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Rural Health
Resources by Type: Document

Washington Long-Term Care Workforce Initiative Legislative Report
Provides an overview of long-term care (LTC) for older adults in Washington and the available LTC workforce. Focuses on workforce demand, initiatives and projects to improve the LTC workforce, and policy recommendations. Provides LTC data for rural Washington, including average facility patient count, staffing hours, number of nursing homes per rural county, and more.
Author(s): Donald J. Smith Jr., Christopher W. Dula, Claire M. Fite, et al.
Date: 12/2023
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Effectiveness of Syringe Services Programs
Presents a literature review of the studies evaluating SSP interventions across the country. Report aims to evaluate the overall efficacy of SSPs at reducing the transmission of HIV/HCV. Four of the 100 studies were conducted in completely rural settings, and 5 were conducted in both rural and urban settings. Makes recommendations for VA policy makers.
Additional links: Appendices, Executive Summary
Author(s): Katherine M. Mackey, Erin H. Beech, Beth E. Williams, et al.
Date: 12/2023
Sponsoring organization: VA Health Systems Research, Office of Research & Development
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A Qualitative Study of Systems-Level Factors That Affect Rural Obstetric Nurses' Work During Clinical Emergencies
Evaluates systems-level factors affecting rural obstetric nurses and their care for patients experiencing clinical deterioration from interviews with 11 nurses and physicians at rural hospitals in Massachusetts and New Hampshire. Identifies challenges and opportunities related to resource shortages, cooperation in the workplace, conflicting workplace responsibilities, facility policies and procedures, and more.
Author(s): Samantha L. Bernstein, Maya Piccolo, Elisabeth Grills, Kenneth Catchpole
Citation: The Joint Commission Journal on Quality and Patient Safety, 2024
Date: 12/2023
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Annual Report on the New Hampshire Health Care Workforce and Data Collection: Calendar Year 2023
Includes aggregate data and information on current and projected New Hampshire primary workforce needs and the participation rate on surveys completed by clinicians for the Health Professions Data Center. Features a state map showing rural and nonrural New Hampshire regional public health networks, and statistics on demographics, barriers to care, substance use and mental health, and maternal health. Includes license renewal data for various providers types, and workforce data on physicians, advanced practice registered nurses, and physician assistants, including percentage in rural regions.
Date: 12/2023
Sponsoring organizations: New Hampshire Department of Health and Human Services, New Hampshire Rural Health & Primary Care
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Enhancing Access and Impact of the Medicare Diabetes Prevention Program Using Telehealth: A Narrative Review
Evaluates the viability of telehealth delivery of the Medicare Diabetes Prevention Program (MDPP) via a literature review of telehealth-based disease prevention program research. Discusses clinical effectiveness, feasibility and acceptability, and policies affecting MDPP implementation. Highlights rural-relevant research findings and discusses access benefits of remote delivery.
Author(s): Natalie D. Ritchie, Melanie T. Turk
Citation: mHealth, 10, 10
Date: 12/2023
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United States Advisory Council on Human Trafficking: Annual Report 2023
Offers recommendations to the President's Interagency Task Force regarding human trafficking. Report outlines types of human trafficking and discusses the differences in sex trafficking and labor trafficking. Discusses rural and tribal communities throughout.
Date: 12/2023
Sponsoring organization: U.S. Advisory Council on Human Trafficking
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Rural and Nonrural Racial Variation in Mentally Unhealthy Days: Findings from the Behavioral Risk Factor Surveillance System in North Carolina, 2015–2019
Compares rates at which rural and nonrural Black and White North Carolinians experience days with stress, depression, and problems with emotions, utilizing 2015-2019 North Carolina Behavioral Risk Factor Surveillance System data. Discusses social factors which may influence racial mental health disparities in rural areas.
Author(s): Caroline R. Efird, Derrick D. Matthews, Kathryn E. Muessig, et al.
Citation: SSM - Mental Health, 3, 100199
Date: 12/2023
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Factors Associated with COVID-19 Vaccine Hesitancy in South Central Appalachia
Analyzes factors associated with COVID-19 vaccine hesitancy from a survey of 181 Appalachian adults from February to June of 2021. Provides data on correlations between vaccine hesitancy and vaccine-related beliefs, attitudes toward COVID risk, adherence to prevention measures, and demographics. Highlights participants' geography and discusses disparities in rural Appalachia.
Author(s): Florence M. Weierbach, Rebecca Adkins Fletcher, Ingrid E. Luffman, et al.
Citation: Journal of Appalachian Health, 5(3), 71-84
Date: 12/2023
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Rural America's OB Deserts Widen in Fallout From Pandemic
Explores the loss of obstetrics services in rural communities since 2011. Presents data on the number and percentage of rural hospitals that discontinued obstetrics services between 2011 and 2021. Discusses the impact of the loss of these services on maternal and infant health.
Date: 12/2023
Sponsoring organization: Chartis Center for Rural Health
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Addressing the National Rural Health Care Worker Shortage with A Focus on Kindergarten Through 12th Grade Educational Strategies
Policy position paper regarding addressing rural healthcare workforce shortages through K-12 pipeline programs. Discusses educational, programmatic, and financial challenges to engaging K-12 students and implementing pipeline programs. Offers policy recommendations for the U.S. Congress and U.S. Department of Health and Human Services to promote student preparedness and interest in health careers.
Author(s): Nicole Thill, Michelle Fortune, Abigail Radcliffe
Date: 12/2023
Sponsoring organization: National Rural Health Association
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