Rural Health
Resources by Topic: Healthcare needs and services
Managing Innovation: A Qualitative Study on the Implementation of Telehealth Services in Rural Emergency Departments
Study examining adoption and utilization of telehealth through interviews with 18 key informants from 6 healthcare systems that provide telehealth support to 65 rural emergency departments through a hub-and-spoke model. Discusses stages of implementation and factors that facilitate or impede implementation.
Author(s): Mochamad Muska Nataliansyah, Kimberly A.S. Merchant, James A. Croker, et al.
Citation: BMC Health Services Research, 22, 852
Date: 07/2022
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Study examining adoption and utilization of telehealth through interviews with 18 key informants from 6 healthcare systems that provide telehealth support to 65 rural emergency departments through a hub-and-spoke model. Discusses stages of implementation and factors that facilitate or impede implementation.
Author(s): Mochamad Muska Nataliansyah, Kimberly A.S. Merchant, James A. Croker, et al.
Citation: BMC Health Services Research, 22, 852
Date: 07/2022
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Nursing Homes in Rural America: A Chartbook
Explores county-level nursing home availability and evaluates the supply of nursing home beds per 1,000 population aged 65 and older. Identifies nursing home availability for counties with and without hospitals with swing beds, and describes the resident and nursing home characteristics including occupancy levels, payer mix, demographics, and healthcare needs. Features statistics with breakdowns by noncore, micropolitan, and metropolitan counties.
Author(s): Hari Sharma, Lili Xu, Fred Ullrich, Clint MacKinney, Keith J. Mueller
Date: 07/2022
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Explores county-level nursing home availability and evaluates the supply of nursing home beds per 1,000 population aged 65 and older. Identifies nursing home availability for counties with and without hospitals with swing beds, and describes the resident and nursing home characteristics including occupancy levels, payer mix, demographics, and healthcare needs. Features statistics with breakdowns by noncore, micropolitan, and metropolitan counties.
Author(s): Hari Sharma, Lili Xu, Fred Ullrich, Clint MacKinney, Keith J. Mueller
Date: 07/2022
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Co-located Critical Access & Behavioral Health Hospital: Charles A. Cannon Jr. Memorial Hospital and Appalachian Regional Behavioral Hospital
Profiles Charles A. Cannon, Jr. Memorial Hospital, a Critical Access Hospital (CAH), and Appalachian Regional Healthcare System (ARHS) in western North Carolina. Describes how ARHS secured an exemption from the Center for Medicare & Medicaid Services (CMS) to build Appalachian Regional Behavioral Health (ARBH) Hospital nearby without losing CAH status. Discusses the impact of the CMS exemption on financial sustainability and emergency department wait times.
Date: 07/2022
Sponsoring organization: American Hospital Association
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Profiles Charles A. Cannon, Jr. Memorial Hospital, a Critical Access Hospital (CAH), and Appalachian Regional Healthcare System (ARHS) in western North Carolina. Describes how ARHS secured an exemption from the Center for Medicare & Medicaid Services (CMS) to build Appalachian Regional Behavioral Health (ARBH) Hospital nearby without losing CAH status. Discusses the impact of the CMS exemption on financial sustainability and emergency department wait times.
Date: 07/2022
Sponsoring organization: American Hospital Association
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Mobile Health School Screening and Telemedicine Referral to Improve Access to Specialty Care in Rural Alaska: A Cluster-Randomised Controlled Trial
Study examining school-based telemedicine specialty referral for hearing loss in 15 rural Alaskan communities. Compares outcomes for participants who received a telemedicine specialty referral and who received a standard primary care referral, including time to follow-up, prevalence of hearing loss, hearing-related quality of life, and school performance.
Author(s): Susan D. Emmett, Alyssa Platt, Elizabeth L. Turner, et al.
Citation: The Lancet Global Health, 10(7), e1023-e1033
Date: 07/2022
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Study examining school-based telemedicine specialty referral for hearing loss in 15 rural Alaskan communities. Compares outcomes for participants who received a telemedicine specialty referral and who received a standard primary care referral, including time to follow-up, prevalence of hearing loss, hearing-related quality of life, and school performance.
Author(s): Susan D. Emmett, Alyssa Platt, Elizabeth L. Turner, et al.
Citation: The Lancet Global Health, 10(7), e1023-e1033
Date: 07/2022
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Barriers and Facilitators Associated with Establishment of Emergency Department-Initiated Buprenorphine for Opioid Use Disorder in Rural Maine
Presents a study on the barriers and facilitators for implementing programs that initiate buprenorphine treatment for patients with opioid use disorder (OUD) seeking care in Critical Access Hospital (CAH) emergency departments (EDs) in rural Maine. Highlights findings of a survey of CAH ED directors on the challenges of implementing buprenorphine initiation programs.
Author(s): Noah K. Rosenberg, Alexander B. Hill, Lily Johnsky, et al.
Citation: Journal of Rural Health, 38(3), 612-619
Date: 06/2022
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Presents a study on the barriers and facilitators for implementing programs that initiate buprenorphine treatment for patients with opioid use disorder (OUD) seeking care in Critical Access Hospital (CAH) emergency departments (EDs) in rural Maine. Highlights findings of a survey of CAH ED directors on the challenges of implementing buprenorphine initiation programs.
Author(s): Noah K. Rosenberg, Alexander B. Hill, Lily Johnsky, et al.
Citation: Journal of Rural Health, 38(3), 612-619
Date: 06/2022
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Farmer's Mental Well-Being Project: Statewide Survey Report
Surveyed 1651 farmers, farm spouses, and farmworkers in 2022 to identify stressors as perceived by farmers in Georgia. Discusses suicide, age, stress, insurance status, job satisfaction, agribusiness, COVID-19, healthcare access, coping mechanisms, and more.
Author(s): Stephanie Basey, Anne Montgomery, Ben West, Chris Scoggins, Lily Baucom
Date: 06/2022
Sponsoring organizations: Georgia Foundation for Agriculture, Georgia Rural Health Innovation Center, Mercer University School of Medicine
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Surveyed 1651 farmers, farm spouses, and farmworkers in 2022 to identify stressors as perceived by farmers in Georgia. Discusses suicide, age, stress, insurance status, job satisfaction, agribusiness, COVID-19, healthcare access, coping mechanisms, and more.
Author(s): Stephanie Basey, Anne Montgomery, Ben West, Chris Scoggins, Lily Baucom
Date: 06/2022
Sponsoring organizations: Georgia Foundation for Agriculture, Georgia Rural Health Innovation Center, Mercer University School of Medicine
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Healthy Iowans: Iowa's State Health Assessment
Provides an overview of population health in Iowa with a focus on health outcomes and related social, economic, and environmental factors. Outlines Iowa's overall health profile and priority areas in public health. Includes county-level data on life expectancy, primary care and dentist workforce supply, and transportation; census tract data comparing rural and urban food access; and discussions geared toward rural-specific health issues.
Date: 06/2022
Sponsoring organization: Iowa Department of Health and Human Services
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Provides an overview of population health in Iowa with a focus on health outcomes and related social, economic, and environmental factors. Outlines Iowa's overall health profile and priority areas in public health. Includes county-level data on life expectancy, primary care and dentist workforce supply, and transportation; census tract data comparing rural and urban food access; and discussions geared toward rural-specific health issues.
Date: 06/2022
Sponsoring organization: Iowa Department of Health and Human Services
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North Carolina Statewide Telepsychiatry Program: SFY 2022
County-level map showing North Carolina telepsychiatry sites and provider hubs, with shadings for rural and urban counties.
Date: 06/2022
Sponsoring organization: North Carolina Department of Health and Human Services
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County-level map showing North Carolina telepsychiatry sites and provider hubs, with shadings for rural and urban counties.
Date: 06/2022
Sponsoring organization: North Carolina Department of Health and Human Services
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Characteristics of Suicide Among Farmers and Ranchers: Using the CDC NVDRS 2003–2018
Explores the demographics, methods, and mental health statuses and histories associated with suicide mortality among farmers and ranchers. Breaks down data by age, sex, and rural versus urban location, among other factors, as well as suicide method, life stressors, mental health history, and others.
Author(s): Cristina D. M. Miller, Josie M. Rudolphi
Citation: American Journal of Industrial Medicine, 65(8), 675-689
Date: 06/2022
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Explores the demographics, methods, and mental health statuses and histories associated with suicide mortality among farmers and ranchers. Breaks down data by age, sex, and rural versus urban location, among other factors, as well as suicide method, life stressors, mental health history, and others.
Author(s): Cristina D. M. Miller, Josie M. Rudolphi
Citation: American Journal of Industrial Medicine, 65(8), 675-689
Date: 06/2022
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Introduction to Improving Telehealth and Virtual Care for Pain Management and Opioid/ Substance Use Disorder
Presents the proceedings of a meeting discussing the use of telehealth and virtual care to treat substance use disorder (SUD), opioid use disorder (OUD), and to monitor pain management. Highlights the effect the COVID-19 pandemic on telehealth use, regulation, and reimbursement. Features considerations for rural communities.
Date: 06/2022
Sponsoring organization: National Academy of Medicine
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Presents the proceedings of a meeting discussing the use of telehealth and virtual care to treat substance use disorder (SUD), opioid use disorder (OUD), and to monitor pain management. Highlights the effect the COVID-19 pandemic on telehealth use, regulation, and reimbursement. Features considerations for rural communities.
Date: 06/2022
Sponsoring organization: National Academy of Medicine
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