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Rural Health
Resources by Topic: Healthcare needs and services

Developing and Implementing Farm Stress Training to Address Agricultural Producer Mental Health
Offers an overview of a U.S. Department of Agriculture Farm Service Agency online training program for agribusiness professionals to offer mental health resources to farmers and ranchers. Describes issues of mental healthcare access for rural and farm populations and the process of developing the training program, as well as challenges, successes, and practical implications of the program.
Author(s): Courtney Cuthbertson, Alison Brennan, John Shutske, et al.
Citation: Health Promotion Practice, 1524839920931849
Date: 06/2020
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The Complexities of Selling Fruits and Vegetables in Remote Navajo Nation Retail Outlets: Perspectives from Owners and Managers of Small Stores
Highlights an examination of access to fruit and vegetables in small rural stores across the Navajo Nation in New Mexico. Details a survey of several small stores scattered throughout the Navajo Nation and discusses the food options in these rural stores.
Author(s): Emily M. Piltch, Sonya S. Shin, Robert F. Houser, Timothy Griffin
Citation: Public Health Nutrition, 23(9), 1638-1646
Date: 06/2020
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Suicide Rates on the Rise: National Trends and Demographics in Suicide Deaths from 2000 to 2018
Brief details the national trends in deaths by suicide from 2002-2018 by demographics, such as age, sex, and urbanization, among others. Includes a state-level brief that highlights suicide trends by state.
Additional links: State-level Brief
Date: 06/2020
Sponsoring organization: State Health Access Data Assistance Center
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Expect Delays: Poor Connections Between Rural and Urban Health Systems Challenge Multidisciplinary Care for Rural Americans with Diabetic Foot Ulcers
Investigates communication barriers between rural and urban health systems to identify factors that may be contributing to higher risk of major amputation among rural patients with diabetic foot ulcers (DFUs) compared to urban patients with DFUs. Barriers for rural providers include time-consuming referrals; poor interactions with urban providers; and data sharing issues due to multiple, disconnected electronic health records.
Author(s): Bryn L. Sutherland, Kristen Pecanac, Christie M. Bartels, Meghan B. Brennan
Citation: Journal of Foot and Ankle Research, 13(1), 32
Date: 06/2020
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Epidemiology of the 2020 Pandemic of COVID-19 in the State of Texas: The First Month of Community Spread
Provides an overview of COVID-19 spread in Texas from March 1 - April 8, 2020, comparing urban and rural rates. Examines data from national and state sources, analyzing case fatality and incidence rates in relation to county information, demographics including race/ethnicity, and availability of healthcare resources. Figure 1 offers a county map of Texas indicating COVID-19 prevalence rate and percentage of African American residents.
Author(s): Swapnil Khose, Justin Xavier Moore, Henry E. Wang
Citation: Journal of Community Health, 45, 696-710
Date: 06/2020
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Social Determinants of Health and County Population Rates of Opioid-Related Inpatient Stays and Emergency Department Visits, 2016
Examines characteristics of U.S. counties, comparing counties with high and low rates of opioid-related inpatient stays and treat-and-release emergency department (ED) visits among patients 15 years and older. Includes data for metro, rural adjacent to metro, and rural remote counties, as well as by urban-rural location and poverty rate.
Author(s): Pamela L. Owens, Audrey J. Weiss, Marguerite L. Barrett, Lawrence D. Reid
Date: 06/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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Out‐of‐Network Air Ambulance Bills: Prevalence, Magnitude, and Policy Solutions
Examines the prevalence and cost of surprise air ambulance bills among privately insured patients. Describes air ambulance rates for commercial payers in relation to Medicare rates. Compares the number of air ambulance claims from urban and rural locations. Offers policy solutions to address surprise and out-of-network bills for these services.
Author(s): Erin C. Fuse Brown, Erin Trish, Bich Ly, Mark Hall, Loren Adler
Citation: Milbank Quarterly, 98(3), 747-774
Date: 06/2020
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Provision of Mental Health Services by Critical Access Hospital-Based Rural Health Clinics
Examines the extent to which Critical Access Hospital (CAH)-based Rural Health Clinics (RHCs) provide mental health services. Describes the characteristics and staffing patterns of CAH-based RHCs that offer these services. Explores challenges of providing mental health services at RHCs and strategies for integrating mental health and primary care services.
Author(s): John Gale, Zachariah Croll, Nathan First, Sara Kahn-Troster
Date: 06/2020
Sponsoring organization: Flex Monitoring Team
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HIV Testing Trends at Visits to Physician Offices, Community Health Centers, and Emergency Departments — United States, 2009–2017
Examines HIV testing by setting for visits of males and nonpregnant females to physician offices, community health centers, and emergency departments. Includes data for metropolitan and nonmetro areas.
Author(s): Karen W. Hoover, Ya-Lin A. Huang, Mary L. Tanner, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(25), 776-780
Date: 06/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Supply and Distribution of the Primary Care Workforce in Rural America: 2019
Details the supply of primary care providers in rural and urban areas in the U.S. Compares rates of physicians, nurse practitioners, and physician assistants per 100,000 people by county across the country. Features a state-level analysis.
Additional links: State-level Analysis
Author(s): Eric H. Larson, C. Holly A. Andrilla, Lisa A. Garberson, et al.
Date: 06/2020
Sponsoring organization: WWAMI Rural Health Research Center
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