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Rural Health
Resources by State: Kentucky

An Approach to Developing Local Climate Change Environmental Public Health Indicators in a Rural District
Explores climate and environmental public health indicators for a seven-county public health department in western Kentucky. Identifies public health hazards and vulnerability indicators and features statistics on percentages of population living in rural areas of the counties studied.
Author(s): Adele Houghton, Jessica Austin, Abby Beerman, Clayton Horton
Citation: Journal of Environmental and Public Health, 2017, 3407325
Date: 03/2017
Type: Document
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Residing in Economically Distressed Rural Appalachia is Independently Associated with Excess Body Weight in College Students
Results of a study comparing body weights and obesity risks of college students aged 18-25 years, 55 of whom who were lifelong residents of rural Eastern Appalachian Kentucky and 54 from urban central Kentucky. Features statistics including age, education, gender, race or ethnicity, insurance status, household income, and health behaviors, with breakdowns by rural or urban status.
Author(s): Demetrius Abshire, Terry Lennie, Gia Mudd-Martin, Debra Moser
Citation: Rural and Remote Health, 17(1), 3984
Date: 03/2017
Type: Document
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Terminate Lung Cancer (TLC) Study - A Mixed-Methods Population Approach to Increase Lung Cancer Screening Awareness and Low-Dose Computed Tomography in Eastern Kentucky
Reports on a study of a community awareness intervention supporting low dose computed tomography (LDCT) cancer screening in two high-risk regions of Eastern Appalachia Kentucky. Rates of awareness and LDCT screening in the intervention regions were compared to a control region where the intervention had not been implemented.
Author(s): Roberto Cardarelli, David Reese, Karen L. Roper, et al.
Citation: Cancer Epidemiology, 46, 1-8
Date: 02/2017
Type: Document
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Russell County Hospital Aligning for Future Success
Details the improvements made by Russell County Hospital (RCH), a 25-bed Critical Access Hospital located in Russell Springs, Kentucky, as part of the Small Rural Hospital Transition (SRHT) project. Major accomplishments include expanding primary care and surgery services, developing a strategic plan, establishing and monitoring quality indicators, and optimizing participation in the 340B Drug Pricing Program. RCH is also working with the community and the media to promote their quality scores, which are consistently high.
Date: 02/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Kentucky's Primary Care Workforce Shortages 2016-2025 and Recommendations for Increasing the Production of Primary Care Physicians for Kentucky
Presents data and information about the Kentucky primary care workforce, describes trainee pipelines supplying new physicians, and recommends strategies and tactics for improving this workforce. Includes statistics on various types of primary care providers in rural Kentucky, and support for the idea that rural background and rural clinical rotations are factors in primary care career choices by medical school graduates.
Author(s): Kevin A. Pearce, Carol Hustedde, Linda M. Asher, et al.
Date: 11/2016
Type: Document
Sponsoring organization: University of Kentucky College of Medicine
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Availability of Buprenorphine Treatment in Kentucky
Describes availability of opioid addiction treatment in Kentucky, with breakdowns by metropolitan, micropolitan, and other non-metropolitan areas, and distribution of various medical specialists authorized to prescribe buprenorphine in these areas.
Author(s): Elijah T. Myers, Tyrone F. Borders
Date: 11/2016
Type: Document
Sponsoring organization: University of Kentucky Institute for Rural Health Policy
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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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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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Findings from the Field: Medicaid Delivery Systems and Access to Care in Four States in Year Three of the ACA
Explores the experiences of four states that participated in Medicaid expansion as part of the Patient Protection and Affordable Care Act (ACA): Colorado, Connecticut, Kentucky, and Washington. Examines what each state is doing to transition, from outreach and enrollment activities, to improving delivery systems and access to care. Contains rural-specific content and information on how the states are dealing with the expanded Medicaid population. Addresses how Community Health Centers have responded to the Medicaid expansion.
Author(s): Samantha Artiga, Robin Rudowitz, Jennifer Tolbert, Julia Paradise, Melissa Majerol
Date: 09/2016
Type: Document
Sponsoring organization: KFF
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Using i2b2 to Bootstrap Rural Health Analytics and Learning Networks
Describes a project to connect and share data among rural healthcare sites and researchers using the open-source Informatics for Integrating Biology and the Bedside (i2b2) data model in building the West Virginia/Kentucky Health Analytics and Learning Network. Includes map showing locations of clinics.
Author(s): Daniel R. Harris, Adam D. Baus, Tamela J. Harper, et al.
Citation: Conference Proceedings of the IEEE Engineering in Medicine and Biology Society 2016, 2533-2536
Date: 08/2016
Type: Document
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