Rural Health
Resources by Topic: Access
Palliative Care Needs and Preferences of Older Adults with Advanced or Serious Chronic Illnesses and their Families in Rural Communities of Indiana, USA
Presents the experiences of caregivers in rural Indiana related to palliative care, the needs of older adults with chronic illnesses, and the impacts on their families. Discusses themes such as managing pain, caregiver trust, distance and access to care, managing difficult conversations, caregiver burden, and use of telehealth in rural areas.
Author(s): Nasreen Lalani, Kawther Hamash, Yitong Wang
Citation: Journal of Rural Health, 40(2), 368-375
Date: 08/2023
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Presents the experiences of caregivers in rural Indiana related to palliative care, the needs of older adults with chronic illnesses, and the impacts on their families. Discusses themes such as managing pain, caregiver trust, distance and access to care, managing difficult conversations, caregiver burden, and use of telehealth in rural areas.
Author(s): Nasreen Lalani, Kawther Hamash, Yitong Wang
Citation: Journal of Rural Health, 40(2), 368-375
Date: 08/2023
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Tracking The Elusive Medicaid Workforce To Improve Access
Discusses challenges to evaluating Medicaid enrollees' access to primary care providers. Describes how the Fitzhugh Mullan Institute for Health Workforce Equity used the Transformed Medicaid Statistical Information System (T-MSIS) to examine the primary care workforce providing healthcare to Medicaid enrollees. Outlines Medicaid workforce policy challenges, including federal regulations, workforce composition and supply, and community and market factors.
Author(s): Candice Chen, Qian "Eric" Luo, Mandar Bodas, et al.
Citation: Health Affairs Forefront
Date: 08/2023
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Discusses challenges to evaluating Medicaid enrollees' access to primary care providers. Describes how the Fitzhugh Mullan Institute for Health Workforce Equity used the Transformed Medicaid Statistical Information System (T-MSIS) to examine the primary care workforce providing healthcare to Medicaid enrollees. Outlines Medicaid workforce policy challenges, including federal regulations, workforce composition and supply, and community and market factors.
Author(s): Candice Chen, Qian "Eric" Luo, Mandar Bodas, et al.
Citation: Health Affairs Forefront
Date: 08/2023
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Meals on Wheels and Rural Communities, with Carter Florence and Shon Gress
An episode of the Exploring Rural Health podcast featuring Carter Florence, DrPH, MPH, Vice President of Programs with Meals on Wheels America, and Shon Gress, CEO and Executive Director of Meals on Wheels Guernsey County. Focuses on the benefits of the program, the impact of braided funding, and how rural stakeholders can get involved.
Date: 08/2023
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Carter Florence, DrPH, MPH, Vice President of Programs with Meals on Wheels America, and Shon Gress, CEO and Executive Director of Meals on Wheels Guernsey County. Focuses on the benefits of the program, the impact of braided funding, and how rural stakeholders can get involved.
Date: 08/2023
Sponsoring organization: Rural Health Information Hub
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Where You Live Matters: Maternity Care Deserts and the Crisis of Access and Equity
Provides interactive state-by-state data on maternity care deserts in the U.S. Focuses on access, distance to maternity care, availability of family planning services, disparities in prenatal care, chronic health conditions and preterm birth, policy solutions, and more. Includes county-level maps of data as well as accompanying state summaries, infographics, and downloadable reports.
Date: 08/2023
Sponsoring organization: March of Dimes
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Provides interactive state-by-state data on maternity care deserts in the U.S. Focuses on access, distance to maternity care, availability of family planning services, disparities in prenatal care, chronic health conditions and preterm birth, policy solutions, and more. Includes county-level maps of data as well as accompanying state summaries, infographics, and downloadable reports.
Date: 08/2023
Sponsoring organization: March of Dimes
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Kentucky Physician Report 2022
Reports on the Kentucky primary care physician workforce distribution and shortages as of 2022. Features statistics on provider-to-population ratios and geographic distribution, with breakdowns by urban, rural, Delta, and Appalachian areas, and includes a county-level map showing numbers of physicians.
Author(s): Sydney P. Howard, Kaden Boots, Frances Feltner
Date: 08/2023
Sponsoring organization: University of Kentucky Center of Excellence in Rural Health
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Reports on the Kentucky primary care physician workforce distribution and shortages as of 2022. Features statistics on provider-to-population ratios and geographic distribution, with breakdowns by urban, rural, Delta, and Appalachian areas, and includes a county-level map showing numbers of physicians.
Author(s): Sydney P. Howard, Kaden Boots, Frances Feltner
Date: 08/2023
Sponsoring organization: University of Kentucky Center of Excellence in Rural Health
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Strategies to Improve Communication and Messaging in Rural Populations: Guidance for Supporting Vaccination
Discusses strategies and resources to promote effective communication about the COVID-19 vaccine and other vaccines in rural, tribal, and frontier communities. Details topics including effective communication, cultural diversity, cooperation and partnerships, rural barriers to access, and more.
Date: 07/2023
Sponsoring organization: CDC Foundation
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Discusses strategies and resources to promote effective communication about the COVID-19 vaccine and other vaccines in rural, tribal, and frontier communities. Details topics including effective communication, cultural diversity, cooperation and partnerships, rural barriers to access, and more.
Date: 07/2023
Sponsoring organization: CDC Foundation
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Home-Based Pulmonary Rehabilitation
Highlights a model for delivering home-based pulmonary rehabilitation care for older rural veterans. Presents challenges facing rural veterans with pulmonary diseases, such as COPD, and explores methods for at-home rehabilitation via a 12-week treatment plan.
Additional links: One-page Overview
Date: 07/2023
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Highlights a model for delivering home-based pulmonary rehabilitation care for older rural veterans. Presents challenges facing rural veterans with pulmonary diseases, such as COPD, and explores methods for at-home rehabilitation via a 12-week treatment plan.
Additional links: One-page Overview
Date: 07/2023
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Improving the Social Determinants of Health in Rural America Through Medicaid Section 1115 Waivers
Policy brief discussing how Medicaid Section 1115 waivers can allow states to modify the social determinants of health in rural areas through pilot programs, delivery system reform, or enhanced benefit packages. Highlights existing Section 1115 waiver programs and recently approved and renewed waivers, as well as challenges related to improving health-related social needs and access to services in rural areas. Offers policy recommendations to improve health equity in rural areas through Medicaid programs.
Author(s): Alexandra Zimmerman
Date: 07/2023
Sponsoring organization: National Rural Health Association
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Policy brief discussing how Medicaid Section 1115 waivers can allow states to modify the social determinants of health in rural areas through pilot programs, delivery system reform, or enhanced benefit packages. Highlights existing Section 1115 waiver programs and recently approved and renewed waivers, as well as challenges related to improving health-related social needs and access to services in rural areas. Offers policy recommendations to improve health equity in rural areas through Medicaid programs.
Author(s): Alexandra Zimmerman
Date: 07/2023
Sponsoring organization: National Rural Health Association
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COVID-19 Impact on Dental Service Delivery, Financing, Regulation, and Education Systems: An Environmental Scan
Describes the immediate and longer-term impacts of the COVID-19 pandemic on dental care delivery, regulation, education, and finance. Mentions rural throughout.
Author(s): Margaret Langelier, Aubri Kottek, Theekshana Fernando, et al.
Date: 07/2023
Sponsoring organization: Oral Health Workforce Research Center
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Describes the immediate and longer-term impacts of the COVID-19 pandemic on dental care delivery, regulation, education, and finance. Mentions rural throughout.
Author(s): Margaret Langelier, Aubri Kottek, Theekshana Fernando, et al.
Date: 07/2023
Sponsoring organization: Oral Health Workforce Research Center
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Leveraging Policy Changes Made in Response to COVID-19 to Advance Telehealth and Novel Treatment Approaches for People Who Use Opioids: Qualitative Perspective from Two Rural North Carolina Communities
Results of interviews with 10 providers of healthcare and supportive services for people who use opioids in rural counties in North Carolina. Discusses topics including COVID-19's influence on telehealth, models for opioid treatment delivery in rural areas, and common barriers to service access. Identifies strategies for facilitating services in rural areas, including expanded telehealth access and implementation of other service delivery models.
Author(s): Hillary Chen, Brandon A. Knettel, Lisa Macon Harrison, et al.
Citation: North Carolina Medical Journal, 84(5), 54-60
Date: 07/2023
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Results of interviews with 10 providers of healthcare and supportive services for people who use opioids in rural counties in North Carolina. Discusses topics including COVID-19's influence on telehealth, models for opioid treatment delivery in rural areas, and common barriers to service access. Identifies strategies for facilitating services in rural areas, including expanded telehealth access and implementation of other service delivery models.
Author(s): Hillary Chen, Brandon A. Knettel, Lisa Macon Harrison, et al.
Citation: North Carolina Medical Journal, 84(5), 54-60
Date: 07/2023
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