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Rural Health
Resources by State: Arizona

Behavioral Health and Substance Abuse Surveillance among American Indians in Arizona, Nevada, and Utah
Examines substance abuse and behavioral health indicators for American Indians/Alaskan Natives in Nevada, Arizona, and Utah. Covers hospital discharges for behavioral disorders, suicide attempts and mortality, binge drinking, drug overdose mortality, hospitalizations for substance abuse including opioids, and more. Identifies action items for public health professionals, tribes, and individuals.
Date: 10/2018
Type: Document
Sponsoring organization: Inter Tribal Council of Arizona, American Indian Research Center for Health
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Promising Practice: Arizona Center for Rural Health SHAREs Health Insurance Information, Gets People Enrolled
Details Project SHARE (Students Helping Arizona Register Everyone), run by the Arizona Center for Rural Health (AzCRH), which trains college students to help people in their communities to understand and enroll in a health insurance plan.
Author(s): Beth Blevins
Date: 10/2018
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Factors Affecting the Development of Medicaid Hospital Payment Policies: Findings from Structured Interviews in Five States
Study examining Medicaid hospital payment policies with a focus on factors affecting payment mix and structure, the impact of state policies and financing methods, how states target hospital services or types such as rural hospitals, barriers to and drivers of change to payment methods, and more. Focuses on 5 states that made or are making significant hospital policy changes: Arizona, Louisiana, Michigan, Mississippi, and Virginia. Appendix B includes state profiles.
Author(s): Thomas Marks, Kathy Gifford, Steven Perlin, Melisa Byrd, Timothy Beger
Date: 10/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid Home- and Community-Based Services: Selected States' Program Structures and Challenges Providing Services
Examines the challenges states face in providing home- or community-based care instead of nursing home care under their state Medicaid programs, focusing on Arizona, Florida, Mississippi, Montana, and Oregon. Addresses program funding, workforce issues, eligibility and enrollment, populations targeted for the programs, use of managed care, and more. Includes rural considerations throughout.
Additional links: Full Report
Date: 10/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Maternal and Child Health Assessment for American Indians and Alaska Natives in Arizona, Nevada, and Utah
Examines infant, child, and maternal health indicators for Native Americans in Utah, Nevada, and Arizona. Addresses infant mortality, birth weight, prenatal care, substance use, injuries, and more. Identifies action items for tribes, public health workers, and individuals.
Date: 09/2018
Type: Document
Sponsoring organization: Inter Tribal Council of Arizona, American Indian Research Center for Health
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Trends in Hispanic and Non-Hispanic White Cesarean Delivery Rates on the U.S.-Mexico Border, 2000-2015
Reports on a study comparing cesarean delivery rates before and after 2009 for Hispanic and non-Hispanic white populations living in border and non-border counties of the four U.S.-Mexico border states. Study data was derived from the National Vital Statistics System U.S. Standard Certificate of Live Birth files, 2000 to 2015.
Author(s): Jill A. McDonald, Anup Amatya, Charlotte C. Gard, Jesus Sigala
Citation: PLoS One, 13(9)
Date: 09/2018
Type: Document
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Outbreak of E. Coli O157:H7 Infections Associated with Exposure to Animal Manure in a Rural Community — Arizona and Utah, June-July 2017
Examines an E. coli outbreak along the Arizona-Utah border and how health facilities worked with local and state health officials along with the Centers for Disease Control and Prevention (CDC) to identify and address the cause of the outbreak. Offers recommendations for people who come into contact with animals or animal manure.
Author(s): Sarah Luna, Vikram Krishnasamy, Louise Saw, et al.
Citation: MMWR Morbidity and Mortality Weekly Report, 67(23), 659-662
Date: 06/2018
Type: Document
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Tribal Nursing Home Best Practices: Cultural Sensitivity
Details several models for culturally competent tribal nursing homes and the measures the facilities implemented to provide appropriate care for American Indian and Alaska Native elders. Discusses some initiatives implemented, such as hiring a cultural liaison to coordinate traditional activities and providing person-centered care.
Date: 03/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluation of an Academic-Community Partnership to Implement MTM Services in Rural Communities to Improve Pharmaceutical Care for Patients with Diabetes and/or Hypertension
Evaluates a pilot project in Arizona where community health center and independent retail pharmacies offered medication therapy management (MTM) services on site and by phone to rural, underserved Arizonans with diabetes or high blood pressure.
Author(s): Melissa Johnson, Rebecca Jastrzab, Jared Tate, et al.
Citation: Journal of Managed Care & Specialty Pharmacy, 24(2), 132-141
Date: 02/2018
Type: Document
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First Trimester Prenatal Care Initiation Among Hispanic Women Along the U.S.-Mexico Border
Reports on a study to determine what factors, including barriers, influence pregnant and parenting Hispanic women from counties within the U.S.-Mexico border region to seek first trimester prenatal care – care associated with improved birth outcomes.
Author(s): Katherine Selchau, Maricela Babuca, Kara Bower, et al.
Citation: Maternal and Child Health Journal, 21(Suppl 1), 11–18
Date: 12/2017
Type: Document
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