Rural Health
Resources by State: Missouri

An Analysis of Suicide Risk Factors among Farmers in the Midwestern United States
Study examining psychological, social, and contextual risk factors for suicide among farmers. Draws data from 600 surveys of agricultural producers in Kansas, Michigan, Missouri, and South Dakota. Discusses rates of depression, anxiety, farming-specific stressors, social support, and coping strategies.
Author(s): Andrea Bjornestad, Courtney Cuthbertson, Jessie Hendricks
Citation: International Journal of Environmental Research and Public Health, 18(7), 3563
Date: 03/2021
Type: Document
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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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Grantee Directory: Delta States Rural Development Network Program, 2020
A directory of the Delta States Rural Development Grant Program in the 2020-2023 funding cycle. Includes a brief program overview and contact information for each of the twelve grantees. The Delta States region comprises Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee.
Date: 02/2021
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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High-Functioning Rural Medicare ACOs – A Qualitative Review
Describes the success factors common to high-performing Accountable Care Organizations (ACOs) based in rural areas of New York, Maine, Missouri and Arkansas, and New Hampshire. Examines these organizations' governance, ACO history, operations, finances, population health, and lessons learned.
Author(s): Thomas Vaughn, Keith Mueller, Clinton MacKinney
Date: 02/2021
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Missouri Primary Care Needs Assessment (PCNA) 2020
Analyzes Missouri's unmet healthcare needs and lack of access to healthcare services, and evaluates resources and services necessary to overcome health disparities in Missouri. Features statistics on Health Professional Shortage Areas, various incentive programs, and 33 primary care health indicators, with breakdowns by urban and rural locations.
Author(s): Sara Davenport, Laura Hart, Aleesha Jones, et al.
Date: 2021
Type: Document
Sponsoring organization: Missouri Office of Rural Health and Primary Care
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Treating a Public Health Crisis for Rural Moms – A Comparative Analysis of Four Rural States Addressing Maternal Opioid Misuse with Medicaid Innovation Models
Discusses how four states - Colorado, Indiana, Maine, and Missouri - have used the Maternal Opioid Misuse (MOM) model to address maternal opioid use disorders among rural Medicaid beneficiaries. Compares different approaches taken by each state, including benefit eligibility, health insurance payers and health systems partnerships, and telehealth utilization.
Author(s): Jason Semprini
Citation: Online Journal of Rural Research & Policy, 16(2)
Date: 2021
Type: Document
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Missouri Maternal-Infant Health: State and Regional Actions Impacting Care Delivery and Health Outcomes
Provides an overview of maternal and infant morbidity and mortality in Missouri. Profiles regional and state-wide efforts to address the drivers of severe maternal morbidity and mortality and improve maternal and infant health outcomes, including rural-specific projects.
Author(s): Reggi Rideout, Sue Kendig, Alison Williams
Date: 2021
Type: Document
Sponsoring organization: Missouri Hospital Association
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Federal Funding for Rural Health: Supporting Planning and Development Around a Regional Transportation Need
Features Rides to Health and Wealth, a regional transportation program in eastern Missouri helping improve rural healthcare access and other health-related transportation needs. Includes discussion of how the program planning and development continued during the COVID-19 pandemic.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 12/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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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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Urban–Rural Disparities in Access to Low-Dose Computed Tomography Lung Cancer Screening in Missouri and Illinois
Investigates the relationship between rurality and access to low-dose computed tomography (LDCT) lung cancer screening. Includes county-level maps for Missouri and Illinois, with data on LDCT access, lung cancer deaths per 100,000 people, and prevalence of adult smoking.
Author(s): Karthik Rohatgi, Christine Marx, Marquita Lewis-Thames, et al.
Citation: Preventing Chronic Disease, 17
Date: 11/2020
Type: Document
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