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Rural Health
Resources by State: Iowa

Determinants of the 5-Year Retention and Rural Location of Family Physicians: Results from the Iowa Family Medicine Training Network
Analysis of data from 8 residency programs associated with the Carver College of Medicine. Includes statistics with breakdowns by decade of graduation, place of residency, 5-year retention rate, and rural location.
Author(s): Gregory Nelson, Thomas S. Gruca
Citation: Family Medicine, 49(6), 473-476
Date: 06/2017
Type: Document
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Identifying Adverse Drug Events in Rural Hospitals: An Eight-State Study
Analyzes adverse drug events (ADEs), or events involving patient injury resulting from medication use, and identifies ways to improve medication safety in rural hospitals. Uses 2013 data from 8 states with significant rural populations, and examines ADE rates based on hospital characteristics and across 4 main categories: steroids, antibiotics, opiates/narcotics, and anticoagulants. Companion brief lists resources that can be used to reduce and prevent ADEs in rural hospitals, including rural prospective payment system (PPS) hospitals and Critical Access Hospitals (CAHs).
Additional links: Resources to Reduce Adverse Drug Events in Rural Hospitals
Author(s): Michelle Casey, Peiyin Hung, Emma Distel, Shailendra Prasad
Date: 05/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Characteristics of Farm Equipment-Related Crashes Associated With Injury in Children and Adolescents on Farm Equipment
Explores data on injuries from farm equipment-related accidents involving children under 18 and aims to identify the factors that contribute to youth injuries. Breaks down data by crash characteristics, driver and passenger characteristics, and by type of injury, among other measures.
Author(s): Maisha Toussaint, Kayla Faust, Corinne Peek-Asa, Marizen Ramirez
Citation: Journal of Rural Health, 33(2), 127-134
Date: 04/2017
Type: Document
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Occupational Exposure to Pesticides and the Incidence of Lung Cancer in the Agricultural Health Study
Presents an exploration of incidents of lung cancer in agricultural workers due to exposure from pesticides. Draws data from the Agricultural Health Study, which surveys agricultural workers in Iowa and North Carolina.
Author(s): Matthew R. Bonner, Laura E. Beane Freeman, Jane A. Hoppin, et al.
Citation: Environmental Health Perspectives, 125(4), 544-551
Date: 04/2017
Type: Document
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Evaluation of Provider Network in the Iowa Dental Wellness Plan, 2014-2016
Reports on Iowa's Dental Wellness Plan (DWP) provider network established due to the poor oral health status of low-income residents and need for dental care within the state. Compares the first and second year of the DWP using outcomes measures that include dentist supply and distance to the nearest dentist in metropolitan and non-metropolitan areas.
Author(s): Susan McKernan, Mark Pooley, Aparna Ingleshwar, Elizabeth Momany, Peter Damiano
Date: 03/2017
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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A Longitudinal Study of Atrazine and 2,4-D Exposure and Oxidative Stress Markers among Iowa Corn Farmers
Presents a study on oxidative stress in Iowa corn farmers who have been exposed to certain pesticides and herbicides. Breaks down data by age, smoking history, and alcohol use, among other factors.
Author(s): Catherine C. Lerro, Laura E. Beane Freeman, Lützen Portengen, et al.
Citation: Environmental and Molecular Mutagenesis, 58(1), 30-38
Date: 01/2017
Type: Document
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Northeast Iowa Food and Fitness Impacts
Highlights programs in 6 rural counties to improve the health and well-being of children and families supported by the Northeast Iowa Food and Fitness Initiative. Programs included the expansion of the early childhood care and education program, promotion of physical activity through the development of walking and biking routes, and improved accessibility to local foods and support for the local economy.
Date: 2017
Type: Document
Sponsoring organizations: Iowa State University Extension and Outreach, Luther College, Northeast Iowa Community College
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Iowa State Innovation Model (SIM): Baseline Process/Implementation Report
Reports on the progress, challenges, and future concerns during the pre-implementation (2015) and the first-year implementation (2016) of the Iowa State Innovation Model (SIM) test grant to improve population health, transform healthcare, and promote sustainability in rural and urban counties of Iowa. Discusses 5 main SIM activities: Plan for Population Health (PPH), Community Care Coalitions (C3) including rural counties, Statewide Alert Network (SWAN), Community-Based Performance Improvement (CBPI), and Value-Based Purchasing (VBP).
Author(s): Suzanne Bentler, Tessa Heeren, Rochelle Schultz Spinarski, Elizabeth Momany, Peter Damiano
Date: 12/2016
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Iowa Department of Public Health Workforce Report to the Iowa Legislature
Reports on state funding and how it aligns with the priorities and goals of the public health department's healthcare workforce programs. Provides recommendations, describes strategies, and identifies appropriated allocations in support of rural and urban healthcare workforce initiatives within the state.
Date: 12/2016
Type: Document
Sponsoring organization: Iowa Department of Health and Human Services
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Implementation of the Federal Rural IMPACT Demonstration
Overview of the first year of the White House Rural Council and U.S. Department of Health & Human Services' demonstration project, focused on improving social determinants of health and designed to reduce poverty through coordinated services for children and parents. Discusses key findings and identifies possible lessons for policymakers and stakeholders. Includes appendix with profiles of the 10 demonstration sites.
Author(s): Alana Landey, Pam Winston, Pierre Joseph
Date: 11/2016
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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