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Rural Health
Resources by State: Oregon

Identifying Adverse Drug Events in Rural Hospitals: An Eight-State Study
Analyzes adverse drug events (ADEs), or events involving patient injury resulting from medication use, and identifies ways to improve medication safety in rural hospitals. Uses 2013 data from 8 states with significant rural populations, and examines ADE rates based on hospital characteristics and across 4 main categories: steroids, antibiotics, opiates/narcotics, and anticoagulants. Companion brief lists resources that can be used to reduce and prevent ADEs in rural hospitals, including rural prospective payment system (PPS) hospitals and Critical Access Hospitals (CAHs).
Additional links: Resources to Reduce Adverse Drug Events in Rural Hospitals
Author(s): Michelle Casey, Peiyin Hung, Emma Distel, Shailendra Prasad
Date: 05/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Learning by Doing: The MD-PA Interprofessional Education Rural Rotation
Describes the Combined Medical-Physician Assistant Student Rural Rotation (Med-PARR) program at the Oregon Health & Science University, in which pairs of third-year MD students and second-year PA students spend 5 weeks together in a primary-care-focused clinical rotation in a rural area.
Author(s): Ryan Palmer, Curt Stilp
Citation: Rural and Remote Health, 17(1), 4167
Date: 03/2017
Type: Document
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Evaluation of Rural vs Urban Trauma Patients Served by 9-1-1 Emergency Medical Services
Evaluates differences in rural and urban emergency medical services (EMS) using injury severity, care process, and mortality among injured patients based on data from rural and urban Oregon and Washington. Addresses distance to trauma centers, EMS structures, timing of death, and other factors.
Author(s): Craig D. Newgard, Rongwei Fu, Eileen Bulger, et al.
Citation: JAMA Surgery, 152(1), 11-18
Date: 01/2017
Type: Document
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Oregon Guide to Health Care Partnerships for Community-Based Organizations and Advocates Supporting Survivors of Domestic Violence in Health Care Settings
Offers guidance, recommendations, program experiences, and other resources for non-clinical domestic and sexual violence (D/SV) intervention advocates in developing a practice and partnership model, the Safer Futures model, that benefits survivors of intimate partner violence.
Author(s): Sarah Keefe, Christine Heyen, Anna Rockhill, Ericka Kimball
Date: 2017
Type: Document
Sponsoring organization: Oregon Department of Justice
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Oregon Rural And Frontier Health Facility Listening Tour, 2017
Reports on common issues, themes, and challenges found on the Oregon Office of Rural Health's 2017 rural and frontier health facility listening tour. Includes a focus on the behavioral health system and provides county-level statistics on key indicators, such as mortality, healthcare utilization, unemployment, substance abuse, and more.
Date: 2017
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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Hydration and Cooling Practices Among Farmworkers in Oregon and Washington
Details a study on farmworkers' knowledge and practice of hydration and cooling measures in Oregon and Washington. Breaks down data by crops grown, main job tasks, and modes of hydration and cooling, among others factors.
Author(s): Jeffrey W. Bethel, June T. Spector, Jennifer Krenz
Citation: Journal of Agromedicine, 22(3), 222-228
Date: 2017
Type: Document
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Health Districts in Oregon
Describes Oregon's current health district landscape and explains the legal role of health districts under Oregon law. Includes background information on the organization and purpose of health districts, and the role they play in maintaining healthcare access for rural areas.
Author(s): Paul B. McGinnis, Sonya Howk, Emerson Ong, Jennifer Simeon
Date: 12/2016
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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Case Studies of 6 Teledentistry Programs: Strategies to Increase Access to General and Specialty Dental Services
Describes the delivery of teledentistry services by six provider organizations with different organizational structures. Discusses teledentistry as a method for improving rural access to oral health services. Identifies common themes, including the benefits of and barriers to teledentistry.
Additional links: Policy Brief
Author(s): Margaret Langelier, Carol Rodat, Jean Moore
Date: 12/2016
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Early Elective Delivery and Vaginal Birth After Cesarean in Rural US Maternity Hospitals
Results of a telephone survey of 263 rural hospitals in nine states, describing policies related to early elective delivery and vaginal birth after cesarean procedures. Includes statistics with breakdowns by birth volume, types and numbers of clinicians delivering babies, and types of operating rooms for cesareans.
Author(s): Demetra Heinrich, Rachel Vogel, Katy Kozhimannil
Citation: Rural and Remote Health, 16(4), 3956
Date: 11/2016
Type: Document
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Adequacy of EMS Systems of Care Protocols for Adults with OHCA, STEMI & Stroke in Oregon: A Structured Review
Examines the emergency medical services (EMS) treatment protocols practiced in ambulance agencies in Oregon. Focuses on how they align with evidence-based practices for EMS treatment for adult patients with out-of-hospital cardiac arrest (OHCA), STEMI (ST Elevation Myocardial Infarction), and stroke. Includes rural/urban comparisons.
Additional links: Executive Report
Author(s): Paul S. Rostykus
Date: 10/2016
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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