Rural Health
Resources by Topic: Healthcare needs and services
2017 Colorado Opioid Safety Pilot Results Report
Describes an opioid safety pilot study that implemented the ALTO, or alternative to opioid, approach for pain treatment in 7 urban and 3 rural hospital emergency departments in Colorado. Discusses ALTO's multifaceted treatment approach for pain management, data collection and analysis, and lessons learned.
Additional links: Pre-Launch Checklist: Using Alternatives to Opioids (ALTOs) in Hospital Emergency Departments
Date: 05/2018
Sponsoring organization: Colorado Hospital Association
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Describes an opioid safety pilot study that implemented the ALTO, or alternative to opioid, approach for pain treatment in 7 urban and 3 rural hospital emergency departments in Colorado. Discusses ALTO's multifaceted treatment approach for pain management, data collection and analysis, and lessons learned.
Additional links: Pre-Launch Checklist: Using Alternatives to Opioids (ALTOs) in Hospital Emergency Departments
Date: 05/2018
Sponsoring organization: Colorado Hospital Association
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Leaving the Emergency Department Without Complete Care: Disparities In American Indian Children
Examines children who leave the emergency department (ED) without complete evaluation or care (LWCET) in American Indian (AI) pediatric populations between June 2011 and May 2012. Analyzes 68,461 visits made by 47,228 children to 5 EDs and investigates factors such as demographic characteristics of patient, triage level, distance from the ED, timing of visit, ED activity level, and more.
Author(s): Tess L. Weber, Katherine M. Ziegler, Anupam B. Kharbanda, et al.
Citation: BMC Health Services Research, 18(267)
Date: 04/2018
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Examines children who leave the emergency department (ED) without complete evaluation or care (LWCET) in American Indian (AI) pediatric populations between June 2011 and May 2012. Analyzes 68,461 visits made by 47,228 children to 5 EDs and investigates factors such as demographic characteristics of patient, triage level, distance from the ED, timing of visit, ED activity level, and more.
Author(s): Tess L. Weber, Katherine M. Ziegler, Anupam B. Kharbanda, et al.
Citation: BMC Health Services Research, 18(267)
Date: 04/2018
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Cross-Jurisdictional Resource Sharing in Local Health Departments: Implications for Services, Quality, and Cost
Examines Local Health Departments (LHDs) in Connecticut and Massachusetts and discusses how to increase capacity of public health systems in smaller municipalities. Analyzes 15 resource-sharing jurisdictions and 54 single-municipality jurisdictions and provides benefits and drawbacks of the 2 models. Includes data on demographic and organizational characteristics of independent and sharing municipalities including percentages of rural, suburban, and urban municipality type.
Author(s): Debbie L. Humphries, Justeen Hyde, Ethan Hahn, et al.
Citation: Frontiers in Public Health, 6(115), 1-13
Date: 04/2018
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Examines Local Health Departments (LHDs) in Connecticut and Massachusetts and discusses how to increase capacity of public health systems in smaller municipalities. Analyzes 15 resource-sharing jurisdictions and 54 single-municipality jurisdictions and provides benefits and drawbacks of the 2 models. Includes data on demographic and organizational characteristics of independent and sharing municipalities including percentages of rural, suburban, and urban municipality type.
Author(s): Debbie L. Humphries, Justeen Hyde, Ethan Hahn, et al.
Citation: Frontiers in Public Health, 6(115), 1-13
Date: 04/2018
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Feasibility Test of a Community-Relevant Intervention Designed to Promote African American Participation in Translational, Breast Cancer Disparities Research: Know about Health Options for Women (Know HOW)
Explores two strategies for increasing breast cancer research participation among African American women: a comprehensive and focused outreach program with different levels and methods of engagement and information dissemination. Describes a study of the programs in the rural Lower Mississippi River Delta region of Arkansas, including different rates of participation for each outreach program. Discusses the importance of new research methods.
Author(s): Karen H. Kim Yeary, Page Moore, Jerome Turner, et al.
Citation: Journal of Cancer Education, 33, 29-36
Date: 04/2018
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Explores two strategies for increasing breast cancer research participation among African American women: a comprehensive and focused outreach program with different levels and methods of engagement and information dissemination. Describes a study of the programs in the rural Lower Mississippi River Delta region of Arkansas, including different rates of participation for each outreach program. Discusses the importance of new research methods.
Author(s): Karen H. Kim Yeary, Page Moore, Jerome Turner, et al.
Citation: Journal of Cancer Education, 33, 29-36
Date: 04/2018
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A Comparison of Collaborative Care Outcomes in Two Health Care Systems: VA Clinics and Federally Qualified Health Centers
Compares merged data from two different collaborative care trials conducted in the rural South: Telemedicine-Enhanced Antidepressant Management (TEAM) evaluating collaborative care for veterans with depression at a Veterans Affairs (VA) community-based outpatient clinics (CBOCs); and Outreach Using Telemedicine for Rural Enhanced Access in Community Health (OUTREACH) evaluating collaborative care for civilians with depression at Federally Qualified Health Clinics (FQHCs). Aim of study is to determine whether there are any significant differences in outcomes between the two population groups from each of the trials.
Author(s): Kathleen M. Grubbs, John C. Fortney, Jeffrey Pyne, et al.
Citation: Psychiatric Services, 69(4), 431-437
Date: 04/2018
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Compares merged data from two different collaborative care trials conducted in the rural South: Telemedicine-Enhanced Antidepressant Management (TEAM) evaluating collaborative care for veterans with depression at a Veterans Affairs (VA) community-based outpatient clinics (CBOCs); and Outreach Using Telemedicine for Rural Enhanced Access in Community Health (OUTREACH) evaluating collaborative care for civilians with depression at Federally Qualified Health Clinics (FQHCs). Aim of study is to determine whether there are any significant differences in outcomes between the two population groups from each of the trials.
Author(s): Kathleen M. Grubbs, John C. Fortney, Jeffrey Pyne, et al.
Citation: Psychiatric Services, 69(4), 431-437
Date: 04/2018
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Comparison of Access to Eye Care Appointments Between Patients with Medicaid and Those with Private Health Care Insurance
Explores if patients with Medicaid and private health insurance in Maryland and Michigan experience differences in access to eye care appointments. Includes information on the rate at which appointments were obtained for patients and the length of appointment wait times by a variety of factors, including for urban and rural patients.
Author(s): Yoon H. Lee, Andrew X. Chen, Varshini Varadaraj, et al.
Citation: JAMA Ophthalmology, 136(6), 622-629
Date: 04/2018
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Explores if patients with Medicaid and private health insurance in Maryland and Michigan experience differences in access to eye care appointments. Includes information on the rate at which appointments were obtained for patients and the length of appointment wait times by a variety of factors, including for urban and rural patients.
Author(s): Yoon H. Lee, Andrew X. Chen, Varshini Varadaraj, et al.
Citation: JAMA Ophthalmology, 136(6), 622-629
Date: 04/2018
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Weight Management in Rural Health Clinics: The Midwest Diet and Exercise Trial
Analyzes the effectiveness of providing weight management programs through remote delivery offered at 5 primary care clinics serving rural populations. Remote weight management programs included group phone conferences (GP) and individual phones calls (IP), with comparisons to enhanced usual care (EUC) consisting of individual face-to-face meetings.
Author(s): Anna M. Gorczyca, Richard A. Washburn, Lauren Ptomey, et al.
Citation: Contemporary Clinical Trials, 67, 37-46
Date: 04/2018
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Analyzes the effectiveness of providing weight management programs through remote delivery offered at 5 primary care clinics serving rural populations. Remote weight management programs included group phone conferences (GP) and individual phones calls (IP), with comparisons to enhanced usual care (EUC) consisting of individual face-to-face meetings.
Author(s): Anna M. Gorczyca, Richard A. Washburn, Lauren Ptomey, et al.
Citation: Contemporary Clinical Trials, 67, 37-46
Date: 04/2018
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A Social–Contextual Investigation of Smoking among Rural Women: Multi-level Factors Associated with Smoking Status and Considerations for Cessation
Presents a study of the personal characteristics of women who use tobacco in the Appalachian region of Ohio. Breaks down data by education, marital status, household income, and employment, among other measures.
Author(s): Julianna M Nemeth, Tiffany L Thomson, Bo Lu, et al.
Citation: Rural and Remote Health, 18(1)
Date: 04/2018
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Presents a study of the personal characteristics of women who use tobacco in the Appalachian region of Ohio. Breaks down data by education, marital status, household income, and employment, among other measures.
Author(s): Julianna M Nemeth, Tiffany L Thomson, Bo Lu, et al.
Citation: Rural and Remote Health, 18(1)
Date: 04/2018
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2018 Electronic Cigarette Use among Youth in Georgia
Features data on e-cigarette use among youth in Georgia. Compares usage rates with other forms of tobacco, as well as usage rates in urban versus rural areas.
Date: 04/2018
Sponsoring organization: Georgia Department of Public Health
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Features data on e-cigarette use among youth in Georgia. Compares usage rates with other forms of tobacco, as well as usage rates in urban versus rural areas.
Date: 04/2018
Sponsoring organization: Georgia Department of Public Health
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Death by Drugs: Colorado Reaches a Record High for Overdose Fatalities. Again.
Describes county-level estimates for drug overdose death rates in Colorado from 2001 through 2016 using data from the Colorado Department of Public Health and Environment (CDPHE). Includes discussion on small counties experiencing high overdose rates, the rise of opioid overdoses and deaths, and covers policy implications.
Additional links: Full Report
Author(s): Jaclyn Zubrzycki
Date: 04/2018
Sponsoring organization: Colorado Health Institute
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Describes county-level estimates for drug overdose death rates in Colorado from 2001 through 2016 using data from the Colorado Department of Public Health and Environment (CDPHE). Includes discussion on small counties experiencing high overdose rates, the rise of opioid overdoses and deaths, and covers policy implications.
Additional links: Full Report
Author(s): Jaclyn Zubrzycki
Date: 04/2018
Sponsoring organization: Colorado Health Institute
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