Rural Health
Resources by State: Vermont
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
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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
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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
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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
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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
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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
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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
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
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
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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
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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
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
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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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 to improve care. Discusses overlap and key differences in themes between family members and people in treatment in previously published reports.
Date: 04/2024
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 to improve care. Discusses overlap and key differences in themes between family members and people in treatment in previously published reports.
Date: 04/2024
Sponsoring organizations: Substance Use Research and Evaluation, University of Vermont Center on Rural Addiction
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Fatal Overdoses Among Vermont Residents
Offers data on overdose deaths in Vermont through 2023 including drug types, manner of death, trends over time, demographic characteristics, and policy measures. Includes county-level data in Appendix 1 and 2.
Date: 04/2024
Sponsoring organization: Vermont Department of Health
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Offers data on overdose deaths in Vermont through 2023 including drug types, manner of death, trends over time, demographic characteristics, and policy measures. Includes county-level data in Appendix 1 and 2.
Date: 04/2024
Sponsoring organization: Vermont Department of Health
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Health Care Coalitions: A Resource to Support Critical Access Hospital Emergency Preparedness Planning
Describes unique challenges Critical Access Hospitals (CAHs) face regarding emergency preparedness planning. Presents findings from interviews with leaders from 8 statewide or regional healthcare coalitions (HCCs) regarding strategies and resources HCCs provide to support the CAH emergency preparedness planning process. Outlines the functions and roles of HCCs by the 4 Administration for Strategic Preparedness and Response (ASPR) capability goals.
Author(s): John Gale, Karen Pearson, Rebecca Stearns
Date: 04/2024
Sponsoring organization: Flex Monitoring Team
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Describes unique challenges Critical Access Hospitals (CAHs) face regarding emergency preparedness planning. Presents findings from interviews with leaders from 8 statewide or regional healthcare coalitions (HCCs) regarding strategies and resources HCCs provide to support the CAH emergency preparedness planning process. Outlines the functions and roles of HCCs by the 4 Administration for Strategic Preparedness and Response (ASPR) capability goals.
Author(s): John Gale, Karen Pearson, Rebecca Stearns
Date: 04/2024
Sponsoring organization: Flex Monitoring Team
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Vermont Cancer Data Pages
Includes chapters on cancer risk factors and prevention, incidence, screening, mortality, and survivorship, among 5 populations of Vermonters, including rural people. Features statistics with breakdowns by urban and rural areas.
Date: 03/2024
Sponsoring organization: Vermont Department of Health
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Includes chapters on cancer risk factors and prevention, incidence, screening, mortality, and survivorship, among 5 populations of Vermonters, including rural people. Features statistics with breakdowns by urban and rural areas.
Date: 03/2024
Sponsoring organization: Vermont Department of Health
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