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Rural Health
Resources by State: Alabama

Exploring Bright Spots in Appalachian Health: Case Studies
In-depth studies of 10 Appalachian counties with health outcomes that are better than expected, given their characteristics and resources. Identifies actions these areas are taking to improve health and well-being. Features statistics including demographics and health-related data, and maps showing economic status of Appalachian counties. Third in a series of reports exploring health issues in Appalachia.
Author(s): Nancy M. Lane, G. Mark Holmes, Thomas A. Arcury, et al.
Date: 07/2018
Type: Document
Sponsoring organizations: Appalachian Regional Commission, Burness, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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Promising Practice: Alabama SORH Collaborates with VA to Provide Telehealth Care for Vets
Describes a collaboration between the Alabama State Office of Rural Health and Alabama Veterans Affairs to create and implement a telehealth program aimed at delivering care to rural veterans.
Author(s): Beth Blevins
Date: 06/2018
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Atmore Community Hospital: Consistent Implementation Leads to Results
Describes the success of Atmore Community Hospital, located in Atmore, Alabama, after participating in the Small Rural Hospital Transition project. During the project, the 49-bed short-term acute care hospital focused on maximizing the influence from leadership rounds, increasing marketing to communicate accomplishments to the community, and tracking patient satisfaction scores to improve clinic operations.
Date: 04/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Competition and Premium Costs in Single-insurer Marketplaces: A Study of Five Rural States
Examines participation in the individual health insurance market from 2010, before the passage of the Affordable Care Act (ACA), through 2017 and analyzes premium changes in 5 rural states with a single-insurer health insurance marketplace. States include Alabama, Alaska, Oklahoma, South Carolina, and Wyoming.
Author(s): Jon R. Gabel, Heidi Whitmore, Matthew Green, Sam Stromberg
Date: 03/2018
Type: Document
Sponsoring organization: Commonwealth Fund
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Developing a "Toolkit" to Measure Implementation of Concurrent Palliative Care in Rural Community Cancer Centers
Reports on the implementation of an early palliative care telehealth model identified as ENABLE (Educate, Nurture, Advise, Before Life Ends) for patients with recently diagnosed cancer and their caregivers in 4 rural cancer centers. Describes the measures used to determine early palliative care implementation and their development and testing, and the challenges and lessons learned in the implementation process.
Author(s): Lisa Zubkoff, J. Nicholas Dionne-Odom, Maria Pisu, et al.
Citation: Palliative & Supportive Care, 16(1), 60-72
Date: 02/2018
Type: Document
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Dietary Patterns Among Overweight and Obese African-American Women Living in the Rural South
Analyzes nut consumption and other dietary behaviors of overweight or obese African-American women residing in rural Alabama and Mississippi. Aims to inform future nutrition education strategies for individuals at high risk of obesity-related chronic conditions by investigating the relationship between eating nuts and consuming other healthy foods.
Author(s): Samara Sterling, Suzanne Judd, Brenda Bertrand, et al.
Citation: Journal of Racial and Ethnic Health Disparities, 5(1), 141-150
Date: 02/2018
Type: Document
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Telemedicine in the Management of Type 1 Diabetes
Describes a study in which 32 patients with type 1 diabetes who live in rural Alabama and Georgia received endocrinology care from an Atlanta telehealth clinic, from June 2014 to October 2016. Includes demographic statistics on patients and presence of other diseases and medical conditions.
Author(s): Timothy Xu, Shreya Pujara, Sarah Sutton, Mary Rhee
Citation: Preventing Chronic Disease, 15
Date: 01/2018
Type: Document
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Mental Health Disparities: Appalachian People
Breaks down the mental health disparities across Appalachia. Looks at behavioral health indicators, such as rates of depression, excessive drinking, and suicide, among others, as well as social determinants indicators, such as median household income, poverty, and education, among others.
Date: 2018
Type: Document
Sponsoring organization: American Psychiatric Association
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Cost of Practice Transformation in Primary Care: Joining an Accountable Care Organization
Examines the cost of becoming part of an Accountable Care Organization (ACO) for Rural Health Clinics (RHCs) using data from over 800 RHCs in nine states. Compares the cost per patient of RHCs that were part of the Medicare Shared Savings Program to a similar group of RHCs that were not part of the program.
Author(s): Richard Hofler, Judith Ortiz, Brian Cote
Citation: Journal of Health Care Finance, 44(3), 1-16
Date: 2018
Type: Document
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Human Intestinal Parasite Burden and Poor Sanitation in Rural Alabama
Reports on the presence of intestinal parasites in Lowndes County, Alabama, a location selected for this study due to high poverty, use of open-sewage systems, and past hookworm burden. Findings based on participant interviews and stool, serum, and soil samples. Includes data on parasite infection, participant gender, raw sewage in the home, asthma or other lung disease, and diarrhea in the past week.
Author(s): Megan L. McKenna, Shannon McAtee, Patricia E. Bryan, et al.
Citation: American Journal of Tropical Medicine and Hygiene, 97(5), 1623-1628
Date: 11/2017
Type: Document
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