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Rural Health
Resources by Topic: Healthcare needs and services

Support for Rural Practice: Female Physicians and the Life-Career Interface
Reports on the results of a survey of 20 female physicians from the same rural focused family medicine residency, over a 3-month period, to identify emerging themes regarding their experience practicing in rural areas of northwestern United States.
Author(s): Kimberly Stutzman, Ruth Ray Karpen, Pragna Naidoo, et al.
Citation: Rural and Remote Health, 20(1), 5341
Date: 01/2020
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Association of a Remotely Offered Infectious Diseases eConsult Service with Improved Clinical Outcomes
Discusses an asynchronous infectious disease eConsultation program for hospitalized patients, and examines the program's effect on mortality, readmission, and hospital transfer at two rural Minnesota hospitals. Compares the implementation of this service with other telemedicine programs. Describes referring provider and infection disease specialists' satisfaction with the eConsultation service.
Author(s): Aaron J. Tande, Elie F. Berbari, Priya Ramar, et al.
Citation: Open Forum Infectious Diseases, 7(1)
Date: 01/2020
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Public-Safety Broadband Network: Network Deployment Is Progressing, but FirstNet Could Strengthen Its Oversight
Provides an overview of the implementation progress of the First Responder Network Authority (FirstNet) public-safety broadband network and FirstNet's oversight of AT&T, which will install, operate, and maintain the network. Describes three areas of contract oversight that need to be strengthened and provides recommendations for improvement. Discusses broadband coverage differences in rural and non-rural areas.
Additional links: Full Report
Date: 01/2020
Sponsoring organization: Government Accountability Office
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Opioid Use Disorder: Barriers to Medicaid Beneficiaries' Access to Treatment Medications
Examines Medicaid beneficiaries' access to medication-assisted treatment (MAT) for opioid use disorder. Identifies state and federal policies that can impose barriers to MAT medications. Highlights how 3 states and the District of Columbia are addressing these barriers. Discusses challenges to medication deliveries to rural and small practices and access to addiction medicine providers in rural areas.
Additional links: Full Report
Date: 01/2020
Sponsoring organization: Government Accountability Office
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340B Drug Discount Program: Oversight of the Intersection with the Medicaid Drug Rebate Program Needs Improvement
Examines state and federal efforts to prevent duplicate discounts under the 340B and Medicaid Drug Rebate Programs and identifies limitations and weaknesses in federal oversight. Provides recommendations to the Centers for Medicare & Medicaid Services and the Health Resources and Services Administration to strengthen oversight of these programs.
Additional links: Full Report
Date: 01/2020
Sponsoring organization: Government Accountability Office
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Faces of Black Lung II
Informational video describing the recent increase in cases of black lung disease, especially among younger miners in central Appalachia. Includes testimonials from former miners who suffer from black lung, and commentary by experts. Intended to increase awareness and to promote participation in the Coal Workers' Health Surveillance Program, which provides screenings to diagnose black lung as quickly as possible. Features transcript.
Author(s): Anita L. Wolfe
Date: 01/2020
Sponsoring organization: National Institute for Occupational Safety and Health
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Farm and Farm Family Risk and Resilience: A Guide for Extension Educational Programming
A guide for educators focused on programming to reduce risk and increase resilience for farms and farm families. Includes a risk and resilience framework, logic models for programming with three different audiences, tools for assessment and teaching, and teaching resources. Part of the Farm and Farm Family Risk and Resilience Toolkit.
Additional links: Creating a Thriving Farm Visuals, Descriptions and Stacking Game, Farm and Farm Family Risk and Resilience Logic Models, Farm and Farm Family Risk and Resilience Program Planning Tool
Author(s): Bonnie Braun, Maria Pippidis
Date: 01/2020
Sponsoring organizations: University of Cooperative Delaware Extension, University of Maryland Extension
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Suicide Rates by Industry and Occupation — National Violent Death Reporting System, 32 States, 2016
Examines suicide rates for major industry and occupational groups and detailed occupational groups. Includes information on suicide rates for occupations that are largely rural, including farmers, ranchers, and other agricultural managers; agricultural workers; and fishing and hunting workers.
Additional links: Supplementary Table 1: Major Industry Groups, Supplementary Table 2: Major and Detailed Occupational Groups
Author(s): Cora Peterson, Aaron Sussell, Jia Li, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(3), 57-62
Date: 01/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Physician Burnout: Definition(s), Cause(s), Impact(s), Solution(s)
Provides an overview of the causes and impact of physician burnout. Highlights interventions and solutions targeted to rural physicians. Features a medical school wellness-advocate in North Dakota, a Michigan researcher examining work-life balance among women physicians in rural family medicine, and South Dakota's Avera LIGHT program addressing physician wellness in a rural region.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2020
Sponsoring organization: Rural Health Information Hub
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Burnout: Measurement Tool(s), Cause(s) and Impact(s)
Reports on what is known about burnout among rural healthcare providers, highlighting several research studies. Discusses the impact of burnout on turnover, productivity, healthcare quality, and safety.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2020
Sponsoring organization: Rural Health Information Hub
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