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Rural Health
Resources by Type: Document

Access to Care among Medicare Beneficiaries Aged 65 and Over Living with High-Impact Chronic Pain
Examines access to care and its association with high-impact chronic pain among Medicare recipients over 65 and not living in a long-term care facility between 2018 and 2020. Includes data breakdown between metro area and non-metro area residents. Discusses delay in seeking medical care due to cost and general access to care.
Author(s): Jared Sawyer, Laura Stoff, Carrie Goetsch, et al.
Date: 06/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Progress and Ongoing Challenges to Electronic Public Health Reporting Among Non-Federal Acute Care Hospitals
Data brief examining public health reporting among acute care hospitals, including rural hospitals and Critical Access Hospitals (CAHs), in 2022. Discusses challenges with the exchange of electronic health information, such as lack of capacity to exchange electronically, interface issues, and differing vocabulary standards. Presents data on the mean number of public health reporting types completed by hospital size, CAH status, rural/urban location, and independent/system affiliation. Appendix Table A4 contains data on the number of hospitals surveyed that reported at least one reporting challenge by state.
Author(s): Chelsea Richwine
Date: 06/2023
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Assessing the Effectiveness of Policies to Improve Access to Primary Care for Underserved Populations: Case Study Analysis: Kanawha County, West Virginia
Case study of policy initiatives to increase access to primary care, focusing on Kanawha County, West Virginia. Discusses workforce shortages, healthcare access, structural barriers to primary care, healthcare affordability, and more.
Author(s): Maanasa Kona, Jalisa Clark, Emma Walsh-Alker, Megan Houston
Date: 06/2023
Sponsoring organization: Milbank Memorial Fund
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How a Black Community Brought Affordable Health Care and Clean Water to Rural South Carolina in the 1970s
Reports on a predominately Black rural community in South Carolina that worked together to provide indoor plumbing, build a health center, and improve health outcomes of their citizens in the 1970s.
Author(s): Olivia Lewis
Date: 06/2023
Sponsoring organization: National Association of Community Health Centers
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Global to Local Toolkit: Adapting Global Interventions for Local Public Health
A toolkit that discusses strategies for adapting evidence-based, global interventions in public health to local health departments (LHDs) in the United States. Provides an overview of a case study from a predominately rural LHD that used global strategies to address the behavioral workforce shortage in their area. Includes resources and tools for planning and networking.
Additional links: Are You Prepared to Go Global-to-Local? Checklist, Global-to-Local Partner Identification Tool
Date: 06/2023
Sponsoring organization: National Association of County and City Health Officials
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Nurses' Perceptions, Experiences, and Practices Regarding Human Papillomavirus Vaccination: Results from a Cross-Sectional Survey in Montana
Analyzes the roles and perceptions of nurses in administering the human papillomavirus (HPV) vaccination in predominantly rural and medically underserved areas. Examines data from 227 nurse respondents in Montana about their experiences and beliefs related to HPV, with a focus on barriers and facilitators of vaccine uptake.
Author(s): Juthika Thaker, Alexandria N. Albers, Sophia R. Newcomer
Citation: BMC Nursing, 22, 211
Date: 06/2023
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Self-Assessed Health Status and Obesity Vulnerability in Rural Louisiana: A Cross-Sectional Analysis
Examines the self-assessed health of rural residents in Louisiana utilizing the obesity vulnerability index, which factors in sex, race, education, caregiver status, exercise, and grocery store choice as potential risk factors for obesity. Provides 2021 data of residents from 3 rural counties, with obesity vulnerability index indicators broken down by fair, good, or excellent health status.
Author(s): Santosh Pathak, Hua Wang, Katherine Seals, Naveen C. Adusumilli, Denise Holston
Citation: PLoS One, 18(6)
Date: 06/2023
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Addressing the Impact of Rural Hospital Closures on Maternal and Infant Health
Blog post discussing the impact of rural hospital closures on rural maternal and infant health outcomes. Identifies risk-appropriate strategies to ensure the provision of maternal and infant healthcare at facilities that best meet each individual's level of health risk. Covers birthing centers, hub-and-spoke models, and telehealth models to preserve access to care.
Author(s): Lexa Giragosian
Date: 06/2023
Sponsoring organization: Association of State and Territorial Health Officials
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Factors Associated with Depressive Symptoms among Mexican-Origin Adults in a Community Sample at the US Mexico Border Region
Evaluated 206 Mexican-origin adults at risk for chronic diseases in 3 U.S.-Mexico border counties in Arizona for factors associated with depressive symptoms. Discusses protective factors and includes recommendations to local healthcare and other community officials for education to reduce health disparities.
Author(s): Mario Morales, Maia Ingram, Kiera M. Coulter, et al.
Citation: International Journal of Environmental Research and Public Health, 20(11), 6017
Date: 06/2023
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Updated Simulation of a Prospective Payment System for Post-Acute Care
Updates a potential unified post-acute care (PAC) prospective payment system (PPS) and estimates the impact of a PAC PPS on providers and Medicare beneficiaries. Presents data comparing the estimated costs payments to actual payments by rurality and region.
Author(s): Doug Wissoker, Bowen Garrett
Date: 06/2023
Sponsoring organizations: Medicare Payment Advisory Commission, Urban Institute
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