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Rural Health Information Hub

Rural Health
Resources by Type: Document

Identifying Priority and "Bright-Spot" Counties for Diabetes Preventive Care in Appalachia: An Exploratory Analysis
Details a study of type 2 diabetes prevalence and mortality in rural Appalachian counties and compares rates with non-Appalachian counties.
Author(s): Peter J. Mallow, Michael Topmiller, Jennifer Rankin, Jene Grandmont, David Grolling
Citation: Journal of Appalachian Health, 1(1), 27-33
Date: 2019
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The Social Determinants of Health and the Decline in U.S. Life Expectancy: Implications for Appalachia
Study explores life expectancy in the U.S. and compares these trends to those in Appalachia. Looks at social determinants of health such as substance use, injuries, and suicide, among others, as possible contributing factors.
Author(s): Steven H. Woolf, Heidi Schoomaker, Latoya Hill, Christine M. Orndahl
Citation: Journal of Appalachian Health, 1(1), 6-14
Date: 2019
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State Strategies for Averting Early Deaths: Innovations and Best Practices for Preventing Suicide
Reports on an exchange of state-level best practices for preventing suicide. Identifies lessons learned with a focus on three categories: cross-sector collaboration; strategic partnerships including with tribal and veterans organizations; and upstream prevention efforts, including school programs. Briefly addresses challenges for rural and tribal communities. Highlights model programs from Colorado, Washington, Idaho, and Utah.
Date: 2019
Sponsoring organization: National Governors Association
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The Poverty-Reducing Effect of Five Key Government Programs in Rural and Urban America
Examines rural and urban residents' income from five social programs: Social Security, disability benefits, federal and state cash assistance, the Earned Income Tax Credit (EITC), and the Supplemental Nutrition Assistance Program (SNAP). Looks at the role of these programs in reducing poverty and reports how much poverty would increase in rural and urban areas without each program.
Author(s): Jessica Carson Marybeth Mattingly
Date: 2019
Sponsoring organization: Carsey School of Public Policy
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Deconstructing the Digital Divide: Identifying the Supply and Demand Factors That Drive Internet Subscription Rates
Provides discussion and analysis on the factors influencing broadband subscription rates, including information based on service availability and community attributes. Describes rural specific examples and contexts throughout.
Author(s): Michael J. R. Martin
Date: 2019
Sponsoring organization: U.S. Census Bureau
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Updating the Costs of Compliance for California's Hospital Seismic Safety Standards
Updates progress made on California's implementation of a bill intended to improve hospital building standards to prepare for earthquakes. Analyzes the legislation's affordability for hospitals, particularly Critical Access Hospitals; future costs of compliance; factors influencing prioritization of compliance strategies; and policy alternatives.
Author(s): Benjamin L. Preston, Tom LaTourrette, James R. Broyles, et al.
Date: 2019
Sponsoring organizations: California Hospital Association, RAND Corporation
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State Innovation Models (SIM) Round 2: Model Test Annual Report Three
Third annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Addresses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Offers an update and lessons learned on strategies to support healthcare delivery transformation related to behavioral health integration, data for improving health care quality and performance, health information technology, care coordination, and workforce development. Describes states' population health activities. Includes discussion of rural issues throughout the report.
Additional links: Findings at a Glance
Date: 2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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The Ecology of Neonatal Abstinence Syndrome
Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Sponsoring organization: RAND Corporation
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Hearing Norton Sound: A Community Randomised Trial Protocol to Address Childhood Hearing Loss in Rural Alaska
Profiles a study evaluating a school hearing screening and referral process to determine if it helped to improve the treatment of childhood hearing loss in rural Alaska.
Author(s): Susan D. Emmett, Samantha Kleindienst Robler, Nae-Yuh Wang, et al.
Citation: BMJ Open, 9(1), e023078
Date: 2019
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Experiences of Medicaid Programs and Health Centers in Implementing Telehealth
Examines the experiences of 19 rural and urban Federally Qualified Health Centers (FQHCs) and 7 state Medicaid programs with supporting and delivering telehealth. Addresses state Medicaid policies, telehealth models and types, barriers and facilitators for telehealth, and future plans. Identifies considerations for payers, policymakers, and FQHCs interested in telehealth implementation.
Author(s): Lori Uscher-Pines, Kathryn Bouskill, Jessica Sousa, Mimi Shen, Shira H. Fischer
Date: 2019
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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