) to Mitigate the Opioid Overdose Epidemic in a Rural Community
Examines factors impacting harm reduction and recovery services related to opioid use in a rural South Carolina county. Discusses feedback from 338 community respondents regarding issues such as syringe services programs, safe consumption sites, placement of naloxone in public places, and more, with data reported as a harm reduction and recovery support score (HRRSS) connected to various demographic variables and personal beliefs.
Author(s): Moonseong Heo, Taylor Beachler, Laksika B. Sivaraj, et al.
Citation: Substance Abuse Treatment, Prevention, and Policy, 18, 23
Date: 04/2023
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Examining Existing Federal Programs to Build a Stronger Health Workforce and Improve Primary Care
Recording of an April 2023 U.S. House Committee on Energy and Commerce Subcommittee on Health hearing on federal government programs and legislation related to supporting the healthcare workforce and improving primary care. Features testimony from Carole Johnson, the Administrator of the Health Resources and Services Administration (HRSA). Includes discussions on the rural health workforce throughout.
Additional links: Carole Johnson, Health Resources and Services Administration - Testimony
Date: 04/2023
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Surveillance of the Initiation of, Participation in, and Completion of Cardiac Rehabilitation in Minnesota, 2017–2018
Analyzes cardiac rehabilitation (CR) disparities in Minnesota related to eligibility, initiation, participation, and completion of CR. Examines 12,937 Minnesota All Payer Claims Database members who qualified for CR, with data broken down by county, demographics, type of health insurance, comorbidities, social vulnerability, qualifying condition, Rural-Urban Commuting Area code, and more.
Author(s): James M. Peacock, Emily Styles, Sara Johnson, et al.
Citation: Preventing Chronic Disease, 20
Date: 04/2023
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The Rural Behavioral Health Crisis Continuum: Considerations and Emerging State Strategies
Presents examples of state strategies for bolstering the rural behavioral health crisis care continuum at each level of care.
Author(s): Miriam Pearsall, Sandra Wilkniss
Date: 04/2023
Sponsoring organization: National Academy for State Health Policy
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Influences on Lung Cancer Screening Initiation and Retention in Rural Alabama
Examines the facilitators of lung cancer screening initiation and retention in mostly Black and rural areas of Alabama. Provides feedback from 58 interviews with people who had a lung cancer screening between December 2019 and January 2022. Includes data on patient demographics, reasons for being screened, and intention to screen annually.
Author(s): Amy Copeland, Kathy Levy, Claudia M. Hardy, Jennifer C. King, Maureen Rigney
Citation: Journal of Primary Care & Community Health, 14
Date: 04/2023
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Rewards and Frustrations of Rural Surgery Practice
Discusses challenges in rural surgery practice, such as demographic trends, workforce shortages, issues with surgical training, rural hospital closures, and economic pressures. Includes a link to video featuring Michael Sarap and Alisha D. Reiss, of the American College of Surgeons.
Author(s): Michael Sarap, Alisha D. Reiss
Date: 04/2023
Sponsoring organization: American College of Surgeons
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Engaging Primary Care in Value-Based Payment: New Findings from the 2022 Commonwealth Fund Survey of Primary Care Physicians
Describes the results of the 2022 Commonwealth Fund International Health Policy Survey of Primary Care Physicians regarding fee-for-service and value-based payment models. Highlights trends between smaller, rural practices and larger, urban ones and discusses implications on quality of care.
Author(s): Celli Horstman, Corinne Lewis
Date: 04/2023
Sponsoring organization: Commonwealth Fund
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Descriptive Study: The Novel "Full Spectrum People-With-Opioid-Use-Disorder Care Model"
Examines the implementation of a comprehensive care delivery model that provides access to harm reduction services for people with opioid use disorder (PWOUD). Analyzes 565 encounters with people utilizing medical and/or behavioral healthcare services in a rural New Mexico county. Provides demographic breakdown of encounters and data on the counties with highest overdose rates, along with discussion on how to provide harm reduction services to hard-to-reach populations.
Author(s): Richard Gadomski, Snehal Bhatt, Jessica Gross, et al.
Citation: Harm Reduction Journal, 20, 47
Date: 04/2023
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Bridging the Gap: Ensuring Vaccine Equity for Native Communities
A podcast that discusses COVID-19 vaccine equity in American Indian and Alaskan Native (AI/AN) communities. Discusses the importance of culturally appropriate, local, community-driven public health efforts to reduce vaccine hesitancy in AI/AN populations.
Author(s): Anne Zink, Gary Lankford, Johnny Delgado
Date: 04/2023
Sponsoring organization: Association of State and Territorial Health Officials
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