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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare needs and services

Opioid Abuse among Rural Adults
Examines the impact of the opioid epidemic among rural adults in 2022 and changes since 2017. Covers rural access to mental health treatment, how comfortable rural adults with opioid addiction are discussing their concerns with others, perceptions of opioid misuse and its causes, and potential solutions to the opioid crisis.
Date: 10/2022
Sponsoring organization: American Farm Bureau Federation
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October 2022 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) October 2022 meeting. Covers improving access to Medicaid coverage and care for adults leaving incarceration, the unwinding of the Public Health Emergency, streamlining the delivery of home- and community-based services, potential recommendations for structuring Disproportionate Share Hospital allotments during economic crises, and more. Includes rural references and considerations throughout.
Date: 10/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Improving Maternal Health Outcomes To Reduce Maternal Mortality and Severe Maternal Morbidity
Report highlights the Inter-Tribal Council of Arizona's Maternal Health Innovation (MHI) Program's goals and strategies for achieving them. Details the current state of maternal health in the Council's 21 tribe area and explores the barriers to maternal care, as well as a program timeline.
Additional links: Strategic Planning Summary
Date: 10/2022
Sponsoring organization: Inter Tribal Council of Arizona, American Indian Research Center for Health
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Evidence Brief: Safety and Effectiveness of Telehealth-Delivered Mental Health Care
Presents an overview of research evidence on the safety and effectiveness of telehealth-based mental healthcare for veterans. Discusses outcomes and studies of telehealth treatment for posttraumatic stress disorder (PTSD), depression, anxiety, substance use, and multiple mental health conditions.
Additional links: Supplemental Materials
Author(s): E.H. Beech, S. Young, J.K. Anderson, B.E. Belsher, N.J. Parr
Date: 10/2022
Sponsoring organization: U.S. Department of Veterans Affairs
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Teledentistry Trends in the United States During the COVID-19 Pandemic
Reviews the use of teledentistry during and following the COVID-19 pandemic in California, Maine, Pennsylvania, and Wisconsin, and examines reimbursement issues and supports needed to enhance dental care in a post-COVID-19 world. Mentions rural throughout.
Author(s): Miranda Werts, Prashanta Patel, Elizabeth Mertz
Date: 10/2022
Sponsoring organization: Oral Health Workforce Research Center
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Tips for Disaster Responders: Understanding Historical Trauma and Resilience When Responding to an Event in Indian Country
Describes historical trauma and its impact on Native American populations, and offers guidance for behavioral health responders when engaged in disaster preparedness and response efforts for tribal communities.
Date: 10/2022
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Use of and Retention on Video, Telephone, and In-Person Buprenorphine Treatment for Opioid Use Disorder During the COVID-19 Pandemic
Examines modality of treatment delivery for patients with opioid use disorder (OUD) and how various modalities are associated with 90-day patient retention. Analyzes 17,182 Veterans Health Administration (VHA) patients who received buprenorphine for OUD treatment from March 2020 to March 2021 by video, telephone, in-person care, or a combination of the modalities. Includes data broken down by age, sex, race/ethnicity, VHA eligibility, housing status, substance use, mental health, comorbidities, and rurality, including urban, large rural, small/isolated rural, and unknown location.
Author(s): Madeline C. Frost, Lan Zhang, H. Myra Kim, Lewei (Allison) Lin
Citation: JAMA Network Open, 5(10), e2236298
Date: 10/2022
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Suicide Prevention: Resource for Action
Presents a compilation of best practices for suicide prevention. Explores 7 different approaches to suicide prevention for communities to implement, such as strengthening economic supports, creating protective environments, and improving access and delivery of suicide care, among others. Includes discussion about how different strategies function in rural communities.
Date: 10/2022
Sponsoring organization: Centers for Disease Control and Prevention
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The Future of Telehealth After COVID-19: New Opportunities and Challenges
Provides an overview of the current evidence regarding telehealth's impact on equitable access to care and on quality of care, patient outcomes, and cost. Describes the COVID-19 pandemic-related regulatory flexibilities for mental health and substance use disorder services. Discusses the importance of telehealth on primary and specialty care during the public health emergency (PHE). Offers recommendations for Medicare telehealth policies to promote better outcomes for Medicare beneficiaries and value for the Medicare program.
Additional links: Medicare Telehealth Utilization and Spending Impacts 2019-2021, Webinar Recording
Author(s): Julia Harris, Sabah Bhatnagar, Brady Newell, et al.
Date: 10/2022
Sponsoring organization: Bipartisan Policy Center
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Delivery of Cancer Screening and Treatment in Critical Access Hospitals
Summarizes results of a survey of 135 Critical Access Hospitals (CAHs) regarding cancer screening and treatment provided by CAHs. Describes the role of visiting providers and the use of telemedicine in cancer screening and treatment.
Author(s): Megan Lahr, Xiomara Santana, Helen Parsons, Nathan Bean, Ira Moscovice
Date: 10/2022
Sponsoring organization: Flex Monitoring Team
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