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Rural Health
Resources by Type: Document

Achieving Behavioral Health Equity for Children, Families, and Communities: Proceedings of a Workshop
Summarizes findings from a November 2017 workshop focused on exploring health equity in children and families. Chapter 4 includes discussion on healthcare quality and access for behavioral health services in rural communities. Offers suggestions for initiatives, policies, and programs to support behavioral health promotion, access behavioral health services, and improve the social determinants of health.
Additional links: Read Online
Author(s): Sarah Tracey, Erin Kellogg, Clarissa Sanchez, Wendy Keenan
Date: 2019
Sponsoring organizations: Board on Children, Youth, and Families, Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Perspectives of Physicians in Small Rural Practices on the Medicare Quality Payment Program
Provides feedback from small, rural practices on the implementation of Medicare's Quality Payment Program (QPP), which includes the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). Identifies challenges rural physicians face and offers recommendations to help more small practices participate in the program.
Author(s): Peter Mendel, Christine Buttorff, Peggy G. Chen, et al.
Date: 2019
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Rural Depopulation in a Rapidly Urbanizing America
Examines demographic trends in rural America. Compares rural counties based on peak population over time, with "depopulation" counties having reached peak population by 1950 and lost at least 25% of that peak population by 2010, "gain" counties having a larger population in 2010 than at any point in the past, and "other loss" counties with mixed histories of population gain and loss. Identifies policy options for addressing rural depopulation.
Author(s): Kenneth M. Johnson, Daniel T. Lichter
Date: 2019
Sponsoring organization: Carsey School of Public Policy
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Proposed Rural-Specific Objectives for Healthy People 2030
Supports adding a category for rural health to Healthy People 2030 along with specific objectives related to mortality, obesity, healthcare access, and more. Identifies rural/urban disparities for each objective, rationales for including them, possible measures for them, and data sources.
Date: 2019
Sponsoring organization: National Organization of State Offices of Rural Health
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Examining the Availability of SAFE Kits at Hospitals in the United States
Congressional hearing analyzing the availability of sexual assault forensic examiners. Discusses the impact of training, service volume, and workforce retention on access. Notes rural-specific rates of sexual assault and challenges with access to care. Includes testimony from the U.S. Government Accountability Office, International Association of Forensic Nurses, and Futures Without Violence.
Additional links: A. Nicole Clowers Testimony, Kiersten Stewart Testimony, Sara Jennings Testimony
Date: 12/2018
Sponsoring organizations: House Committee on Energy and Commerce, Subcommittee on Oversight and Investigations
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LTSS Research: Improving Care for Adults with Disabilities in Indian Country - Highlights from the Field
Report details a number of programs providing disability care in Indian Country. Discusses services provided, such as peer support, medical transportation, mental health counseling, and attendant care, among other services related to long-term services and support for disabled American Indian and Alaska Native populations.
Date: 12/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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LTSS Research: Improving Care for Adults with Disabilities in Indian Country - Highlights from the Literature
Report examines the literature on disability care in Indian Country. Discusses home- and community-based services, trauma-informed care, and family caregivers among other topics related to long-term services and support for disabled American Indian and Alaska Native populations.
Date: 12/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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Salud es Vida: A Cervical Cancer Screening Intervention for Rural Latina Immigrant Women
Investigates the feasibility and effectiveness of Salud Es Vida, an educational group session led by promotoras focused on cervical cancer screening and increased cervical cancer knowledge among immigrant Hispanic/Latina women from farmworker environments. The intervention was conducted in four rural counties of Southeast Georgia and included the development of a toolkit offering a curriculum guide and class activities created in partnership with promotoras.
Author(s): John S. Luque, Yelena N. Tarasenko, Claudia Reyes-Garcia, et al.
Citation: Journal of Cancer Education, 32(4), 690-699
Date: 12/2018
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Behavioral and Subjective Health Changes in US and Mexico Border Residing Participants in Two Promotora-Led Chronic Disease Prevention Interventions
Study of two community health worker (CHW) chronic disease prevention programs serving Mexico-born residents of the U.S-Mexico border region: one in a rural Arizona community and one in an urban community in Sonora, Mexico. Discusses challenges related to healthy diet, physical activity, and social support as risk factors for obesity and diabetes. Analyzes data from self-report assessments to evaluate behavioral and subjective health improvements over 6 months of the intervention programs.
Author(s): S C Carvajal, S Huang, M L Bell, et al.
Citation: Health Education Research, 33(6), 522-534
Date: 12/2018
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Patterns of Buprenorphine Use and Risk for Re-Arrest among Highly Vulnerable Opioid-Involved Women Released from Jails in Rural Appalachia
Study examining licit and illicit use of buprenorphine by women in the Appalachia region of Kentucky with moderate to severe opioid involvement who had recently been released from jail. Discusses the role of consistent healthcare services in relation to risk for re-arrest, presenting data on demographics, opioid use, and healthcare access over a 3-month tracking period.
Author(s): Hilary L. Surratt, Michele Staton, Carl G. Leukefeld, Carrie B. Oser, J. Matthew Webster
Citation: Journal of Addictive Diseases, 37(1-2), 1-4
Date: 12/2018
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