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Rural Health
Resources by Type: Document

Self-reported Illness Experiences and Psychosocial Outcomes for Reservation-Area American Indian Youth During COVID-19
Results of a Spring 2021 study of 2,559 students in grades 6-12 in schools on or near reservations. Features statistics on COVID-19 experiences for self and others.
Author(s): Linda R. Stanley, Meghan A. Crabtree, Randall C. Swaim, Mark A. Prince.
Citation: JAMA Network Open, 5(9), e2231764
Date: 09/2022
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Rural Child Care Solutions: From the Ground Up
Explores challenges related to childcare access in Minnesota that have been exacerbated by the COVID-19 pandemic. Includes data on childcare availability broken down by entirely rural, town/rural mix, urban/town/rural mix, and entirely urban location. Includes discussions, models, and mitigating strategies to address childcare issues.
Additional links: Summary
Author(s): Marnie Werner
Date: 09/2022
Sponsoring organization: Center for Rural Policy and Development
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Priorities for Improvement Across Cancer and Non-Cancer Related Preventive Services among Rural and Non-Rural Clinicians
Results of a survey of primary care physicians on preventive care services in need of improvement in their clinics. Reports on 2021 data from 326 survey respondents in 49 states who discuss improvement areas such such as screenings, nutrition counseling, and physical activity counseling. Includes rural versus urban breakdowns for priorities in improvement areas.
Author(s): Michaela Brtnikova, Jamie L. Studts, Elise Robertson, et al.
Citation: BMC Primary Care, 23, 231
Date: 09/2022
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The IHS Telehealth System Was Deployed Without Some Required Cybersecurity Controls
Presents findings of an audit to determine whether the Indian Health Service (IHS) implemented select cybersecurity system controls prior to deploying its telehealth system nationally. Offers policy recommendations to the IHS for improving the implementation of cybersecurity controls for new information systems and remediating known vulnerabilities that may impact telehealth technologies.
Additional links: Report in Brief
Date: 09/2022
Sponsoring organization: Office of Inspector General (HHS)
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Rural–Urban Differences in Breast and Colorectal Cancer Screening among US Women, 2014-2019
Analyzes disparities in breast and colorectal cancer screening in rural and urban women aged 50-74 in the U.S. using 2014-2019 Behavioral Risk Factor Surveillance System (BRFSS) data. Includes demographic breakdowns by age, race/ethnicity, sexual orientation, education level, income, marital status, health behaviors, and reported access to healthcare.
Author(s): Nicholas Theodoropoulos, Hui Xie, Qian Wang, Chi Wen, Yannan Li
Citation: Rural and Remote Health, 22(3), 7339
Date: 09/2022
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Physician Response to COVID-19–Driven Telehealth Flexibility for Opioid Use Disorder
Presents survey responses of physicians who provide Opioid Use Disorder (OUD) treatment on telehealth flexibilities driven by the COVID-19 pandemic, particularly their OUD telehealth policy preferences. Notes rural implications of access equity issues and policy changes.
Author(s): Tamara Beetham, David A. Fiellin, Susan H. Busch
Citation: The American Journal of Managed Care, 28(9)
Date: 09/2022
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Urban and Rural Differences in New Onset Type 2 Diabetes: Comparisons Across National and Regional Samples in the Diabetes Lead Network
Examines the likelihood of new onset type 2 diabetes (T2D) by community type. Utilizes 3 longitudinal study samples about diabetes in the United States to track new onset T2D by U.S. region as well as higher density urban, lower density urban, suburban/small town, and rural community type. Includes further demographic breakdowns by age, sex, race/ethnicity, socio-economic factors, and smoking behaviors.
Author(s): Tara P. McAlexander, Gargya Malla, Jalal Uddin, et al.
Citation: SSM - Population Health, 19, 101161
Date: 09/2022
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Risk Perceptions of Drinking Bottled vs. Tap Water in a Low-Income Community on the US-Mexico Border
Presents a study on rates of bottled water usage among low-income people on the U.S.-Mexico border. Explores concerns about tap-water quality and oral health consequences of drinking unfluoridated water. Draws conclusions from interviews of low-income households about the perceived safety of tap water in Nogales, Arizona.
Author(s): Kerton R. Victory, Amanda M. Wilson, Nolan L. Cabrera, et al.
Citation: BMC Public Health, 22, 1712
Date: 09/2022
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Evaluation of a Civic Engagement Approach to Catalyze Built Environment Change and Promote Healthy Eating and Physical Activity among Rural Residents: A Cluster (Community) Randomized Controlled Trial
Provides an overview of a study that will analyze the Change Club (CC) intervention that focuses on built environment and health behaviors in rural communities. The CC intervention utilizes the civic engagement interventions for built environment change (CEBEC) approach to promote nutrition and physical activity. Discusses research plan for recruiting participants, conducting interventions, assessing and evaluating the program, and disseminating data and results.
Author(s): Rebecca A. Seguin-Fowler, Karla L. Hanson, Deyaun Villarreal, et al.
Citation: BMC Public Health, 22, 1674
Date: 09/2022
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MedPAC Comment on CMS's Proposed Rule on the Payment Systems for Hospital Outpatient Departments and Ambulatory Surgical Centers for 2023
Comments on a July 26, 2022, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2023. Includes considerations for payment for 340B drugs, additional facility payments for Rural Emergency Hospitals, telehealth rehabilitation services beyond the COVID-19 public health emergency, and more.
Date: 09/2022
Sponsoring organization: Medicare Payment Advisory Commission
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