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Rural Health Information Hub

Health and Healthcare in Frontier Areas – Resources

Selected recent or important resources focusing on Health and Healthcare in Frontier Areas.

Availability of Dialysis Facilities in Minoritized Racial/Ethnic Group Areas
Explores the availability of dialysis facilities nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Provides data on driving distances to the nearest dialysis facility by ZCTA rurality, minoritized ethnic and racial group category, and frontier and remote (FAR) designation.
Author(s): Janice C. Probst, Peiyin Hung, Gabriel Benavidez, Abbey Hunter, Jan M. Eberth
Date: 08/2023
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Challenges and Solutions for Disaster Behavioral Health in Rural and Remote Communities
Describes the scope and diversity of rural and remote populations across the nation, highlighting sources of strength and struggle, including the effects of stigma, for rural Americans and rural healthcare providers. Explores potential approaches to disaster behavioral health in rural and remote areas, including governmental and policy approaches, community-based approaches, and telemedicine.
Date: 04/2023
Type: Document
Sponsoring organization: SAMHSA Disaster Technical Assistance Center
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Evolving Perceptions of COVID-19 Vaccines among Remote Alaskan Communities
Highlights a study on COVID-19 vaccine acceptance among remote Alaskan communities. Details levels of vaccine hesitancy, vaccination, and feelings about the vaccine over the course of the pandemic. Breaks down participant data by age, race, and healthcare access, among other measures.
Author(s): Micah B. Hahn, Ruby L. Fried, Patricia Cochran, Laura P. Eichelberger
Citation: International Journal of Circumpolar Health, 81(1)
Date: 01/2022
Type: Document
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Frontier Community Health Integration Project (FCHIP) Demonstration Evaluation: Final Evaluation Report
Presents findings from an evaluation of the Frontier Community Health Integration Project (FCHIP) Demonstration. Describes the three possible interventions, including their impact, progress and accomplishments, challenges, and lessons learned. Identifies commonalities that emerged across the FCHIP interventions that may inform future demonstrations among rural healthcare providers.
Additional links: Findings At-A-Glance
Date: 12/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Report to Congress: Demonstration Project on Community Health Integration Models in Certain Rural Counties - Final Report
Presents findings from the Frontier Community Health Integration Project Demonstration (FCHIP) demonstration project over the 3-year project period. Shares results for the 10 participating Critical Access Hospitals in three states: North Dakota, Montana, and Nevada. The demonstration focused on interventions addressing ambulance services, skilled nursing facility/nursing facility beds, and telehealth. Offers recommendations for legislative and administrative action.
Date: 2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Frontier Counties
Printable map that shows the location of frontier counties nationwide. Data source: U.S. Census Bureau, 2020.
Date: 2020
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Opportunities to Advance Complex Care in Rural and Frontier Areas
Examines obstacles rural and frontier healthcare organizations face in providing complex care based on interviews with experts around the U.S. Focuses on rural social determinants of health, workforce shortages, and rural community relationships. Includes examples of models related to community collaboration, care coordination, social determinants of health, the health workforce, technology, and payment.
Author(s): Jim Lloyd
Date: 05/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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AKVDRS Suicide Death Update - Alaska, 2012-2017
Details a study on the suicide death rate in Alaska from 2012-2017. Features rates for American Indian and Alaska Native, by substance use, and by region.
Citation: State of Alaska Epidemiology Bulletin, 1
Date: 01/2019
Type: Document
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Frontier Food Hub Tool Kit
Describes the process of designing and operating the Southwest New Mexico Food Hub, a program dedicated to increasing local food production, supporting local food systems, and ensuring food distribution to those in need. Includes discussion of logistics, planning, needs assessment, and the process of working with growers and food pantries. Highlights unique challenges experienced in frontier communities.
Author(s): Ben Rasmussen
Date: 2019
Type: Document
Sponsoring organization: National Center for Frontier Communities
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Report to Congress: Demonstration Project on Community Health Integration Models in Certain Rural Counties, Interim Report 2018
Provides an overview of and first year findings from the Frontier Community Health Integration Project Demonstration (FCHIP), which includes 10 Critical Access Hospitals (CAHs) in three states: North Dakota, Montana, and Nevada. The demonstration intends to increase the quality and coordination of care, with focuses on access to and payments for telehealth, ambulance services, and skilled nursing facility/nursing facility beds, as well as related regulatory challenges.
Date: 09/2018
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Last Updated: 3/20/2024