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Rural Health
Resources by State: Montana

The Impact of COVID-19 on the Rural Health Care Landscape: Challenges and Opportunities
Presents an overview of key findings from interviews with stakeholders in eight states - Iowa, Minnesota, Montana, Nebraska, Nevada, North Dakota, South Dakota, and Wyoming - regarding the rural healthcare landscape. Discusses rural hospital financial health, rural hospital transformation models, challenges facing the rural healthcare workforce, and the role of telehealth in increasing access to care. Provides recommendations aimed at further advancing the use of virtual care in all communities, including rural and frontier areas, beyond the temporary federal COVID-19 public health emergency flexibilities.
Author(s): Sabah Bhatnagar, Julia Harris, Tara Hartnett, et al.
Date: 05/2022
Type: Document
Sponsoring organization: Bipartisan Policy Center
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A Qualitative Study of Rural Healthcare Providers' Views of Social, Cultural, and Programmatic Barriers to Healthcare Access
Examines barriers to healthcare access in rural populations based on semi-structured interviews with 12 healthcare providers practicing in Montana. Focuses on domains of cultural considerations, patient-provider communication, and provider-provider communication.
Author(s): Nicholas C. Coombs, Duncan G. Campbell, James Caringi
Citation: BMC Health Services Research, 22, 438
Date: 04/2022
Type: Document
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Missed Opportunities for Human Papillomavirus Vaccine Series Initiation in a Large, Rural U.S. State
Analyzes missed opportunities to initiate the human papillomavirus (HPV) vaccine series in rural vaccination clinic settings in Montana based on 2014-2017 data from 47,622 adolescents in the Montana immunization information system. Discusses differences in missed opportunities among private clinics, public health departments, Rural Health Clinics, Indian Health Service and tribal clinics, Federally Qualified Health Centers, community health centers, and other settings.
Author(s): Sophia R. Newcomer, Rain E. Freeman, Alexandria N. Albers, et al.
Citation: Human Vaccines & Immunotherapeutics, 18(1)
Date: 02/2022
Type: Document
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State Summaries of Lifespan Respite Grant Activities and Outcomes: Final Reports, FY2017 – FY2018 Grantees
Summaries of final reports from the fiscal year 2017 and 2018 Administration for Community Living (ACL) State Lifespan Respite Care program grantees. The State Lifespan Respite Care program aims to create coordinated systems of accessible, community-based respite care services for family caregivers of children and adults of all ages with special needs. Describes each of the project's outcomes, accomplishments, and partnerships. Highlights programs serving rural areas.
Date: 2022
Type: Document
Sponsoring organization: ARCH National Respite Network and Resource Center
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Tribal Opioid Response: Strategic Plan 2020-2022
Reports on the findings of the Rocky Mountain Tribal Leaders Council Tribal Opioid Response project – a two-year project focused on developing a program to reduce opioid overdose, opioid use disorder, and stimulant use disorder among American Indian populations residing in Montana, Wyoming, Idaho, and the Piikani Nation. A review of available data and survey results, and a SWOT analysis were conducted to assist in project development. Common themes included: increase prevention through cultural activities and education; reduce barriers to medication assisted treatment; promote harm reduction strategies; offer safe syringe services; and establish partnerships for improved access to opioid data.
Date: 09/2021
Type: Document
Sponsoring organizations: Rocky Mountain Tribal Leaders Council, Substance Abuse and Mental Health Services Administration
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Barriers for Implementing the Hub and Spoke Model to Expand Medication for Opioid Use Disorder: A Case Study of Montana
Highlights a study of the barriers to the implementation of hub and spoke programs to provide treatment for opioid use disorder in rural Montana. Features data based on interviews with 65 programs that provide medication for opioid use disorder in Montana and discusses the barriers to their efforts.
Author(s): Brandn Green, Danielle Christine Rhubart, Matthew R Filteau
Citation: Substance Abuse: Research and Treatment, 15
Date: 08/2021
Type: Document
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Prevention, Treatment, and Recovery Innovations in Native American Communities
Report highlights the efforts of tribal programs to address opioid use disorder in their communities. Presents success stories of programs providing culturally competent treatment, prevention, and recovery for American Indian and Alaska Native communities in several states.
Date: 08/2021
Type: Document
Sponsoring organization: National American Indian and Alaska Native Addiction Technology Transfer Center
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Montana State Rural Health Plan
Plan to shape the development of Critical Access Hospitals (CAHs) and the Medicare Rural Hospital Flexibility Program in Montana. Includes information on trends, challenges, and methods to ensure access to quality healthcare across the state. Features updates related to the COVID-19 pandemic.
Date: 08/2021
Type: Document
Sponsoring organization: Montana Department of Public Health and Human Services
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Treating Perinatal Mood and Anxiety Disorders in Rural Montana
Profiles how St. Peter's Health - a health system in Helena, Montana - developed and implemented a parental support system to address gaps in postpartum mental health care. Discusses partnerships St. Peter's Health utilized to connect parents with community-based services and supports. Offers lessons learned and future goals for the program.
Date: 07/2021
Type: Document
Sponsoring organization: American Hospital Association
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Providing APPE Pharmacy Students Rural Health Assessment Experience Following Wildfire Event in Western Montana
Discusses an experiential training opportunity in which pharmacy students utilized their clinical rotations to provide screenings for a rural community experiencing wildfire smoke health impacts. Provides information about how the students engaged in rural community interactions and helped to respond to a public health emergency.
Author(s): Cristi A.L. Migliaccio, Sarah Ballou, Mary Buford, Ava Orr, Christopher Migliaccio
Citation: Currents in Pharmacy Teaching and Learning, 13(5), 560-565
Date: 05/2021
Type: Document
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