Rural Health
Resources by Topic: Racial and ethnic groups
Advancing Health Equity Through Community Health Workers and Peer Providers: Mounting Evidence and Policy Recommendations
Reviews the results from 9 studies funded by the Patient Centered Outcomes Research Institute supporting the inclusion of community health workers (CHWs) and peer providers (PPs) as effective participants in addressing health and healthcare inequities, particularly for diverse communities. Each study presented focuses on a distinct function of utilizing CHWs and/or PPS such as mentoring, managing chronic conditions, and navigator support for serious mental illness and depression. Discusses why payers and providers should include CHWs and PPS in a variety of capacities to improve outcomes, add value to care, and control costs.
Date: 11/2019
Type: Document
Sponsoring organization: Families USA
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Reviews the results from 9 studies funded by the Patient Centered Outcomes Research Institute supporting the inclusion of community health workers (CHWs) and peer providers (PPs) as effective participants in addressing health and healthcare inequities, particularly for diverse communities. Each study presented focuses on a distinct function of utilizing CHWs and/or PPS such as mentoring, managing chronic conditions, and navigator support for serious mental illness and depression. Discusses why payers and providers should include CHWs and PPS in a variety of capacities to improve outcomes, add value to care, and control costs.
Date: 11/2019
Type: Document
Sponsoring organization: Families USA
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Prevalence and Trends of Developmental Disabilities among Children in the United States: 2009–2017
Analyzed 2009 to 2017 National Health Interview Survey data to determine trends in 10 developmental disabilities among children. Includes data break down by age, gender, race and ethnicity, rurality, health insurance status, and more.
Author(s): Benjamin Zablotsky, Lindsey I. Black, Matthew J. Maenner, et al.
Citation: Pediatrics, 144(4), e20190811
Date: 10/2019
Type: Document
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Analyzed 2009 to 2017 National Health Interview Survey data to determine trends in 10 developmental disabilities among children. Includes data break down by age, gender, race and ethnicity, rurality, health insurance status, and more.
Author(s): Benjamin Zablotsky, Lindsey I. Black, Matthew J. Maenner, et al.
Citation: Pediatrics, 144(4), e20190811
Date: 10/2019
Type: Document
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Disparities in Cancer Incidence and Trends among American Indians and Alaska Natives in the United States, 2010–2015
Reports on cancer trends and incidence rates from 2010 to 2015 for American Indian and Alaska Native populations compared to non-Hispanic White populations living in Indian Health Service (IHS) or purchased/referred care delivery areas (PRCDA) counties.
Author(s): Stephanie C. Melkonian, Melissa A. Jim, Donald Haverkamp, et al.
Citation: Cancer Epidemiology, Biomarkers & Prevention, 28(10), 1604-1611
Date: 10/2019
Type: Document
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Reports on cancer trends and incidence rates from 2010 to 2015 for American Indian and Alaska Native populations compared to non-Hispanic White populations living in Indian Health Service (IHS) or purchased/referred care delivery areas (PRCDA) counties.
Author(s): Stephanie C. Melkonian, Melissa A. Jim, Donald Haverkamp, et al.
Citation: Cancer Epidemiology, Biomarkers & Prevention, 28(10), 1604-1611
Date: 10/2019
Type: Document
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Follow‐up Approaches to a Health Literacy Intervention to Increase Colorectal Cancer Screening in Rural Community Clinics: A Randomized Controlled Trial
Study of health literacy interventions to support colorectal cancer screening among 620 patients served by 4 rural community clinics in Louisiana. Compares completion rates of fecal immunochemical tests (FIT) when patients received automated and personal telephone follow-up calls. Discusses health literacy and cost implications of these FIT completion methods and presents participant data based on gender, race, education level, age, and healthcare participation questions.
Author(s): Connie L. Arnold, Alfred W. Rademaker, James D. Morris, et al.
Citation: Cancer, 125(20), 3615-3622
Date: 10/2019
Type: Document
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Study of health literacy interventions to support colorectal cancer screening among 620 patients served by 4 rural community clinics in Louisiana. Compares completion rates of fecal immunochemical tests (FIT) when patients received automated and personal telephone follow-up calls. Discusses health literacy and cost implications of these FIT completion methods and presents participant data based on gender, race, education level, age, and healthcare participation questions.
Author(s): Connie L. Arnold, Alfred W. Rademaker, James D. Morris, et al.
Citation: Cancer, 125(20), 3615-3622
Date: 10/2019
Type: Document
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Characterizing the Local Food Environment and Grocery Store Decision-Making among a Large American Indian Community in the North-Central United States: Qualitative Results from the Healthy Foods Healthy Families Feasibility Study
Highlights a study on the perceived barriers to the access of healthy food for rural American Indian communities. Bases conclusions on focus group interviews and discusses potential interventions.
Author(s): Meagan C. Brown, Umit Shrestha, Corrine Huber, et al.
Citation: Public Health Nutrition, 22(14), 2653-2661
Date: 10/2019
Type: Document
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Highlights a study on the perceived barriers to the access of healthy food for rural American Indian communities. Bases conclusions on focus group interviews and discusses potential interventions.
Author(s): Meagan C. Brown, Umit Shrestha, Corrine Huber, et al.
Citation: Public Health Nutrition, 22(14), 2653-2661
Date: 10/2019
Type: Document
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Alaska Native Patient and Provider Perspectives on the Multitarget Stool DNA Test Compared with Colonoscopy for Colorectal Cancer Screening
Studies the potential for take-home multitarget stool DNA testing (MT-sDNA) for colorectal cancer to increase access to screening for Alaska Native communities. Discusses barriers to colonoscopy screening, including access to colonoscopy providers and patient resistance to the procedure. Analyzes data from surveys of patients and providers, comparing patient responses based on age and emphasizing acceptability of MT-sDNA among both groups.
Author(s): Diana G. Redwood, Ian D. Blake, Ellen M. Provost, et al.
Citation: Journal of Primary Care and Community Health, 10, 1-7
Date: 10/2019
Type: Document
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Studies the potential for take-home multitarget stool DNA testing (MT-sDNA) for colorectal cancer to increase access to screening for Alaska Native communities. Discusses barriers to colonoscopy screening, including access to colonoscopy providers and patient resistance to the procedure. Analyzes data from surveys of patients and providers, comparing patient responses based on age and emphasizing acceptability of MT-sDNA among both groups.
Author(s): Diana G. Redwood, Ian D. Blake, Ellen M. Provost, et al.
Citation: Journal of Primary Care and Community Health, 10, 1-7
Date: 10/2019
Type: Document
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Indian Health Disparities
Fact sheet providing statistics on American Indian and Alaska Native health disparities and mortality disparities.
Date: 10/2019
Type: Document
Sponsoring organization: Indian Health Service
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Fact sheet providing statistics on American Indian and Alaska Native health disparities and mortality disparities.
Date: 10/2019
Type: Document
Sponsoring organization: Indian Health Service
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Strategic Options for the Modernization of the Indian Health Service Health Information Technology: Final Report
Identifies recommended approaches and next steps for modernizing the Indian Health Service use of health information technology (HIT). Addresses the needs of both patients and the health workforce that will use the system, as well as governance and a variety of technological issues. Lists constraints to HIT modernization along with proposed mitigations for those constraints.
Additional links: Roadmap: Executive Summary
Date: 10/2019
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Identifies recommended approaches and next steps for modernizing the Indian Health Service use of health information technology (HIT). Addresses the needs of both patients and the health workforce that will use the system, as well as governance and a variety of technological issues. Lists constraints to HIT modernization along with proposed mitigations for those constraints.
Additional links: Roadmap: Executive Summary
Date: 10/2019
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Subcommittee on Health Oversight Hearing: Native Veterans' Access to Healthcare
Discusses the current state of healthcare access for Native American veterans. Features testimonies from representatives from the National Indian Health Board, the National Congress of American Indians, and the Alaska Native Health Board, among others.
Additional links: Witness Testimonies
Date: 10/2019
Type: Document
Sponsoring organization: House Veterans' Affairs Committee, Subcommittee on Health
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Discusses the current state of healthcare access for Native American veterans. Features testimonies from representatives from the National Indian Health Board, the National Congress of American Indians, and the Alaska Native Health Board, among others.
Additional links: Witness Testimonies
Date: 10/2019
Type: Document
Sponsoring organization: House Veterans' Affairs Committee, Subcommittee on Health
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Reported Importance and Access to Health Care Providers Who Understand or Share Cultural Characteristics With Their Patients Among Adults, by Race and Ethnicity
Examines the importance and frequency of seeing culturally competent health care providers among U.S. adults, with data by race and ethnicity. Includes metropolitan and nonmetropolitan data for Hispanic, non-Hispanic White, non-Hispanic Black, and other non-Hispanic adults.
Author(s): Emily P. Terlizzi, Eric M. Connor, Carla E. Zelaya, et al.
Date: 10/2019
Type: Document
Sponsoring organization: National Center for Health Statistics
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Examines the importance and frequency of seeing culturally competent health care providers among U.S. adults, with data by race and ethnicity. Includes metropolitan and nonmetropolitan data for Hispanic, non-Hispanic White, non-Hispanic Black, and other non-Hispanic adults.
Author(s): Emily P. Terlizzi, Eric M. Connor, Carla E. Zelaya, et al.
Date: 10/2019
Type: Document
Sponsoring organization: National Center for Health Statistics
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