Rural Health
Resources by Type: Document
Minnesota: Filling the Mental Health Pipeline
Discusses the mental health workforce in Minnesota including the educational pipeline, the licensed and unlicensed workforce, regional issues related to recruitment, and policy implications. Includes data about degrees completed, licenses gained after graduation, and population-to-provider ratios of the mental health workforce in Minnesota by rural or isolated, small town or small rural, micropolitan or large rural, and metropolitan.
Author(s): Alessia Leibert, Teri Fritsma
Date: 09/2017
Sponsoring organization: Minnesota Department of Employment and Economic Development
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Discusses the mental health workforce in Minnesota including the educational pipeline, the licensed and unlicensed workforce, regional issues related to recruitment, and policy implications. Includes data about degrees completed, licenses gained after graduation, and population-to-provider ratios of the mental health workforce in Minnesota by rural or isolated, small town or small rural, micropolitan or large rural, and metropolitan.
Author(s): Alessia Leibert, Teri Fritsma
Date: 09/2017
Sponsoring organization: Minnesota Department of Employment and Economic Development
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Access To Obstetric Services In Rural Counties Still Declining, With 9 Percent Losing Services, 2004-14
Results of a study identifying gaps in the availability of hospital-based obstetric services in rural America, and providing evidence of disparities in local access to obstetric services in vulnerable rural communities. Includes statistics on percentages of rural counties by status of hospital obstetric services from 2004–14, with breakdowns by micropolitan or noncore location, and a county-level map with shadings indicating full closure, continuous services, or no services.
Author(s): Peiyin Hung, Carrie E. Henning-Smith, Michelle M. Casey, Katy B. Kozhimannil
Citation: Health Affairs, 36(9), 1663-1671
Date: 09/2017
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Results of a study identifying gaps in the availability of hospital-based obstetric services in rural America, and providing evidence of disparities in local access to obstetric services in vulnerable rural communities. Includes statistics on percentages of rural counties by status of hospital obstetric services from 2004–14, with breakdowns by micropolitan or noncore location, and a county-level map with shadings indicating full closure, continuous services, or no services.
Author(s): Peiyin Hung, Carrie E. Henning-Smith, Michelle M. Casey, Katy B. Kozhimannil
Citation: Health Affairs, 36(9), 1663-1671
Date: 09/2017
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Agriculture and Health Sectors Collaborate in Addressing Population Health
An overview of the collaboration between the Cooperative Extension Service and the health sector in various states and the impact this collaboration has on population health through community-based efforts, including health and wellness and 4-H programs, and the Supplemental Nutrition Assistance Program (SNAP). Describes a case study of a collaborative model in New Mexico.
Author(s): Arthur Kaufman, Jon Boren, Sonja Koukel, et al.
Citation: Annals of Family Medicine,15(5), 475-480
Date: 09/2017
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An overview of the collaboration between the Cooperative Extension Service and the health sector in various states and the impact this collaboration has on population health through community-based efforts, including health and wellness and 4-H programs, and the Supplemental Nutrition Assistance Program (SNAP). Describes a case study of a collaborative model in New Mexico.
Author(s): Arthur Kaufman, Jon Boren, Sonja Koukel, et al.
Citation: Annals of Family Medicine,15(5), 475-480
Date: 09/2017
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Utilizing Patient Geographic Information System Data to Plan Telemedicine Service Locations
Describes a model for determining optimal locations for telemedicine service providers by using electronic health record (EHR) data in a geographic information system (GIS). Demonstrates the method for extracting GIS patient data from EHRs using an EHR sample of 4,027 visits to a neurodevelopmental pediatric service provider in 2011-2012. Discusses potential and limitations for using EHR data and GIS mapping to plan for specific telemedicine interventions.
Author(s): Neelkamal Soares, Joseph Dewalle, Ben Marsh
Citation: Journal of the American Medical Informatics Association, 24(5), 891-896
Date: 09/2017
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Describes a model for determining optimal locations for telemedicine service providers by using electronic health record (EHR) data in a geographic information system (GIS). Demonstrates the method for extracting GIS patient data from EHRs using an EHR sample of 4,027 visits to a neurodevelopmental pediatric service provider in 2011-2012. Discusses potential and limitations for using EHR data and GIS mapping to plan for specific telemedicine interventions.
Author(s): Neelkamal Soares, Joseph Dewalle, Ben Marsh
Citation: Journal of the American Medical Informatics Association, 24(5), 891-896
Date: 09/2017
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Variations in Obesity Rates between US Counties: Impacts of Activity Access, Food Environments, and Settlement Patterns
Describes differences in obesity rates among U.S. counties based on rurality, region, poverty level, and ethnicity. Analyzes access to physical activity facilities, food environments, and settlement patterns, defined as residential density and car dependence, to determine potential explanations for geographic variations.
Author(s): Peter Congdon
Citation: International Journal of Environmental Research and Public Health, 14(9), 1023
Date: 09/2017
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Describes differences in obesity rates among U.S. counties based on rurality, region, poverty level, and ethnicity. Analyzes access to physical activity facilities, food environments, and settlement patterns, defined as residential density and car dependence, to determine potential explanations for geographic variations.
Author(s): Peter Congdon
Citation: International Journal of Environmental Research and Public Health, 14(9), 1023
Date: 09/2017
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Population-Based Geographic Access to Parent and Satellite National Cancer Institute Cancer Center Facilities
Examines geographic access to National Cancer Institute cancer centers with breakdowns by age group, race/ethnicity, education level, income level, and rurality. Discusses differences for rural populations and Native Americans.
Author(s): Tracy Onega, Jennifer Alford-Teaster, Fahui Wang
Citation: Cancer, 123(17), 3305-3311
Date: 09/2017
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Examines geographic access to National Cancer Institute cancer centers with breakdowns by age group, race/ethnicity, education level, income level, and rurality. Discusses differences for rural populations and Native Americans.
Author(s): Tracy Onega, Jennifer Alford-Teaster, Fahui Wang
Citation: Cancer, 123(17), 3305-3311
Date: 09/2017
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The Effects of Multiple Chronic Conditions on Adult Patient Readmissions and Hospital Finances
Reports on a study of the financial impact of patients hospitalized with multiple chronic conditions on a regional hospital serving rural Virginia. Focuses on total margin per admission, readmission rates, and the number of clinical conditions per patient. Identifies differences in hospital margin for patients with different chronic conditions, such as chronic obstructive pulmonary disorder (COPD). Discusses the potential return on investment for preventing admissions and readmissions.
Author(s): Michael Mihailoff, Shreyasi Deb, James A. Lee, Joanne Lynn
Citation: Inquiry, 54, 1-6
Date: 09/2017
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Reports on a study of the financial impact of patients hospitalized with multiple chronic conditions on a regional hospital serving rural Virginia. Focuses on total margin per admission, readmission rates, and the number of clinical conditions per patient. Identifies differences in hospital margin for patients with different chronic conditions, such as chronic obstructive pulmonary disorder (COPD). Discusses the potential return on investment for preventing admissions and readmissions.
Author(s): Michael Mihailoff, Shreyasi Deb, James A. Lee, Joanne Lynn
Citation: Inquiry, 54, 1-6
Date: 09/2017
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Physician Supply Key to Oklahoma's Health and Wealth: Recommendations for Physician Training, Recruitment, Retention Strategies
Provides an overview of the physician shortage in Oklahoma. Discusses its impacts on population health and the economy, issues contributing to the shortage, and difficulty recruiting and retaining physicians, particularly in rural areas. Offers policy recommendations to help improve physician supply, including funding for rural training tracks, loan repayment programs, building data collection capacity, and identifying factors to help low-volume rural practices succeed.
Date: 09/2017
Sponsoring organization: Governor's Council for Workforce and Economic Development, Healthcare Workforce Subcommittee
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Provides an overview of the physician shortage in Oklahoma. Discusses its impacts on population health and the economy, issues contributing to the shortage, and difficulty recruiting and retaining physicians, particularly in rural areas. Offers policy recommendations to help improve physician supply, including funding for rural training tracks, loan repayment programs, building data collection capacity, and identifying factors to help low-volume rural practices succeed.
Date: 09/2017
Sponsoring organization: Governor's Council for Workforce and Economic Development, Healthcare Workforce Subcommittee
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Promising Practice: Rural Health Summits Bringing People Together Across Vermont to Exchange Ideas
Describes how the Vermont State Office of Rural Health and Primary Care (VT SORH/PC) and leaders from rural hospitals and local public health districts in Vermont co-convened several Rural Health Summits held around the state to discuss ways to share resources, information, and identify opportunities for collaboration.
Author(s): Beth Blevins
Date: 09/2017
Sponsoring organization: National Organization of State Offices of Rural Health
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Describes how the Vermont State Office of Rural Health and Primary Care (VT SORH/PC) and leaders from rural hospitals and local public health districts in Vermont co-convened several Rural Health Summits held around the state to discuss ways to share resources, information, and identify opportunities for collaboration.
Author(s): Beth Blevins
Date: 09/2017
Sponsoring organization: National Organization of State Offices of Rural Health
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Using Telehealth to Identify and Manage Mental Health and Substance Use Disorder Conditions in Rural Areas
Reports on an environmental scan, discussions with providers and stakeholders, and site visits regarding how telehealth supports behavioral health and substance use disorder treatment. Addresses how telehealth is used, implementation, services offered, financing and sustainability. Focuses on the implications for treating opioid use disorders in rural areas, in particular, using medication-assisted treatment (MAT) with support from telehealth. Appendix B includes site briefs from the 9 states included in the study.
Date: 09/2017
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Reports on an environmental scan, discussions with providers and stakeholders, and site visits regarding how telehealth supports behavioral health and substance use disorder treatment. Addresses how telehealth is used, implementation, services offered, financing and sustainability. Focuses on the implications for treating opioid use disorders in rural areas, in particular, using medication-assisted treatment (MAT) with support from telehealth. Appendix B includes site briefs from the 9 states included in the study.
Date: 09/2017
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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