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Rural Health
Resources by Topic: Specialty care

Geographic Disparities in Access to Specialty Care Programs for Early Psychosis in Washington State
Presents a study on the accessibility by neighborhood characteristics to mental health services in areas served by the Community Mental Health Block grant in Washington State. Compares neighborhood characteristics by metropolitan, micropolitan, and rural/small town areas, such as the rate of African American and Hispanic residents, the rate of population aged 15-40, and the rate of socioeconomic neighborhood deprivation.
Author(s): Oladunni Oluwoye, Solmaz Amiri, Gordon Kordas, et al.
Citation: Administration and Policy in Mental Health and Mental Health Services Research, 49, 5-12
Date: 01/2022
Type: Document
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Exceptional Survival Among Kentucky Stage IV Non-small Cell Lung Cancer Patients: Appalachian Versus Non-Appalachian Populations
Explores a study on rates of exceptional survival (5 years or more post-diagnosis) of stage IV lung cancer patients in Appalachian and non-Appalachian Kentucky. Breaks down data by insurance type, treatment type, and length of survival, among other measures.
Author(s): Vira Pravosud, Nathan L. Vanderford, Bin Huang, et al.
Citation: Journal of Rural Health, 38(1), 14-27
Date: 01/2022
Type: Document
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January 2022 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2022 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services, physician and other health professional services, outpatient dialysis services and improving the ESRD payment system, skilled nursing facility services, home health agency services, long-term care hospital services, inpatient rehabilitation facility services, hospice services, and ambulatory surgical center services. Includes rural references throughout.
Date: 01/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Integrating Serious Illness Care into Primary Care Delivery: Proceedings of a Workshop
Summarizes presentations and discussions from a June 2021 workshop on challenges and opportunities to integrate serious illness care into primary care settings. Covers the shared principles of primary and serious illness care, the interdisciplinary teams in each discipline, policy issues that serve as barriers or incentives, and best practices. Includes examples of integrating serious illness care into primary care settings in rural areas.
Additional links: Read Online
Date: 01/2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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The Use of Telehealth for Disability Evaluation in Medicine and Allied Health: Proceedings of a Workshop
Summarizes presentations and discussions held during a March 2022 workshop regarding the use of telehealth for patient evaluation. Provides an overview of telehealth policy broadly and within the context of the COVID-19 pandemic. Explores the use of telehealth in a range of clinical specialties; telehealth access and digital inclusion and equity; the experiences of U.S. healthcare systems in deploying telehealth; and licensure, privacy, and security issues.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Tennessee Uninsured Adult Healthcare Safety Net Annual Report
Features statistics on Tennessee's uninsured population and state safety net funding expenditures. Includes maps showing locations of adult healthcare and behavioral health safety net services, and county-level maps showing population-to-provider ratios for various medical specialties and Health Professional Shortage Areas as of 2021. Examines challenges in rural Tennessee, including adequacy of healthcare and access to services. Includes sections on the impact of COVID-19 on Tennessee, and associated relief funding and support services.
Date: 2022
Type: Document
Sponsoring organization: Tennessee Department of Health
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Variation in Use of Anti-SARS-CoV-2 Monoclonal Antibody Therapies by Social Vulnerability and Urbanicity
Examines the variation in the use of the first two monoclonal antibody therapies for COVID-19 from November 2020 through March 2021. Presents data on the demographic characteristics of monoclonal antibody recipients and social vulnerability indices. Includes a discussion of the use of this therapy by urbanicity and density of primary care physicians.
Author(s): Allison Kolbe
Date: 12/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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National Plan to Address Alzheimer's Disease: 2021 Update
Action plan outlining six goals for the U.S. Department of Health and Human Services to address the challenges facing people with Alzheimer's disease and Alzheimer's disease-related dementias (AD/ADRD) and their families and to minimize the burden of AD/ADRD. Includes action items related to AD/ADRD data tracking, care, and supports for underserved populations, including rural and tribal communities.
Date: 12/2021
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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December 2021 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2021 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services and the mandated report on changes to the low-volume hospital payment adjustment, physician and other health professional services, ambulatory surgical center services, outpatient dialysis services, and hospice services. Highlights the effect of COVID-19 relief funding on rural hospital margins, rural hospital bypass, and rural hospice payment utilization, among other rural references.
Date: 12/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Gradual Adoption of Needle Biopsy for Breast Lesions in a Rural State
Examines disparities in minimally invasive breast biopsy (MIBB) usage in rural and urban areas of Vermont, based on 9122 diagnostic episodes from 1999 to 2018. Includes demographic data of women who underwent biopsy broken down by age, history of breast biopsy, education, and rural versus urban residence. Discusses efforts to eliminate disparities in relationship to MIBB rates to improve standard of care.
Author(s): Serena Murphy, Yi-Chuan Yu, Colleen Kerrigan, Brian Sprague, Michelle Sowden
Citation: Cancer Medicine, 10(23), 8320-8327
Date: 11/2021
Type: Document
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