Rural Health
Resources by Topic: Healthcare needs and services
Report to Congress: Reducing Barriers to Furnishing Substance Use Disorder (SUD) Services Using Telehealth and Remote Patient Monitoring for Pediatric Populations under Medicaid - Final Report
Details methods to reduce barriers to the use of telehealth for mental health and substance use disorder treatment for pediatric patients covered by Medicaid. Highlights barriers, best practices, and costs, among other measures. Features several case studies across the U.S., including in rural communities.
Date: 05/2020
Sponsoring organizations: Centers for Medicare & Medicaid Services, HHS Office of the Assistant Secretary for Planning and Evaluation
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Details methods to reduce barriers to the use of telehealth for mental health and substance use disorder treatment for pediatric patients covered by Medicaid. Highlights barriers, best practices, and costs, among other measures. Features several case studies across the U.S., including in rural communities.
Date: 05/2020
Sponsoring organizations: Centers for Medicare & Medicaid Services, HHS Office of the Assistant Secretary for Planning and Evaluation
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A Cohort Comparison of Differences Between Regional and Buncombe County Patients of a Comprehensive Perinatal Substance Use Disorders Program in Western North Carolina
Presents a study on access to perinatal substance use disorder care in rural counties in western North Carolina compared to the more urban Buncombe County. Analyzes a hub-and-spoke model that aims to provide perinatal substance use disorder care across the state and discusses the barriers to care in rural areas.
Author(s): Shelley L. Galvin, Melinda Ramage, Catherine Leiner, et al.
Citation: North Carolina Medical Journal, 81(3), 157-165
Date: 05/2020
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Presents a study on access to perinatal substance use disorder care in rural counties in western North Carolina compared to the more urban Buncombe County. Analyzes a hub-and-spoke model that aims to provide perinatal substance use disorder care across the state and discusses the barriers to care in rural areas.
Author(s): Shelley L. Galvin, Melinda Ramage, Catherine Leiner, et al.
Citation: North Carolina Medical Journal, 81(3), 157-165
Date: 05/2020
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Maternal and Obstetric Care Challenges in Rural America
Provides an overview of the clinical factors and social determinants of health that may increase the risk of maternal morbidity and mortality in rural communities. Discusses the impact of insurance coverage status, hospital and obstetric unit closures, and workforce shortages on rural maternal health. Describes the role of the Department of Health and Human Services in addressing maternal health outcomes. Offers policy recommendations to reduce rural maternal health disparities.
Date: 05/2020
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of the clinical factors and social determinants of health that may increase the risk of maternal morbidity and mortality in rural communities. Discusses the impact of insurance coverage status, hospital and obstetric unit closures, and workforce shortages on rural maternal health. Describes the role of the Department of Health and Human Services in addressing maternal health outcomes. Offers policy recommendations to reduce rural maternal health disparities.
Date: 05/2020
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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HIV Prevention and Treatment Challenges in Rural America
Provides an overview of the prevalence of HIV and access to HIV prevention and treatment services in rural communities. Discusses challenges to providing and accessing HIV prevention and treatment efforts in rural areas, including the lack of local healthcare services, the cost of care, and HIV-related stigma. Describes federal programs that support HIV prevention and treatment services in rural areas. Offers policy recommendations to address these barriers and to reduce rural HIV disparities.
Date: 05/2020
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of the prevalence of HIV and access to HIV prevention and treatment services in rural communities. Discusses challenges to providing and accessing HIV prevention and treatment efforts in rural areas, including the lack of local healthcare services, the cost of care, and HIV-related stigma. Describes federal programs that support HIV prevention and treatment services in rural areas. Offers policy recommendations to address these barriers and to reduce rural HIV disparities.
Date: 05/2020
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Availability of Hospice in Rural Pennsylvania
Compares the distribution and number of hospices in rural and urban Pennsylvania counties, provides a descriptive profile of rural Pennsylvania's hospice users, and projects the number of future Pennsylvania hospice users. Includes information from interviews with hospice providers and administrators to help understand challenges and opportunities for stakeholders. Features statistics with breakdowns by rural and urban location and nonprofit or for-profit status, and a county-level map showing locations of Pennsylvania hospices as of 2019.
Additional links: Executive Summary
Author(s): Lisa Kitko, Joel Segel, Elizabeth Thiede
Date: 05/2020
Sponsoring organization: Center for Rural Pennsylvania
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Compares the distribution and number of hospices in rural and urban Pennsylvania counties, provides a descriptive profile of rural Pennsylvania's hospice users, and projects the number of future Pennsylvania hospice users. Includes information from interviews with hospice providers and administrators to help understand challenges and opportunities for stakeholders. Features statistics with breakdowns by rural and urban location and nonprofit or for-profit status, and a county-level map showing locations of Pennsylvania hospices as of 2019.
Additional links: Executive Summary
Author(s): Lisa Kitko, Joel Segel, Elizabeth Thiede
Date: 05/2020
Sponsoring organization: Center for Rural Pennsylvania
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Virtually Possible: Using Telehealth to Bring Reproductive Health Care to Women with Opioid Use Disorder in Rural Maine
Describes a program implemented by a Maine family planning clinic, in which HIV counseling, contraception, and pregnancy testing and counseling were made available to women with opioid use disorder (OUD) through meetings with a community educator and through telehealth. Explores challenges in receiving OUD care in rural Maine and discusses findings.
Author(s): Terri-Ann Thompson, Katherine A. Ahrens, Leah Coplon
Citation: mHealth
Date: 05/2020
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Describes a program implemented by a Maine family planning clinic, in which HIV counseling, contraception, and pregnancy testing and counseling were made available to women with opioid use disorder (OUD) through meetings with a community educator and through telehealth. Explores challenges in receiving OUD care in rural Maine and discusses findings.
Author(s): Terri-Ann Thompson, Katherine A. Ahrens, Leah Coplon
Citation: mHealth
Date: 05/2020
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Process of Identifying Measures and Data Elements for the HRSA School-Based Telehealth Network Grant Program
Research brief describing measures used for a Health Resources and Services Administration (HRSA) program designed to demonstrate how telehealth can expand access to and improve the quality of healthcare services offered in schools in rural, frontier, and underserved communities. Focuses on asthma, behavioral health, diabetes, healthy weight, and oral health. Features tables listing 27 measures and 40 data elements used for grantee evaluation.
Author(s): Marcia M. Ward, Kimberley Fox, Kimberly Merchant, et al.
Date: 05/2020
Sponsoring organization: Remote Care & Telehealth Research Center
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Research brief describing measures used for a Health Resources and Services Administration (HRSA) program designed to demonstrate how telehealth can expand access to and improve the quality of healthcare services offered in schools in rural, frontier, and underserved communities. Focuses on asthma, behavioral health, diabetes, healthy weight, and oral health. Features tables listing 27 measures and 40 data elements used for grantee evaluation.
Author(s): Marcia M. Ward, Kimberley Fox, Kimberly Merchant, et al.
Date: 05/2020
Sponsoring organization: Remote Care & Telehealth Research Center
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Health Panel Comment Letter – Maternal and Infant Health Care in Rural Communities
Offers comments in response to the CMS Maternal and Infant Health Care in Rural Communities Request for Information. Describes Medicare cost reporting challenges for obstetric services at Critical Access Hospitals and possible changes to maternal health coverage under Medicaid.
Date: 05/2020
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers comments in response to the CMS Maternal and Infant Health Care in Rural Communities Request for Information. Describes Medicare cost reporting challenges for obstetric services at Critical Access Hospitals and possible changes to maternal health coverage under Medicaid.
Date: 05/2020
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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An Evaluation of Appalachian Regional Commission Funding of Drinking Water and Wastewater Infrastructure Projects: Fiscal Year 2009-Fiscal Year 2016
Assesses 379 drinking water and wastewater infrastructure projects funded by the Appalachian Regional Commission (ARC) in fiscal year (FY) 2009 to FY 2016 to benefit communities in all 13 Appalachian states. Offers discussion on the impact of ARC-funded projects on communities, including increased employment opportunities, household benefits, improved public health, and more. Provides background information, challenges, and outcomes for various projects completed before the end of FY 2018.
Author(s): Jeff Hughes, Maureen Berner, Austin Thompson, et al.
Date: 05/2020
Sponsoring organizations: Appalachian Regional Commission, The University of North Carolina Environmental Finance Center
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Assesses 379 drinking water and wastewater infrastructure projects funded by the Appalachian Regional Commission (ARC) in fiscal year (FY) 2009 to FY 2016 to benefit communities in all 13 Appalachian states. Offers discussion on the impact of ARC-funded projects on communities, including increased employment opportunities, household benefits, improved public health, and more. Provides background information, challenges, and outcomes for various projects completed before the end of FY 2018.
Author(s): Jeff Hughes, Maureen Berner, Austin Thompson, et al.
Date: 05/2020
Sponsoring organizations: Appalachian Regional Commission, The University of North Carolina Environmental Finance Center
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Oral Health Surveillance among American Indians and Alaska Natives in Arizona, Nevada, and Utah 2013-2018
Report highlights oral health data from Indian Health Services facilities from 2013-2018 in Arizona, Nevada, and Utah. Looks at data by state, age, sex, and services provided.
Date: 05/2020
Sponsoring organizations: Inter Tribal Council of Arizona, American Indian Research Center for Health, Tribal Epidemiology Centers
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Report highlights oral health data from Indian Health Services facilities from 2013-2018 in Arizona, Nevada, and Utah. Looks at data by state, age, sex, and services provided.
Date: 05/2020
Sponsoring organizations: Inter Tribal Council of Arizona, American Indian Research Center for Health, Tribal Epidemiology Centers
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