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Rural Health
Resources by Topic: Access

Initial Home Dialysis Is Increased for Rural Patients by Accessing Urban Facilities
Investigates health disparities between rural and urban patients with end stage kidney disease (ESKD). Examines 97,930 dialysis initiates from the 2017 United States Renal Data System, broken down by the timing of home dialysis initiation, patient race, disease type, body mass index (BMI), employment status, rural versus urban facility location, and more. Discusses issues of access and disparities in mortality for different populations.
Author(s): Joel T. Adler, S. Ali Husain, Lingwei Xiang, James R. Rodrigue, Sushrut S. Waikar
Citation: Kidney 360, 3, 488-496
Date: 03/2022
Type: Document
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Learning From COVID-19-Related Flexibilities: Moving Toward More Person-Centered Medicare and Medicaid Programs
Presents a person-centered framework to facilitate policymakers' decisions regarding the future of COVID-19-related temporary regulatory flexibilities. Identifies priority flexibilities that should be considered for permanence, modification, or further evaluation. Covers regulatory flexibilities regarding telehealth, scope of practice, Medicare Advantage requirements, and more. Includes rural references throughout.
Date: 03/2022
Type: Document
Sponsoring organizations: Health Management Associates, Manatt Health, The Scan Foundation
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A Descriptive Analysis of Food Pantries in Twelve American States: Hours of Operation, Faith-Based Affiliation, and Location
Describes the development and content of a charitable food dataset, including geographic information for 3,777 food pantries in 12 states. Features statistics including food insecurity in 2013-2015 and numbers of food pantries and faith-based food pantries, with breakdowns by state and urban or rural locations.
Author(s): Natalie D. Riediger, Lindsey Dahl, Rajeshwari A. Biradar, Adriana N. Mudryj, Mahmoud Torabi
Citation: BMC Public Health, 22, 525
Date: 03/2022
Type: Document
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Mental Health Care in the United States: The Case for Federal Action
Bipartisan report summarizing findings from three Senate Finance Committee hearings and a request for information regarding challenges in the mental healthcare system. Describes the prevalence of behavioral health conditions in the United States, the impact of the COVID-19 pandemic, and spending on behavioral health. Outlines key challenges across five cross-cutting areas: the behavioral health workforce; children, adolescents, and young adults; access to care, integration, and care coordination; mental health and substance use disorder (SUD) parity; and telehealth. Includes information on challenges facing rural and underserved communities.
Date: 03/2022
Type: Document
Sponsoring organization: Senate Committee on Finance
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Rural Rising: Economic Development Strategies for America's Heartland
Discusses rural economic development strategies and categorizes rural communities based on proximity to urban areas, tourism, and economic drivers. Offers examples of economic development in different types of rural communities and highlights elements of thriving rural communities, including workforce, access to broadband and healthcare, and community partnerships.
Author(s): Mike Kerlin, Neil O'Farrell, Rachel Riley, Rachel Schaff
Date: 03/2022
Type: Document
Sponsoring organization: McKinsey and Company
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Mental Health Care: Access Challenges for Covered Consumers and Relevant Federal Efforts
Explores the experiences of consumers with health insurance coverage in accessing timely and appropriate mental health care. Describes challenges accessing mental health services, including workforce shortages and broadband availability in rural areas. Identifies ongoing and planned federal efforts to address these challenges.
Additional links: Full Report
Date: 03/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Consequences of Structural Urbanism: Urban–Rural Differences in Cancer Patients' Use and Perceived Importance of Supportive Care Services from a 2017–2018 Midwestern Survey
Examines health disparities in supportive cancer care based on data from 326 rural and urban Midwestern cancer patients from November 2017 to May 2018. Includes participant data broken down by rurality, age, sex, race, marital status, insurance status, and related cancer diagnosis. Discusses closures of healthcare services and limited resources in rural areas and their impact on healthcare access for cancer patients.
Author(s): Marquita W. Lewis-Thames, Patricia Fank, Michelle Gates, et al.
Citation: International Journal of Environmental Research and Public Health, 19(6)
Date: 03/2022
Type: Document
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HHS Strategic Plan FY 2022 - 2026
Identifies the strategic goals and objectives of the U.S. Department of Health and Human Services (HHS). Addresses issues impacting rural and tribal communities, including health disparities, healthcare access, and health workforce. Discusses maternal mortality, emergency preparedness, and other specific concerns.
Date: 03/2022
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Veterans Health Care: Efforts to Hire Licensed Professional Mental Health Counselors and Marriage and Family Therapists
Describes efforts taken by the Veterans Health Administration (VHA) to promote the hiring of licensed professional mental health counselors (LPMHC) and marriage and family therapists (MFT) at Department of Veterans Affairs' facilities. Examines the extent to which VA medical facilities are employing LPMHCs and MFTs and how their recent employment compares with other mental health professions. Discusses considerations regarding the availability of LPMHCs and MFTs in rural communities.
Additional links: Full Report
Date: 03/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Rural Hospital Administrators' Beliefs About Safety, Financial Viability, and Community Need for Offering Obstetric Care
Examines beliefs about the financial viability and need for rural obstetric care based on surveys completed by 93 rural hospital administrators. Discusses the volume necessary to provide safe obstetric care, priorities related to local community need, and issues related to workforce and policy.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Lindsay K. Admon, Bridget L. Basile Ibrahim
Citation: JAMA Health Forum, 3(3), e220204
Date: 03/2022
Type: Document
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