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Rural Health Information Hub

California Resources

Strengths and Barriers in Implementing the ACE Screening Tool in Tribal, Urban Indian, and Rural Settings
Report examining barriers to the implementation of consistent Adverse Childhood Experience (ACE) screening in rural, tribal, and urban Indian clinics through the California Medi-Cal ACES Aware program. Describes barriers and recommendations related to issues of addressing resiliency, administering screening during a crisis, potential to trigger trauma or other sensitivity in the patient, and cultural appropriateness based on 12 key informant interviews.
Author(s): Becky Garrow, Maureen Wimsatt
Date: 06/2021
Type: Document
Sponsoring organization: ACEs Aware
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Pulmonary Rehabilitation: Benefiting Rural Individuals, Benefiting Rural Population Health
Discusses the benefits of pulmonary rehabilitation (PR) as a treatment for chronic obstructive pulmonary disease (COPD). Highlights the potential of telehealth to deliver PR in rural areas and features the work of rural PR programs.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Health Workforce Strategies for California: A Review of the Evidence
Examines literature and evidence on healthcare workforce strategies, discussing workforce issues in urban and rural areas in California. Describes the impacts of pipeline, scholarship, loan repayment, professional training, and residency programs, including rural-specific considerations.
Author(s): Diane Rittenhouse, Alexandra Ament, Janet Genevro, Kara Contreary
Date: 04/2021
Type: Document
Sponsoring organizations: California Health Care Foundation, Mathematica
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2021 Rural Border Health Chartbook
Presents statistics on health indicators and social determinants of health in the U.S.-Mexico Border region, offering rural/urban comparisons, comparing self-reported Hispanic vs. non-Hispanic ethnicity, and examining proximity to the border. Covers access to care, use of preventive health services, health-related behaviors, COVID-19, mortality, and American Indian health.
Author(s): Elizabeth Crouch, Rachel Davis, Jan M. Eberth, et al.
Date: 2021
Type: Document
Sponsoring organizations: National Rural Health Association, Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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California State Plan on Aging 2021-2025
Offers a 5-year plan for California's Department of Aging (CDA) outlining priorities and objectives, including the state's response to older adults in rural areas. Appendices offer data on the population 60+, specifying minority, non-minority, low-income, geographically isolated, and Medi-Cal eligible elders.
Date: 2021
Type: Document
Sponsoring organization: California Health and Human Services Agency
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Roadmap for Resilience: The California Surgeon General's Report on Adverse Childhood Experiences, Toxic Stress, and Health
Reports on Adverse Childhood Experiences (ACEs) and toxic stress in California, addressing the health impacts of ACEs and stress, economic costs, and public health implications of the issue. Discusses initiatives that increase access to screening and treatment for ACEs in urban, rural, and tribal communities. Explores prevention strategies among public health, social service, early childhood, education, and justice agencies.
Author(s): Devika Bhushan, Krista Kotz, Julianne McCall, et al.
Date: 12/2020
Type: Document
Sponsoring organization: California Office of the Surgeon General
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Water Safety in California Public Schools Following Implementation of School Drinking Water Policies
Study examining results from a California testing program created to detect lead in charter and public school drinking water. Analyzes factors associated with access to safe drinking water, including differences between rural and urban schools. Features data and statistics indicating whether school water systems were compliant with health standards and whether school drinking water was tested for lead.
Author(s): Isioma L. Umunna, Lauren S. Blacker, Christina E. Hecht, et al.
Citation: Preventing Chronic Disease, 17
Date: 12/2020
Type: Document
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Income Disparities Widen the Gap in Oral Health of California Adults
Policy brief discussing associations between social determinants of health (SDOH) and oral health in California adults using data from the 2017 and 2018 California Health Interview Surveys (CHIS). Describes barriers related to oral health education, literacy, access to care, and oral health screening for low-income populations. Related infographic offers a map of oral health differences by region, noting disparities in rural California counties and data on income and racial/ethnic population characteristics.
Additional links: Infographic
Author(s): Nadereh Pourat, Maria Ditter
Date: 11/2020
Type: Document
Sponsoring organization: UCLA Center for Health Policy Research
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Home on the Range: Plans and Providers Team Up to Bring Palliative Care to Rural Californians
Report discussing challenges and solutions to expanding palliative care access in rural California. Addresses barriers related to enrollment, staffing, and sustainability as well as strategies for creating partnerships between communities, healthcare systems, human services organizations, and other rural groups. Appendix features a chart listing health plans and rural providers offering palliative care services, with descriptions for each.
Author(s): Kathleen Kerr, Monique Parrish, Lyn Ceronsky
Date: 05/2020
Type: Document
Sponsoring organization: California Health Care Foundation
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Interim Evaluation of California's Public Hospital Redesign and Incentives in Mediā€Cal (PRIME) Program
Reports on California's Public Hospital Redesign and Incentives in Medi-Cal Program (PRIME), approved by the Centers for Medicare and Medicaid Services (CMS) to modify Medicaid programs and implement innovative delivery reforms. PRIME uses evidence-based quality improvement methods that require hospitals to establish performance baselines, institute targets for improvement, and evaluate the success of quality improvement interventions on an ongoing basis. The analysis of the program included 52 designated public hospitals and district/municipal hospitals, with 17 of the latter being Critical Access Hospitals (CAHs).
Author(s): Nadereh Pourat, Xiao Chen, Ana E. Martinez, et al.
Date: 03/2020
Type: Document
Sponsoring organizations: California Department of Health Care Services, UCLA Center for Health Policy Research
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Additional resources are available. See a full list of California Resources.


Last Updated: 2/9/2024