Rural Health
Resources by Topic: Healthcare needs and services
CAH Partnerships During the COVID-19 Pandemic
Presents findings from a survey of Critical Access Hospitals (CAHs) in eight states on how they partnered with communities and public health agencies in response to the COVID-19 pandemic. Discusses the type of support CAHs received from their State Flex Program (SFP).
Author(s): Madeleine Pick, Megan Lahr, Keelia Silvis, Ira Moscovice
Date: 03/2021
Sponsoring organization: Flex Monitoring Team
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Presents findings from a survey of Critical Access Hospitals (CAHs) in eight states on how they partnered with communities and public health agencies in response to the COVID-19 pandemic. Discusses the type of support CAHs received from their State Flex Program (SFP).
Author(s): Madeleine Pick, Megan Lahr, Keelia Silvis, Ira Moscovice
Date: 03/2021
Sponsoring organization: Flex Monitoring Team
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Geographic Expansion of Medicaid Managed Care Organizations: Assessing Access to Primary Care in Nonmetropolitan Counties
Presents a study on primary care access for Medicaid beneficiaries in nonmetropolitan counties who were enrolled through managed care organizations (MCOs) from 2012 to 2018. Details the level of access to primary care in the nonmetropolitan counties of 15 states and compares the rates of access for beneficiaries enrolled through MCOs established before 2012 and after 2012. Discusses findings and makes recommendations for policy makers.
Author(s): Linda Li, Matthew Najarian, Abigail R. Barker, et al.
Date: 03/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Presents a study on primary care access for Medicaid beneficiaries in nonmetropolitan counties who were enrolled through managed care organizations (MCOs) from 2012 to 2018. Details the level of access to primary care in the nonmetropolitan counties of 15 states and compares the rates of access for beneficiaries enrolled through MCOs established before 2012 and after 2012. Discusses findings and makes recommendations for policy makers.
Author(s): Linda Li, Matthew Najarian, Abigail R. Barker, et al.
Date: 03/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Trends in the Utilization of Emergency Department Services, 2009-2018
Examines emergency department (ED) utilization. Explores ED visits resulting in hospital admission, visits ending in release, and visits associated with mental health or substance use disorder diagnoses. Presents information on the patient, hospital, and payer characteristics for each of these three categories, including metropolitan status. Describes federal efforts to discourage inappropriate ED use.
Date: 03/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines emergency department (ED) utilization. Explores ED visits resulting in hospital admission, visits ending in release, and visits associated with mental health or substance use disorder diagnoses. Presents information on the patient, hospital, and payer characteristics for each of these three categories, including metropolitan status. Describes federal efforts to discourage inappropriate ED use.
Date: 03/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural Initiatives Addressing Community Social Needs
Describes the role of Critical Access Hospitals (CAHs) in improving population health and addressing social needs in their communities. Profiles two Critical Access Hospital social needs programs: Lakewood Health System's food access initiatives in Minnesota, and Northeastern Vermont Regional Hospital's NEK Prosper. Provides an overview of both programs and highlights best practices of each.
Author(s): Madeleine Pick, Megan Lahr, Ira Moscovice
Date: 03/2021
Sponsoring organization: Flex Monitoring Team
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Describes the role of Critical Access Hospitals (CAHs) in improving population health and addressing social needs in their communities. Profiles two Critical Access Hospital social needs programs: Lakewood Health System's food access initiatives in Minnesota, and Northeastern Vermont Regional Hospital's NEK Prosper. Provides an overview of both programs and highlights best practices of each.
Author(s): Madeleine Pick, Megan Lahr, Ira Moscovice
Date: 03/2021
Sponsoring organization: Flex Monitoring Team
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Sustainability Strategies for Community-based Palliative Care
Summarizes themes from two roundtable discussions conducted in late 2018 with 9 rural palliative care programs in Minnesota and surrounding states. Offers examples and resources for sustainability strategies to support community-based palliative care programs.
Date: 03/2021
Sponsoring organization: Stratis Health
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Summarizes themes from two roundtable discussions conducted in late 2018 with 9 rural palliative care programs in Minnesota and surrounding states. Offers examples and resources for sustainability strategies to support community-based palliative care programs.
Date: 03/2021
Sponsoring organization: Stratis Health
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American Indian Women Cancer Survivors' Perceptions and Experiences with Conventional and Non-Conventional Mental Health Care for Depressive Symptoms
A qualitative analysis using the Framework of Historical Oppression, Resilience, and Transcendence (FHORT) to examine culturally specific perceptions and experiences of American Indian (AI) women cancer survivors and barriers involved when seeking conventional and tribally-based mental health services for symptoms of depression.
Author(s): Catherine E. Burnette, Jessica Liddell, Soonhee Roh, Yeon-Shim Lee, Hee Yun Lee
Citation: Ethnicity & Health, 26(2), 186-205
Date: 02/2021
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A qualitative analysis using the Framework of Historical Oppression, Resilience, and Transcendence (FHORT) to examine culturally specific perceptions and experiences of American Indian (AI) women cancer survivors and barriers involved when seeking conventional and tribally-based mental health services for symptoms of depression.
Author(s): Catherine E. Burnette, Jessica Liddell, Soonhee Roh, Yeon-Shim Lee, Hee Yun Lee
Citation: Ethnicity & Health, 26(2), 186-205
Date: 02/2021
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Alcohol- and Drug-Related Consequences Across Latent Classes of Substance Use Among American Indian Adolescents
Examines differences across 4 classes of substance use behaviors by American Indian (AI) adolescents. Classes include: no substance use in the past month; marijuana and cigarette use only; alcohol, marijuana, and cigarette use only; and other substance use in addition to alcohol, marijuana, and cigarettes. Goal of study is to determine the extent of substance-related mortality and morbidity, tendency toward developing a substance use disorder, and other related health disparities.
Author(s): Melissa R. Schick, Silvi C. Goldstein, Tessa Nalven, Nichea S. Spillane
Citation: Addictive Behaviors, 113
Date: 02/2021
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Examines differences across 4 classes of substance use behaviors by American Indian (AI) adolescents. Classes include: no substance use in the past month; marijuana and cigarette use only; alcohol, marijuana, and cigarette use only; and other substance use in addition to alcohol, marijuana, and cigarettes. Goal of study is to determine the extent of substance-related mortality and morbidity, tendency toward developing a substance use disorder, and other related health disparities.
Author(s): Melissa R. Schick, Silvi C. Goldstein, Tessa Nalven, Nichea S. Spillane
Citation: Addictive Behaviors, 113
Date: 02/2021
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Video Telehealth Expands Care for Veterans with Multiple Sclerosis
Features a report on promising practices in providing access to care for rural veterans with multiple sclerosis (MS) via video-based telehealth. Details the traditional barriers to care for MS patients in rural areas and how the video telehealth model can help patients overcome them.
Date: 02/2021
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Features a report on promising practices in providing access to care for rural veterans with multiple sclerosis (MS) via video-based telehealth. Details the traditional barriers to care for MS patients in rural areas and how the video telehealth model can help patients overcome them.
Date: 02/2021
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Primary Care in the United States: A Chartbook of Facts and Statistics
Examines aspects of primary care in the United States, including facts and figures on patient contact with primary care, frequency and range of conditions seen in primary care, care coordination, scope of practice, payment models, and preventive care visit utilization. Features statistics on percentage of primary care physicians by geography, with breakdowns by urban, large rural, small rural, and isolated rural location.
Author(s): Brian Antono, Andrew Bazemore, Irene Dankwa-Mullan, et al.
Date: 02/2021
Sponsoring organization: Robert Graham Center
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Examines aspects of primary care in the United States, including facts and figures on patient contact with primary care, frequency and range of conditions seen in primary care, care coordination, scope of practice, payment models, and preventive care visit utilization. Features statistics on percentage of primary care physicians by geography, with breakdowns by urban, large rural, small rural, and isolated rural location.
Author(s): Brian Antono, Andrew Bazemore, Irene Dankwa-Mullan, et al.
Date: 02/2021
Sponsoring organization: Robert Graham Center
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Pennsylvania Mental Health Services for Victims of Sexual Assault and Rape: A Staff Study
Examines existing laws and services in Pennsylvania and offers recommendations to ensure that sexual assault victims receive quality, trauma-informed medical care. Includes recommendations to promote a certified sexual assault nurse examiner (SANE) program, increase the use of telehealth, and provide for a designation for hospitals, based on their ability to provide comprehensive sexual assault services. Features a section comparing availability of certified SANE nurses in rural and urban areas.
Author(s): Yvonne Llewellyn Hursh, Allison N. Kobzowicz, Grant Rosul, Wendy L. Baker
Date: 02/2021
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Examines existing laws and services in Pennsylvania and offers recommendations to ensure that sexual assault victims receive quality, trauma-informed medical care. Includes recommendations to promote a certified sexual assault nurse examiner (SANE) program, increase the use of telehealth, and provide for a designation for hospitals, based on their ability to provide comprehensive sexual assault services. Features a section comparing availability of certified SANE nurses in rural and urban areas.
Author(s): Yvonne Llewellyn Hursh, Allison N. Kobzowicz, Grant Rosul, Wendy L. Baker
Date: 02/2021
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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