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Rural Health Information Hub

Rural Health
Resources by Type: Document

Telehealth Adoption in Kentucky Prior to the COVID-19 Pandemic
Reports statistics and data on the adoption of telehealth, including remote patient monitoring, in Kentucky before the COVID-19 pandemic. Compares rural and urban areas with U.S. averages, and highlights adoption rates in Critical Access and short-term acute care hospitals. Discusses the implications of pre-pandemic telehealth adoption for COVID-19 response in Kentucky.
Author(s): Claudia A. Rhoades
Date: 06/2023
Sponsoring organization: Blueprint Kentucky
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Rural Relocators: COVID-19 and Rural Population Growth
Compares population growth in rural and urban North Carolina in context of COVID-19 using U.S. Census and NC Office of State Budget and Management data. Identifies trends before the COVID-19 public health emergency and during its first and second years, and discusses contributing factors. Presents county-level maps of population change as well as graphs comparing data of rural, suburban, and urban counties, and also provides a table of county-level population data.
Date: 06/2023
Sponsoring organization: NC Rural Center
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The Alaska State Plan for Senior Services FFY 2024 - FFY 2027
Provides an analysis of a statewide initiative to identify the issues and needs of seniors in Alaska to guide the development of senior health and human services in the state. Discusses the demographic trends and needs of this population based on ongoing needs assessment activities. Identifies specific goals, objectives, and performance measures developed by the State Plan for Senior Services Advisory Committee for FFY 2024-2027.
Date: 06/2023
Sponsoring organization: Alaska Department of Health
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Nursing Home Staffing Study: Comprehensive Report
Examines the level and type of staffing needed to promote acceptable nursing home quality and safety. Explores the potential implications and feasibility of increased staffing and costs to nursing homes. Presents four options for minimum staffing requirements and their cost, quality, and safety impacts. Includes rural references and considerations throughout.
Additional links: Literature Review Results Table, State Minimum Staffing Requirement
Date: 06/2023
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Using Coaching to Address Economic Stability for People with Low Incomes: The Design and Implementation of Four Employment Coaching Programs
Examines the use of employment coaching for Temporary Assistance for Needy Families (TANF) recipients. Utilizes 2018 and 2019 data to analyze 4 programs and their context, design, and implementation. Includes discussion of a coaching program that takes place in rural Iowa.
Author(s): Karen Gardiner, Sheena McConnell
Date: 06/2023
Sponsoring organization: Administration for Children and Families
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Impact of the COVID-19 Vaccination Mandate on the Primary Care Workforce and Differences Between Rural and Urban Settings to Inform Future Policy Decision-Making
Analyzes the impact of COVID-19 vaccination mandates on the primary healthcare workforce in rural and urban settings. Examines 2021 survey data from 38 rural and 42 urban clinics in Oregon about issues such as job losses, vaccination waivers, and newly vaccinated staff. Includes data on clinic characteristics and impacts of the COVID-19 vaccine mandate across rural and urban clinics, as well as qualitative feedback from survey respondents.
Author(s): Brigit A. Hatch, Erin Kenzie, NithyaPriya Ramalingam, et al.
Citation: PLoS One, 18(6)
Date: 06/2023
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Competencies, Training Needs, and Turnover Among Rural Compared With Urban Local Public Health Practitioners: 2021 Public Health Workforce Interests and Needs Survey
Analyzes the rural and urban differences in 29,751 public health workers surveyed regarding competencies, training needs, and workplace stressors. Discusses COVID-19 impacts on public health work.
Author(s): Paula M. Kett, Betty Bekemeier, Davis G. Patterson, Kay Schaffer
Citation: American Journal of Public Health, 113(6), 689-699
Date: 06/2023
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Texans' Views and Experiences with End-of-Life Issues
Survey of 2,305 Texans regarding attitudes, experiences, and needs around illness and end-of-life issues. Discusses barriers to access of end-of-life care, race and ethnicity, insurance status, and more. Includes rural data throughout.
Additional links: Research Summary
Date: 06/2023
Sponsoring organizations: Perry Undem, St. David's Foundation
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Arkansas Rural Hospital Assessment: Final Report
An assessment of 18 rural Arkansas hospitals with regard to their financial stability, workforce challenges, facilities, distance from other facilities, sustainability, and more. Compares Critical Access Hospitals (CAH) and non-CAHs in the state. Discusses decision-making around the Rural Emergency Hospital designation.
Additional links: Overview
Author(s): Alvarez & Marsal Public Sector Services LLC
Date: 06/2023
Sponsoring organization: Arkansas Department of Finance & Administration
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Impact of Higher Payments for Rural Home Health Episodes on Rehospitalizations
Examines the impact of home health rural add-on payments on beneficiary outcomes, specifically on rehospitalizations. Uses Medicare data from 2007 to 2014 to compare rehospitalizations between rural and urban post-acute home health episodes before and after the implementation of the add-on payments in 2010. Discusses the implications of the findings on home health payment policy.
Author(s): Lacey Loomer, Momotazur Rahman, Tracy M. Mroz, Pedro L. Gozalo, Vincent Mor
Citation: Journal of Rural Health, 39(3), 604-610
Date: 06/2023
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