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Rural Health
Resources by State: Hawaii

An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program
Provides background on the Flex Program and the Integration of Innovative Health Care Models (Innovative Projects) program area. Evaluates the impact of the Innovative Projects program area across seven participating states, focusing on activities involving the transition to value-based care, telehealth, care coordination, quality improvement, and system delivery in rural communities. Final implementation results are described in Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report.
Author(s): Sara Kahn-Troster, John Gale, Anush Hansen, Andrew Coburn
Date: 01/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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Preventable Tooth Loss in Hawai'i: The Role of Socioeconomic Status, Diabetes, and Dental Visits
Results of a study examining association of tooth loss with health risk, dental care access, and sociodemographic factors including income level in 13,371 adults from 4 racial and ethnic groups in Hawaii. Features demographic statistics including breakdowns by residence in a city center, outside a city center, or a nonmetropolitan area.
Author(s): Mikako Deguchi, Marjorie K. Leimomi Mala Mau, James Davis, Richard Niederman
Citation: Preventing Chronic Disease, 14
Date: 11/2017
Type: Document
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Promising Practice: Helping Rural Hawaii THRIVE
Illustrates how community forums sponsored by the Hawaii Public Health Institute (HPHI) and supported by the Hawaii State Office of Primary Care and Rural Health (HI OPCRH) provide a venue for sharing "stories of health" to improve health and wellness in the state. Describes the THRIVE (Tools for Health Resilience in Vulnerable Environments) method used to develop multi-sector partnerships, particularly the opportunity to collectively focus on health equity, facilitate an understanding of social determinants of health, and establish a foundation for future action.
Author(s): Beth Blevins
Date: 08/2017
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Potentially Preventable Medication-Related Hospitalizations: A Clinical Pharmacist Approach to Assessment, Categorization, and Quality Improvement
Examines pharmacist-led quality improvement practices, implemented across rural and urban counties in Hawaii, to identify and categorize potentially preventable medication-related hospital admissions. Describes how data collected during the investigation is used to improve pharmacist interventions focused on reducing medication-related readmissions.
Author(s): Karen L. Pellegrin, Elizabeth Lee, Reece Uyeno, Chris Ayson, Roy Goo
Citation: Journal of the American Pharmacies Association, 57(6), 711-716
Date: 06/2017
Type: Document
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Housing Needs of Native Hawaiians: A Report From the Assessment of American Indian, Alaska Native, and Native Hawaiian Housing Needs
Report of housing conditions and needs for Native Hawaiians as part of a larger Native American housing study mandated by Congress in 2009. Includes discussion of population growth and distribution; demographic, social, and economic conditions; housing conditions and needs; circumstances of Native Hawaiians residing on Hawaiian Home Lands and those on the waiting list; and housing policy and programs. Rural and urban comparisons, particularly in the Home Lands discussion, are available.
Date: 05/2017
Type: Document
Sponsoring organization: U.S. Department of Housing and Urban Development
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Promoting Optimal Native Outcomes (PONO) by Understanding Women's Stress Experiences
Examines psychosocial stressors in women, aged 18-35, living in a rural Hawaiian community with a large Native Hawaiian and Pacific Islander population to promote optimal native outcomes (PONO). Analyzes information from 36 women participating in focus groups and identifies seven stressor themes: intimate relationships; family and home life; child rearing; time for self; neighborhood environment; workplace; and finances.
Author(s): May Okihiro, Lisa Duke, Deborah Goebert, et al.
Citation: The Journal of Primary Prevention, 38(1-2), 159-173
Date: 04/2017
Type: Document
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Establishing Successful Patient-Centered Medical Homes in Rural Hawai'i: Three Strategies to Consider
Provides recommendations for effectively developing Patient-Centered Medical Homes (PCMHs) based on phone interviews with healthcare providers on Hawaii's islands and data from the state Area Health Education Center (AHEC). Includes strategies specific to improving care in rural Hawaii.
Author(s): Melissa Nelson Scriber, Kasey Kehoe
Citation: Hawai'i Journal of Medicine and Public Health, 76(3 Suppl 1), 18-23
Date: 03/2017
Type: Document
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Cultural Dance Program Improves Hypertension Management for Native Hawaiians and Pacific Islanders: a Pilot Randomized Trial
Results of a 12-week hula-based intervention coupled with self-care education on blood pressure management, done in Honolulu in 2012-2013. Features demographic statistics with breakdowns by ethnic group, and intervention effects on blood pressure from baseline to 3-month follow-up.
Author(s): Joseph Keawe'aimoku Kaholokula, Mele Look, Tricia Mabellos, et al.
Citation: Journal of Racial and Ethnic Health Disparities, 4(1), 35-46
Date: 02/2017
Type: Document
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Decolonizing Knowledge Development in Health Research Cultural Safety Through the Lens of Hawaiian Homestead Residents
Highlights a study on the concept of cultural safety as a means of conducting effective health research within Native Hawaiian communities. Focuses on practices that facilitate cross-cultural respect and understanding.
Author(s): Lana Sue I. Ka'opua, Suresh Tamang, Adrienne Dillard, B. Puni Kekauoha
Citation: Journal of Indigenous Social Development, 5(2), 20-42
Date: 2017
Type: Document
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2017 Hawaii Alcohol and Substance Use Profiles and Fact Sheets
Reports on drug and alcohol use for adults and youth in Hawaii by county.
Date: 2017
Type: Website
Sponsoring organization: Hawaii State Department of Health
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