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Rural Health
Resources by State: New Hampshire

New Hampshire Baseline Needs Assessment: Practitioner Comfort Treating Substance Use Disorder
Shares the results of a needs assessment survey of healthcare providers working in rural New Hampshire regarding their level of comfort treating patients with opioid use disorder (OUD) and other substance use disorders (SUDs).
Date: 10/2021
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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New Hampshire Baseline Needs Assessment: Practitioner Comfort Treating Substance Use Disorder: COVID-19 Impact on Substance Use and Treatment
Details a needs assessment survey of healthcare providers and stakeholders on the impacts of COVID-19 on substance use and treatment in rural New Hampshire from October 2020 to March 2021.
Date: 09/2021
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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Rural Barriers to Early Lung Cancer Detection: Exploring Access to Lung Cancer Screening Programs in New Hampshire and Vermont
Evaluates how geographic access to lung cancer screening facilities is related to population density, adult smoker distribution, and education level in New Hampshire and Vermont. Utilizes 2013-2017 County Health Rankings data. Discusses the significance of rural-urban access disparities in lung cancer screening, and describes the value of identifying access barriers.
Author(s): Rian M. Hasson, Kayla A. Fay, Joseph D. Phillips, Timothy M. Millington, David J. Finley
Citation: American Journal of Surgery, 221(4), 725-730
Date: 04/2021
Type: Document
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New Hampshire Statewide Primary Care Needs Assessment
Identifies the New Hampshire communities with the greatest unmet healthcare needs, disparities, and health workforce shortages, and also identifies the key barriers to accessing healthcare for these communities. Features statistics on demographics, barriers to care, workforce, preventive care, substance use and mental health, maternal health, and outcomes, with breakdowns by rural and nonrural locations. Data in this report represents the New Hampshire landscape from 2013-2019, prior to COVID-19 impacts.
Date: 03/2021
Type: Document
Sponsoring organization: New Hampshire Rural Health & Primary Care
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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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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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Rural and Non-Rural New Hampshire Regional Public Health Networks 2017/2018
County-level map with shadings showing rural and non-rural regional public health network areas.
Date: 2021
Type: Map/Mapping System
Sponsoring organization: New Hampshire Rural Health & Primary Care
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Opioid Initiation and Injection Transition in Rural Northern New England: A Mixed-methods Approach
Highlights a study on opioid initiation and transition to opioid injection in rural New England. Bases findings on interviews with opioid users in 11 rural counties in Massachusetts, Vermont, and New Hampshire. Tracks the time and circumstances of first opioid use to first opioid injection.
Author(s): Kerry Nolte, Aurora L. Drew, Peter D. Friedmann, et al.
Citation: Drug and Alcohol Dependence, 217(1), 108256
Date: 12/2020
Type: Document
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Substance Use Disorder: Reliable Data Needed for Substance Abuse Prevention and Treatment Block Grant Program
Reviews what is known about the number of substance use disorder (SUD) treatment facilities and services, overall treatment capacity, and barriers to expanding capacity. Describes the Substance Abuse Prevention and Treatment Block Grant (SABG), State Targeted Response to the Opioid Crisis (STR) and State Opioid Response (SOR) programs, and examines how seven states utilized these programs. Evaluates the data used to assess the effectiveness of these programs, and offers recommendations to improve the reliability of data collected on individuals served by the SABG program.
Additional links: Full Report
Date: 12/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Listening to Rural Stories: Q&A with Alisa Druzba
An interview with Alisa Druzba, director of the New Hampshire's Office of Rural Health and Primary Care, who discusses her journey to becoming a State Office of Rural Health (SORH) director, the impact of the COVID-19 pandemic on her state, and the work her office focuses on to support rural New Hampshire.
Author(s): Allee Mead
Date: 11/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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