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Rural Health
Resources by State: New York

The Social Determinants of Health and the Decline in U.S. Life Expectancy: Implications for Appalachia
Study explores life expectancy in the U.S. and compares these trends to those in Appalachia. Looks at social determinants of health such as substance use, injuries, and suicide, among others, as possible contributing factors.
Author(s): Steven H. Woolf, Heidi Schoomaker, Latoya Hill, Christine M. Orndahl
Citation: Journal of Appalachian Health, 1(1), 6-14
Date: 2019
Type: Document
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State Innovation Models (SIM) Round 2: Model Test Annual Report Three
Third annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Addresses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Offers an update and lessons learned on strategies to support healthcare delivery transformation related to behavioral health integration, data for improving health care quality and performance, health information technology, care coordination, and workforce development. Describes states' population health activities. Includes discussion of rural issues throughout the report.
Additional links: Findings at a Glance
Date: 2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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The Ecology of Neonatal Abstinence Syndrome
Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Type: Document
Sponsoring organization: RAND Corporation
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Building a Pediatric Patient Registry to Study Health Outcomes Among Transgender and Gender Expansive Youth at a Rural Gender Clinic
Describes the creation of a registry of transgender and gender expansive youth patients at a rural New York gender clinic for the purpose of filling gaps about knowledge in gender-affirming therapy. 139 patients consented to enrollment in the registry. Figure 6 includes a rural and urban breakdown of patient residences. Discusses registry design and data gathered including ethical considerations given to geographic data in regards to privacy and low population levels in rural areas.
Author(s): Jane O'Bryan, Kimberly Leon, Carolyn Wolf-Gould, et al.
Citation: Transgender Health 3(1), 179-189
Date: 12/2018
Type: Document
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Leveraging Technology to Promote Smoking Cessation in Urban and Rural Primary Care Medical Offices
Study examining use of telemedicine to promote smoking cessation in 8 New York counties, comparing the effectiveness of automated voice recognition (AVR) messages directed to underserved urban and rural populations. Analyzes data from 5812 participants based on age, sex, race, and residence in rural compared to urban areas.
Author(s): Martin Mahoney, Deborah Erwin, Annamaria Twarozek, et al.
Citation: Preventative Medicine, 114, 102-106
Date: 09/2018
Type: Document
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Exploring the Rural Context for Adverse Childhood Experiences (ACEs)
Discusses adverse childhood experiences (ACEs) and how they may impact rural health. Provides policy recommendations focused on the rural dimensions of ACEs. Addresses categories of ACEs, prevalence in rural areas and for Native populations, federal efforts to address ACEs, and the opioid epidemic. Covers the role of school-based healthcare programs to increase access to pediatric specialty services or linking children to needed non-medical services. Profiles a committee site visit focused on a model ACEs program in New York in Appendix A.
Date: 08/2018
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Identifying Bright Spots in Appalachian Health: Statistical Analysis
Describes analysis used in assessing how Appalachia's 420 counties scored in 19 health indicators, and identifies counties with health outcomes that were better than expected. Features statistics and county-level maps showing economic status. Second in a series of reports exploring health issues in Appalachia.
Author(s): G. Mark Holmes, Nancy M. Lane, William Holding, et al.
Date: 07/2018
Type: Document
Sponsoring organizations: Appalachian Regional Commission, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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Exploring Bright Spots in Appalachian Health: Case Studies
In-depth studies of 10 Appalachian counties with health outcomes that are better than expected, given their characteristics and resources. Identifies actions these areas are taking to improve health and well-being. Features statistics including demographics and health-related data, and maps showing economic status of Appalachian counties. Third in a series of reports exploring health issues in Appalachia.
Author(s): Nancy M. Lane, G. Mark Holmes, Thomas A. Arcury, et al.
Date: 07/2018
Type: Document
Sponsoring organizations: Appalachian Regional Commission, Burness, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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A Comparative Analysis of New York's Active Nurse Practitioners and Physician Assistants
Research brief using data drawn from survey responses collected between September 2015 - December 2017, exploring similarities and differences between New York state physician assistants and nurse practitioners. Features statistics with breakdowns by rural and urban practice locations.
Author(s): Yuhao Liu, Robert Martiniano, Jean Moore
Date: 05/2018
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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National Advisory Committee on Rural Health and Human Services Meeting Minutes, Saratoga Springs, New York, April 16-18, 2018
Summarizes the 83rd meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Saratoga Springs, New York. Meeting discussion focused on two topics: how Adverse Childhood Experiences (ACEs) can affect health and factors affecting health insurance costs for people in rural areas.
Date: 04/2018
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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