Rural Health
Resources by Topic: Healthcare needs and services
Access to Oral Health Workforce Report: Part I
Examines ways in which the COVID-19 pandemic resulted in enhanced attrition of the Pennsylvania oral health workforce. Features statistics on Pennsylvania dentists, dental assistants, and dental hygienists, including number of Expanded Function Dental Assistants (EFDAs) in rural and urban Pennsylvania in 2019 and 2021, and county-level maps showing percentage change in licensed dental hygienists from 2015-2021, density of Public Health Dental Hygiene Practitioners (PHDHPs) and EFDAs in 2021, and Dental Health Professional Shortage Areas. Mentions rural throughout.
Additional links: Executive Summary, Regional Assessment
Author(s): Helen Hawkey, Kelly A. Braun, Lauren Wagner, et al.
Date: 07/2022
Sponsoring organization: Pennsylvania Coalition for Oral Health
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Examines ways in which the COVID-19 pandemic resulted in enhanced attrition of the Pennsylvania oral health workforce. Features statistics on Pennsylvania dentists, dental assistants, and dental hygienists, including number of Expanded Function Dental Assistants (EFDAs) in rural and urban Pennsylvania in 2019 and 2021, and county-level maps showing percentage change in licensed dental hygienists from 2015-2021, density of Public Health Dental Hygiene Practitioners (PHDHPs) and EFDAs in 2021, and Dental Health Professional Shortage Areas. Mentions rural throughout.
Additional links: Executive Summary, Regional Assessment
Author(s): Helen Hawkey, Kelly A. Braun, Lauren Wagner, et al.
Date: 07/2022
Sponsoring organization: Pennsylvania Coalition for Oral Health
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Geographic Trends in Opioid Overdoses in the US From 1999 to 2020
Results of a study examining trends in opioid-involved overdose death (OOD) rates in urban and rural counties. Explores OODs due to overprescription of opioids, use of heroin and illicit synthetic opioids such as fentanyl, and stimulants in combination with synthetic opioids. Features statistics with breakdowns by 6 levels of population density.
Author(s): Lori Ann Post, Alexander Lundberg, Charles B. Moss, et al.
Citation: JAMA Network Open, 5(7)
Date: 07/2022
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Results of a study examining trends in opioid-involved overdose death (OOD) rates in urban and rural counties. Explores OODs due to overprescription of opioids, use of heroin and illicit synthetic opioids such as fentanyl, and stimulants in combination with synthetic opioids. Features statistics with breakdowns by 6 levels of population density.
Author(s): Lori Ann Post, Alexander Lundberg, Charles B. Moss, et al.
Citation: JAMA Network Open, 5(7)
Date: 07/2022
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Virtual Training and Technical Assistance: A Shift in Behavioral Health Workforce Access and Perceptions of Services During Emergency Restrictions
Compares training and technical assistance (TTA) provision in the six-month period prior to and during early COVID-19 restrictions to determine the extent to which the shift to virtual service provision affected the behavioral health and medical workforce. Examines participants' access to TTA, geographic reach of TTA, and workforce perceptions of satisfaction and utility with TTA provision.
Author(s): Kristen G. Powell, Michael J. Chaple, Maxine Henry, et al.
Citation: BMC Medical Education, 22(575)
Date: 07/2022
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Compares training and technical assistance (TTA) provision in the six-month period prior to and during early COVID-19 restrictions to determine the extent to which the shift to virtual service provision affected the behavioral health and medical workforce. Examines participants' access to TTA, geographic reach of TTA, and workforce perceptions of satisfaction and utility with TTA provision.
Author(s): Kristen G. Powell, Michael J. Chaple, Maxine Henry, et al.
Citation: BMC Medical Education, 22(575)
Date: 07/2022
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Telehealth Strategies for the Delivery of Maternal Healthcare
Presents a rapid review of studies published since 2015 on the use of telehealth for maternal care, highlighting findings related to clinical outcomes, maternal and obstetric health outcomes, patient satisfaction, and other measures. Discusses maternal telehealth's potential as a supplement and as a replacement for in-person care.
Author(s): Amy G. Cantor, Rebecca M. Jungbauer, Annette M. Totten, et al.
Date: 07/2022
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Presents a rapid review of studies published since 2015 on the use of telehealth for maternal care, highlighting findings related to clinical outcomes, maternal and obstetric health outcomes, patient satisfaction, and other measures. Discusses maternal telehealth's potential as a supplement and as a replacement for in-person care.
Author(s): Amy G. Cantor, Rebecca M. Jungbauer, Annette M. Totten, et al.
Date: 07/2022
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Barriers to Medications for Opioid Use Disorder in the Court System: Provider Availability, Provider "Trustworthiness," and Cost
Examines perceptions of medications for opioid use disorder (MOUD) availability, provider trustworthiness, and MOUD affordability based on a survey of 151 court team members in Florida. Discusses rates of court referral to MOUD treatment in cases involving opioid use disorder (OUD) and notes rural-specific barriers to MOUD referral.
Author(s): Fatema Z. Ahmed, Barbara Andraka-Christou, M.H. Clark, et al.
Citation: Health & Justice, 10, 24
Date: 07/2022
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Examines perceptions of medications for opioid use disorder (MOUD) availability, provider trustworthiness, and MOUD affordability based on a survey of 151 court team members in Florida. Discusses rates of court referral to MOUD treatment in cases involving opioid use disorder (OUD) and notes rural-specific barriers to MOUD referral.
Author(s): Fatema Z. Ahmed, Barbara Andraka-Christou, M.H. Clark, et al.
Citation: Health & Justice, 10, 24
Date: 07/2022
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Identifying Unique Barriers to Implementing Rural Emergency Department-Based Peer Services for Opioid Use Disorder Through Qualitative Comparison with Urban Sites
Study examining the implementation of emergency department-based interventions for opioid use disorder (OUD) in rural and urban areas based on interviews with programs in Indiana's Recovery Coach and Peer Support Initiative. Describes barriers to implementation for rural programs, including issues related to intervention characteristics, logistical challenges, and staffing issues.
Author(s): Dennis P. Watson, Monte D. Staton, Nicole Gastala
Citation: Addiction Science & Clinical Practice, 17, 41
Date: 07/2022
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Study examining the implementation of emergency department-based interventions for opioid use disorder (OUD) in rural and urban areas based on interviews with programs in Indiana's Recovery Coach and Peer Support Initiative. Describes barriers to implementation for rural programs, including issues related to intervention characteristics, logistical challenges, and staffing issues.
Author(s): Dennis P. Watson, Monte D. Staton, Nicole Gastala
Citation: Addiction Science & Clinical Practice, 17, 41
Date: 07/2022
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Survey of Pennsylvania Emergency Medical Services Agencies
Results of a December 2021 survey of 389 directors of urban, rural, and mixed Pennsylvania emergency medical services agencies. Features statistics on topics including staffing, finances, changes in providers, recruitment and retention, and strategic planning, with breakdowns by rural and urban/mixed classifications.
Date: 07/2022
Sponsoring organization: Center for Rural Pennsylvania
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Results of a December 2021 survey of 389 directors of urban, rural, and mixed Pennsylvania emergency medical services agencies. Features statistics on topics including staffing, finances, changes in providers, recruitment and retention, and strategic planning, with breakdowns by rural and urban/mixed classifications.
Date: 07/2022
Sponsoring organization: Center for Rural Pennsylvania
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Fighting Fentanyl: The Federal Response to a Growing Crisis
Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the government's response to the fentanyl crisis. Includes testimonies from the Substance Abuse and Mental Health Administration (SAMHSA), National Center for Injury Prevention and Control, Health Resources and Services Administration (HRSA), and the Office of National Drug Control Policy regarding current efforts to address the expanding use of fentanyl across the U.S.
Additional links: Carole Johnson Testimony, Christopher Jones Testimony, Kemp Chester Testimony, Miriam E. Delphin-Rittmon Testimony
Date: 07/2022
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the government's response to the fentanyl crisis. Includes testimonies from the Substance Abuse and Mental Health Administration (SAMHSA), National Center for Injury Prevention and Control, Health Resources and Services Administration (HRSA), and the Office of National Drug Control Policy regarding current efforts to address the expanding use of fentanyl across the U.S.
Additional links: Carole Johnson Testimony, Christopher Jones Testimony, Kemp Chester Testimony, Miriam E. Delphin-Rittmon Testimony
Date: 07/2022
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Increasing Access to Routine Child Immunizations: State Approaches for Increasing Pharmacy Enrollment in the VFC Program
Discusses how increasing pharmacy participation in the Vaccines for Children Program (VFC) can promote access to childhood vaccinations and reduce disparities. Outlines steps states can take to identify and address barriers to enrollment, including examining reimbursement policies, aligning program requirements with Centers for Disease Control and Prevention (CDC) requirements, addressing common provider misconceptions about the VFC program, and addressing pediatrician concerns.
Author(s): Ella Roth, Katie Greene, Michelle Fiscus
Date: 07/2022
Sponsoring organization: National Academy for State Health Policy
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Discusses how increasing pharmacy participation in the Vaccines for Children Program (VFC) can promote access to childhood vaccinations and reduce disparities. Outlines steps states can take to identify and address barriers to enrollment, including examining reimbursement policies, aligning program requirements with Centers for Disease Control and Prevention (CDC) requirements, addressing common provider misconceptions about the VFC program, and addressing pediatrician concerns.
Author(s): Ella Roth, Katie Greene, Michelle Fiscus
Date: 07/2022
Sponsoring organization: National Academy for State Health Policy
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Northern Navajo Medical Center Delivers Care Directly to Patients Experiencing Homelessness
Video details a program initiated by the Northern Navajo Medical Center in Shiprock, New Mexico, that provides treatment to people experiencing homelessness on the Navajo reservation. Discusses the mobile clinic's goals and the services it provides, such as physical exams, vaccinations, and other acute and chronic conditions.
Date: 07/2022
Sponsoring organization: Indian Health Service
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Video details a program initiated by the Northern Navajo Medical Center in Shiprock, New Mexico, that provides treatment to people experiencing homelessness on the Navajo reservation. Discusses the mobile clinic's goals and the services it provides, such as physical exams, vaccinations, and other acute and chronic conditions.
Date: 07/2022
Sponsoring organization: Indian Health Service
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