Rural Health
Resources by Topic: Access
Online Pilot Grocery Intervention Among Rural and Urban Residents Aimed to Improve Purchasing Habits
Results of a study comparing food purchase choices of 129 rural and urban adults in 7 counties in Kentucky, Maryland, and North Carolina who shopped at online or brick-and-mortar stores during an 8-week-long intervention in the fall of 2021. Features statistics including intervention effect of fruit and vegetable purchases during the study, and demographics with breakdowns by urban or rural location.
Author(s): Alison Gustafson, Rachel Gillespie, Emily DeWitt, et al.
Citation: International Journal of Environmental Research and Public Health, 19(2), 871
Date: 01/2022
Type: Document
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Results of a study comparing food purchase choices of 129 rural and urban adults in 7 counties in Kentucky, Maryland, and North Carolina who shopped at online or brick-and-mortar stores during an 8-week-long intervention in the fall of 2021. Features statistics including intervention effect of fruit and vegetable purchases during the study, and demographics with breakdowns by urban or rural location.
Author(s): Alison Gustafson, Rachel Gillespie, Emily DeWitt, et al.
Citation: International Journal of Environmental Research and Public Health, 19(2), 871
Date: 01/2022
Type: Document
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CARES Act Telehealth Expansion: Trends in Post-Discharge Follow-Up and Association with 30-Day Readmissions for Hospital Readmissions Reduction Program Health Conditions
Provides an overview of the Hospital Readmissions Reduction Program (HRRP) and examines the impact of expanded Medicare payment for telehealth services on post-discharge follow-up and hospital readmissions for HRRP conditions. Describes trends in post-discharge follow-up before and after the telehealth expansion and compares trends by health condition, sociodemographic characteristics, rurality, and follow-up method.
Date: 01/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Hospital Readmissions Reduction Program (HRRP) and examines the impact of expanded Medicare payment for telehealth services on post-discharge follow-up and hospital readmissions for HRRP conditions. Describes trends in post-discharge follow-up before and after the telehealth expansion and compares trends by health condition, sociodemographic characteristics, rurality, and follow-up method.
Date: 01/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Community Health Initiative: Compendium of Best Practices
Presents a collection of community-based health initiatives, including a school health initiative, a COVID-19 vaccine outreach and education program, and telehealth consortia, among others. Describes successful outcomes and sources of funding for each program.
Date: 01/2022
Type: Document
Sponsoring organization: National Rural Health Association
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Presents a collection of community-based health initiatives, including a school health initiative, a COVID-19 vaccine outreach and education program, and telehealth consortia, among others. Describes successful outcomes and sources of funding for each program.
Date: 01/2022
Type: Document
Sponsoring organization: National Rural Health Association
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Integrating Serious Illness Care into Primary Care Delivery: Proceedings of a Workshop
Summarizes presentations and discussions from a June 2021 workshop on challenges and opportunities to integrate serious illness care into primary care settings. Covers the shared principles of primary and serious illness care, the interdisciplinary teams in each discipline, policy issues that serve as barriers or incentives, and best practices. Includes examples of integrating serious illness care into primary care settings in rural areas.
Additional links: Read Online
Date: 01/2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summarizes presentations and discussions from a June 2021 workshop on challenges and opportunities to integrate serious illness care into primary care settings. Covers the shared principles of primary and serious illness care, the interdisciplinary teams in each discipline, policy issues that serve as barriers or incentives, and best practices. Includes examples of integrating serious illness care into primary care settings in rural areas.
Additional links: Read Online
Date: 01/2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Disaster Recovery: School Districts in Socially Vulnerable Communities Faced Heightened Challenges after Recent Natural Disasters
Examines 5 school districts in socially vulnerable communities and describes problems faced by students after disasters, including housing instability, food insecurity, and lack of access to mental health services, especially in rural communities. Includes a state- and territory-level map showing school districts that received federal recovery grants for 2017-2019 presidentially-declared disasters.
Additional links: Full Report
Date: 01/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Examines 5 school districts in socially vulnerable communities and describes problems faced by students after disasters, including housing instability, food insecurity, and lack of access to mental health services, especially in rural communities. Includes a state- and territory-level map showing school districts that received federal recovery grants for 2017-2019 presidentially-declared disasters.
Additional links: Full Report
Date: 01/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Prescription Drug Affordability among Medicare Beneficiaries
Examines the affordability of prescription drugs among Medicare beneficiaries. Explores whether Medicare beneficiaries skipped doses, took less medication, delayed filling a prescription, or did not fill needed prescriptions due to cost concerns. Explores affordability concerns by race and ethnicity, sex, family income, urban versus rural counties, and presence of select chronic conditions.
Author(s): Wafa Tarazi, Kenneth Finegold, Steven Sheingold, Nancy De Lew, Benjamin D. Sommers
Date: 01/2022
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the affordability of prescription drugs among Medicare beneficiaries. Explores whether Medicare beneficiaries skipped doses, took less medication, delayed filling a prescription, or did not fill needed prescriptions due to cost concerns. Explores affordability concerns by race and ethnicity, sex, family income, urban versus rural counties, and presence of select chronic conditions.
Author(s): Wafa Tarazi, Kenneth Finegold, Steven Sheingold, Nancy De Lew, Benjamin D. Sommers
Date: 01/2022
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Geospatial Analysis of Access to Emergency Cesarean Delivery for Military and Civilian Populations in the US
Results of a study of 29 military medical treatment facilities (MTFs) and 2,363 civilian hospitals, to identify opportunities for military-civilian partnership in obstetric care and to assess whether civilian use of MTFs could improve access to emergency cesarean delivery care, particularly for women in rural areas. Features a county-level map showing coverage of population within a 30-minute travel time to a facility providing emergency cesarean delivery care, and statistics on travel time coverage to civilian hospitals and MTFs providing emergency cesarean delivery care.
Author(s): Tarsicio Uribe-Leitz, Bridget Matsas, Michael K. Dalton, et al.
Citation: JAMA Network Open, 5(1)
Date: 01/2022
Type: Document
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Results of a study of 29 military medical treatment facilities (MTFs) and 2,363 civilian hospitals, to identify opportunities for military-civilian partnership in obstetric care and to assess whether civilian use of MTFs could improve access to emergency cesarean delivery care, particularly for women in rural areas. Features a county-level map showing coverage of population within a 30-minute travel time to a facility providing emergency cesarean delivery care, and statistics on travel time coverage to civilian hospitals and MTFs providing emergency cesarean delivery care.
Author(s): Tarsicio Uribe-Leitz, Bridget Matsas, Michael K. Dalton, et al.
Citation: JAMA Network Open, 5(1)
Date: 01/2022
Type: Document
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Less Internet Access Available for Rural Residents in Counties with Persistent Poverty in the U.S. Deep South and Southwest
County-level map depicting internet availability and persistent poverty counties, distinguishing rural and urban counties. Chart based on USDA Economic Research Service calculations and Federal Communications Commission Form 477 Broadband Deployment data.
Date: 01/2022
Type: Map/Mapping System
Sponsoring organization: USDA Economic Research Service
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County-level map depicting internet availability and persistent poverty counties, distinguishing rural and urban counties. Chart based on USDA Economic Research Service calculations and Federal Communications Commission Form 477 Broadband Deployment data.
Date: 01/2022
Type: Map/Mapping System
Sponsoring organization: USDA Economic Research Service
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Evaluation of State-Led Surveillance of Neonatal Abstinence Syndrome — Six U.S. States, 2018–2021
Examines data collection challenges and infrastructure gaps that impact surveillance of neonatal abstinence syndrome (NAS), based on information from six states with mandated NAS reporting. Includes brief discussion of rural concerns, including disparities in the incidence of opioid use disorder and NAS and gaps in rural infrastructure and access to care.
Author(s): Shahla M. Jilani, Kristina West, Laura Jacobus-Kantor, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(2), 37-42
Date: 01/2022
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Examines data collection challenges and infrastructure gaps that impact surveillance of neonatal abstinence syndrome (NAS), based on information from six states with mandated NAS reporting. Includes brief discussion of rural concerns, including disparities in the incidence of opioid use disorder and NAS and gaps in rural infrastructure and access to care.
Author(s): Shahla M. Jilani, Kristina West, Laura Jacobus-Kantor, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(2), 37-42
Date: 01/2022
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Benefits of a Telehealth Approach to Treating Mental Illness among Veterans in Rural Settings
Details a study on the VA's use of telemedicine to provide mental healthcare to rural veterans. Focuses on underserved veterans with post-traumatic stress disorder (PTSD), especially women with military sexual trauma (MST). Includes feedback from veterans on their experience with tele-mental health treatment.
Date: 01/2022
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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Details a study on the VA's use of telemedicine to provide mental healthcare to rural veterans. Focuses on underserved veterans with post-traumatic stress disorder (PTSD), especially women with military sexual trauma (MST). Includes feedback from veterans on their experience with tele-mental health treatment.
Date: 01/2022
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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