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Rural Health
Resources by State: Iowa

Early Elective Delivery and Vaginal Birth After Cesarean in Rural US Maternity Hospitals
Results of a telephone survey of 263 rural hospitals in nine states, describing policies related to early elective delivery and vaginal birth after cesarean procedures. Includes statistics with breakdowns by birth volume, types and numbers of clinicians delivering babies, and types of operating rooms for cesareans.
Author(s): Demetra Heinrich, Rachel Vogel, Katy Kozhimannil
Citation: Rural and Remote Health, 16(4), 3956
Date: 11/2016
Type: Document
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Utility of the Living (Well Through) Intergenerational Fitness and Exercise Program as a County-Delivered Extension Program
Evaluates the suitability of the county Extension to deliver the Living (well through) Intergenerational Fitness and Exercise (LIFE) program, a group-based exercise program for rural residing older adults providing low-cost, effective physical activities to address chronic health conditions and improve health-related quality of life.
Author(s): Ashleigh J. Sowle, Sarah L. Francis, Jennifer A. Margrett, Warren D. Franke
Citation: Journal of Extension, 54(4), rb5
Date: 08/2016
Type: Document
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Population Health Strategies of Critical Access Hospitals
Provides examples of population health strategies developed by Critical Access Hospitals (CAHs) from 8 different rural communities that have significantly contributed to the improvement of population health and the health of their community.
Author(s): John Gale, Andrew Coburn, Karen Pearson, Zachariah Croll, George Shaler
Date: 08/2016
Type: Document
Sponsoring organization: Flex Monitoring Team
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Deliberation Makes a Difference: Preparation Strategies for TeamSTEPPS Implementation in Small and Rural Hospitals
Reports on a study of TeamSTEPPS implementation at 14 Critical Access Hospitals (CAHs) in Iowa. Offers recommendations for preparing for and implementing the TeamSTEPPS quality improvement initiative based on the results.
Author(s): Xi Zhu, Jure Baloh, Marcia M. Ward, Greg L. Stewart
Citation: Medical Care Research and Review, 73(3), 283-307
Date: 06/2016
Type: Document
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Providing Cardiology Care in Rural Areas Through Visiting Consultant Clinics
Examines impact of cardiology outreach clinics in 96 predominantly rural Iowa cities in 2014. Includes a map showing clinic sites and a table of mean one-way travel times with breakdowns by urban area, large rural city, small rural town, isolated rural town, and all rural census tracts.
Author(s): Thomas S. Gruca, Tae-Hyung Pyo, Gregory C. Nelson
Citation: Journal of the American Heart Association, 5(7)
Date: 06/2016
Type: Document
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Changes in Dentist Retirement, Relocation, and Net Inflow of Dentist Supply in Iowa, 1997-2014: Fifth Brief in a Series
Analyzes the population of dentists in and out of Iowa's dental workforce from 1997 to 2014 with a focus on voluntary retirement and relocation out of Iowa. Provides data describing several characteristics of the dental workforce, including their retirement age, where they received training, type of practice, and if they practiced in a rural location.
Author(s): Julie C. Reynolds, Susan C. McKernan, Raymond A. Kuthy, Nyla Balakrishnan
Date: 06/2016
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Use of Dieselized Farm Equipment and Incident Lung Cancer: Findings from the Agricultural Health Study Cohort
Discusses a study on the correlation between lung cancer and exposure to diesel exhaust in agricultural environments. Breaks down data by diesel and gasoline exhaust, length of exposure, and looks at the rates of cancer of both farmers and their spouses. Data based on questionnaires returned in 1993-1997 and draws from cancer registries up to 2011.
Author(s): Séverine Tual, Debra T. Silverman, Stella Koutros, et al.
Citation: Environmental Health Perspectives, 124(5), 611-618
Date: 05/2016
Type: Document
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State Variations in the Rural Obstetric Workforce
Illustrates the challenges affecting the obstetric workforce in Critical Access Hospitals (CAHs) and other rural hospitals having at least 10 births in 2010 by analyzing data derived from a telephone survey conducted in 9 states. Includes data for each state on hospital and provider characteristics, and services provided for labor and delivery.
Author(s): Peiyin Hung, Katy B. Kozhimannil, Michelle M. Casey, Carrie Henning-Smith, Shailendra Prasad
Date: 05/2016
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Factors Associated with High-Risk Rural Women Giving Birth in Non-NICU Hospital Settings
Identifies risk factors for childbirth among high-risk rural women in a hospital without a neonatal intensive care unit (NICU). Analyzes information from maternal hospital discharge data from childbirth hospitalizations for rural residents from Colorado, Iowa, Kentucky, New York, North Carolina, Oregon, Vermont, Washington, and Wisconsin. Includes statistics for women with multiple gestation and preterm delivery by age, primary payer, race, rurality, state, and local NICU capacity.
Author(s): K. B. Kozhimannil, P. Hung, M. M. Casey, S. A. Lorch
Citation: Journal of Perinatology, 36, 510–515
Date: 02/2016
Type: Document
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Prevalence of Physical Activity Policies and Environmental Strategies in Communities and Worksites: The Iowa Community Transformation Grant
Uses data from community transformation grants to document the prevalence of physical activity policies and environmental strategies for communities and work site settings in 15 rural and 11 urban Iowa counties. Includes statistics on community and work site strategies for policies and the environment by rural versus urban location.
Author(s): Catherine J. Lillehoj, Jason D. Daniel-Ulloa, Faryle Nothwehr
Citation: Journal of Occupational and Environmental Medicine, 58(1), e1-e5
Date: 01/2016
Type: Document
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