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Rural Health
Resources by Topic: Specialty care

Rural Residence and Adoption of a Novel HIV Therapy in a National, Equal-Access Healthcare System
Reports the results of a study examining the use of raltegravir, the first HIV integrase inhibitor, in Veterans Affairs (VA) patients. Provides rural versus urban participant characteristic statistics by race/ethnicity, AIDS defining illness, substance abuse, and more. Includes a discussion of barriers to new forms of HIV treatment for rural residents, such as geographic distance, transportation, and limited access to specialists in the field.
Author(s): Michael Ohl, Brian Lund, Pamela S. Belperio, et al.
Citation: AIDS and Behavior, 17(1), 250-259
Date: 01/2013
Type: Document
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Dialysis Availability in Rural America
Explores the availability of dialysis services in rural America including the prevalence of dialysis use across urban and rural counties, travel distance for services, and dialysis quality outcomes.
Additional links: Fact Sheet
Author(s): Amy Martin, Kevin J. Bennett, Nathan Hale, Janice C. Probst
Date: 01/2013
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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HIV/AIDS in Rural America: Prevalence and Service Availability
Examines the prevalence of HIV/AIDS in rural counties across 28 states in 2008 and the rural-versus-urban distribution of Ryan White providers.
Additional links: Fact Sheet
Author(s): Medha Vyavaharkar, Saundra Glover, Deshia Leonhirth, Janice Probst
Date: 01/2013
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Improving Access to Specialized Care: The Telehealth Kidney Transplant Clinic at the Iowa City VAMC
Profiles the Telehealth Transplant Clinic at the Iowa City Veterans Affairs Medical Center and their actions to reduce travel time and costs for kidney transplant patients by allowing them to receive annual follow-up exams remotely using telehealth services.
Author(s): Roberto Kalil, Christie Thomas, Carol Winetroub, Stacey Abel
Date: 2013
Type: Document
Sponsoring organizations: U.S. Department of Veterans Affairs, Veterans Rural Health Resource Centers
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Improving Accessibility: VISN 11 Mobile Prosthetics Van Program
Describes a mobile program that provides prosthetic and orthotic services to veterans in areas of Michigan, Indiana, northwest Ohio, and eastern Illinois that did not previously offer them and that may be many miles away from the nearest veteran medical center (VAMC).
Author(s): Sherri DeLoof, Guadalupe Bravo, Ernest Howard, Michael Rilenge
Date: 2013
Type: Document
Sponsoring organizations: U.S. Department of Veterans Affairs, Veterans Rural Health Resource Centers
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Evolving Trends in Maternal Fetal Medicine Referrals in a Rural State Using Telemedicine
Presents the results of a study using Arkansas Medicaid claims and birth certificate data from 2001-2006 to make an assessment of maternal fetal medicine (MFM) referrals and consultations from face-to-face interaction to telemedicine over time in a rural population. Discusses the formation of ANGELS (Antenatal and Neonatal Guidelines, Education and Learning Systems) to improve obstetrical care in rural Arkansas and to improve appropriate referrals to MFM specialists.
Author(s): Everett F. Magann, Janet Bronstein, Samantha S. McKelvey, et al.
Citation: Archives of Gynecology and Obstetrics, 286(6)
Date: 12/2012
Type: Document
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Superior Outcomes for Rural Patients After Abdominal Aortic Aneurysm Repair Supports a Systematic Regional Approach to AAA Care
Examines the treatment experiences of intact abdominal aortic aneurysm patients living in rural versus urban areas across the U.S. Table 1 lists demographic information and Table 4 lists the primary outcomes after repair of intact abdominal aortic aneurysm by rural versus urban.
Author(s): Matthew W. Mell, Christie Bartels, Amy Kind, Glen Leverson, Maureen Smith
Citation: Journal of Vascular Surgery, 56(3), 608-613
Date: 09/2012
Type: Document
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Missing the Handoff: Post-Hospitalization Follow-up Care Among Rural Medicare Beneficiaries With Diabetes
Presents findings of an analysis of urban – rural differences in 30 day post-discharge physician follow-up care for people with diabetes.
Author(s): Kevin Bennett, Janice Probst, Medha Vyavaharkar, Saundra Glover
Citation: Rural and Remote Health, 12(3), 2097
Date: 07/2012
Type: Document
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Project ECHO: A Model for Complex, Chronic Care in the Pacific Northwest Region of the United States
Describes Project ECHO, a telehealth program, involving weekly video conferences between rural providers and their colleagues at academic medical centers to discuss patient cases involving a variety of subjects, such as Hepatitis C, chronic pain, integrated addictions, psychiatry, and HIV/AIDS to receive management advice, and access to best practices. Figure 2 shows a map of participating sites and Table 1 lists the numbers of clinics, clinicians, and patients presented.
Author(s): John D. Scott, Kent T. Unruh, Mary C. Catlin, et al.
Citation: Journal of Telemedicine and Telecare, 18(8), 481-484
Date: 2012
Type: Document
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Outcomes of Hepatitis C Treatment by Primary Care Providers
Examines the effectiveness of the Extension for Community Healthcare Outcomes (ECHO) model to improve access to specialty care for complex health conditions such as hepatitis C virus (HCV) by training and supporting primary care clinicians who work with underserved populations in rural areas and prisons in New Mexico.
Author(s): Sanjeev Arora, Karla Thornton, Glen Murata,1 Paulina Deming, et al.
Citation: New England Journal of Medicine, 364, 2199-2207
Date: 06/2011
Type: Document
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