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The Rural Monitor
Features

In-depth stories examining key rural health issues.

Training Rural to Serve Rural: Baccalaureate-MD Programs and Their Rural Results

August 3, 2022
Rural healthcare delivery experts continue to emphasize the critical need for rural workforce. Using uniquely designed combined baccalaureate/medical degree programs, two university-based medical education teams shared not only the successes in training and placing physicians in rural areas — but the unique impact their service-oriented students and programs have on their academic environment.

Staving Off One's Mortality: Rural Kidney Health and Its Disparities

June 15, 2022
For the 240,000 rural Americans with complete kidney failure, it's likely that very few knew they even had kidney disease. According to the Centers for Disease Control and Prevention, kidney disease is usually silent; 90% of people with kidney disease don't know they have it. With research pointing to the high costs of kidney disease for pediatric and adult patients alike — mostly covered by Medicare — experts and researchers discuss rural disparities around access to disease-stabilizing treatment and to renal replacement therapies.

The Codes of Care: How Words and Numbers Have Transformative Power for Rural Healthcare

April 13, 2022
The greatest opportunity to tell the rural healthcare delivery story is an opportunity often missed — and that opportunity involves translating clinical documentation into medical codes. In addition to describing how the story and quality of clinical care gets translated from words into alphanumeric numbers, medical coding experts also pointed to aligned efforts to familiarize those in graduate medical education settings with the impact of their clinical documentation.

A New Era of Health Literacy? Expanded Definitions, Digital Influences, and Rural Inequities

February 2, 2022
The priority for rural population health is access, including access to health information needed to make personal health decisions. Two of the nation's health literacy experts join a federal agency official to review current rural challenges of accessing health information that is clear and usable. Along with an exploration of digital health literacy, recently expanded definitions of health literacy are discussed.

It Takes a Village: Rural Recruitment and Retention

November 3, 2021
Healthcare facilities in Kansas and North Dakota and national organizations discuss the challenges of recruiting and retaining healthcare professionals in rural areas and share solutions, including partnering with local schools and businesses as well as other healthcare facilities.

Out of the Shadows: Reducing the Rural Impact of Epilepsy

October 20, 2021
A common health condition, epilepsy impacts rural populations in many ways, including the ability to drive. Medical and public health experts join an advocacy organization to review the condition's impact and outline rural management approaches — including seizure first aid.

Doulas Provide Support for Maternal and Infant Health in Rural Communities

October 6, 2021
Three programs across rural America demonstrate how doulas improve birth outcomes by providing prenatal, labor, and postpartum support. A New Mexico program reaches American Indian, Hispanic, and other populations who lack nearby labor/delivery units; a Minnesota program works with moms experiencing incarceration; and a North Dakota program is training postpartum doulas who will care for families impacted by opioid use disorder and other substance use.

Understanding the Rural Swing Bed: More than Just a Reimbursement Policy

August 11, 2021
"Swing bed" is that oft-heard phrase describing not a physical hospital bed, but post-acute care for the rural patient who is well enough to leave the acute care hospital but not well enough to be safe at home. In this 2-part story, experts and hospital administrators review the swing bed program's historical implementation and provide stories and examples of the value this over 40-year-old healthcare delivery and reimbursement model brings to patients, to the hospitals providing their care, and ultimately to rural communities.