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Rural Health
Resources by Topic: Healthcare needs and services

Best Practice Guide for Engagement with SORH and CDC-funded State Programs
Highlights examples from North Dakota, New Hampshire, and Louisiana of successful engagement between the State Office of Rural Health (SORH) and state initiatives funded by the Centers for Disease Control and Prevention (CDC). Identifies top opportunities for collaboration.
Date: 2019
Sponsoring organization: National Organization of State Offices of Rural Health
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Review and Evaluation of the Substance Abuse, Mental Health, and Homelessness Grant Formulas
Examines the formulas for distributing state funds under the the Substance Abuse Prevention and Treatment Block Grant, Community Mental Health Services Block Grant, and Projects for Assistance in Transition from Homelessness program as required by the 21st Century Cures Act. Focuses on how well the formulas reflect state service needs, offers recommendations for updating the grant formulas, and considers the potential impact of updates on state funding. Addresses how the current formulas take rural areas into consideration, whether updates are needed, and whether data is available for those updates.
Additional links: Federal Block Grants to States for Mental Health, Substance Abuse, and Homelessness: Research Brief
Author(s): J. Scott Ashwood, Karen Chan Osilla, Maria DeYoreo, et al.
Date: 2019
Sponsoring organization: RAND Corporation
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Comparing Buprenorphine-Prescribing Physicians Across Nonmetropolitan and Metropolitan Areas in the United States
Highlights a study comparing buprenorphine prescribing rates between metro and nonmetro areas. Looks at physician treatment practices, characteristics, and practice location.
Author(s): Lewei (Allison) Lin, Hannah K. Knudsen
Citation: Annals of Family Medicine, 17(3), 212-220
Date: 2019
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Northern New Hampshire Youth in a Changing Rural Economy: A Ten-Year Perspective
Examines the issue of young people leaving rural communities in a longitudinal study with a focus on Northern New Hampshire in order to inform grantmaking activities. Addresses influences on their reasons to leave or stay, the impact of the economy changing from manufacturing to healthcare and other sectors, factors such as home environment and mental health, sense of community, and more.
Author(s): Eleanor M. Jaffee, Corinna Jenkins Tucker, Karen T. Van Gundy, Erin Hiley Sharp, Cesar J. Rebellon
Date: 2019
Sponsoring organization: Carsey School of Public Policy
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Identifying Priority and "Bright-Spot" Counties for Diabetes Preventive Care in Appalachia: An Exploratory Analysis
Details a study of type 2 diabetes prevalence and mortality in rural Appalachian counties and compares rates with non-Appalachian counties.
Author(s): Peter J. Mallow, Michael Topmiller, Jennifer Rankin, Jene Grandmont, David Grolling
Citation: Journal of Appalachian Health, 1(1), 27-33
Date: 2019
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The Social Determinants of Health and the Decline in U.S. Life Expectancy: Implications for Appalachia
Study explores life expectancy in the U.S. and compares these trends to those in Appalachia. Looks at social determinants of health such as substance use, injuries, and suicide, among others, as possible contributing factors.
Author(s): Steven H. Woolf, Heidi Schoomaker, Latoya Hill, Christine M. Orndahl
Citation: Journal of Appalachian Health, 1(1), 6-14
Date: 2019
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State Strategies for Averting Early Deaths: Innovations and Best Practices for Preventing Suicide
Reports on an exchange of state-level best practices for preventing suicide. Identifies lessons learned with a focus on three categories: cross-sector collaboration; strategic partnerships including with tribal and veterans organizations; and upstream prevention efforts, including school programs. Briefly addresses challenges for rural and tribal communities. Highlights model programs from Colorado, Washington, Idaho, and Utah.
Date: 2019
Sponsoring organization: National Governors Association
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State Innovation Models (SIM) Round 2: Model Test Annual Report Three
Third annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Addresses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Offers an update and lessons learned on strategies to support healthcare delivery transformation related to behavioral health integration, data for improving health care quality and performance, health information technology, care coordination, and workforce development. Describes states' population health activities. Includes discussion of rural issues throughout the report.
Additional links: Findings at a Glance
Date: 2019
Sponsoring organizations: Centers for Medicare & Medicaid Services, RTI International
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The Ecology of Neonatal Abstinence Syndrome
Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Sponsoring organization: RAND Corporation
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Hearing Norton Sound: A Community Randomised Trial Protocol to Address Childhood Hearing Loss in Rural Alaska
Profiles a study evaluating a school hearing screening and referral process to determine if it helped to improve the treatment of childhood hearing loss in rural Alaska.
Author(s): Susan D. Emmett, Samantha Kleindienst Robler, Nae-Yuh Wang, et al.
Citation: BMJ Open, 9(1), e023078
Date: 2019
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