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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare needs and services

Risky Substance Use Behaviors Among Adolescents Residing in Non-Metropolitan and Metropolitan Counties in the United States, 2017-2018
Compares the prevalence of risky substance use among people ages 12-17 who are living in rural and urban counties. Features statistics with breakdowns by use within the past year and within the past 30 days, for alcohol, tobacco, and 10 types of illicit drugs.
Author(s): Tyrone F. Borders, Michael D. Singleton, Katherine Youngen
Date: 11/2020
Sponsoring organization: Rural and Underserved Health Research Center
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Doulas Enhance the Birthing Experience: Brookings Health System, Brookings, SD
Case study profiling Brookings Health System, a rural health system in South Dakota, and its implementation of a free doula program. Discusses the impact of the doula program, patient and staff, satisfaction, lessons learned, and future goals for the program.
Date: 11/2020
Sponsoring organization: American Hospital Association
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Models of Success in Rural Maternity Care: Kearny County Hospital
Profiles the maternity program at Kearny County Hospital, a Critical Access Hospital in rural Lakin, Kansas. Describes key features of the program including mission-based recruitment and strong communication. Includes recommendations for emulating this model.
Author(s): Carrie Henning-Smith, Mary Gilbertson
Date: 11/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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Models of Success in Rural Maternity Care: ANGELS Network & Millard-Henry Clinic
Describes the Antenatal and Neonatal Guidelines, Education, and Learning System (ANGELS) program, a high-risk pregnancy program based at the University of Arkansas for Medical Science designed to improve the ability of tertiary care facilities in the state to deliver low birth weight babies. Discusses the importance of communication between ANGELS staff and partner clinics and the role of telehealth services for specialty care.
Author(s): Megan Lahr, Mary Gilbertson
Date: 11/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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Models of Success in Rural Maternity Care: Western Wisconsin Health
Profiles Western Wisconsin Health, a Critical Access Hospital in rural Wisconsin with a successful obstetrics unit. Describes the philosophy of the leadership and staff, as well as the scope of services. Includes recommendations for emulating this model.
Author(s): Katy B. Kozhimannil, Mary Gilbertson
Date: 11/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rethinking Rural Health: FY 2020 Year in Review
Provides an overview of Centers for Medicaid and Medicare Services (CMS) programs and activities that have affected rural health and healthcare in fiscal year 2020. Focuses on nine priority areas: COVID-19, maternal health, Medicare Advantage (MA) and the Federally-facilitated Marketplace (FFM), quality improvement, practitioner engagement, patient empowerment and person-centered care, Medicare and Medicaid payment and policy, models and demonstrations, and telehealth.
Date: 11/2020
Sponsoring organization: Centers for Medicare & Medicaid Services
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Overview of Emergency Department Visits Related to Injuries, by Cause of Injury, 2017
Presents statistics on emergency department (ED) visits related to injuries in 2017. Includes the number of ED visits related to each cause of injury; the percentage of visits that resulted in the patient being admitted or transferred to another hospital; rate of ED visit due to injuries by different population characteristics including age, sex, income, and rural status; and the distribution of primary expected payer for ED visits related to injuries.
Author(s): Audrey J. Weiss, Lawrence D. Reid, Marguerite L. Barrett
Date: 11/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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Comment Letter on HHS Report to Congress on Telehealth for Pediatric SUD
Reviews the U.S. Department of Health and Human Services (HHS) report, Reducing Barriers to Furnishing Substance Use Disorder (SUD) Services Using Telehealth and Remote Patient Monitoring for Pediatric Populations Under Medicaid: Final Report. Covers the role of telehealth in mitigating the shortage of behavioral health providers and expanding behavioral health services to children covered by Medicaid. Discusses the need for additional research on telehealth in Medicaid, information sharing between states, and addressing barriers to technology.
Date: 11/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Chartbook on Healthcare for Veterans
Explores the disparities in access to, and healthcare received by, veterans. Describes disparities between veterans and non-veterans, within the veteran population, and among users of the Veterans Health Administration (VHA). Includes rural-urban comparisons throughout.
Date: 11/2020
Sponsoring organizations: Agency for Healthcare Research and Quality, U.S. Department of Veterans Affairs
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Multiple COVID-19 Outbreaks Linked to a Wedding Reception in Rural Maine — August 7–September 14, 2020
Reports on a COVID-19 outbreak that began at a rural Maine wedding reception and spread in the local community and to a long-term care facility and a correctional facility in other counties. Discusses the impact of noncompliance with CDC's recommended mitigation measures.
Author(s): Parag Mahale, Craig Rothfuss, Sarah Bly, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(45), 1686-1690
Date: 11/2020
Sponsoring organization: Centers for Disease Control and Prevention
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