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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Idaho Division of Public Health - Bureau of Rural Health & Primary Care Brief
Report highlights healthcare workforce and access issues in rural Idaho. Explores the health professional shortage areas and details measures to bolster healthcare professionals in the state.
Date: 01/2023
Sponsoring organization: Idaho Bureau of Rural Health and Primary Care
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Over the Hills and Through the Hollers: How One Program is Assisting Residents of Appalachia with Opioid Use Recovery
Results of a study evaluating the Kentucky Access to Recovery Program (KATR), which provides services to low-income adults recovering from opioid addiction in several rural eastern Kentucky counties. Examines the impact of KATR on service recipients' access to recovery services and supports.
Author(s): Aubrey E. Jones, Jayme E. Walters, Aaron R. Brown
Citation: Journal of Appalachian Health, 4(3), 71-86
Date: 01/2023
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Human Services in Rural Contexts: Comprehensive Report
Provides an overview of human services in rural areas, with information focused on human services programs and benefits, economic and social well-being, persistent poverty communities, and adaptations to overcome access barriers in rural areas. Includes tables, graphs, and county-level U.S. maps depicting human services needs.
Author(s): Emily Brimsek, James Murdoch, Emma Ward, Neel Chakraborti, Ashton Cain
Date: 01/2023
Sponsoring organizations: 2M Research, Administration for Children and Families, Urban Institute
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A Novel Gap Staffing Metric for Primary Care in the Veterans Health Administration and Implications for Rural and Urban Clinics
Highlights a study on the metric for primary care provider staffing used by the Veterans Health Administration (VHA) from 2017-2021. Explores the staffing gaps in rural versus urban areas based on the VHA's staffing metric.
Author(s): Amy M.J. O'Shea, Bjarni Haraldsson, Ariana F. Shahnazi, et al.
Citation: Journal of Ambulatory Care Management 46(1), 25-33
Date: 01/2023
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Trends in Supply of Nursing Home Beds, 2011-2019
Examines the change in the supply of nursing home beds between 2011 and 2019 while adjusting for the change in the number of older adults in the population. Presents data on the characteristics of counties where the supply of nursing home beds has changed, including rurality and census region. Describes the characteristics of the nursing home beds in counties where the supply has changed, including the percent change in 4- and 5-star beds, for-profit beds, and chain-affiliated beds.
Author(s): Katherine E.M. Miller, Paula Chatterjee, Rachel M. Werner
Citation: JAMA Network Open, 6(3), e230640
Date: 01/2023
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Childcare Need and Availability in Rural Areas: Policy Brief and Recommendations to the Secretary
Presents the findings from the 90th meeting of the National Advisory Committee on Rural Health and Human Services examining the availability and accessibility of childcare services in rural communities. Provides recommendations to the Secretary of the Department of Health and Human Services on actions supporting rural childcare. Discusses the efforts of the American Rescue Plan Act funding, and the effects of COVID-19 and the Public Health Emergency on childcare access and availability.
Date: 01/2023
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Access to Oral Health Workforce Report: Part II
Evaluates and discusses patient access to oral healthcare in Pennsylvania. Provides demographic and well-being information, and analysis of variables affecting workforce outcomes and access to care. Features statistics with breakdowns by urban and rural areas.
Additional links: Executive Summary
Author(s): Sean G. Boynes, Helen Hawkey, Kelly A. Braun, et al.
Date: 01/2023
Sponsoring organization: Pennsylvania Coalition for Oral Health
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Recommendations for Strengthening Iowa's Community-Based Services System: Final Evaluation Report
Provides an overview of Iowa's Medicaid home- and community-based services and programs, as well as the policies and procedures to access those services. Offers recommendations on three approaches that can improve equity, quality, efficiency, coordination, transparency, and accountability. Includes rural references and considerations throughout.
Date: 01/2023
Sponsoring organizations: Iowa Department of Health and Human Services, Mathematica, The Harkin Institute
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January 2023 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) January 2023 meeting. Covers Medicaid data collection and reporting, nursing facility provider payment principles, challenges for states administering Medicaid home- and community-based services and access barriers for Medicaid beneficiaries, Medicaid managed care quality oversight, the unwinding of the Public Health Emergency, and more. Includes rural references and considerations throughout.
Date: 01/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Pre-Pandemic Geographic Access to Hospital-Based Telehealth for Cancer Care in the United States
Explores the availability of telehealth and oncology services across geographic and sociodemographic domains before the start of the COVID-19 pandemic. Utilizes 2019 and 2020 data sources to examine hospital characteristics by telehealth and oncology services, with information on hospital ownership, number of hospital beds, Health Professional Shortage Area (HPSA) status, presence of Rural Health Clinic (RHC) co-located at hospital, and more. Includes availability of telehealth, oncology, and hospital services broken down by county; HPSA status; income, average age, and race/ethnicity of residents; ratio of population to primary care physicians; rural noncore, rural micropolitan, or urban status; and more.
Author(s): David I. Shalowitz, Peiyin Hung, Whitney E. Zahnd, Jan Eberth
Citation: PLoS One, 18(1)
Date: 01/2023
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