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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare needs and services

Urban and Rural Districts Showed a Strong Divide During the COVID-19 Pandemic - Results from the Second American School District Panel Survey
Report highlights the differences between rural and urban school districts in the ways they adapted to the COVID-19 pandemic. Discusses the different approaches to addressing the physical and mental health and safety for students and staff and makes recommendations for school districts.
Author(s): Heather L. Schwartz, Melissa Kay Diliberti, Lisa Berdie, et al.
Date: 2021
Sponsoring organization: RAND Corporation
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Left Behind Again: Rural Home Health Services in a Medicaid Pediatric Accountable Care Organization
Examines differences in pediatric home healthcare utilization among rural and urban children in a Medicaid pediatric Accountable Care Organization (ACO) in Ohio. Analyzes overall differences in healthcare use and annual trends in home health use by rurality and Medicaid eligibility group. Discusses how these findings could inform state policies and future research.
Author(s): Rose Y. Hardy, Gilbert C. Liu, Kimberly J. Conkol, Sean P. Gleeson, Kelly J. Kelleher
Citation: Journal of Rural Health
Date: 2021
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The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity
Series of essays exploring how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, using technology, and maintaining patient- and family-focused care into 2030. Includes sections on social determinants of health and nurses' role in disaster preparedness and public health emergency response. Provides rural references throughout.
Additional links: Read Online
Author(s): Committee on the Future of Nursing 2020-2030
Date: 2021
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care
Examines the current state of primary care in the United States, and describes an implementation plan to strengthen high-quality primary care. Discusses value-based care and reimbursement, access to care, primary care workforce recruitment and training, and the role of health information technology. Includes rural references throughout.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2021
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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2020 340B Health Annual Survey: 340B Hospitals Use Benefits to Provide Services and Improve Outcomes for Low-Income and Rural Patients
Summarizes the results of a November 2020 - January 2021 survey of nearly 500 hospitals, including small and rural hospitals, that participate in the 340B drug pricing program. Describes how these hospitals utilize their savings from the 340B program to benefit patients. Discusses the importance of the program to Critical Access Hospitals, Disproportionate Share Hospitals, and other safety net facilities.
Date: 2021
Sponsoring organization: 340B Health
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Sexually Transmitted Infections - Adopting a Sexual Health Paradigm
Highlights the rates of sexually transmitted infections (STIs) across the U.S. Discusses how different populations are disproportionately affected. Details how the barriers to healthcare access in rural areas, particularly rural American Indian reservations, can affect the rates of STIs. Makes policy recommendations to address these disparities.
Additional links: Read Online
Author(s): Board on Population Health and Public Health Practice
Date: 2021
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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High and Rising Mortality Rates Among Working-Age Adults
Identifies key drivers of increasing death rates and disparities in working-age mortality from 1990-2017 and examines modifiable risk factors that could alleviate poor health and widening health inequalities in the working-age population. Makes recommendations for future research and data collection, and explores potential policy implications. Mentions rural throughout. Features statistics on trends in working-age mortality by age, sex, race/ethnicity, cause of death, and geography.
Additional links: Read Online
Author(s): Committee on Rising Midlife Mortality Rates and Socioeconomic Disparities
Date: 2021
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Advancing Progress in the Development and Implementation of Effective, High-Quality Cancer Screening: Proceedings of a Workshop
Details a workshop during which presenters and participants described challenges to current cancer screening methods and discussed opportunities for improvement to ultimately reduce cancer morbidity and mortality. Provides information on populations in the U.S.-Mexico border region.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2021
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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A Description of COVID-19 Lifestyle Restrictions Among a Sample of Rural Appalachian Women
Findings from a survey given to 33 women who had previously participated in a larger survey involving substance use and behavioral risks. Features demographics and statistics on substance use, mental health, and types of activity restrictions related to COVID-19.
Author(s): Michele Staton, Martha Tillson, J. Matthew Webster
Citation: Journal of Appalachian Health, 3(1), 4-17
Date: 2021
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Impact of the COVID-19 Shutdown on Mental Health in Appalachia by Working Status
Results of a study on issues faced by Appalachian residents during the COVID-19-related shutdown in the spring of 2020, including concerns about healthcare and finances, and the effect on mental health. Examines whether there were higher levels of anxiety, fear, and depression among those who continued working outside the home compared with those who began working remotely during the shutdown. Features demographics and statistics on chronic health conditions and types of concerns, with breakdowns by work categories.
Author(s): Erin N. Haynes, Timothy J. Hilbert, Susan C. Westneat, et al.
Citation: Journal of Appalachian Health, 3(1), 18-28
Date: 2021
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