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Rural Health
Resources by State: Montana

The WWAMI Targeted Rural Underserved Track (TRUST) Program: An Innovative Response to Rural Physician Workforce Shortages
Discusses a four-year medical education curriculum through the University of Washington School of Medicine called the Targeted Rural Underserved Track (TRUST) where students are required to participate in a four-year clinical longitudinal continuity experience. The curriculum links students to a rural community identified as their TRUST continuity community or TCC with the objective to engage students in learning how a healthcare team functions in a rural community and to address the physician workforce needs in rural Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI region).
Author(s): Thomas Greer, Amanda Kost, David V. Evans, et al.
Citation: Academic Medicine, 91(1), 65-69
Date: 01/2016
Type: Document
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Montana 2016 Suicide Mortality Review Team Report
Highlights findings and recommendations from the Montana Suicide Mortality Review Team based on an analysis of 555 suicides in Montana. Provides suicide and related data by county for youth, American Indian, and veteran populations.
Date: 2016
Type: Document
Sponsoring organization: Montana Department of Public Health and Human Services
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Travel Distance Study for Rural/Competitive Bid Area/Neither Rural nor CBA Census Tracts to Hospitals and Home Medical Equipment Suppliers: Montana, North Dakota, Oregon, Washington, West Virginia, Wisconsin
Measures rural populations' proximity to hospitals and home medical equipment suppliers in Montana, North Dakota, Oregon, Washington, West Virginia, and Wisconsin in comparison with their urban counterparts.
Date: 12/2015
Type: Document
Sponsoring organization: University of Northern Iowa Geoinformatics Training, Research, Education, and Extension (GeoTREE) Center
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Development and Validation of a Farmers' Market Audit Tool in Rural and Urban Communities
Describes a tool designed to measure availability of food items and key characteristics of farmers' markets. Features statistics from 6 test sites in Kentucky, Montana, and North Carolina, showing differences among states and between urban and rural locations.
Author(s): Carmen Byker Shanks, Stephanie Jilcott Pitts, Alison Gustafson
Citation: Health Promotion Practice, 16(6), 859-866
Date: 11/2015
Type: Document
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Systematic Review of Palliative Care in the Rural Setting
Synthesizes the results of an extensive search of the medical literature focused on the developments in palliative care for patients living in rural areas in the U.S. and internationally to determine where gaps in the research may occur. Suggests promising approaches including telehealth, community-academic partnerships, and training for rural healthcare providers.
Author(s): Marie A. Bakitas, Ronit Elk, Meka Astin, et al.
Citation: Cancer Control, 22(4), 450-464
Date: 10/2015
Type: Document
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Evaluation of the Frontier Community Health Care Coordination Network Grant
Policy brief analyzing the effectiveness of using community health workers as community healthcare coordinators during a 3 year period (2012–2015) in frontier Montana. Includes recommendations to other communities that may consider implementing this model. Project was supported by the Federal Office of Rural Health Policy (FORHP) Frontier Community Health Care Network Coordination (FCHCNC) grant program.
Date: 09/2015
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Availability, Price, and Quality of Fruits and Vegetables in 12 Rural Montana Counties, 2014
Assesses consumer food environment in 17 rural and 3 urban Montana grocery stores using Nutrition Environment Measures Survey for Stores (NEMS-S) to determine availability of quality, fresh food in rural areas.
Author(s): Carmen Byker Shanks, Selena Ahmed, Teresa Smith, et al.
Citation: Preventing Chronic Disease, 12
Date: 08/2015
Type: Document
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In Care Transitions, a Chance to Make or Break Patients' Recovery
Provides an overview of the challenges in patient care transitions rural patients and providers face. Describes the Rural Options At Discharge Model of Active Planning (ROADMAP) project whose goal is to improve discharge planning by addressing the communication between regional and rural hospitals utilizing input from rural patients and providers in Montana to make improvements.
Date: 04/2015
Type: Document
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Indoor Particulate Matter in Rural, Wood Stove Heated Homes
Examines 96 homes in rural Montana, Idaho, and Alaska using wood stoves as the primary source of heating to determine the mass of indoor particulate matter (PM) and particle number concentrations, quantify outdoor PM penetrating the indoor environment, and identify predictors of concentrations and infiltration of outdoor PM. Includes pre-intervention indoor air sampling data by demographic and home characteristics, wood stove and usage, activities in or near the home, and weather.
Author(s): Erin O. Semmens, Curtis W. Noonan, Ryan W. Allen, Emily C. Weiler, Tony J. Ward
Citation: Environmental Research, 138, 93-100
Date: 04/2015
Type: Document
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Overview of Alternative Schools and Education Programs
Analyzes data from 28 alternative education programs, including 16 programs located in rural Montana communities. Defines an alternative education program, from the Montana Office of Public Instruction (OPI), as a restructured academic program operating within an accredited public school to serve at-risk students. Provides information on student characteristics and alternative school services. Covers three local model programs that work to address the behavioral and mental health, substance abuse treatment, and counseling needs of students.
Additional links: Health Brief
Author(s): Katie Loveland, Aaron Wernham
Date: 03/2015
Type: Document
Sponsoring organization: Montana Healthcare Foundation
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