Rural Health
Resources by State: Iowa
Federal Agencies' Investment in Rural Cancer Control Fosters Partnerships between Researchers and Rural Communities
Highlights how researchers and rural communities are working together to address rural cancer prevention and control, with support from federal funding. Discusses projects that address health behaviors, cancer screening, vaccination, and rural participation in clinical trials.
Author(s): Mary Charlton, Whitney Zahnd, Jennifer Patterson, Kimberly Merchant
Citation: Rural Monitor
Date: 07/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Highlights how researchers and rural communities are working together to address rural cancer prevention and control, with support from federal funding. Discusses projects that address health behaviors, cancer screening, vaccination, and rural participation in clinical trials.
Author(s): Mary Charlton, Whitney Zahnd, Jennifer Patterson, Kimberly Merchant
Citation: Rural Monitor
Date: 07/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Crosscutting Environmental Risk with Design: A Multi-site, Multi-city Socioecological Approach for Iowa's Diversifying Small Towns
Examines the intersection of built environments and environmental design with factors exacerbating health disparities in 3 small Iowa towns. Discusses how study results may be used by small towns to prioritize investments in built environments for vulnerable populations.
Author(s): Benjamin Shirtcliff, Rosie Manzo, Rachel Scudder
Citation: PLoS ONE, 16(6)
Date: 06/2021
Type: Document
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Examines the intersection of built environments and environmental design with factors exacerbating health disparities in 3 small Iowa towns. Discusses how study results may be used by small towns to prioritize investments in built environments for vulnerable populations.
Author(s): Benjamin Shirtcliff, Rosie Manzo, Rachel Scudder
Citation: PLoS ONE, 16(6)
Date: 06/2021
Type: Document
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Evaluation of the State Innovation Models (SIM) Initiative Round 2: Model Test Final Report
Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Firearm Exposure and Storage Practices in the Homes of Rural Adolescents
Surveyed 1,382 rural teenagers at the 2019 Iowa Future Farmers of American (FFA) Leadership Conference regarding firearm access and storage in their homes. Shows both access and storage data broken down by gender, age, race, and whether or not the surveyed lives on a farm, in the country, or in a town.
Author(s): Charles A. Jennissen, Kristel M. Wetjen, Cole C. Wymore, et al.
Citation: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 22(3)
Date: 05/2021
Type: Document
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Surveyed 1,382 rural teenagers at the 2019 Iowa Future Farmers of American (FFA) Leadership Conference regarding firearm access and storage in their homes. Shows both access and storage data broken down by gender, age, race, and whether or not the surveyed lives on a farm, in the country, or in a town.
Author(s): Charles A. Jennissen, Kristel M. Wetjen, Cole C. Wymore, et al.
Citation: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 22(3)
Date: 05/2021
Type: Document
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Iowa Nursing Demand Survey Report
Summarizes the results of a survey conducted between February and September 2020 on the demand of licensed practical nurses, registered nurses, and advanced registered nurse practitioners in Iowa. Discusses anticipated changes to demand and potential shortages, as well as barriers to recruitment and retention. Presents data by employer type, urban or rural location, and size.
Date: 04/2021
Type: Document
Sponsoring organizations: Iowa Board of Nursing, Iowa Center for Nursing Workforce
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Summarizes the results of a survey conducted between February and September 2020 on the demand of licensed practical nurses, registered nurses, and advanced registered nurse practitioners in Iowa. Discusses anticipated changes to demand and potential shortages, as well as barriers to recruitment and retention. Presents data by employer type, urban or rural location, and size.
Date: 04/2021
Type: Document
Sponsoring organizations: Iowa Board of Nursing, Iowa Center for Nursing Workforce
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Geographic Expansion of Medicaid Managed Care Organizations: Assessing Access to Primary Care in Nonmetropolitan Counties
Presents a study on primary care access for Medicaid beneficiaries in nonmetropolitan counties who were enrolled through managed care organizations (MCOs) from 2012 to 2018. Details the level of access to primary care in the nonmetropolitan counties of 15 states and compares the rates of access for beneficiaries enrolled through MCOs established before 2012 and after 2012. Discusses findings and makes recommendations for policy makers.
Author(s): Linda Li, Matthew Najarian, Abigail R. Barker, et al.
Date: 03/2021
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Presents a study on primary care access for Medicaid beneficiaries in nonmetropolitan counties who were enrolled through managed care organizations (MCOs) from 2012 to 2018. Details the level of access to primary care in the nonmetropolitan counties of 15 states and compares the rates of access for beneficiaries enrolled through MCOs established before 2012 and after 2012. Discusses findings and makes recommendations for policy makers.
Author(s): Linda Li, Matthew Najarian, Abigail R. Barker, et al.
Date: 03/2021
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Pesticide Exposure and Incident Thyroid Cancer Among Male Pesticide Applicators in Agricultural Health Study
Analyzed 53,096 male pesticide applicators in Iowa and North Carolina from the Agricultural Health Study (AHS) for incidences of thyroid cancer. Participants were surveyed at enrollment in the study between 1993 and 1997 and then interviewed again between 1999 and 2005. Data show incidences of thyroid cancer with a break down of age, state, production type, and more. Also shows association between thyroid cancer risk and long-term use of pesticides.
Author(s): Catherine C. Lerro, Laura E. Beane Freeman, Curt T. DellaValle, et al.
Citation: Environmental International 146 (2021), 106187
Date: 01/2021
Type: Document
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Analyzed 53,096 male pesticide applicators in Iowa and North Carolina from the Agricultural Health Study (AHS) for incidences of thyroid cancer. Participants were surveyed at enrollment in the study between 1993 and 1997 and then interviewed again between 1999 and 2005. Data show incidences of thyroid cancer with a break down of age, state, production type, and more. Also shows association between thyroid cancer risk and long-term use of pesticides.
Author(s): Catherine C. Lerro, Laura E. Beane Freeman, Curt T. DellaValle, et al.
Citation: Environmental International 146 (2021), 106187
Date: 01/2021
Type: Document
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Bright Spots: Case Studies in Innovative Rural Healthcare
Profiles 8 rural healthcare facilities and communities that successfully addressed issues regarding access to healthcare and explores commonalities across the case studies. Describes how these initiatives optimize leadership, cultural transformation, data utilization, rural maternity care, and external partnerships.
Date: 2021
Type: Document
Sponsoring organization: A&M Rural and Community Health Institute
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Profiles 8 rural healthcare facilities and communities that successfully addressed issues regarding access to healthcare and explores commonalities across the case studies. Describes how these initiatives optimize leadership, cultural transformation, data utilization, rural maternity care, and external partnerships.
Date: 2021
Type: Document
Sponsoring organization: A&M Rural and Community Health Institute
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Factors Affecting Access to Dental Care for Seniors in Rural Iowa
Poster presentation describing persistent barriers to dental care for seniors in rural Iowa. Describes how I-Smile Silver and an Area Agency on Aging work to address these barriers.
Author(s): C. Rupp, P.C. Damiano
Date: 2021
Type: Document
Sponsoring organization: University of Iowa College of Dentistry and Dental Clinics
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Poster presentation describing persistent barriers to dental care for seniors in rural Iowa. Describes how I-Smile Silver and an Area Agency on Aging work to address these barriers.
Author(s): C. Rupp, P.C. Damiano
Date: 2021
Type: Document
Sponsoring organization: University of Iowa College of Dentistry and Dental Clinics
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Rural Disparities in Surgical Care from Gynecologic Oncologists Among Midwestern Ovarian Cancer Patients
Compares the surgeries of 1,003 rural and urban women between 18 and 89 with ovarian cancer between 2010 and 2012 in Kansas, Missouri, and Iowa with particular focus on access to gynecologic oncologist specialists. Discusses referral practices, distances to specialists, and outcomes of surgeries with specialists compared to non-specialists.
Author(s): Kristin Weeks, Charles F. Lynch, Michele West, et al.
Citation: Gynecologic Oncology, 160(2), 477-484
Date: 11/2020
Type: Document
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Compares the surgeries of 1,003 rural and urban women between 18 and 89 with ovarian cancer between 2010 and 2012 in Kansas, Missouri, and Iowa with particular focus on access to gynecologic oncologist specialists. Discusses referral practices, distances to specialists, and outcomes of surgeries with specialists compared to non-specialists.
Author(s): Kristin Weeks, Charles F. Lynch, Michele West, et al.
Citation: Gynecologic Oncology, 160(2), 477-484
Date: 11/2020
Type: Document
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