Rural Health
Resources by Topic: Healthcare needs and services
Policies for Reducing Maternal Morbidity and Mortality and Enhancing Equity in Maternal Health: A Review of the Evidence
Examines maternal health in relation to social determinants of health (SDOH), addressing disparities for Black, rural, veteran, and incarcerated mothers. Highlights environmental and healthcare issues, as well as strategies to improve maternal health outcomes through workforce initiatives, data collection, and policy changes.
Author(s): Jodie G. Katon, Daniel A. Enquobahrie, Kate Jacobsen, Laurie Zephyrin
Date: 11/2021
Sponsoring organization: Commonwealth Fund
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Examines maternal health in relation to social determinants of health (SDOH), addressing disparities for Black, rural, veteran, and incarcerated mothers. Highlights environmental and healthcare issues, as well as strategies to improve maternal health outcomes through workforce initiatives, data collection, and policy changes.
Author(s): Jodie G. Katon, Daniel A. Enquobahrie, Kate Jacobsen, Laurie Zephyrin
Date: 11/2021
Sponsoring organization: Commonwealth Fund
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Grantee Spotlight: Building Capacity for Tribal Health Providers to Deliver OUD Treatment in Rural Alaska
Profile features the Alaska Native Tribal Health Consortium and discusses its work supporting providers and organizations who provide treatment for opioid use disorder (OUD) in tribal communities in Alaska. Highlights some of the barriers to OUD treatment in rural Alaska and the methods used to overcome them.
Date: 11/2021
Sponsoring organizations: Alaska Native Tribal Health Consortium, Foundation for Opioid Response Efforts (FORE)
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Profile features the Alaska Native Tribal Health Consortium and discusses its work supporting providers and organizations who provide treatment for opioid use disorder (OUD) in tribal communities in Alaska. Highlights some of the barriers to OUD treatment in rural Alaska and the methods used to overcome them.
Date: 11/2021
Sponsoring organizations: Alaska Native Tribal Health Consortium, Foundation for Opioid Response Efforts (FORE)
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Using CPT Charges as an Economic Proxy for Telehealth and Non-telehealth Emergency Department Utilization
Explores the characteristics of a dataset comprising rural hospitals' reported Current Procedural Terminology (CPT) codes and associated charges for a sample of telehealth and non-telehealth emergency department (ED) visits. Features statistics including number of ED cases and controls selected by diagnosis, and demographics on select ED samples with breakdowns by 4 CPT codes.
Author(s): Marcia M. Ward, Knute D. Carter, Fred Ullrich, Kimberly A.S. Merchant
Date: 11/2021
Sponsoring organization: Remote Care & Telehealth Research Center
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Explores the characteristics of a dataset comprising rural hospitals' reported Current Procedural Terminology (CPT) codes and associated charges for a sample of telehealth and non-telehealth emergency department (ED) visits. Features statistics including number of ED cases and controls selected by diagnosis, and demographics on select ED samples with breakdowns by 4 CPT codes.
Author(s): Marcia M. Ward, Knute D. Carter, Fred Ullrich, Kimberly A.S. Merchant
Date: 11/2021
Sponsoring organization: Remote Care & Telehealth Research Center
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Improving Methadone Access for Rural Communities in the USA: Lessons Learned from Covid-19 Adaptations and International Models of Care
Explores the effect of changes to methadone treatment protocols for opioid use disorder in response to the COVID-19 pandemic on access to treatment in rural areas. Discusses telehealth, dispensing schedules, and distribution models before and during the pandemic.
Author(s): Jamey J. Lister, Holly H. Lister
Citation: Rural and Remote Health, 21(4)
Date: 11/2021
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Explores the effect of changes to methadone treatment protocols for opioid use disorder in response to the COVID-19 pandemic on access to treatment in rural areas. Discusses telehealth, dispensing schedules, and distribution models before and during the pandemic.
Author(s): Jamey J. Lister, Holly H. Lister
Citation: Rural and Remote Health, 21(4)
Date: 11/2021
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MACPAC Response to Senate Finance Committee Request for Information on Behavioral Health
Summarizes the Medicaid and CHIP Payment and Access Commission's (MACPAC) ongoing analysis of behavioral health in Medicaid and CHIP and offers policy recommendations. Discusses the behavioral health workforce; behavioral healthcare service delivery and access; mental health parity; telehealth; and improving access for children and youth. Includes rural references and considerations throughout.
Date: 11/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Summarizes the Medicaid and CHIP Payment and Access Commission's (MACPAC) ongoing analysis of behavioral health in Medicaid and CHIP and offers policy recommendations. Discusses the behavioral health workforce; behavioral healthcare service delivery and access; mental health parity; telehealth; and improving access for children and youth. Includes rural references and considerations throughout.
Date: 11/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Supporting Telehealth and Technology-Assisted Services for People Who Use Drugs: A Resource Guide
Offers policy, training, and planning resources for substance use disorder treatment providers, harm reduction organizations, and others looking to implement telehealth and technology-assisted services to improve the health and wellness of people who use drugs. Discusses participant barriers to accessing technology, including rural-specific challenges, and describes rural initiatives among other case studies.
Date: 11/2021
Sponsoring organization: National Council for Mental Wellbeing
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Offers policy, training, and planning resources for substance use disorder treatment providers, harm reduction organizations, and others looking to implement telehealth and technology-assisted services to improve the health and wellness of people who use drugs. Discusses participant barriers to accessing technology, including rural-specific challenges, and describes rural initiatives among other case studies.
Date: 11/2021
Sponsoring organization: National Council for Mental Wellbeing
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Barriers to Aging in Place in Rural Communities: Perspectives from State Offices of Rural Health
Summarizes findings from a survey of State Offices of Rural Health (SORHs) describing barriers for older adults in successfully aging in place in rural communities, including transportation, access to care, workforce issues, and cost of care. Presents respondents' policy and programmatic recommendations that would be beneficial for supporting older adults aging in place in rural areas.
Author(s): Megan Lahr, Carrie Henning-Smith
Date: 11/2021
Sponsoring organization: University of Minnesota Rural Health Research Center
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Summarizes findings from a survey of State Offices of Rural Health (SORHs) describing barriers for older adults in successfully aging in place in rural communities, including transportation, access to care, workforce issues, and cost of care. Presents respondents' policy and programmatic recommendations that would be beneficial for supporting older adults aging in place in rural areas.
Author(s): Megan Lahr, Carrie Henning-Smith
Date: 11/2021
Sponsoring organization: University of Minnesota Rural Health Research Center
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How States Use ARPA Funds to Support Telehealth, Technology and Data Infrastructure
Interactive map displaying how states used a one-time increase in the federal medical assistance program (FMAP) for Medicaid home and community-based services (HCBS) through March 31, 2022, to support telehealth service delivery, technology-based innovations, and data infrastructure building opportunities.
Date: 11/2021
Sponsoring organization: National Academy for State Health Policy
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Interactive map displaying how states used a one-time increase in the federal medical assistance program (FMAP) for Medicaid home and community-based services (HCBS) through March 31, 2022, to support telehealth service delivery, technology-based innovations, and data infrastructure building opportunities.
Date: 11/2021
Sponsoring organization: National Academy for State Health Policy
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COVID-19: HHS Agencies' Planned Reviews of Vaccine Distribution and Communication Efforts Should Include Stakeholder Perspectives
Discusses the perspectives of state and local health officials in four states and 12 national stakeholder organizations regarding federal COVID-19 vaccine distribution and education programs. Examines how the Centers for Disease Control and Prevention (CDC) and the Health Services and Research Administration (HRSA) plan to evaluate vaccine implementation efforts. Offers recommendations for CDC and HRSA to obtain input from and share lessons learned with key stakeholders. Includes information on the Rural Health Clinic COVID-19 Program and the Health Center COVID-19 Vaccine Program.
Additional links: Full Report
Date: 11/2021
Sponsoring organization: Government Accountability Office
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Discusses the perspectives of state and local health officials in four states and 12 national stakeholder organizations regarding federal COVID-19 vaccine distribution and education programs. Examines how the Centers for Disease Control and Prevention (CDC) and the Health Services and Research Administration (HRSA) plan to evaluate vaccine implementation efforts. Offers recommendations for CDC and HRSA to obtain input from and share lessons learned with key stakeholders. Includes information on the Rural Health Clinic COVID-19 Program and the Health Center COVID-19 Vaccine Program.
Additional links: Full Report
Date: 11/2021
Sponsoring organization: Government Accountability Office
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The Tennessee Medicaid Medication Therapy Management Program: Early Stage Contextual Factors and Implementation Outcomes
Shares the results of a study examining a multi-faceted implementation strategy to support a medication therapy management (MTM) pilot program for TennCare, Tennessee's state Medicaid program, at both the organizational and individual levels. Describes contextual factors associated with the pilot program implementation based on the consolidated framework for implementation research (CFIR). Table 3 reports characteristics of organizations participating in the pilot program, including information on study participants located in a rural area.
Author(s): Kenneth C. Hohmeier, Chelsea Renfro, Kea Turner, et al.
Citation: BMC Health Services Research, 21, 1189
Date: 11/2021
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Shares the results of a study examining a multi-faceted implementation strategy to support a medication therapy management (MTM) pilot program for TennCare, Tennessee's state Medicaid program, at both the organizational and individual levels. Describes contextual factors associated with the pilot program implementation based on the consolidated framework for implementation research (CFIR). Table 3 reports characteristics of organizations participating in the pilot program, including information on study participants located in a rural area.
Author(s): Kenneth C. Hohmeier, Chelsea Renfro, Kea Turner, et al.
Citation: BMC Health Services Research, 21, 1189
Date: 11/2021
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