Rural Health
Resources by State: Vermont
"The Source of All My Joy and All My Stress": Children and Childcare as Underappreciated Sources of Stress That Affect Farm Women
Identifies themes from focus groups and photovoice with 101 farm women showing the intersections of mental well-being, children and farm safety, farm work, and household responsibilities. Discusses the triple burden of farm women and how gender-based expectations of care work on a farm.
Author(s): Florence Becot, Shoshanah Inwood, Hannah Budge
Citation: Journal of Agromedicine, 2024
Date: 11/2024
Type: Document
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Identifies themes from focus groups and photovoice with 101 farm women showing the intersections of mental well-being, children and farm safety, farm work, and household responsibilities. Discusses the triple burden of farm women and how gender-based expectations of care work on a farm.
Author(s): Florence Becot, Shoshanah Inwood, Hannah Budge
Citation: Journal of Agromedicine, 2024
Date: 11/2024
Type: Document
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A Qualitative Study of Rural Plant-Based Eaters' Knowledge and Practices for Nutritional Adequacy
Examines nutritional knowledge, strategies, and access to nutritional expertise among 28 adults who follow a flexitarian, pescatarian, vegan, or vegetarian diet in rural Vermont. Discusses factors influencing the nutritional adequacy of plant-based diets, and identifies gaps in nutritional support for rural people following plant-based diets.
Author(s): Michelle Leonetti, Jane Kolodinsky, Amy Trubek, Emily H. Belarmino
Citation: Nutrients, 16(20), 3504
Date: 10/2024
Type: Document
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Examines nutritional knowledge, strategies, and access to nutritional expertise among 28 adults who follow a flexitarian, pescatarian, vegan, or vegetarian diet in rural Vermont. Discusses factors influencing the nutritional adequacy of plant-based diets, and identifies gaps in nutritional support for rural people following plant-based diets.
Author(s): Michelle Leonetti, Jane Kolodinsky, Amy Trubek, Emily H. Belarmino
Citation: Nutrients, 16(20), 3504
Date: 10/2024
Type: Document
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Syringe Access, Syringe Sharing, and Perceptions of HCV: A Qualitative Study Exploring the HCV Risk Environment in Rural Northern New England, United States
Highlights a study on syringe access for people who inject drugs (PWID), rates of syringe sharing, and perceived hepatitis C (HCV) risk in rural Northern New England. Bases findings on semi-structured interviews and breaks down data by state of residence, age, and drug of choice, among other measures.
Author(s): Eric Romo, Elyse Bianchet, Patrick Dowd, et al.
Citation: Viruses, 16(9), 1364
Date: 08/2024
Type: Document
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Highlights a study on syringe access for people who inject drugs (PWID), rates of syringe sharing, and perceived hepatitis C (HCV) risk in rural Northern New England. Bases findings on semi-structured interviews and breaks down data by state of residence, age, and drug of choice, among other measures.
Author(s): Eric Romo, Elyse Bianchet, Patrick Dowd, et al.
Citation: Viruses, 16(9), 1364
Date: 08/2024
Type: Document
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Strategies Used to Reduce Harms Associated with Fentanyl Exposure among Rural People Who Use Drugs: Multi-Site Qualitative Findings from the Rural Opioid Initiative
Explores strategies utilized by rural people who use drugs to reduce fentanyl-related harm. Analyzes interviews with 349 people who recently used opioids or injection drugs in 10 states. Discusses awareness of fentanyl contamination, highlights perspectives on common harm reduction strategies, and describes public health applications. Includes state-by-state comparisons of participant demographic data.
Author(s): Suzan M. Walters, Robin Baker, David Frank, et al.
Citation: Harm Reduction Journal, 21, 154
Date: 08/2024
Type: Document
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Explores strategies utilized by rural people who use drugs to reduce fentanyl-related harm. Analyzes interviews with 349 people who recently used opioids or injection drugs in 10 states. Discusses awareness of fentanyl contamination, highlights perspectives on common harm reduction strategies, and describes public health applications. Includes state-by-state comparisons of participant demographic data.
Author(s): Suzan M. Walters, Robin Baker, David Frank, et al.
Citation: Harm Reduction Journal, 21, 154
Date: 08/2024
Type: Document
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Rural Community Health Worker Programs: Proving Value and Finding Sustainability
Features four rural healthcare organizations describing the impact of their community health worker (CHW) programs and strategies for sustaining them. Discusses CHW roles, activities, reimbursement options, and more.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 07/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Features four rural healthcare organizations describing the impact of their community health worker (CHW) programs and strategies for sustaining them. Discusses CHW roles, activities, reimbursement options, and more.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 07/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Experiences Participating in Federal Nutrition Assistance Programs During the Early Months of the COVID-19 Pandemic: An Investigation in Vermont
Analyzes participant experiences with federal nutrition assistance programs during the COVID-19 period of July 2020 to September 2020 in Vermont. Utilizes qualitative and quantitative feedback to analyze program participation, food insecurity, perceived stress, and fruit and vegetable intake. Discusses rurality as a factor in food insecurity during the COVID-19 pandemic.
Author(s): Emma H. Spence, Meredith T. Niles, Farryl Bertmann, Emily H. Belarmino
Citation: Nutrition Journal, 23, 74
Date: 07/2024
Type: Document
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Analyzes participant experiences with federal nutrition assistance programs during the COVID-19 period of July 2020 to September 2020 in Vermont. Utilizes qualitative and quantitative feedback to analyze program participation, food insecurity, perceived stress, and fruit and vegetable intake. Discusses rurality as a factor in food insecurity during the COVID-19 pandemic.
Author(s): Emma H. Spence, Meredith T. Niles, Farryl Bertmann, Emily H. Belarmino
Citation: Nutrition Journal, 23, 74
Date: 07/2024
Type: Document
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Selected Rural Healthcare Facilities in Vermont
Shows the state's Critical Access Hospitals (CAHs), Rural Emergency Hospitals (REHs), and Rural Health Clinics (RHCs), as well as Federally Qualified Health Center (FQHC) sites and short term/PPS (Prospective Payment System) hospitals located in rural areas.
Date: 07/2024
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Shows the state's Critical Access Hospitals (CAHs), Rural Emergency Hospitals (REHs), and Rural Health Clinics (RHCs), as well as Federally Qualified Health Center (FQHC) sites and short term/PPS (Prospective Payment System) hospitals located in rural areas.
Date: 07/2024
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Evaluation of the Vermont All-Payer Accountable Care Organization Model: 2018-2022 - Fourth Evaluation Report
Evaluates the first five performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes analyses of Medicare ACO subgroups and Medicaid spending, utilization, and quality of care trends. Outlines challenges and lessons learned.
Additional links: Findings at a Glance, Technical Appendices
Date: 06/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the first five performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes analyses of Medicare ACO subgroups and Medicaid spending, utilization, and quality of care trends. Outlines challenges and lessons learned.
Additional links: Findings at a Glance, Technical Appendices
Date: 06/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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"I Don't Think That a Medication Is Going to Help Someone Long-Term Stay off Opioids": Treatment and Recovery Beliefs of Rural Vermont Family Members of People with Opioid Use Disorder
Examines beliefs related to opioid use disorder (OUD) treatment and recovery from the perspective of the family members of people with OUD. Analyzes interview data from 20 rural Vermont family members and discusses themes such as medication for OUD (MOUD), OUD treatment and mental health services, patient readiness for OUD treatment, and stigma.
Author(s): Catherine E. Peasley-Miklus, Julia G. Shaw, Katie Rosingana, et al.
Citation: Journal of Rural Health
Date: 06/2024
Type: Document
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Examines beliefs related to opioid use disorder (OUD) treatment and recovery from the perspective of the family members of people with OUD. Analyzes interview data from 20 rural Vermont family members and discusses themes such as medication for OUD (MOUD), OUD treatment and mental health services, patient readiness for OUD treatment, and stigma.
Author(s): Catherine E. Peasley-Miklus, Julia G. Shaw, Katie Rosingana, et al.
Citation: Journal of Rural Health
Date: 06/2024
Type: Document
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Perspectives on Opioid Use Disorder Treatment Access and Engagement from Rural Family Members and People in Treatment
Reports on interviews with 20 family members in rural Vermont of people using either medications for opioid use disorder (MOUD) or illicit opioids. Highlights themes identified include facilitators and barriers to MOUD treatment access and engagement, recovery success, unmet needs, and recommendations for improvement to care. Discusses overlap and key differences in themes between family members and people in treatment in previously published reports.
Date: 04/2024
Type: Document
Sponsoring organizations: Substance Use Research and Evaluation, University of Vermont Center on Rural Addiction
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Reports on interviews with 20 family members in rural Vermont of people using either medications for opioid use disorder (MOUD) or illicit opioids. Highlights themes identified include facilitators and barriers to MOUD treatment access and engagement, recovery success, unmet needs, and recommendations for improvement to care. Discusses overlap and key differences in themes between family members and people in treatment in previously published reports.
Date: 04/2024
Type: Document
Sponsoring organizations: Substance Use Research and Evaluation, University of Vermont Center on Rural Addiction
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