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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare needs and services

Barriers and Facilitators to Implementation of VA Home-based Primary Care on American Indian Reservations: A Qualitative Multi-case Study
Highlights a study on the efficacy of the Veterans Health Affairs (VA) home-based primary care program at providing non-institutional long-term care for rural American Indian veterans living on reservations. Bases findings on a qualitative analysis of interviews conducted with staff, clinicians, and managers who oversaw the program's implementation. Discusses the challenges, barriers, and facilitators related the program's expansion into Indian Country.
Author(s): B. Josea Kramer, Sarah D. Cote, Diane I. Lee, Beth Creekmur, Debra Saliba
Citation: Implementation Science, 12, 109
Date: 09/2017
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Rural and Urban Differences in Passenger-Vehicle–Occupant Deaths and Seat Belt Use Among Adults — United States, 2014
Examines motor-vehicle crash deaths and seat belt use by level of rurality. Includes regional rural-urban data on death rates and type of state seat belt enforcement law (primary or secondary). Also provides data on unrestrained passenger-vehicle occupants in fatal crashes by level of rurality. For self-reported seat belt use, includes demographic data for metropolitan and nonmetro counties.
Author(s): Laurie F. Beck, Jonathan Downs, Mark R. Stevens, Erin K. Sauber-Schatz
Citation: MMWR Surveillance Summaries, 66(17), 1-13
Date: 09/2017
Sponsoring organization: Centers for Disease Control and Prevention
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Confronting Adverse Childhood Experiences to Improve Rural Kids' Lifelong Health
Highlights a western North Carolina school district and a tribe in Wisconsin that are working to address adverse childhood experiences (ACEs). Provides an overview of the impact ACEs have on health and provides data on ACE exposure among rural adults.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2017
Sponsoring organization: Rural Health Information Hub
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"Taking the Bull by the Horns": Four Principles to Align Public Health, Primary Care, and Community Efforts to Improve Rural Cancer Control
Commentary on the CDC MMWR report, Invasive Cancer Incidence, 2004-2013, and Deaths, 2006-2015, in Nonmetropolitan and Metropolitan Counties — United States. Discusses factors contributing to rural cancer disparities and identifies opportunities to improve rural cancer control.
Author(s): Stephanie B. Wheeler, Melinda M. Davis
Citation: Journal of Rural Health, 33(4), 345-349
Date: 09/2017
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Trends in Emergency Department Visits, 2006–2014
Presents information on emergency department (ED) visits and trends in the U.S. between 2006 and 2014 based on data from the Healthcare Cost and Utilization Project (HCUP). Covers ED visit frequency by age, sex, metro/nonmetro location, primary payer type, region, diagnosis, and several other indicators.
Author(s): Brian J. Moore, Carol Stocks, Pamela L. Owens
Date: 09/2017
Sponsoring organization: Agency for Healthcare Research and Quality
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Overdose Deaths, Hospital Visits and Unfilled Jobs: The Opioid Crisis in Missouri and Kansas
Reports on the opioid crisis in Missouri and Kansas. Shows maps of county-by-county data for opioid dependence risk, unemployment rate, drug-related mortality rate, opioid-related hospital utilization rate, and the morphine milligram equivalents (MME) per capita rate in both states.
Author(s): Mat Reidhead, Leslie Porth, Karen Braman
Date: 09/2017
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National Hospital Ambulatory Medical Care Survey: 2014 Emergency Department Summary Tables
Provides data on ambulatory care emergency department hospital visits. Table 1 includes brief metro/non-metro overview information, and Table 15 has metro/non-metro injury visit data.
Date: 09/2017
Sponsoring organization: National Center for Health Statistics
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Rural-Urban Variations in Medicare Live Discharge Patterns from Hospice, 2012-2013
Details a study on the instances of live discharges from the Medicare hospice program from 2012-2013. Compares rural and urban discharge rates, as well as for-profit and nonprofit business models.
Author(s): Rachel Dolin, Denise Kirk, Mark Holmes
Date: 09/2017
Sponsoring organization: North Carolina Rural Health Research Program
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Results from the 2016 National Survey on Drug Use and Health: Detailed Tables
Provides data on use of illicit drugs, alcohol, and tobacco, trends in substance use disorder and mental health, and access to treatment for youth 12-17 and adults. Features statistics for a variety of demographic and geographic characteristics.
Date: 09/2017
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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BRCA Genetic Testing and Receipt of Preventive Interventions Among Women Aged 18-64 Years with Employer-Sponsored Health Insurance in Nonmetropolitan and Metropolitan Areas — United States, 2009–2014
Reports on rural and urban rates of genetic testing to identify women at increased risk for breast and ovarian cancer, with data by age group and region. Also examines rural and urban post-test preventive interventions, including mastectomy, MRI, mammography, and genetic counseling.
Author(s): Katherine Kolor, Zhuo Chen, Scott D. Grosse, et al.
Citation: MMWR Surveillance Summaries, 66(15), 1-11
Date: 09/2017
Sponsoring organization: Centers for Disease Control and Prevention
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