Rural Health
Resources by Topic: Tribal communities
Addressing Colorectal Cancer Among Alaska Native Peoples: A Community and Subject Matter Expert Symposium
Reports proceedings from the 2023 Alaska Native CRC Research Symposium in Anchorage, Alaska. Describes the current state of research and programs focused on addressing colorectal cancer disparities and access to services among Alaska Native people. Summarizes topics explored at the conference, including concerns specific to rural, tribal, and remote areas.
Author(s): Diana Redwood, Samantha McNelly, Kate Flynn, et al.
Citation: Gastro Hep Advances, 4(3), 100572
Date: 01/2025
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Reports proceedings from the 2023 Alaska Native CRC Research Symposium in Anchorage, Alaska. Describes the current state of research and programs focused on addressing colorectal cancer disparities and access to services among Alaska Native people. Summarizes topics explored at the conference, including concerns specific to rural, tribal, and remote areas.
Author(s): Diana Redwood, Samantha McNelly, Kate Flynn, et al.
Citation: Gastro Hep Advances, 4(3), 100572
Date: 01/2025
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Not Enough: Medicaid Expansion, Medical Debt, and Cost Avoidance in Rural American Indian and Alaska Native Households
Presents a study on the effect of Medicaid expansion on the medical debt and cost avoidance for rural American Indian and Alaska Native households. Compares rates medical debt and cost avoidance from AI/AN communities in Medicaid expansion and nonexpansion states.
Author(s): Sean Hubbard
Citation: Journal of Rural Health, 41(1), e12925
Date: 01/2025
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Presents a study on the effect of Medicaid expansion on the medical debt and cost avoidance for rural American Indian and Alaska Native households. Compares rates medical debt and cost avoidance from AI/AN communities in Medicaid expansion and nonexpansion states.
Author(s): Sean Hubbard
Citation: Journal of Rural Health, 41(1), e12925
Date: 01/2025
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Building Sovereignty: Native Leaders on Investing in Health and Self-Determination
Highlights key topics in partnerships between healthcare organizations, Tribal governments, and other Native-led organizations. Includes discussion of Native self-determination, cultural responsiveness, and other aspects of investment and collaboration.
Date: 01/2025
Sponsoring organization: Build Healthy Places Network
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Highlights key topics in partnerships between healthcare organizations, Tribal governments, and other Native-led organizations. Includes discussion of Native self-determination, cultural responsiveness, and other aspects of investment and collaboration.
Date: 01/2025
Sponsoring organization: Build Healthy Places Network
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Eighth Biennial Report 2025: Health Issues for the State of North Dakota
Updates the previous seven editions of this report with a comprehensive examination of healthcare workforce licensure data related to number of licensed professionals, locations, specialties, and demographics in rural and urban North Dakota. Includes three new chapters on indigenous health, women's and children's health, and the community impacts of the School of Medicine and Health Sciences.
Additional links: Executive Summary
Date: 01/2025
Sponsoring organization: University of North Dakota School of Medicine & Health Sciences
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Updates the previous seven editions of this report with a comprehensive examination of healthcare workforce licensure data related to number of licensed professionals, locations, specialties, and demographics in rural and urban North Dakota. Includes three new chapters on indigenous health, women's and children's health, and the community impacts of the School of Medicine and Health Sciences.
Additional links: Executive Summary
Date: 01/2025
Sponsoring organization: University of North Dakota School of Medicine & Health Sciences
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Rural Recovery Innovations
Discusses disparities in behavioral health recovery support services in rural, frontier, and tribal communities. Highlights innovative and promising practices for addressing behavioral health disparities, such as addressing stigma, supporting peer workforce, and addressing social determinants of health, among other measures.
Date: 01/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Discusses disparities in behavioral health recovery support services in rural, frontier, and tribal communities. Highlights innovative and promising practices for addressing behavioral health disparities, such as addressing stigma, supporting peer workforce, and addressing social determinants of health, among other measures.
Date: 01/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Mobile Health Clinics in a Rural Setting: A Cost Analysis and Time Motion Study of La Clínica in Oregon, United States
Evaluates provider time allocation and retrospective economic cost of nurse practitioner (NP) and community health worker (CHW) services through La Clínica, a Mobile Health Clinic (MHC) intervention in rural Oregon. Discusses populations served by La Clínica, including people experiencing homelessness, Native Americans, and migrant and seasonal farmworkers. Provides data on program costs and NP and CHW time use by task type and population subgroup.
Author(s): Abigail Higgins, Middy Tilghman, Tracy Kuo Lin
Citation: BMC Health Services Research, 25, 97
Date: 01/2025
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Evaluates provider time allocation and retrospective economic cost of nurse practitioner (NP) and community health worker (CHW) services through La Clínica, a Mobile Health Clinic (MHC) intervention in rural Oregon. Discusses populations served by La Clínica, including people experiencing homelessness, Native Americans, and migrant and seasonal farmworkers. Provides data on program costs and NP and CHW time use by task type and population subgroup.
Author(s): Abigail Higgins, Middy Tilghman, Tracy Kuo Lin
Citation: BMC Health Services Research, 25, 97
Date: 01/2025
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Translation and Assessment of Encultured Meaning of the Multi-Dimensional Scale of Perceived Social Support in Diné Bizaad (Navajo) Using Community-Based Participatory Action Research Methods
Highlights the community-engaged research approach to translating the Multidimensional Scale of Perceived Social Support (MSPSS) into the Diné bizaad (Navajo) language so that it can be used to measure perceived social support in Navajo communities. Breaks down the structure of the MSPSS and details the translation process through a community-based participatory research method.
Author(s): Tapati Dutta, Jon Agley, Camille Keith, Gregory Zimet
Citation: Rural and Remote Health, 25(1), 9433
Date: 01/2025
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Highlights the community-engaged research approach to translating the Multidimensional Scale of Perceived Social Support (MSPSS) into the Diné bizaad (Navajo) language so that it can be used to measure perceived social support in Navajo communities. Breaks down the structure of the MSPSS and details the translation process through a community-based participatory research method.
Author(s): Tapati Dutta, Jon Agley, Camille Keith, Gregory Zimet
Citation: Rural and Remote Health, 25(1), 9433
Date: 01/2025
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Medicaid's Role in Small Towns and Rural Areas
Discusses the roles Medicaid and the Children's Health Insurance Program (CHIP) play in providing health coverage to residents of small towns and rural areas. Presents data from the U.S. Census Bureau's American Community Survey (ACS) on the percentage of children, non-elderly adults, and older adults covered by Medicaid and CHIP in 2023, and compares the share of Medicaid coverage of these groups by metro areas and small town/rural residence. Describes Medicaid coverage of American Indian and Alaska Native (AI/AN) in metro and non-metro areas. Includes lists of the top 20 small towns and rural areas with the highest share of children, non-elderly adults, and older adults covered by Medicaid.
Author(s): Joan Alker, Aubrianna Osorio, Edwin Park
Date: 01/2025
Sponsoring organization: Georgetown University Health Policy Institute
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Discusses the roles Medicaid and the Children's Health Insurance Program (CHIP) play in providing health coverage to residents of small towns and rural areas. Presents data from the U.S. Census Bureau's American Community Survey (ACS) on the percentage of children, non-elderly adults, and older adults covered by Medicaid and CHIP in 2023, and compares the share of Medicaid coverage of these groups by metro areas and small town/rural residence. Describes Medicaid coverage of American Indian and Alaska Native (AI/AN) in metro and non-metro areas. Includes lists of the top 20 small towns and rural areas with the highest share of children, non-elderly adults, and older adults covered by Medicaid.
Author(s): Joan Alker, Aubrianna Osorio, Edwin Park
Date: 01/2025
Sponsoring organization: Georgetown University Health Policy Institute
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A Systemic Safety Study of Pedestrians in Tribal Areas
Examines pedestrian safety risks in tribal areas, identifies high-risk areas that contribute to injuries and fatalities, and provides countermeasures to improve safety. Includes a literature review on pedestrian safety, data from the Fatality Analysis Reporting System (FARS) and state/tribal departments of transportation (DOTs), crash analysis, interview feedback from tribal employees, suggestions for countermeasures, and more.
Date: 01/2025
Sponsoring organization: U.S. Department of Treasury
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Examines pedestrian safety risks in tribal areas, identifies high-risk areas that contribute to injuries and fatalities, and provides countermeasures to improve safety. Includes a literature review on pedestrian safety, data from the Fatality Analysis Reporting System (FARS) and state/tribal departments of transportation (DOTs), crash analysis, interview feedback from tribal employees, suggestions for countermeasures, and more.
Date: 01/2025
Sponsoring organization: U.S. Department of Treasury
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Housing Issues in the 118th Congress
Provides an overview of housing-related policy issues considered by the 118th Congress, including rural and Native American housing programs.
Date: 01/2025
Sponsoring organization: Congressional Research Service
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Provides an overview of housing-related policy issues considered by the 118th Congress, including rural and Native American housing programs.
Date: 01/2025
Sponsoring organization: Congressional Research Service
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