Rural Health
Resources by Topic: Access
Age-Friendly Health Systems Integration into Rural Primary Care Clinics: A Journey of One Geriatric Workforce Enhancement Program
Examines implementation of the Age-Friendly Health Systems (AFHS) 4Ms Framework in rural Arkansas primary care clinics. Details program aspects related to workforce training, workplace culture, and resource provision and discusses evidence-based approaches to implementation. Provides data on the AFHS 4Ms Framework's impact on patient engagement and healthcare quality for older adults in rural settings.
Author(s): Leah Tobey-Moore, Katherine Scalzo, Stacie Massey, Robin McAtee
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing
Date: 09/2024
Type: Document
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Examines implementation of the Age-Friendly Health Systems (AFHS) 4Ms Framework in rural Arkansas primary care clinics. Details program aspects related to workforce training, workplace culture, and resource provision and discusses evidence-based approaches to implementation. Provides data on the AFHS 4Ms Framework's impact on patient engagement and healthcare quality for older adults in rural settings.
Author(s): Leah Tobey-Moore, Katherine Scalzo, Stacie Massey, Robin McAtee
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing
Date: 09/2024
Type: Document
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A Rural Community Readiness Assessment of Prehospital Telestroke Services in the Ambulance
Assesses community perspectives on the acceptability of ambulance-based prehospital stroke telemedicine services in rural and urban communities in O'ahu, Hawai'i. Utilizes questionnaire results of 263 adults recruited from community events, with additional data from 29 follow-up interviews. Compares rural and urban attitudes toward ambulance telestroke services, local hospitals, and Hawai'i's healthcare system, and identifies positive and negative themes affecting acceptability.
Author(s): Angel Lynn E. Talana, Kyrillos B. Guirguis, J. Aaron Matthews, et al.
Citation: Hawai'i Journal of Health & Social Welfare, 83(9), 250-256
Date: 09/2024
Type: Document
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Assesses community perspectives on the acceptability of ambulance-based prehospital stroke telemedicine services in rural and urban communities in O'ahu, Hawai'i. Utilizes questionnaire results of 263 adults recruited from community events, with additional data from 29 follow-up interviews. Compares rural and urban attitudes toward ambulance telestroke services, local hospitals, and Hawai'i's healthcare system, and identifies positive and negative themes affecting acceptability.
Author(s): Angel Lynn E. Talana, Kyrillos B. Guirguis, J. Aaron Matthews, et al.
Citation: Hawai'i Journal of Health & Social Welfare, 83(9), 250-256
Date: 09/2024
Type: Document
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Intakes of Lean Proteins and Processed Meats and Differences in Mental Health between Rural and Metro Adults 50 Years and Older
Presents a study on the relationship between diet and mental health status of adults over 50 in rural and urban counties in North Dakota. Focuses specifically on lean versus processed protein intake and their correlation with reported rates of depression and anxiety. Breaks down data by demographic characteristics, including rural and urban location, and discusses food access issues in rural communities.
Author(s): Nathaniel R. Johnson, Sherri N. Stastny, Julie Garden-Robinson
Citation: Nutrients, 16(18), 3056
Date: 09/2024
Type: Document
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Presents a study on the relationship between diet and mental health status of adults over 50 in rural and urban counties in North Dakota. Focuses specifically on lean versus processed protein intake and their correlation with reported rates of depression and anxiety. Breaks down data by demographic characteristics, including rural and urban location, and discusses food access issues in rural communities.
Author(s): Nathaniel R. Johnson, Sherri N. Stastny, Julie Garden-Robinson
Citation: Nutrients, 16(18), 3056
Date: 09/2024
Type: Document
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Investigating FIT Kit Completion for CRC Screening in Younger Adults in Rural Areas
Investigates demographic factors for 1,230 rural Nebraskans that influence the return of a fecal immunochemical test (FIT) kit, a colorectal cancer screening tool that may be an inexpensive and convenient option for those with limited access to colonoscopies. Compares the study findings with national trends and discusses reasons and remedies for delays in return time for the kit.
Author(s): Cheryl L. Beseler, Jungyoon Kim, Melissa Leypoldt, et al.
Citation: Discover Social Science and Health, 4(41)
Date: 09/2024
Type: Document
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Investigates demographic factors for 1,230 rural Nebraskans that influence the return of a fecal immunochemical test (FIT) kit, a colorectal cancer screening tool that may be an inexpensive and convenient option for those with limited access to colonoscopies. Compares the study findings with national trends and discusses reasons and remedies for delays in return time for the kit.
Author(s): Cheryl L. Beseler, Jungyoon Kim, Melissa Leypoldt, et al.
Citation: Discover Social Science and Health, 4(41)
Date: 09/2024
Type: Document
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Disparities in the Real-World Prescription Pattern of Oral Anticoagulants for US Medicare Beneficiaries: A Geospatial Analysis
Analyzes geographic variations in oral anticoagulant prescribing, utilizing 2020 Medicare Provider Utilization and Payment data. Compares rural and urban clinicians' likelihood of prescribing warfarin only, direct oral anticoagulants (DOACs) only, or both warfarin and DOACs, and highlights regional prescribing patterns using color-coded, county-level maps.
Author(s): Jingrui Zou, Dong Liang, Yong Zhu
Citation: BMJ Open, 14, e081628
Date: 09/2024
Type: Document
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Analyzes geographic variations in oral anticoagulant prescribing, utilizing 2020 Medicare Provider Utilization and Payment data. Compares rural and urban clinicians' likelihood of prescribing warfarin only, direct oral anticoagulants (DOACs) only, or both warfarin and DOACs, and highlights regional prescribing patterns using color-coded, county-level maps.
Author(s): Jingrui Zou, Dong Liang, Yong Zhu
Citation: BMJ Open, 14, e081628
Date: 09/2024
Type: Document
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"Saving People's Lives": Access to Mental Health and Addiction Services in Rural Communities
Podcast episode discussing challenges of accessing mental health and addiction services in rural areas. Highlights strategies implemented by New Mexico's Presbyterian Española Hospital to address these challenges and increase access to treatment.
Date: 09/2024
Type: Document
Sponsoring organization: American Hospital Association
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Podcast episode discussing challenges of accessing mental health and addiction services in rural areas. Highlights strategies implemented by New Mexico's Presbyterian Española Hospital to address these challenges and increase access to treatment.
Date: 09/2024
Type: Document
Sponsoring organization: American Hospital Association
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Nonemergency Medical Transportation: Leading Practices Would Help the Federal Transit Administration Evaluate Its Pilot Program
Provides an overview of non-emergency medical transportation (NEMT) services and Federal Transit Administration (FTA) grant programs that can be used to support NEMT services. Evaluates the design and implementation of the FTA's Innovative Coordinated Access and Mobility (ICAM) pilot program, the only FTA program that includes NEMT as a primary objective. Discusses how FTA communicates the availability and use of its funding for NEMT. Offers recommendations for FTA related to evaluating ICAM and consolidating and publishing information about FTA funding for NEMT.
Additional links: Full Report
Date: 09/2024
Type: Document
Sponsoring organization: Government Accountability Office
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Provides an overview of non-emergency medical transportation (NEMT) services and Federal Transit Administration (FTA) grant programs that can be used to support NEMT services. Evaluates the design and implementation of the FTA's Innovative Coordinated Access and Mobility (ICAM) pilot program, the only FTA program that includes NEMT as a primary objective. Discusses how FTA communicates the availability and use of its funding for NEMT. Offers recommendations for FTA related to evaluating ICAM and consolidating and publishing information about FTA funding for NEMT.
Additional links: Full Report
Date: 09/2024
Type: Document
Sponsoring organization: Government Accountability Office
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Final Report of the Rural Texas Obstetrics Study
Uses data analysis, interviews, and surveys to report on rural obstetrics access issues in Texas. Discusses facility closures, distance to care, provider shortages, reimbursements, and healthcare quality. Offers an analysis of 15 facilities that closed OB departments to understand potential drivers of closures. Email address required to access report.
Date: 09/2024
Type: Document
Sponsoring organization: Stroudwater Associates
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Uses data analysis, interviews, and surveys to report on rural obstetrics access issues in Texas. Discusses facility closures, distance to care, provider shortages, reimbursements, and healthcare quality. Offers an analysis of 15 facilities that closed OB departments to understand potential drivers of closures. Email address required to access report.
Date: 09/2024
Type: Document
Sponsoring organization: Stroudwater Associates
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Pediatric and Pregnancy-related Visits at Rural Health Clinics in 2018 among Medicaid/CHIP Enrollees in 20 States
Research and policy brief on pediatric and pregnancy-related visits to Rural Health Clinics (RHCs) among Medicaid/CHIP enrollees in 20 states during the year 2018. Provides data, including regional and state comparisons, on rates at which pediatric and pregnancy-related visits took place, medical conditions observed, and services provided. Discusses the role of RHCs in overcoming geographic access barriers.
Author(s): Katherine A. Aherns, Zachariah T. Croll, Yvonne Jonk, John Gale, Heidi O'Connor
Date: 09/2024
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Research and policy brief on pediatric and pregnancy-related visits to Rural Health Clinics (RHCs) among Medicaid/CHIP enrollees in 20 states during the year 2018. Provides data, including regional and state comparisons, on rates at which pediatric and pregnancy-related visits took place, medical conditions observed, and services provided. Discusses the role of RHCs in overcoming geographic access barriers.
Author(s): Katherine A. Aherns, Zachariah T. Croll, Yvonne Jonk, John Gale, Heidi O'Connor
Date: 09/2024
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Rural-Urban Disparities in Hospital Services and Outcomes for Children With Medical Complexity
Examines differences in availability of hospital pediatric services for rural and urban children with medical complexity requiring hospitalization, and analyzes whether hospitals' availability of pediatric services influences rural-urban health outcome disparities. Utilizes 2012-2017 claims data of 36,943 children with medical complexity. Includes data on hospitalization patterns, service availability, quality measures, and mortality.
Author(s): JoAnna K. Leyenaar, Seneca D. Freyleue, Mary Arakelyan, et al.
Citation: JAMA Network Open, 7(9), e2435187
Date: 09/2024
Type: Document
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Examines differences in availability of hospital pediatric services for rural and urban children with medical complexity requiring hospitalization, and analyzes whether hospitals' availability of pediatric services influences rural-urban health outcome disparities. Utilizes 2012-2017 claims data of 36,943 children with medical complexity. Includes data on hospitalization patterns, service availability, quality measures, and mortality.
Author(s): JoAnna K. Leyenaar, Seneca D. Freyleue, Mary Arakelyan, et al.
Citation: JAMA Network Open, 7(9), e2435187
Date: 09/2024
Type: Document
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