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Healthcare Access in Rural Communities – Resources

Selected recent or important resources focusing on Healthcare Access in Rural Communities.

Healthy Women, Healthy Pregnancies, Healthy Futures: Action Plan to Improve Maternal Health in America
Action plan outlining steps the U.S. Department of Health and Human Services is taking to reduce maternal mortality and address disparities that endanger women before, during, and following pregnancy. Four main goals include: improving prevention and treatment services to promote positive health outcomes for every woman of reproductive age; prioritizing quality improvement efforts to support healthy pregnancies and births; improving postpartum health; and enhancing data and research to inform future interventions. Includes data and statistics on maternal health and morbidity, and addresses rural considerations throughout.
Author(s): Dawn Alley, Andre Chappel, Nancy De Lew, et al.
Date: 12/2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Rural Maternity and Obstetrics Management Strategies (RMOMS) Program
Describes a pilot grant program designed to improve maternal and neonatal health in rural communities by collecting data and supporting the development of financially sustainable and coordinated network models. Aims to make maternal and obstetrics care more accessible through increased use of telehealth and specialty care. Fact sheet provides information on the activities of 3 rural networks funded through the RMOMS program.
Additional links: Fact Sheet, October 2020
Date: 11/2020
Type: Website
Sponsoring organizations: Federal Office of Rural Health Policy, Maternal and Child Health Bureau
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Making it Work: Models of Success in Rural Maternity Care
Describes factors that underlie 3 successful models of rural maternity care and informs communities, clinicians, and hospitals wishing to keep obstetric services available on the local level. Includes information from interviews conducted at facilities in Baldwin, Wisconsin; Lakin, Kansas; and Russelville, Arkansas.
Author(s): Katy B. Kozhimannil, Carrie Henning-Smith, Megan Lahr, Mary Gilbertson
Date: 11/2020
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Insurer Participation on ACA Marketplaces, 2014-2021
Reports on the changes in health insurer participation in the ACA marketplace from 2014 to 2021 for all counties in the U.S. in chart, table, and interactive map formats.
Additional links: County-Specific Data
Author(s): Daniel McDermott, Cynthia Cox
Date: 11/2020
Type: Database
Sponsoring organization: Kaiser Family Foundation
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2019 National Healthcare Quality and Disparities Report
Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Includes a discussion of disparities encountered by race/ethnicity and geographic locations along the rural-urban continuum. Addresses access to healthcare, patient safety, person-centered care, care coordination, affordability, healthy living, and effective treatment.
Date: 09/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Addressing Rural Health Disparities in a Pandemic
Public Health Review podcast in which 3 speakers discuss the impact of COVID-19 on rural health infrastructure and workforce. Describes how to improve conditions in rural communities, increase access to quality healthcare, and implement innovative strategies for health workforce recruitment and retention.
Date: 08/2020
Type: Audio
Sponsoring organization: Association of State and Territorial Health Officials
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Rural Interfacility Emergency Department Transfers: Framework and Qualitative Analysis
Examines the transfer for rural emergency patients to other facilities across 2 urban and 5 rural Veterans Health Administration facilities. Discusses three factors that influence the decision of transferring a patient: patient factors, system resources, and clinical and administrative processes.
Author(s): Candace D. McNaughton, Kemberlee Bonnet, David Schlundt, et al.
Citation: The Western Journal of Emergency Medicine, 21(4), 858-865
Date: 07/2020
Type: Document
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Individual Market Volatility and Vulnerability, 2015 to 2019
Study examining health insurance options and premium prices from 2015-2019, including rural/urban differences. Provides data and statistics on market volatility and vulnerability, with information broken down by population, race, health status, number of hospital beds, and more.
Citation: RSF: The Russell Sage Foundation Journal of the Social Sciences 6(2): 206–22
Date: 07/2020
Type: Document
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Loss of Hospital-based Obstetric Services in Rural Counties in the United States, 2004-2018
Line chart showing the percent of micropolitan and noncore counties that had hospital-based obstetric care from 2004 through 2018.
Author(s): Katy B Kozhimannil, Julia D Interrante, Mariana S Tuttle
Date: 07/2020
Type: Chart/Graph
Sponsoring organization: University of Minnesota Rural Health Research Center
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Left Out: Barriers to Health Equity for Rural and Underserved Communities
Summarizes responses to a Request for Information from the U.S. House Ways and Means Committee's Rural and Underserved Communities Health Task Force. Describes factors contributing to healthcare challenges in rural areas, including demographics, social and structural determinants of health, insurance coverage, access to care, and workforce shortages. Highlights promising models of healthcare delivery in rural areas. Includes state-by-state health equity maps.
Additional links: State and Territory Health Equity Maps, Summary
Date: 07/2020
Type: Document
Sponsoring organization: House Ways and Means Committee
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Last Updated: 1/19/2021