Rural Health
Resources by Type: Document

Ensuring Access To Care: 340B Arrangements with Community and Specialty Pharmacies Improve Access to Care for Underserved Patients
Provides an overview of the 340B Drug Pricing Program, related legislation, benefits to underserved communities, relationship to specialty and community pharmacies, and more. Includes discussion on the value of the 340B program for rural pharmacies.
Date: 09/2024
Sponsoring organization: American Hospital Association
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Revised: Guidance for Rural Emergency Hospital Provisions, Conversion Process and Conditions of Participation
Provides guidance regarding the enrollment and conversion processes for facilities interested in participating in the Medicare and Medicaid programs as a Rural Emergency Hospital (REH). Covers eligibility, enrollment, conversion action plans, action plans, and attestation. Includes answers to frequently asked questions about the REH program.
Date: 09/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Geographic Variations in Urban-Rural Particulate Matter (PM2.5) Concentrations in the United States, 2010–2019
Compares fine particulate matter 2.5 (PM2.5) ambient air concentration in rural versus urban areas from 2010 to 2019, utilizing the AHRQ database on Social Determinants of Health. Examines rural-urban changes in PM2.5 concentration over time, with breakdowns by census tract race and ethnicity, poverty, residents under age 15, and residents over age 65.
Author(s): Daniel J. Kilpatrick, Peiyin Hung, Elizabeth Crouch, et al.
Citation: GeoHealth, 8(9), e2023GH000920
Date: 09/2024
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Clinician Voices on Ethics of LLM Integration in Healthcare: A Thematic Analysis of Ethical Concerns and Implications
Explores large language model (LLM) integration into healthcare. Analyzes 3,049 online clinician posts to examine themes such as communication, quality improvement, data use, ethical considerations, user experiences, LLM challenges specific to rural healthcare, and more.
Author(s): Tala Mirzaei, Leila Amini, Pouyan Esmaeilzadeh
Citation: BMC Medical Informatics and Decision Making, 24, 250
Date: 09/2024
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A Qualitative Study of Providers' Perspectives on Cross-Institutional Care Coordination for Pancreatic Cancer: Challenges and Opportunities
Examines pancreatic cancer (PC) care coordination by comparing perspectives of urban, high-volume center providers (HVCPs) and rural, community-based providers (CBPs). Utilizes semi-structured interview feedback to explore issues such as communication, electronic health records (EHRs), patient co-management, and more.
Author(s): Matthew J. DePuccio, Karen Shiu-Yee, Natasha A. Kurien, et al.
Citation: BMC Health Services Research, 24, 1041
Date: 09/2024
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Financial Performance of Rural and Urban Hospitals in the Medicare Shared Savings Program
Presents financial performance trends of hospitals that participated in Medicare's Shared Savings Program (SSP) from 2011-2018. Compares trends in 6 financial outcomes between SSP and non-SSP hospitals, and differences in these trends among rural and urban hospitals.
Author(s): Huang Huang, Xi Zhu, Fred Ullrich, A. Clinton MacKinney, Keith Mueller
Date: 09/2024
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Relationship Between Food Insecurity and Healthy Eating Behavior for Gestational Diabetes Risk Reduction Among American Indian and Alaska Native Adolescent and Young Adult Females: A Qualitative Exploration
Reports on themes from key informant interviews to understand the connection between food insecurity and gestational diabetes mellitus risk reduction behaviors for American Indian and Alaska Native (AI/AN) young adult women. Discusses the cultural habits related to diet and nutrition, influences on food choices, and issues related to data gathering on diet and nutrition for AI/AN communities.
Author(s): Sarah A. Stotz, Luciana E. Hebert, Lisa Scarton, et al.
Citation: Journal of Nutrition Education and Behavior, 56(9), 622-630
Date: 09/2024
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Building On and Tailoring To: Adapting a Cancer Caregiver Psychoeducational Intervention for Rural Settings
Describes the process for adapting the CARING intervention for rural cancer patient caregivers. Offers lessons learned related to intervention selection, involving impacted populations, and communicating with the original intervention developers.
Author(s): Erin E. Kent, Kelly R. Tan, Zev M. Nakamura, et al.
Citation: Cancer Medicine, 13(7), e70187
Date: 09/2024
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Relationship Between the Inner Setting of CFIR and the Delivery of the Healthy School Recognized Campus Initiative: A Mixed-Methods Analysis
Examines the influence of inner setting constructs such as organizational culture, implementation climate, and implementation readiness on the delivery of Healthy School Recognized Campus (HSRC) physical activity and nutrition promotion programs in 8 rural East Texas elementary schools. Analyzes survey and interview data of 28 HSRC implementers to identify factors influencing participation and study outcomes.
Author(s): Allyson Schaefers, Lucy Xin, Paula Butler, et al.
Citation: Implementation Science Communications, 5, 96
Date: 09/2024
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Evaluating Fentanyl Test Strips as a Harm Reduction Strategy in Rural and Urban Counties: Study Protocol for a Randomized Controlled Trial
Protocol for a study examining a harm reduction intervention which will provide education and distribute fentanyl test strips to people with recent use of illicit or street-purchased drugs in rural and urban Ohio communities. Describes study design, including selection and comparison of rural versus urban subgroups.
Author(s): Ashley Short Mejia, Gary A. Smith, Soledad A. Fernandez, et al.
Citation: Trials, 25, 587
Date: 09/2024
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