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Rural Health Information Hub

Rural Health
Resources by Type: Document

Understanding and Overcoming Barriers to Rural Obstetric Training for Family Physicians
Reports findings from a mixed-methods study on the availability and characteristics of obstetric (OB) training in rural family medicine residency programs, as well as the barriers to and facilitators of rural OB training.
Author(s): Erin Fredrickson, David V. Evans, Sara Woolcock, et al.
Citation: Family Medicine, 55(6), 381-388
Date: 2023
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Total Knee Arthroplasty in the Outpatient vs Inpatient Settings: Impact of Site of Care on Early Postoperative Economic and Clinical Outcomes
Compares inpatient and outpatient outcomes of total knee arthroplasty adult patients treated with the Attune Knee System implant between October 1, 2015 and December 2020. Table 1 shows comparison of rural patients to urban patients among other demographic characteristics. Discusses the difference in both clinical and financial outcomes when the procedure occurs at rural hospitals as compared to urban hospitals.
Author(s): Jack Mantel, Jill W. Ruppenkamp, Maricruz Cantu, Chantal E. Holy
Citation: Journal of Orthopaedic Surgery and Research, 2023(18), 273
Date: 2023
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An Updated Measure of Poverty: (Re)Drawing the Line
Examines the strengths and weaknesses of the Supplemental Poverty Measure (SPM) and makes recommendations to update it to better reflect the resources available to households. Includes discussion of geographic variation in the cost of living in metropolitan versus nonmetro areas and the potential for a finer level of detail to reveal variations for expenses like housing and transportation.
Additional links: Read Online
Date: 2023
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Rural Communities Face More than an Opioid Crisis: Reimagining Funding Assistance to Address Polysubstance Use, Associated Health Problems, and Limited Rural Service Capacity
Examines progress reports from the first 4 quarters of the Rural Communities Opioid Response Program (RCORP) to identify both substances of concern (including but not limited to opioids) and related health issues in funded communities. Data highlight which substances and related health issues are of greatest concern and that communities have the least capacity to address. Includes guidance on future funding strategies for opioid and other substance use projects.
Author(s): Carolyn Carpenedo Mun, Heather Schuler, Robin Baker, et al.
Citation: Journal of Rural Health, 39(4), 795-803
Date: 2023
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COVID-19 Vaccination Willingness and Uptake among Rural Black/African American, Latino, and White Adults
Compares rural and nonrural adults' willingness to vaccinate against COVID-19. Includes descriptive graphs showing reasons for their willingness or unwillingness among rural adults.
Author(s): Paula D. Strassle, Alexis L. Green, Caleb A. Colbert, Anita L. Stewart, Anna M. NĂ¡poles
Citation: Journal of Rural Health, 39(4), 756-764
Date: 2023
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A Comparison of Critical Access Hospitals and Other Rural Acute Care Hospitals in Pennsylvania
Examines finances of acute care hospitals in rural Pennsylvania between 2000 and 2020 to determine if the Critical Access Hospital (CAH) designation increases financial stability. Compares CAHs to rural Prospective Payment System hospitals to draw conclusions on the success of the Medicare Rural Hospital Flexibility Program's impact on CAHs. Includes information on financial measures, hospital characteristics, quality measures, payer mix, and more to suggest opportunities for strengthening CAH viability.
Author(s): Dinesh R. Pai, Chamila K. Dissanayake, Anna M. Anna
Citation: Journal of Rural Health, 39(4), 719-727
Date: 2023
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Common Problems, Common Solutions: Looking Across Sectors at Strategies for Supporting Rural Youth and Families Tool-Kit
Provides an overview of barriers faced by rural communities in supporting youth and families, and innovative strategies to improve outcomes for youth, families, and communities. Informed by interviews and listening sessions with practitioners and leaders working in rural areas across the United States.
Author(s): Lisa Pilnik, Christine Humowitz
Date: 2023
Sponsoring organizations: Georgetown University Center for Juvenile Justice Reform, U.S. Department of Justice
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Culturally Adapting an Evidence-Based Intervention to Promote a Healthy Diet and Lifestyle for Yup'ik Alaska Native Communities
Highlights a study on a culturally competent educational program on healthy foods and physical activity for Yup'ik Alaska Native communities. Discusses the structure and efficacy of the project. Details some of its limitations and access-based barriers.
Author(s): Scarlett E. Hopkins, Eliza Orr, Bert B. Boyer, and Beti Thompson
Citation: International Journal of Circumpolar Health, 82(1)
Date: 2023
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Early Interventions for Psychosis - First Episodes and High Risk Populations: Proceedings of a Workshop
Highlights the proceedings of a 2022 workshop hosted by the National Academies of Science, Engineering, and Medicine and discusses how early interventions can improve outcomes for those who are as high risk of behavioral health issues. Details the challenges rurality can present to providers and patients.
Additional links: Read Online
Author(s): Forum on Mental Health and Substance Use Disorders
Date: 2023
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Higher Hospitalization and Mortality Rates Among SARS-CoV-2-Infected Persons in Rural America
Presents a study on hospitalizations for COVID-19 based on rurality. Breaks down data for rural, urban-adjacent rural, and urban by age, sex, comorbidities, and outcome, among other measures.
Author(s): Alfred Jerrod Anzalone, Ronald Horswell, Brian M. Hendricks, et al.
Citation: Journal of Rural Health, 39(1), 39-54
Date: 2023
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