Rural Health
Resources by State: Puerto Rico
Health and Social Services in Puerto Rico Before and After Hurricane Maria
Report details the conditions of health and social services in Puerto Rico before and after Hurricane Maria. Discusses the challenges faced in providing healthcare and social services across the island before the hurricane, the effect of the hurricane on services and infrastructure, and potential plans for recovery. Highlights the specific challenges faced by rural communities with regards to access.
Date: 09/2020
Type: Document
Sponsoring organization: RAND Corporation
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Report details the conditions of health and social services in Puerto Rico before and after Hurricane Maria. Discusses the challenges faced in providing healthcare and social services across the island before the hurricane, the effect of the hurricane on services and infrastructure, and potential plans for recovery. Highlights the specific challenges faced by rural communities with regards to access.
Date: 09/2020
Type: Document
Sponsoring organization: RAND Corporation
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Medicaid and CHIP in Puerto Rico
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in Puerto Rico. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and Puerto Rico spending.
Date: 08/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in Puerto Rico. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and Puerto Rico spending.
Date: 08/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid and CHIP in the Territories
Summarizes federal requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP), as operating in American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands. Features statistics including number of enrollees and percentage of the population enrolled, and program costs, with breakdowns by federal or territory spending levels and by location, using data from fiscal year 2019.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Summarizes federal requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP), as operating in American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands. Features statistics including number of enrollees and percentage of the population enrolled, and program costs, with breakdowns by federal or territory spending levels and by location, using data from fiscal year 2019.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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After Hurricane Maria - Predisaster Conditions, Hurricane Damage, and Recovery Needs in Puerto Rico
Report details the state of Puerto Rico's economy, environment, education, and healthcare both before and after hurricane Maria. Discusses the barriers to rebuilding various infrastructures across the commonwealth, including in rural communities.
Author(s): Jordan R. Fischbach, Linnea Warren May, Katie Whipkey, et al.
Date: 2020
Type: Document
Sponsoring organization: RAND Corporation
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Report details the state of Puerto Rico's economy, environment, education, and healthcare both before and after hurricane Maria. Discusses the barriers to rebuilding various infrastructures across the commonwealth, including in rural communities.
Author(s): Jordan R. Fischbach, Linnea Warren May, Katie Whipkey, et al.
Date: 2020
Type: Document
Sponsoring organization: RAND Corporation
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Migration to the US among Rural Puerto Ricans Who Inject Drugs: Influential Factors, Sources of Support, and Challenges for Harm Reduction Interventions
Details a study of the migration patterns of rural people who inject drugs (PWID) from Puerto Rico to the United States. Breaks down data by age, gender, and HIV and HCV status among other measures.
Author(s): R. Abadie, P. Habecker, C. Gelpi-Acosta, K. Dombrowski
Citation: BMC Public Health, 19, 1710
Date: 12/2019
Type: Document
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Details a study of the migration patterns of rural people who inject drugs (PWID) from Puerto Rico to the United States. Breaks down data by age, gender, and HIV and HCV status among other measures.
Author(s): R. Abadie, P. Habecker, C. Gelpi-Acosta, K. Dombrowski
Citation: BMC Public Health, 19, 1710
Date: 12/2019
Type: Document
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A Shrinking Primary Care Workforce in Puerto Rico
Discusses Puerto Rico's aging primary care workforce and concerns about the number of healthcare professionals who have left the island following the 2017 hurricane and the relatively low recruitment and retention rate for graduates of Puerto Rico's residency programs. Features statistics showing primary care physician age distribution in Puerto Rico compared with the rest of the United States in 2018.
Author(s): Elizabeth Wilkinson, David Killeen, Gabriel José Pérez-López, Yalda Jabbarpour
Date: 12/2019
Type: Document
Sponsoring organization: Robert Graham Center
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Discusses Puerto Rico's aging primary care workforce and concerns about the number of healthcare professionals who have left the island following the 2017 hurricane and the relatively low recruitment and retention rate for graduates of Puerto Rico's residency programs. Features statistics showing primary care physician age distribution in Puerto Rico compared with the rest of the United States in 2018.
Author(s): Elizabeth Wilkinson, David Killeen, Gabriel José Pérez-López, Yalda Jabbarpour
Date: 12/2019
Type: Document
Sponsoring organization: Robert Graham Center
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Assessing Indoor Environmental Control Practices by Race/Ethnicity Among Children With Asthma in 14 US States and Puerto Rico, 2013-2014
Results of a study measuring the association between race/ethnicity and practices such as use of air filters or pillow covers, using data from the Behavioral Risk Factor Surveillance System Asthma Call-back Survey Child Questionnaire. Features demographic statistics with breakdowns by a group of 14 states and Puerto Rico.
Author(s): Faye M. Rozwadowski, Ginger L. Chew, Hatice S. Zahran, Melissa L. Santorelli
Citation: Preventing Chronic Disease, 16
Date: 12/2019
Type: Document
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Results of a study measuring the association between race/ethnicity and practices such as use of air filters or pillow covers, using data from the Behavioral Risk Factor Surveillance System Asthma Call-back Survey Child Questionnaire. Features demographic statistics with breakdowns by a group of 14 states and Puerto Rico.
Author(s): Faye M. Rozwadowski, Ginger L. Chew, Hatice S. Zahran, Melissa L. Santorelli
Citation: Preventing Chronic Disease, 16
Date: 12/2019
Type: Document
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Intergovernmental Advisory Committee to the Federal Communications Commission Advisory Recommendation No: 2019-2 in the Matter of State, Local Tribal, and Territorial Regulatory and Other Barriers and Incentives to Telemedicine
Examines the technical infrastructure necessary for effective telemedicine delivery in state, territorial, tribal, and local (rural and urban) areas. Discusses the regulatory barriers including legislation, licensing, reimbursement, malpractice insurance, and privacy that obstruct its development and utilization, and offers recommendations addressing these barriers. Appendix A presents case studies of broadband and telehealth development in several states and territories.
Date: 11/2019
Type: Document
Sponsoring organizations: Federal Communications Commission, Intergovernmental Advisory Committee to the Federal Communications Commission
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Examines the technical infrastructure necessary for effective telemedicine delivery in state, territorial, tribal, and local (rural and urban) areas. Discusses the regulatory barriers including legislation, licensing, reimbursement, malpractice insurance, and privacy that obstruct its development and utilization, and offers recommendations addressing these barriers. Appendix A presents case studies of broadband and telehealth development in several states and territories.
Date: 11/2019
Type: Document
Sponsoring organizations: Federal Communications Commission, Intergovernmental Advisory Committee to the Federal Communications Commission
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Disaster Response: HHS Should Address Deficiencies Highlighted by Recent Hurricanes in the U.S. Virgin Islands and Puerto Rico
Examines the federal public health and medical services response in the U.S. Virgin Islands and Puerto Rico following the 2017 hurricanes, Irma and Maria. Identifies shortcomings of the response and provides recommendations to improve future response efforts.
Additional links: Full report
Date: 09/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Examines the federal public health and medical services response in the U.S. Virgin Islands and Puerto Rico following the 2017 hurricanes, Irma and Maria. Identifies shortcomings of the response and provides recommendations to improve future response efforts.
Additional links: Full report
Date: 09/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Emergency Management: FEMA's Disaster Recovery Efforts in Puerto Rico and the U.S. Virgin Islands
Describes the disaster recovery efforts of the Federal Emergency Management Agency (FEMA) in Puerto Rico and the U.S. Virgin Islands in response to hurricane damage, including damage to hospitals and infrastructure. Discusses grant funding and recovery office establishment, and addresses the challenges in implementing the public assistance program.
Date: 07/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Describes the disaster recovery efforts of the Federal Emergency Management Agency (FEMA) in Puerto Rico and the U.S. Virgin Islands in response to hurricane damage, including damage to hospitals and infrastructure. Discusses grant funding and recovery office establishment, and addresses the challenges in implementing the public assistance program.
Date: 07/2019
Type: Document
Sponsoring organization: Government Accountability Office
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