Healthcare Access in Rural Communities – Resources
Selected recent or important resources focusing on Healthcare Access in Rural Communities.
A Consensus Panel Approach to Estimating the Start-Up and Annual Service Costs for Rural Ambulance Agencies
Policy brief exploring the costs of running ambulance services for 3 population-based service tiers. Establishes a minimum access standard for ambulances servicing a 25-minute travel time from the ambulance station, and enables policymakers and community stakeholders to develop strategic plans for the financing and provision of ambulance services. Features statistics on number of calls, population ranges of service areas, and fixed, depreciation, variable, and administrative costs.
Author(s): Yvonne Jonk, Gary Wingrove, Nikiah Nudell, Kevin McGinnis
Date: 08/2023
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Policy brief exploring the costs of running ambulance services for 3 population-based service tiers. Establishes a minimum access standard for ambulances servicing a 25-minute travel time from the ambulance station, and enables policymakers and community stakeholders to develop strategic plans for the financing and provision of ambulance services. Features statistics on number of calls, population ranges of service areas, and fixed, depreciation, variable, and administrative costs.
Author(s): Yvonne Jonk, Gary Wingrove, Nikiah Nudell, Kevin McGinnis
Date: 08/2023
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Distributional Analysis of Variation in Medicare Advantage Participation Within and Between Metropolitan, Micropolitan, and Noncore Counties
Policy brief identifying penetration rates, number of plans, and enrollment patterns and trends in Medicare Advantage participation in metropolitan and nonmetropolitan counties from 2017-2022. Features statistics with breakdowns by year and metropolitan, micropolitan, and noncore areas.
Author(s): Dan Shane, Ufuoma Ejughemre, Fred Ullrich, Keith Mueller
Date: 08/2023
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Policy brief identifying penetration rates, number of plans, and enrollment patterns and trends in Medicare Advantage participation in metropolitan and nonmetropolitan counties from 2017-2022. Features statistics with breakdowns by year and metropolitan, micropolitan, and noncore areas.
Author(s): Dan Shane, Ufuoma Ejughemre, Fred Ullrich, Keith Mueller
Date: 08/2023
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Medicaid's Coverage Role in Small Towns and Rural Areas
Discusses the roles Medicaid and the Children's Health Insurance Program (CHIP) play in providing health coverage to residents of small towns and rural areas. Presents data from the U.S. Census Bureau's American Community Survey (ACS) on the percentage of children and adults covered by Medicaid and CHIP in 2020-2021. Includes a list of the top 20 small towns and rural areas with the highest share of children and adults covered by Medicaid.
Author(s): Aubrianna Osorio, Joan Alker, Edwin Park
Date: 08/2023
Type: Document
Sponsoring organization: Georgetown University Health Policy Institute
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Discusses the roles Medicaid and the Children's Health Insurance Program (CHIP) play in providing health coverage to residents of small towns and rural areas. Presents data from the U.S. Census Bureau's American Community Survey (ACS) on the percentage of children and adults covered by Medicaid and CHIP in 2020-2021. Includes a list of the top 20 small towns and rural areas with the highest share of children and adults covered by Medicaid.
Author(s): Aubrianna Osorio, Joan Alker, Edwin Park
Date: 08/2023
Type: Document
Sponsoring organization: Georgetown University Health Policy Institute
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The Relationship between Experience with Mental Illness and Stigmatizing Attitudes and Beliefs
Policy brief documenting the relationship between self-reported experience with any mental illness and public stigma associated with mental illness. Features demographics with breakdowns by urban and rural locations.
Author(s): Kate E. Beatty, Stephanie M. Mathis, Amy E. Wahlquist, Michael B. Meit
Date: 08/2023
Type: Document
Sponsoring organization: Rural Health Equity Research Center
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Policy brief documenting the relationship between self-reported experience with any mental illness and public stigma associated with mental illness. Features demographics with breakdowns by urban and rural locations.
Author(s): Kate E. Beatty, Stephanie M. Mathis, Amy E. Wahlquist, Michael B. Meit
Date: 08/2023
Type: Document
Sponsoring organization: Rural Health Equity Research Center
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Tracking The Elusive Medicaid Workforce To Improve Access
Discusses challenges to evaluating Medicaid enrollees' access to primary care providers. Describes how the Fitzhugh Mullan Institute for Health Workforce Equity used the Transformed Medicaid Statistical Information System (T-MSIS) to examine the primary care workforce providing healthcare to Medicaid enrollees. Outlines Medicaid workforce policy challenges, including federal regulations, workforce composition and supply, and community and market factors.
Author(s): Candice Chen, Qian "Eric" Luo, Mandar Bodas, et al.
Citation: Health Affairs Forefront
Date: 08/2023
Type: Document
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Discusses challenges to evaluating Medicaid enrollees' access to primary care providers. Describes how the Fitzhugh Mullan Institute for Health Workforce Equity used the Transformed Medicaid Statistical Information System (T-MSIS) to examine the primary care workforce providing healthcare to Medicaid enrollees. Outlines Medicaid workforce policy challenges, including federal regulations, workforce composition and supply, and community and market factors.
Author(s): Candice Chen, Qian "Eric" Luo, Mandar Bodas, et al.
Citation: Health Affairs Forefront
Date: 08/2023
Type: Document
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Where You Live Matters: Maternity Care Deserts and the Crisis of Access and Equity
Provides interactive state-by-state data on maternity care deserts in the U.S. Focuses on access, distance to maternity care, availability of family planning services, disparities in prenatal care, chronic health conditions and preterm birth, policy solutions, and more. Includes county-level maps of data as well as accompanying state summaries, infographics, and downloadable reports.
Date: 08/2023
Type: Website
Sponsoring organization: March of Dimes
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Provides interactive state-by-state data on maternity care deserts in the U.S. Focuses on access, distance to maternity care, availability of family planning services, disparities in prenatal care, chronic health conditions and preterm birth, policy solutions, and more. Includes county-level maps of data as well as accompanying state summaries, infographics, and downloadable reports.
Date: 08/2023
Type: Website
Sponsoring organization: March of Dimes
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COVID-19 Impact on Dental Service Delivery, Financing, Regulation, and Education Systems: An Environmental Scan
Describes the immediate and longer-term impacts of the COVID-19 pandemic on dental care delivery, regulation, education, and finance. Mentions rural throughout.
Author(s): Margaret Langelier, Aubri Kottek, Theekshana Fernando, et al.
Date: 07/2023
Type: Document
Sponsoring organization: Oral Health Workforce Research Center
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Describes the immediate and longer-term impacts of the COVID-19 pandemic on dental care delivery, regulation, education, and finance. Mentions rural throughout.
Author(s): Margaret Langelier, Aubri Kottek, Theekshana Fernando, et al.
Date: 07/2023
Type: Document
Sponsoring organization: Oral Health Workforce Research Center
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Tackling the Maternal and Infant Health Crisis: A Governor's Playbook
Provides an overview of maternal morbidity and mortality trends, including racial and geographic disparities, as well as the underlying causes of poor maternal health in the United States. Outlines 32 recommendations across five priority areas that can be implemented in coordination with critical stakeholders, such as industry and community leaders, community-based organizations, faith-based organizations, and people with lived experience. Priority 3 covers recommendations related to disparities affecting Black and American Indian/Alaska Native individuals. Includes rural references throughout.
Date: 07/2023
Type: Document
Sponsoring organizations: Afton Bloom, Boldly Go Philanthropy, National Governors Association
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Provides an overview of maternal morbidity and mortality trends, including racial and geographic disparities, as well as the underlying causes of poor maternal health in the United States. Outlines 32 recommendations across five priority areas that can be implemented in coordination with critical stakeholders, such as industry and community leaders, community-based organizations, faith-based organizations, and people with lived experience. Priority 3 covers recommendations related to disparities affecting Black and American Indian/Alaska Native individuals. Includes rural references throughout.
Date: 07/2023
Type: Document
Sponsoring organizations: Afton Bloom, Boldly Go Philanthropy, National Governors Association
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Rural Medicaid and CHIP Enrollees in 2020
Presents data on Medicaid and Children's Health Insurance Program (CHIP) enrollees who resided in rural areas in 2020. Compares the percentage of rural and urban enrollment by state, race and ethnicity, disability-related eligibility, Medicaid managed care participation, and benefit package.
Date: 07/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Presents data on Medicaid and Children's Health Insurance Program (CHIP) enrollees who resided in rural areas in 2020. Compares the percentage of rural and urban enrollment by state, race and ethnicity, disability-related eligibility, Medicaid managed care participation, and benefit package.
Date: 07/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural-Urban Differences in Health Care Unaffordability
Analyzes healthcare unaffordability in rural versus urban contexts as well as mitigating sociodemographic variables. Examines 90,761 survey responses from the 2019-2021 National Health Interview Survey according to 3 levels of unaffordability, further breaking down the data by race/ethnicity, sex, income, self-rated health, insurance type, education, age, and rural versus urban location.
Author(s): Hannah MacDougall, Daniel Mork, Stephanie Hanson, Carrie Henning Smith
Citation: The Journal of Rural Health, 40(2), 376-385
Date: 07/2023
Type: Document
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Analyzes healthcare unaffordability in rural versus urban contexts as well as mitigating sociodemographic variables. Examines 90,761 survey responses from the 2019-2021 National Health Interview Survey according to 3 levels of unaffordability, further breaking down the data by race/ethnicity, sex, income, self-rated health, insurance type, education, age, and rural versus urban location.
Author(s): Hannah MacDougall, Daniel Mork, Stephanie Hanson, Carrie Henning Smith
Citation: The Journal of Rural Health, 40(2), 376-385
Date: 07/2023
Type: Document
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Last Updated: 11/9/2023