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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare needs and services

Rural Tobacco Use Across the United States: How Rural and Urban Areas Differ, Broken down by Census Regions and Divisions
Examines rural and urban differences in tobacco use and variations across the U.S. by Census regions and divisions using 2012-2013 National Survey on Drug Use and Health (NSDUH) data. Covers rural and urban prevalence rates for tobacco products.
Author(s): Megan E. Roberts, Nathan J. Doogan, Allison N. Kurti, et al.
Citation: Health & Place, 39, 153-159
Date: 05/2016
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Neighborhood Contextual Factors, Alcohol Use, and Alcohol Problems in the United States: Evidence from a Nationally-Representative Study of Young Adults
Examines Wave III of the National Longitudinal Study of Adolescent to Adult Health data for young adults, aged 18-26, to better understand alcohol use and related problems from the past year. Analyzes neighborhood contextual factors, such as density of on- and off-premises alcohol outlets, neighborhood disadvantage, and rural versus urban residence, and mapped alcohol outlet licenses. Includes statistics for demographics, neighborhood context, and alcohol use and problems.
Author(s): Wendy S. Slutske, Arielle R. Deutsch, Thomas M. Piasecki
Citation: Alcoholism: Clinical and Experimental Research, 40(5), 1010-1019
Date: 05/2016
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Prescription Opioid Use: Patient Characteristics and Misuse in Community Pharmacy
Highlights a study on prescription opioid use in both rural and urban communities in southwestern Pennsylvania. Analyzes data from an anonymous survey about opioid usage by type of drug and participant characteristics, such as age, sex, and education, among others.
Author(s): Gerald Cochran, Jennifer L. Bacci, Thomas Ylioja, et al.
Citation: Journal of the American Pharmacists Association, 56(3), 248-256
Date: 05/2016
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Assessing Fidelity of Cognitive Behavioral Therapy in Rural VA Clinics: Design of a Randomized Implementation Effectiveness (Hybrid Type III) Trial
Reports on a study to redesign the CALM (coordinated anxiety learning and management) tool for cognitive behavioral therapy to meet the needs of mental health clinicians working in Veteran Affairs (VA) community-based outpatient clinics (CBOC) treating rural veterans. Also assesses the best method for future implementation of the CALM tool among mental health providers in rural VA CBOCs.
Author(s): Michael A. Cucciare, Geoffrey M. Curran, Michelle G. Craske, et al.
Citation: Implementation Science, 11(65)
Date: 05/2016
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The Communities That Care Coalition Model for Improving Community Health through Clinical-Community Partnerships: A Population Health Case Report
Discussion paper featuring a community coalition in rural western Massachusetts focused on supporting youth well-being and reducing youth substance use. Describes the initiative and the partners involved, including clinicians and public health. Discusses how the Communities That Care Coalition works within a network of local coalitions, including acting as the prevention arm of the region's Opioid Task Force.
Author(s): Jeanette Voas, Katherine Allen, Ruth Potee
Date: 05/2016
Sponsoring organization: National Academy of Medicine
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State Variations in the Rural Obstetric Workforce
Illustrates the challenges affecting the obstetric workforce in Critical Access Hospitals (CAHs) and other rural hospitals having at least 10 births in 2010 by analyzing data derived from a telephone survey conducted in 9 states. Includes data for each state on hospital and provider characteristics, and services provided for labor and delivery.
Author(s): Peiyin Hung, Katy B. Kozhimannil, Michelle M. Casey, Carrie Henning-Smith, Shailendra Prasad
Date: 05/2016
Sponsoring organization: University of Minnesota Rural Health Research Center
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An All-Payer View of Hospital Discharge to Postacute Care, 2013
Presents data on hospital discharges to different post-acute care settings: inpatient rehabilitation facilities, long-term care hospitals, skilled nursing facilities, and home health agency care. Includes information by hospital type for rural and urban hospitals, as well as by hospital size and region.
Author(s): Wen Tian
Date: 05/2016
Sponsoring organization: Agency for Healthcare Research and Quality
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Screening for Adverse Childhood Experiences in a Family Medicine Setting: A Feasibility Study
Reports on a study set in 3 rural clinical sites exploring the feasibility of using the Adverse Childhood Experience (ACE) screening model for adults during routine office visits. ACEs are generally accepted as predictors in adult health outcomes.
Author(s): Patricia T. Glowa, Ardis L. Olson, Deborah J. Johnson
Citation: Journal of the American Board of Family Medicine, 29(3), 303-307
Date: 05/2016
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The Opioid Epidemic: Testing the Limits of Rural Healthcare
Discusses the factors that make rural communities vulnerable to the ongoing opioid epidemic and efforts needed in rural areas to address this crisis, including the role of rural first responders.
Author(s): Zachary Toliver
Citation: Rural Monitor
Date: 05/2016
Sponsoring organization: Rural Health Information Hub
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Improving Efficiency and Preserving Access to Emergency Care in Rural Areas
Slides that provide background on rural hospital payment policy and strategies to preserve access to emergency care in rural areas. Discusses existing payment models and benefits and drawbacks of different models.
Author(s): Jeff Stensland, Zach Gaumer
Date: 04/2016
Sponsoring organization: Medicare Payment Advisory Commission
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