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Rural Health
Resources by State: Iowa

Iowa's Grants to Counties Program: A Valuable but Underutilized Program for Protecting the Public Health of Private Well Users
Examines spending for Iowa's Grants to Counties program, which offers 7 categories related to wells, including water quality testing. Addresses county-level access to rural water and the impact on Grants to Counties spending. Supports expanded testing for private well water contaminants in partnership with county public health agencies, prioritizing shallow wells, enabling additional funding for addressing unsafe drinking water, and more.
Date: 08/2019
Type: Document
Sponsoring organizations: Center for Health Effects of Environmental Contamination, University of Iowa Public Policy Center
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Obesity and Diabetes in the Winnebago Tribe of Nebraska: From Community Engagement to Action, 2014-2019
Describes interventions implemented on the Winnebago Tribe reservation in rural Nebraska and Iowa, focusing on community-selected and culturally adapted policies, systems, and environmental improvements to reduce obesity and type 2 diabetes. Strategies include infant and childhood obesity prevention education, promotion of healthy foods and beverages, and improvements to pedestrian safety and built environment.
Author(s): Larry Alonso, Lorelei Decora, Ursula Bauer
Citation: Preventing Chronic Disease, 16
Date: 08/2019
Type: Document
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Understanding Symptom Burden in Patients with Advanced Cancer Living in Rural Areas
Explores research methods for understanding differences in rural and urban cancer care, treatment, and symptom-based stressors. Discusses challenges in recruiting and retaining rural study participants and capturing differences between rural patients receiving local care and those receiving care in metro areas. Studies the severity of advanced cancer symptoms for 21 rural patients in Iowa, drawing data from patient surveys. Describes disparities in advanced cancer diagnosis and differences in treatment experiences.
Author(s): Stephanie Gilbertson-White, Yelena Perkhounkova, Seyedehtanaz Saeidzadeh, et al.
Citation: Oncology Nursing Forum, 46(4), 428-441
Date: 07/2019
Type: Document
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Dental Hygiene Workforce in Iowa: Current Capacity and Implications for Access to Care for the Underserved
Analyzes Iowa's dental hygiene workforce using 2017 licensure and 2018 survey data, as well as other reports from the Iowa Department of Public Health. Includes discussion and a Dental Health Professional Shortage Areas (HPSAs) map. Discusses job seeking experiences, career plans, and the dental hygiene workforce supply with a rural perspective.
Author(s): Julie C. Reynolds, Susan C. McKernan, Olayinka Adekugbe, Jennifer M.C. Sukalski, Raymond A. Kuthy
Date: 06/2019
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Promising Practice: Iowa Project Promotes Healthcare Careers Early
Highlights a promising practice led by the Iowa State Office of Rural Health. Discusses the Opportunities in Health Sciences: Iowa Career Pathways program, which provides resources to support high school students and adults looking for a career change to enter the healthcare workforce in the state.
Author(s): Ashley Muninger, Beth Blevins
Date: 06/2019
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Access to Maternal Health Care in Rural Communities: A Patient's Personal Story
Offers a short video featuring a patient's story about accessing maternal healthcare in rural Iowa. Includes the perspective of the obstetrician/gynecologist who provided her care using a combination of telehealth and in-person visits from South Dakota, the closest facility offering the services she needed.
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Centers for Medicare and Medicaid Services
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Life 'til the End: Hospice in Rural America
Describes the role of hospice in rural communities. Features a rural Iowa family sharing how hospice helped them care for their father at the end of his life. Also highlights a Critical Access Hospital (CAH) in Wisconsin that provides hospice care, explaining how this service supports the hospital's mission to provide care to the community.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 06/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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A Tale of Two Public Dental Benefit Programs: Iowa Dentist Participation in Traditional Medicaid Versus a Medicaid Expansion Program
Examines differences in dentist participation in Iowa's Dental Wellness Plan and Medicaid programs and discusses the policy implications for oral health access. Addresses differences in rural and urban participation in both programs.
Author(s): Julie C. Reynolds, Susan C. McKernan, Peter C. Damiano, Raymond A. Kuthy
Citation: BMC Oral Health, 19, 89
Date: 05/2019
Type: Document
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Case Study: Northeastern Iowa
Results of a field study documenting how philanthropy and community can work together to support rural vitality. Part of the Rural Philanthropic Analysis series.
Date: 04/2019
Type: Document
Sponsoring organization: Campbell University Office of Rural Philanthropic Analysis
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End-tidal CO2 Monitoring is Available in Most Community Hospitals in a Rural State: A Health System Survey
Examines the use of capnography with procedural sedation and analgesia (PSA) in emergency departments (ED) across Iowa. Data is broken down by hospital staffing level, ED volume, and hospital type, including Critical Access Hospitals, Rural Referral Hospitals, rural hospitals, and urban hospitals.
Author(s): Steven A. Ilko, J. Priyanka Vakkalanka, Azeemuddin Ahmed, et al.
Citation: The Western Journal of Emergency Medicine, 20(2), 232-236
Date: 03/2019
Type: Document
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