Clinical psychologist and program director for the Great Plains Telehealth Resource & Assistance Center, Dr. Jonathan Neufeld, clarifies telehealth as an “enabler” of healthcare delivery. Emphasizing that telehealth is only a set of telecommunication tools, he details how the unique use and flexibility of these tools by skilled providers can bring quality care and impact rural health equity.
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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.
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Essentia Health created the Remote Patient Monitoring program to allow some patients to recover at home while still having access to medical attention. Program launch was accelerated to treat COVID-19 patients, but Essentia plans to continue the program after the pandemic to treat other chronic diseases.
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To address the issue of food insecurity in the rural Minnesota communities it serves, Lakewood Health System created Lakewood Engage, a community-based program with multiple initiatives including a “Food Farmacy,” home delivery, and a farmers market.
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Referred to as a form of “modern-day slavery,” human trafficking occurs in every state and is not limited by the size of a community. Health services are one of the most common points of access to a lifeline for those actively being trafficked, giving healthcare professionals an advantage to help victims escape. A rural hospital CEO, a SORH director, a Sexual Assault Nurse Examiner, and a Safe Harbor Regional Navigator share how they combat human trafficking through training and raising awareness.
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National research has revealed it and rural research suggests it: over 40% of today’s physicians are burned out. This in-depth story reviews information about burnout in healthcare professions and for physicians in particular. Along with reviewing causes and impact, a medical school wellness-advocate, a researcher, and a large healthcare organization with a rural footprint shared interventions and solutions.
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With national standards now available for voluntary accreditation, rural public health departments need to determine the feasibility of that activity for their organization. The Public Health Accreditation Board President and CEO joins researchers and experts to share information about accreditation and how rural health departments can achieve that designation.
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Governance, organizational size, and other factors may impact rural local health departments’ ability to take on voluntary accreditation. In addition to a brief review of these issues, accreditation officials, professional societies, and researchers share how they are working together to better understand these challenges in order to foster equity for all public health departments desiring accreditation.
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As more healthcare delivery efforts include social risk assessments, the impact of the social determinants of health is better understood. Rural clinicians, researchers, and other experts share perspectives on social isolation and loneliness.
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Difficult economic conditions have caused many farmers to experience high levels of stress and a sense of hopelessness about saving their business and way of life. The Minnesota Farm & Rural Helpline and NY FarmNet are working to improve farmers’ mental health and prevent suicides.
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