Rural Health
Resources by Topic: Access
Disparities in Access to Radiation Therapy by Race and Ethnicity in the United States With Focus on American Indian/Alaska Native People
Explores access to radiation therapy American Indian and Alaska Native people across the U.S. Explores travel distances to receive radiation therapy for AI/AN majority and non-AI/AN majority groups. Breaks down data by Indian Health Service region.
Author(s): Solmaz Amiri, Matthew D. Greer, Clemma J. Muller, et al.
Citation: Value in Health, 25(12), 1929-1938
Date: 12/2022
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Explores access to radiation therapy American Indian and Alaska Native people across the U.S. Explores travel distances to receive radiation therapy for AI/AN majority and non-AI/AN majority groups. Breaks down data by Indian Health Service region.
Author(s): Solmaz Amiri, Matthew D. Greer, Clemma J. Muller, et al.
Citation: Value in Health, 25(12), 1929-1938
Date: 12/2022
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Personal Care Assistance in Rural America
Discusses Personal Care Aide (PCA) scarcity in rural areas using 2013-2017 American Community Survey data. Presents maps and graphs of self-care disability prevalence and PCA availability with breakdowns by region. Also provides graphs comparing rural and urban PCA demographics, including poverty rate, race, educational attainment, sex, age, language spoken at home, and U.S. or foreign place of birth.
Author(s): Lillie Greiman, Rayna A Sage, Timothy Bates, et al.
Date: 12/2022
Sponsoring organizations: Research and Training Center on Disability in Rural Communities, University of California San Francisco Health Workforce Research Center (UCSF HWRC)
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Discusses Personal Care Aide (PCA) scarcity in rural areas using 2013-2017 American Community Survey data. Presents maps and graphs of self-care disability prevalence and PCA availability with breakdowns by region. Also provides graphs comparing rural and urban PCA demographics, including poverty rate, race, educational attainment, sex, age, language spoken at home, and U.S. or foreign place of birth.
Author(s): Lillie Greiman, Rayna A Sage, Timothy Bates, et al.
Date: 12/2022
Sponsoring organizations: Research and Training Center on Disability in Rural Communities, University of California San Francisco Health Workforce Research Center (UCSF HWRC)
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Rural Hospital Stabilization Grant Program Phase 6 Program Report
Provides an overview of the Rural Hospital Stabilization Grant Program for rural Georgia hospitals. Describes projects funded in fiscal year 2021 as part of Phase Six of the program and how funds were used to meet program goals.
Date: 12/2022
Sponsoring organization: Georgia State Office of Rural Health
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Provides an overview of the Rural Hospital Stabilization Grant Program for rural Georgia hospitals. Describes projects funded in fiscal year 2021 as part of Phase Six of the program and how funds were used to meet program goals.
Date: 12/2022
Sponsoring organization: Georgia State Office of Rural Health
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Private Health Insurance: State and Federal Oversight of Provider Networks Varies
Describes oversight responsibilities for the Centers for Medicare & Medicaid, the Department of Labor, and state governments for ensuring adequate private health insurance plans and provider networks. Examines processes for determining adequacy through surveys and interviews with stakeholders from state agencies and medical association groups as well as a review of relevant laws and regulations. Outlines factors for inadequacy including health workforce shortages and distance from in-network services in rural areas.
Additional links: Full Report
Date: 12/2022
Sponsoring organization: Government Accountability Office
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Describes oversight responsibilities for the Centers for Medicare & Medicaid, the Department of Labor, and state governments for ensuring adequate private health insurance plans and provider networks. Examines processes for determining adequacy through surveys and interviews with stakeholders from state agencies and medical association groups as well as a review of relevant laws and regulations. Outlines factors for inadequacy including health workforce shortages and distance from in-network services in rural areas.
Additional links: Full Report
Date: 12/2022
Sponsoring organization: Government Accountability Office
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Exploring Remaining Needs and Opportunities for Improvement in Rural Communities: A Focus on Temporary Assistance for Needy Families (TANF) Programs
Provides an overview of the Temporary Assistance for Needy Families (TANF) program. Presents findings from interviews with TANF program staff and partner organizations regarding delivering TANF services in rural communities. Identifies rural areas with remaining need for TANF cash assistance and Tribal TANF services. Offers providers' lessons learned and recommendations to help inform policy and service delivery moving forward.
Author(s): Emma Ward, Neel Chakraborti, Emily Brimsek, James Murdoch, Heather Hahn
Date: 12/2022
Sponsoring organizations: 2M Research, Administration for Children and Families, Urban Institute
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Provides an overview of the Temporary Assistance for Needy Families (TANF) program. Presents findings from interviews with TANF program staff and partner organizations regarding delivering TANF services in rural communities. Identifies rural areas with remaining need for TANF cash assistance and Tribal TANF services. Offers providers' lessons learned and recommendations to help inform policy and service delivery moving forward.
Author(s): Emma Ward, Neel Chakraborti, Emily Brimsek, James Murdoch, Heather Hahn
Date: 12/2022
Sponsoring organizations: 2M Research, Administration for Children and Families, Urban Institute
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A Snapshot of Racial Inequities in Human Services Programs in Rural Contexts
Examines the need for human services across rural counties and broken down by racial/ethnic groups. Provides data on human services funding per person, unemployment rate, poverty rate, access to broadband, and access to vehicles by rural Black, Hispanic, Native, and White citizens. Includes a 2018 county-level U.S. map that depicts rural counties with high needs for human services.
Author(s): Emma Ward, James Murdoch, Neel Chakraborti
Date: 12/2022
Sponsoring organizations: 2M Research, Administration for Children and Families
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Examines the need for human services across rural counties and broken down by racial/ethnic groups. Provides data on human services funding per person, unemployment rate, poverty rate, access to broadband, and access to vehicles by rural Black, Hispanic, Native, and White citizens. Includes a 2018 county-level U.S. map that depicts rural counties with high needs for human services.
Author(s): Emma Ward, James Murdoch, Neel Chakraborti
Date: 12/2022
Sponsoring organizations: 2M Research, Administration for Children and Families
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Exploring Remaining Needs and Opportunities for Improvement in Rural Communities: A Focus on Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Services
Provides an overview of the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program. Presents findings from interviews with rural human services providers across 8 sites with MIECHV-funded programs. Describes the experiences of rural practitioners as they deliver home visiting services in their communities. Offers lessons learned and practitioner recommendations to help inform policy and service delivery moving forward.
Author(s): Emily Brimsek, James Murdoch, Neel Chakraborti
Date: 12/2022
Sponsoring organizations: 2M Research, Administration for Children and Families
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Provides an overview of the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program. Presents findings from interviews with rural human services providers across 8 sites with MIECHV-funded programs. Describes the experiences of rural practitioners as they deliver home visiting services in their communities. Offers lessons learned and practitioner recommendations to help inform policy and service delivery moving forward.
Author(s): Emily Brimsek, James Murdoch, Neel Chakraborti
Date: 12/2022
Sponsoring organizations: 2M Research, Administration for Children and Families
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A Snapshot of Broadband Access in Rural Communities
Presents findings from interviews with human services staff to describe broadband access in rural areas. Discusses how limited broadband access is a significant barrier to social and economic well-being. Identifies opportunities to increase access to broadband through human services programs in rural contexts.
Author(s): Ashton Cain, Emma Ward, James Murdoch, Neel Chakraborti
Date: 12/2022
Sponsoring organizations: 2M Research, Administration for Children and Families
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Presents findings from interviews with human services staff to describe broadband access in rural areas. Discusses how limited broadband access is a significant barrier to social and economic well-being. Identifies opportunities to increase access to broadband through human services programs in rural contexts.
Author(s): Ashton Cain, Emma Ward, James Murdoch, Neel Chakraborti
Date: 12/2022
Sponsoring organizations: 2M Research, Administration for Children and Families
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Staffing Crisis Casts Shadow Over Vulnerable Rural Communities: Executive Summary
Summarizes key findings from a series of surveys of rural hospital leaders conducted in 2021 and 2022 regarding staffing shortages. Discusses COVID-19 vaccination and exemptions, nursing shortages and the impact on access to care, and the effectiveness of recruiting incentives on attracting staff.
Author(s): Michael Topchik, Troy Brown, Melanie Pinette, Billy Balfour, Ana Wiesse
Date: 12/2022
Sponsoring organization: The Chartis Group
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Summarizes key findings from a series of surveys of rural hospital leaders conducted in 2021 and 2022 regarding staffing shortages. Discusses COVID-19 vaccination and exemptions, nursing shortages and the impact on access to care, and the effectiveness of recruiting incentives on attracting staff.
Author(s): Michael Topchik, Troy Brown, Melanie Pinette, Billy Balfour, Ana Wiesse
Date: 12/2022
Sponsoring organization: The Chartis Group
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Virginia Community Services Boards Behavioral Health Services: 2022
Report on activities of Virginia's Community Services Boards (CSBs), the state's primary mechanism for providing publicly funded behavioral health services in local communities. Includes a section on CSBs' role in providing services to rural areas. Features statistics on numbers of substance use disorder and mental health consumers, with breakdowns by urban and rural CSBs.
Date: 12/2022
Sponsoring organization: Joint Legislative Audit and Review Commission
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Report on activities of Virginia's Community Services Boards (CSBs), the state's primary mechanism for providing publicly funded behavioral health services in local communities. Includes a section on CSBs' role in providing services to rural areas. Features statistics on numbers of substance use disorder and mental health consumers, with breakdowns by urban and rural CSBs.
Date: 12/2022
Sponsoring organization: Joint Legislative Audit and Review Commission
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