Rural Health
Resources by State: Tennessee
Broadband Impact on Education and Workforce during the COVID-19 Pandemic
Analyzes impacts of a mobile hotspot lending program in eight rural Tennessee counties during the COVID-19 pandemic. Provides data on participant characteristics, interest in broadband subscription, and effects of COVID-19 on work productivity, school attendance, and academic performance. Describes policies and frameworks for the implementation of similar broadband access programs.
Author(s): Isabella Baxter, Sreedhar Upendram
Date: 11/2022
Type: Document
Sponsoring organization: Southern Rural Development Center
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Analyzes impacts of a mobile hotspot lending program in eight rural Tennessee counties during the COVID-19 pandemic. Provides data on participant characteristics, interest in broadband subscription, and effects of COVID-19 on work productivity, school attendance, and academic performance. Describes policies and frameworks for the implementation of similar broadband access programs.
Author(s): Isabella Baxter, Sreedhar Upendram
Date: 11/2022
Type: Document
Sponsoring organization: Southern Rural Development Center
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Social Media and Use of Electronic Nicotine Delivery Systems among School-Going Adolescents in a Rural Distressed Appalachian Community
Evaluates the influence of social media engagement on electronic nicotine delivery system (ENDS) use among 399 8th and 9th grade students in a rural Appalachian county in Tennessee. Provides data on current and ever ENDS use, social media use by type of platform, use of social media to discuss ENDS, attitudes toward ease of ENDS access and danger to health, parental advice against tobacco use, and participant demographics.
Author(s): H.M. Mamudu, C.A. Nwabueze, J.S. Yang, et al.
Citation: Preventive Medicine Reports, 29, 101953
Date: 10/2022
Type: Document
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Evaluates the influence of social media engagement on electronic nicotine delivery system (ENDS) use among 399 8th and 9th grade students in a rural Appalachian county in Tennessee. Provides data on current and ever ENDS use, social media use by type of platform, use of social media to discuss ENDS, attitudes toward ease of ENDS access and danger to health, parental advice against tobacco use, and participant demographics.
Author(s): H.M. Mamudu, C.A. Nwabueze, J.S. Yang, et al.
Citation: Preventive Medicine Reports, 29, 101953
Date: 10/2022
Type: Document
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Consumer Finances in Rural Appalachia
Describes the financial needs and challenges of consumers in rural Appalachia. Features sections on consumer finance profiles, including a section on medical debt, and consumer distress and delinquencies. Appendix A includes state-level statistics for the 13 Appalachian states, including percent of rural people with medical debt in the state.
Author(s): Matthew Liu, Cooper Luce, Michael Orevba, Shawn Sebastian, Cortnie Shupe
Date: 09/2022
Type: Document
Sponsoring organization: Consumer Financial Protection Bureau
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Describes the financial needs and challenges of consumers in rural Appalachia. Features sections on consumer finance profiles, including a section on medical debt, and consumer distress and delinquencies. Appendix A includes state-level statistics for the 13 Appalachian states, including percent of rural people with medical debt in the state.
Author(s): Matthew Liu, Cooper Luce, Michael Orevba, Shawn Sebastian, Cortnie Shupe
Date: 09/2022
Type: Document
Sponsoring organization: Consumer Financial Protection Bureau
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Perceptions of How Integrated Care Impacts Treatment in Rural Settings
Examines provider perceptions when working in rural integrated care contexts. Analyzes 8 interviews from primary and behavioral health professionals in Ohio, Maine, and Tennessee about their experiences on integrated care teams and discusses themes such as healthcare access, interprofessional education, and provider communication.
Author(s): Dawn Graham, Samantha Nandyal, Salonas Ayad
Citation: Ohio Journal of Public Health, 5(1), 79-84
Date: 08/2022
Type: Document
Sponsoring organization: Ohio Public Health Association
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Examines provider perceptions when working in rural integrated care contexts. Analyzes 8 interviews from primary and behavioral health professionals in Ohio, Maine, and Tennessee about their experiences on integrated care teams and discusses themes such as healthcare access, interprofessional education, and provider communication.
Author(s): Dawn Graham, Samantha Nandyal, Salonas Ayad
Citation: Ohio Journal of Public Health, 5(1), 79-84
Date: 08/2022
Type: Document
Sponsoring organization: Ohio Public Health Association
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An Algorithm Using Administrative Data to Measure Adverse Childhood Experiences (ADM‐ACE)
Article discussing the development and methodology of an administrative data tool to measure adverse childhood experiences (ADM-ACE), which researchers applied to 2018 claims and enrollment data for the Tennessee Medicaid program (TennCare). Presents ADM-ACE statistics drawn from the Tennessee data, and outlines how measures of adverse childhood experiences were defined and applied in the study. Offers rural/urban comparisons for rates of ADM-ACE prevalence.
Author(s): Laura E. Henkhaus, Gilbert Gonzales, Melinda B. Buntin
Citation: Health Services Research, 57(4), 963-972
Date: 08/2022
Type: Document
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Article discussing the development and methodology of an administrative data tool to measure adverse childhood experiences (ADM-ACE), which researchers applied to 2018 claims and enrollment data for the Tennessee Medicaid program (TennCare). Presents ADM-ACE statistics drawn from the Tennessee data, and outlines how measures of adverse childhood experiences were defined and applied in the study. Offers rural/urban comparisons for rates of ADM-ACE prevalence.
Author(s): Laura E. Henkhaus, Gilbert Gonzales, Melinda B. Buntin
Citation: Health Services Research, 57(4), 963-972
Date: 08/2022
Type: Document
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Farm Dinner Theater: Farmers Helping Farmers
Video highlighting a Cooperative Extension-led program where community members take part in dinner theater productions that focus on issues related to farm health.
Date: 07/2022
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Video highlighting a Cooperative Extension-led program where community members take part in dinner theater productions that focus on issues related to farm health.
Date: 07/2022
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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DRCHSD Spotlight on Henry County Medical Center
Discusses how the Delta Region Community Health Systems Development Program and the Henry County Medical Center in Tennessee assemble a group of diverse community partners to identify and address the behavioral health gaps in their community.
Date: 05/2022
Type: Video/Multimedia
Sponsoring organization: National Rural Health Resource Center
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Discusses how the Delta Region Community Health Systems Development Program and the Henry County Medical Center in Tennessee assemble a group of diverse community partners to identify and address the behavioral health gaps in their community.
Date: 05/2022
Type: Video/Multimedia
Sponsoring organization: National Rural Health Resource Center
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Evaluating Access to Pediatric Dental Care in the Southeast States
Analyzed 2019 American Community Survey data to evaluate dental care access for children in 10 southeastern states. Considers insurance type and rurality. Makes recommendations for policymakers considering interventions. Note the abstract to the publisher's final edited version of this article.
Author(s): Nicoleta Serban, Simin Ma, Katrine Pospichel, Lisha Yang
Citation: The Journal of the American Dental Association, 153(4), 330-341
Date: 04/2022
Type: Document
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Analyzed 2019 American Community Survey data to evaluate dental care access for children in 10 southeastern states. Considers insurance type and rurality. Makes recommendations for policymakers considering interventions. Note the abstract to the publisher's final edited version of this article.
Author(s): Nicoleta Serban, Simin Ma, Katrine Pospichel, Lisha Yang
Citation: The Journal of the American Dental Association, 153(4), 330-341
Date: 04/2022
Type: Document
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Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Fifth Annual Report
Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Reports on the experiences of home health agencies and patients through 2020, the fifth performance year of the HHVBP Model, and the third year that agencies in the HHVBP states received a payment adjustment. Examines the impacts of the HHVBP Model on Medicare expenditures, healthcare utilization, quality of care and patient experience, and agency operations. Discusses rural access to high-quality home health agencies and the impact of HHVBP on rural home health patients.
Additional links: Findings at a Glance, Technical Appendices
Author(s): Alyssa Pozniak, Marc Turenne, Eric Lammers, et al.
Date: 04/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Reports on the experiences of home health agencies and patients through 2020, the fifth performance year of the HHVBP Model, and the third year that agencies in the HHVBP states received a payment adjustment. Examines the impacts of the HHVBP Model on Medicare expenditures, healthcare utilization, quality of care and patient experience, and agency operations. Discusses rural access to high-quality home health agencies and the impact of HHVBP on rural home health patients.
Additional links: Findings at a Glance, Technical Appendices
Author(s): Alyssa Pozniak, Marc Turenne, Eric Lammers, et al.
Date: 04/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Differences in Distress Between Rural and Non-rural Appalachian Breast Cancer Patient / Caregiver Dyads During the First Year of Treatment
Results of a pilot study measuring self-reported anxiety, depression, and caregiver strain among 48 Appalachian breast cancer patients and their caregivers, as identified by the University of Tennessee Medical Center from 2019-2020. Features demographics and statistics on types of psychological distress at baseline, 6-week, 6-month, and 12-month time frames, with breakdowns by rural or nonrural location.
Author(s): Jordan Tasman, Callie D. McAdams, Jillian Lloyd, Ashton J. Brooks, Patricia Nola Eugene Roberson
Citation: Journal of Appalachian Health, 4(3), 56-70
Date: 03/2022
Type: Document
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Results of a pilot study measuring self-reported anxiety, depression, and caregiver strain among 48 Appalachian breast cancer patients and their caregivers, as identified by the University of Tennessee Medical Center from 2019-2020. Features demographics and statistics on types of psychological distress at baseline, 6-week, 6-month, and 12-month time frames, with breakdowns by rural or nonrural location.
Author(s): Jordan Tasman, Callie D. McAdams, Jillian Lloyd, Ashton J. Brooks, Patricia Nola Eugene Roberson
Citation: Journal of Appalachian Health, 4(3), 56-70
Date: 03/2022
Type: Document
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