Rural Health
Resources by Topic: Healthcare needs and services
Loss of Hospital-based Obstetric Services in Rural Counties in the United States, 2004-2018
Line chart showing the percent of micropolitan and noncore counties that had hospital-based obstetric care from 2004 through 2018.
Author(s): Katy B Kozhimannil, Julia D Interrante, Mariana S Tuttle
Date: 07/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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Line chart showing the percent of micropolitan and noncore counties that had hospital-based obstetric care from 2004 through 2018.
Author(s): Katy B Kozhimannil, Julia D Interrante, Mariana S Tuttle
Date: 07/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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Effectiveness of Interventions to Increase Colorectal Cancer Screening Among American Indians and Alaska Natives
Uses data on participants from 3 tribally operated healthcare clinics in rural areas to study whether direct mailing of fecal immunochemical test kits is effective in increasing colorectal cancer screening among American Indians and Alaska Natives.
Author(s): Donald Haverkamp, Kevin English, Jasmine Jacobs-Wingo, Amanda Tjemsland, David Espey
Citation: Preventing Chronic Disease, 17
Date: 07/2020
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Uses data on participants from 3 tribally operated healthcare clinics in rural areas to study whether direct mailing of fecal immunochemical test kits is effective in increasing colorectal cancer screening among American Indians and Alaska Natives.
Author(s): Donald Haverkamp, Kevin English, Jasmine Jacobs-Wingo, Amanda Tjemsland, David Espey
Citation: Preventing Chronic Disease, 17
Date: 07/2020
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Left Out: Barriers to Health Equity for Rural and Underserved Communities
Summarizes responses to a Request for Information from the U.S. House Ways and Means Committee's Rural and Underserved Communities Health Task Force. Describes factors contributing to healthcare challenges in rural areas, including demographics, social and structural determinants of health, insurance coverage, access to care, and workforce shortages. Highlights promising models of healthcare delivery in rural areas. Includes state-by-state health equity maps.
Additional links: State and Territory Health Equity Maps, Summary
Date: 07/2020
Sponsoring organization: House Ways and Means Committee
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Summarizes responses to a Request for Information from the U.S. House Ways and Means Committee's Rural and Underserved Communities Health Task Force. Describes factors contributing to healthcare challenges in rural areas, including demographics, social and structural determinants of health, insurance coverage, access to care, and workforce shortages. Highlights promising models of healthcare delivery in rural areas. Includes state-by-state health equity maps.
Additional links: State and Territory Health Equity Maps, Summary
Date: 07/2020
Sponsoring organization: House Ways and Means Committee
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Advance Care Planning: New Realities in Times of COVID-19
Examines the challenges of advance care planning, planning for decision-making in times of medical crisis, due to COVID-19. Shares insights from clinicians and others involved in helping rural patients.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 07/2020
Sponsoring organization: Rural Health Information Hub
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Examines the challenges of advance care planning, planning for decision-making in times of medical crisis, due to COVID-19. Shares insights from clinicians and others involved in helping rural patients.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 07/2020
Sponsoring organization: Rural Health Information Hub
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Provision of Pediatric Immunization Services During the COVID-19 Pandemic: An Assessment of Capacity Among Pediatric Immunization Providers Participating in the Vaccines for Children Program — United States, May 2020
Reports on the capacity of pediatric healthcare practices to provide immunization services to children during the COVID-19 pandemic. Based on a survey of practices participating in the Vaccines for Children program conducted May 12–20, 2020. Includes data for urban and rural provider practice locations.
Author(s): Tara M. Vogt, Fan Zhang, Michelle Banks, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(27), 859-863
Date: 07/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on the capacity of pediatric healthcare practices to provide immunization services to children during the COVID-19 pandemic. Based on a survey of practices participating in the Vaccines for Children program conducted May 12–20, 2020. Includes data for urban and rural provider practice locations.
Author(s): Tara M. Vogt, Fan Zhang, Michelle Banks, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(27), 859-863
Date: 07/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Oversight Hearing on "Evaluating the Response and Mitigation to the COVID-19 Pandemic in Native Communities" and Legislative Hearing to Receive Testimony on S. 3650
Presents the Senate Committee on Indian Affairs oversight hearing on the response to COVID-19 in tribal communities. Features testimony from representatives from the Indian Health Service, the Federal Emergency Management Agency, the North Dakota Indian Affairs Commission, and the National Indian Health Board.
Additional links: Lisa Elgin Testimony, Michael D. Weahkee Testimony, Robert J. Fenton, Jr. Testimony, Scott J. Davis Testimony
Date: 07/2020
Sponsoring organization: Senate Committee on Indian Affairs
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Presents the Senate Committee on Indian Affairs oversight hearing on the response to COVID-19 in tribal communities. Features testimony from representatives from the Indian Health Service, the Federal Emergency Management Agency, the North Dakota Indian Affairs Commission, and the National Indian Health Board.
Additional links: Lisa Elgin Testimony, Michael D. Weahkee Testimony, Robert J. Fenton, Jr. Testimony, Scott J. Davis Testimony
Date: 07/2020
Sponsoring organization: Senate Committee on Indian Affairs
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Telepharmacy Rules and Statutes: A 3-Year Update for all 50 States
Surveys the legislative and administrative activity authorizing community-based telepharmacy. Includes a table identifying states that have permitted telepharmacy services through legislation, regulation, or waiver or pilot programs, and states with limitations, prohibitions, or no guidance on these services. Provides an overview of state rules and regulations that limit aspects of telepharmacy implementation. Explores areas for further research and evaluation, including the relationship between telepharmacy and rural pharmacy closures.
Author(s): Jason Semprini, Fred Ullrich, Keith J. Mueller
Date: 07/2020
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Surveys the legislative and administrative activity authorizing community-based telepharmacy. Includes a table identifying states that have permitted telepharmacy services through legislation, regulation, or waiver or pilot programs, and states with limitations, prohibitions, or no guidance on these services. Provides an overview of state rules and regulations that limit aspects of telepharmacy implementation. Explores areas for further research and evaluation, including the relationship between telepharmacy and rural pharmacy closures.
Author(s): Jason Semprini, Fred Ullrich, Keith J. Mueller
Date: 07/2020
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS and the Long-term Care Hospital PPS for FY 2021
Comments on a May 29, 2020, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Discusses proposals to use commercial insurer data to set Medicare severity–diagnosis related group (MS–DRG) relative weights and adopt changes to geographic area delineations to establish hospital wage indexes for the IPPS and LTCH PPS.
Date: 07/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a May 29, 2020, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Discusses proposals to use commercial insurer data to set Medicare severity–diagnosis related group (MS–DRG) relative weights and adopt changes to geographic area delineations to establish hospital wage indexes for the IPPS and LTCH PPS.
Date: 07/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Supporting the Health and Wellbeing of Middle-Aged Adults Living Alone in Rural Counties
Results of a study exploring the characteristics of adults ages 35-64 who live alone, and the heightened health risks and challenges related to social isolation, especially in the midst of the COVID-19 pandemic. Uses data from a survey of 14 healthcare providers in rural counties with a high percentage of middle-aged adults living alone. Features a county-level map with breakdowns by percentage of people living alone in rural areas.
Author(s): Carrie Henning-Smith, Mariana Tuttle, Ashley Hernandez, Jonathan Schroeder, Katy Kozhimannil
Date: 07/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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Results of a study exploring the characteristics of adults ages 35-64 who live alone, and the heightened health risks and challenges related to social isolation, especially in the midst of the COVID-19 pandemic. Uses data from a survey of 14 healthcare providers in rural counties with a high percentage of middle-aged adults living alone. Features a county-level map with breakdowns by percentage of people living alone in rural areas.
Author(s): Carrie Henning-Smith, Mariana Tuttle, Ashley Hernandez, Jonathan Schroeder, Katy Kozhimannil
Date: 07/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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Repeat Annual Colorectal Cancer Screening in Rural Community Clinics: A Randomized Clinical Trial to Evaluate Outreach Strategies to Sustain Screening
Analyzes the effectiveness of outreach strategies for colorectal cancer (CRC) screening in rural areas. Examines 568 participants ages 50-75 and tracks screening rates with Fecal Immunochemical Test (FIT) kits after receiving a personal or automated call by a prevention counselor. Includes demographic breakdowns of participants and discusses intervention strategies to improve CRC screening in rural areas.
Author(s): Terry C. Davis, Alfred Rademaker, James Morris, et al.
Citation: Journal of Rural Health, 36(3), 307-315
Date: 06/2020
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Analyzes the effectiveness of outreach strategies for colorectal cancer (CRC) screening in rural areas. Examines 568 participants ages 50-75 and tracks screening rates with Fecal Immunochemical Test (FIT) kits after receiving a personal or automated call by a prevention counselor. Includes demographic breakdowns of participants and discusses intervention strategies to improve CRC screening in rural areas.
Author(s): Terry C. Davis, Alfred Rademaker, James Morris, et al.
Citation: Journal of Rural Health, 36(3), 307-315
Date: 06/2020
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