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Rural Health Information Hub

Rural Health
Resources by State: California

Primary Care Clinician and Clinic Director Experiences of Professional Bias, Harassment, and Discrimination in an Underserved Agricultural Region of California
Results of interviews with 26 San Joaquin Valley clinicians and clinic directors from December 2017 to December 2018, to examine their experiences of isolation and harassment. Includes demographic statistics on participants.
Author(s): Michelle Ko, Armin Dorri
Citation: JAMA Network Open 2(10)
Date: 10/2019
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Serving Rural America: Health Insurance Providers at Work
Offers 5 case studies to showcase the ways in which health insurance providers are working to ensure access to high quality healthcare in rural areas. Examples feature 8 insurance providers in Maryland, Pennsylvania, California, and Oregon sharing different approaches to healthcare delivery, financing, and community engagement.
Date: 09/2019
Sponsoring organization: AHIP
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Maternal Mortality in the United States
Provides an overview of maternal mortality in the United States. Discusses the increase in maternal mortality rates and factors that contribute to maternal deaths. Includes information specific to rural maternal mortality. Identifies policy solutions, including state maternal mortality review committees, and highlights efforts in California and North Carolina to address maternal mortality.
Author(s): Tara O'Neill Hayes, Carly McNeil
Date: 09/2019
Sponsoring organization: American Action Forum
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The Prevalence of Mental Illness and Substance Abuse Among Rural Latino Adults with Multiple Adverse Childhood Experiences in California
Presents a study on the role of adverse childhood experiences (ACEs) in adult mental health and substance use issues among rural Latinos in California. Breaks down participants by age, sex, income, and education, among other measures.
Author(s): IrĂ¡n Barrera, Vrinda Sharma, Yumiko Aratani
Citation: Journal of Immigrant and Minority Health, 21, 971-976
Date: 08/2019
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Scaling Up Hepatitis C Prevention and Treatment Interventions for Achieving Elimination in the United States: A Rural and Urban Comparison
Details a study on hepatitis C treatment and prevention interventions for people who use drugs in rural and urban areas. Compares the results of medication-assisted treatment (MAT) and syringe service program (SSP) interventions in rural Perry County, Kentucky and urban San Francisco, California.
Author(s): Hannah Fraser, Claudia Vellozzi, Thomas J Hoerger, et al.
Citation: American Journal of Epidemiology, 188(8), 1539-1551
Date: 08/2019
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Promising Practice: Educational Partnership Reaches Rural California Communities
Details a promising practice that works to expand health literacy among rural Latinos in California through a partnership between the California State Office of Rural Health and the California Department of Public Health's Office of Binational Border Health. Details the way the program is reaching rural Latinos through community health worker/promotores training.
Date: 08/2019
Sponsoring organization: National Organization of State Offices of Rural Health
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Medi-Cal Telehealth Updated Policy
Summarizes a California Department of Health Care Services telehealth policy update for the Medi-Cal fee-for-service program. Highlights key changes related to the definitions, reimbursable services, e-consults, and more.
Date: 08/2019
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Impact of Rural and Urban Hospital Closures on Inpatient Mortality
Examines the impact of California's hospital closures from 1995-2011 on adjusted inpatient mortality for sepsis, stroke, asthma/chronic obstructive pulmonary disease, and acute myocardial infarction. Features statistics including the number of closures by year, patient demographics with breakdowns by urban or rural location, and differential impacts of rural and urban closures with breakdowns by condition.
Author(s): Kritee Gujral, Anirban Basu
Citation: NBER Working Paper Series, Working Paper 26182
Date: 08/2019
Sponsoring organization: National Bureau of Economic Research
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Hospital Utilization Among Rural Children Served by Pediatric Neurology Telemedicine Clinics
Compares rates of emergency department visits and hospital admissions at a California academic children's hospital with similar groups of patients who received outpatient pediatric neurology care at remote telemedicine clinics or in-person clinics. Features statistics including baseline characteristics among telemedicine and in-person cohorts, and hospital encounter frequencies and rates.
Author(s): Parul Dayal, Celia H. Chang, William S. Benko
Citation: JAMA Network Open, 2(8)
Date: 08/2019
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Accelerating Value-Based Payment in California's Federally Qualified Health Centers: Options for Medicaid Health Plans
Highlights examples of value-based payment (VBP) models for Federally Qualified Health Centers (FQHCs), including a rural Hawaii model and a Colorado model that incorporates rural FQHCs. Covers Accountable Care Organization (ACO) models, state-led Capitated Alternative Payment Models (APMs), state-led quality payment adjustments, and Medicaid shared savings ACO models. Addresses how FQHCs and health plans can overcome challenges when launching new VBP models and offers recommendations for California's health plans.
Author(s): Greg Howe, Tricia McGinnis, Rob Houston
Date: 08/2019
Sponsoring organization: Center for Health Care Strategies
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