Rural Health
Resources by Type: Document
Building Capacity with American Indians and Alaska Natives to Handle Hazardous Materials and Respond to Emergencies
Report details the NIEHS Worker Training Program initiative to train American Indian and Alaska Native workers and communities to handle hazardous materials and public emergencies. Highlights the courses offered, such as chemical emergency response, asbestos awareness, and infectious disease awareness, among others. Discusses the need for training in AI/AN communities and identifies the tribal nations that have received the training.
Date: 05/2023
Sponsoring organization: National Institute of Environmental Health Sciences
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Report details the NIEHS Worker Training Program initiative to train American Indian and Alaska Native workers and communities to handle hazardous materials and public emergencies. Highlights the courses offered, such as chemical emergency response, asbestos awareness, and infectious disease awareness, among others. Discusses the need for training in AI/AN communities and identifies the tribal nations that have received the training.
Date: 05/2023
Sponsoring organization: National Institute of Environmental Health Sciences
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Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2021
Examines the economic and healthcare benefit of Critical Access Hospitals (CAHs) on rural communities. Looks at the services provided, the economic health of CAHs, and the effect this has on their communities broadly. Includes comparisons of community benefit and patient care services indicators provided by CAHs and other rural and urban hospitals.
Date: 05/2023
Sponsoring organization: Flex Monitoring Team
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Examines the economic and healthcare benefit of Critical Access Hospitals (CAHs) on rural communities. Looks at the services provided, the economic health of CAHs, and the effect this has on their communities broadly. Includes comparisons of community benefit and patient care services indicators provided by CAHs and other rural and urban hospitals.
Date: 05/2023
Sponsoring organization: Flex Monitoring Team
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Achieving Behavioral Health Care Integration in Rural America
Provides an overview of behavioral health and primary care integration and how integration may be different in rural areas than in urban and suburban areas. Examines the barriers to integration in rural areas and opportunities for policies that can improve access to care. Offers policy recommendations to better coordinate and integrate primary care and behavioral health services for high-risk groups and expand the ability of primary care providers to handle the lower-acuity behavioral health needs of patients through enhanced payments, training, and improved access to behavioral health providers for consultation and referral. Builds on the March 2021 report, Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration.
Author(s): Kendall Strong, Michele Gilbert, Julia Harris, et al.
Date: 05/2023
Sponsoring organization: Bipartisan Policy Center
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Provides an overview of behavioral health and primary care integration and how integration may be different in rural areas than in urban and suburban areas. Examines the barriers to integration in rural areas and opportunities for policies that can improve access to care. Offers policy recommendations to better coordinate and integrate primary care and behavioral health services for high-risk groups and expand the ability of primary care providers to handle the lower-acuity behavioral health needs of patients through enhanced payments, training, and improved access to behavioral health providers for consultation and referral. Builds on the March 2021 report, Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration.
Author(s): Kendall Strong, Michele Gilbert, Julia Harris, et al.
Date: 05/2023
Sponsoring organization: Bipartisan Policy Center
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Child Nutrition Program Operations During the COVID-19 Pandemic, March through September 2020: School Meals Operations Study, Year 1 Report (Final)
Describes trends in Child Nutrition (CN) Program participation during the early months of the COVID-19 pandemic, from March through September 2020. Presents data on the number of meals served, operational and financial challenges state agencies and local program operators experienced during the pandemic, and the use of COVID-19 Child Nutrition nationwide waivers. Includes information on challenges rural program operators faced.
Additional links: Report Summary
Author(s): Veronica Severn, Liana Washburn, Rachel Frisk, Kevin Conway
Date: 05/2023
Sponsoring organization: USDA Economic Research Service
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Describes trends in Child Nutrition (CN) Program participation during the early months of the COVID-19 pandemic, from March through September 2020. Presents data on the number of meals served, operational and financial challenges state agencies and local program operators experienced during the pandemic, and the use of COVID-19 Child Nutrition nationwide waivers. Includes information on challenges rural program operators faced.
Additional links: Report Summary
Author(s): Veronica Severn, Liana Washburn, Rachel Frisk, Kevin Conway
Date: 05/2023
Sponsoring organization: USDA Economic Research Service
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Ambulance Deserts: Geographic Disparities in the Provision of Ambulance Services
Chartbook presenting data on ambulance deserts from 41 states in 2021-2022, and identifying places and people that are more than 25 minutes from an ambulance station. Include maps of ambulance desert locations and health care facility locations for every state with available data, and documents coverage gaps in the provision of ambulance services across geographic areas across the United States.
Author(s): Yvonne Jonk, Carly Milkowski, Zachariah Croll, Karen Pearson
Date: 05/2023
Sponsoring organization: Maine Rural Health Research Center
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Chartbook presenting data on ambulance deserts from 41 states in 2021-2022, and identifying places and people that are more than 25 minutes from an ambulance station. Include maps of ambulance desert locations and health care facility locations for every state with available data, and documents coverage gaps in the provision of ambulance services across geographic areas across the United States.
Author(s): Yvonne Jonk, Carly Milkowski, Zachariah Croll, Karen Pearson
Date: 05/2023
Sponsoring organization: Maine Rural Health Research Center
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When It's Not Enough: Sleep's Impact on Rural America's Health and Safety
Discusses the impact of sleep on rural health and public safety, with insights from clinical sleep experts, a federal public health agency representative, and Nebraska Extension.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 05/2023
Sponsoring organization: Rural Health Information Hub
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Discusses the impact of sleep on rural health and public safety, with insights from clinical sleep experts, a federal public health agency representative, and Nebraska Extension.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 05/2023
Sponsoring organization: Rural Health Information Hub
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Impact of the COVID-19 Pandemic on Cancer Patients in Western Pennsylvania: Rural–Urban Disparities
Examines the impact of COVID-19 and related concerns on cancer patients in rural and urban areas of Pennsylvania. Analyzes a sample of 1,980 patient surveys from August-December 2020 and March 2021 by patient perception of pandemic-related distress, cancer care, COVID-19 impact on personal health, and more. Includes rural versus urban data on COVID-19 concerns related to cancer care as well as demographic breakdowns.
Author(s): Kathryn Demanelis, Margaret Rosenzweig, Linda B. Robertson, et al.
Citation: Cancer Causes Control, 34(7), 595-609
Date: 05/2023
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Examines the impact of COVID-19 and related concerns on cancer patients in rural and urban areas of Pennsylvania. Analyzes a sample of 1,980 patient surveys from August-December 2020 and March 2021 by patient perception of pandemic-related distress, cancer care, COVID-19 impact on personal health, and more. Includes rural versus urban data on COVID-19 concerns related to cancer care as well as demographic breakdowns.
Author(s): Kathryn Demanelis, Margaret Rosenzweig, Linda B. Robertson, et al.
Citation: Cancer Causes Control, 34(7), 595-609
Date: 05/2023
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Disparities in Diabetes Care: Differences Between Rural and Urban Patients Within a Large Health System
Examines rural versus urban residence and the related impact on a patient's quality of diabetes care. Analyzes 2019 data of 45,279 patients with diabetes in a large healthcare system, comparing rural versus urban outcomes of 5 diabetes care metrics. Discusses health disparities in diabetes care based on geography.
Author(s): Randy Foss, Karen Fischer, Michelle A. Lampman, et al.
Citation: The Annals of Family Medicine, 21(3), 234-239
Date: 05/2023
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Examines rural versus urban residence and the related impact on a patient's quality of diabetes care. Analyzes 2019 data of 45,279 patients with diabetes in a large healthcare system, comparing rural versus urban outcomes of 5 diabetes care metrics. Discusses health disparities in diabetes care based on geography.
Author(s): Randy Foss, Karen Fischer, Michelle A. Lampman, et al.
Citation: The Annals of Family Medicine, 21(3), 234-239
Date: 05/2023
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Using Networks To Build Collaborative And Equitable Food Systems
Examines food production and agriculture practices that promote equality, sustainability, and rural-urban collaboration. Discusses statewide, regional, and national food system initiatives that showcase farmer-consumer connections, balanced development outcomes, rural stewardship, and rural stakeholder equity.
Author(s): Rich Pirog, Marcus A. Coleman
Date: 05/2023
Sponsoring organization: Aspen Institute
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Examines food production and agriculture practices that promote equality, sustainability, and rural-urban collaboration. Discusses statewide, regional, and national food system initiatives that showcase farmer-consumer connections, balanced development outcomes, rural stewardship, and rural stakeholder equity.
Author(s): Rich Pirog, Marcus A. Coleman
Date: 05/2023
Sponsoring organization: Aspen Institute
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Barriers to Rural Health Care From the Provider Perspective
Results of a study using data from interviews with 20 healthcare providers in rural areas of western Pennsylvania. Explores barriers to care, including cost and insurance, geographic dispersion, and provider shortage and burnout. Offers strategies for improvement, including use of telehealth, mobile clinics, and increased use of advanced practice providers.
Author(s): Avinash Maganty, Mary E. Byrnes, Megan Hamm, et al.
Citation: Rural and Remote Health, 23(2), 7769
Date: 05/2023
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Results of a study using data from interviews with 20 healthcare providers in rural areas of western Pennsylvania. Explores barriers to care, including cost and insurance, geographic dispersion, and provider shortage and burnout. Offers strategies for improvement, including use of telehealth, mobile clinics, and increased use of advanced practice providers.
Author(s): Avinash Maganty, Mary E. Byrnes, Megan Hamm, et al.
Citation: Rural and Remote Health, 23(2), 7769
Date: 05/2023
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