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Rural Health
Resources by Topic: Access

Inequities in Access and Delivery of Acute Stroke Care: A Brain Attack Coalition Symposium Report
Presents findings from the Brain Attack Coalition's Inequities in Access and Delivery of Acute Stroke Care symposium. Identifies barriers to access and disparities in healthcare delivery, and discusses underserved populations, including people in rural areas, throughout. Provides recommendations on policy, research, and service delivery approaches to address inequities and improve stroke care delivery in EMS, acute and hyperacute, and inpatient settings.
Date: 10/2022
Sponsoring organizations: Brain Attack Coalition (BAC), National Institute of Neurological Disorders and Stroke
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EMS Listening Sessions: Report to the Governor's Healthcare Task Force
A summary of 6 listening sessions on emergency medical services in Wyoming. Discusses issues and potential solutions related to essential service designation, EMS districts, regionalization, education and licensing, reimbursement, the use of 911, and defining critical care. Discusses rural and frontier issues throughout.
Date: 10/2022
Sponsoring organization: Wyoming Department of Health
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Rural Medicare Beneficiaries are Increasingly Likely to Be Admitted to Urban Hospitals
Examines whether the proportion of rural Medicare fee-for-service beneficiaries admitted to urban hospitals increased between 2010 and 2018 using data from the Hospital Service Area File (HSAF) and the American Hospital Association (AHA) survey. Explores whether distance to the nearest hospital and system affiliation of the nearest rural hospital were associated with increases in urban hospital admissions from rural ZIP codes.
Author(s): Hannah R. Friedman, George Mark Holmes
Citation: Health Services Research, 57(5), 1029-1034
Date: 10/2022
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Ohio 2023-2026 State Plan on Aging
Highlights the state's health, equity, and justice goals for aging Ohioans. Notes priorities in the areas of community conditions, healthy living, access to care, social connectedness, population health, and preserving independence including those of particular importance to rural or Appalachian residents.
Date: 10/2022
Sponsoring organization: Ohio Department of Aging
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Rural and Urban Differences in Care Provided by Home Health Agencies in the United States: A Review of the Literature
Explores the differences in care outcomes for rural and urban home health agencies (HHAs). Discusses some of the barriers faced by rural HHAs, such as overcoming long distances, increased costs, and workforce limitations, among others.
Author(s): Denise D. Quigley, Ashley M. Chastain, Jung A. Kang, et al.
Citation: The Journal of Post-Acute and Long-Term Care Medicine, 23(10), 1653.e1-1653.e13
Date: 10/2022
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Using Maps to Inform Decisions about Child Care and Early Education
Discusses how utilizing maps can assist childcare and early education (CCEE) leaders and partners in the planning of policy, resource allocation, supply building, and family support strategies. Provides county-level examples of maps and discusses technical considerations related to making local decisions about CCEE availability and access.
Author(s): Van-Kim Lin, Erin Bumgarner, Dayne Ornelas Gonzalez, Kelly Maxwell
Date: 10/2022
Sponsoring organizations: Administration for Children and Families, Child Trends
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The Intersection of Workplace and Environmental Exposure on Health in Latinx Farm Working Communities in Rural Inland Southern California
Analyzes access and barriers to healthcare services for Eastern Coachella Valley rural farmworkers who are exposed to workplace and environmental health risks. Reports on 9 culturally responsive in-home interviews conducted from 2017 to 2018 with the assistance of a bilingual Spanish-Purépecha Latina promotora. Provides demographic information of participants and quotes from interviews related to themes such as environmental exposures, including the nearby Salton Sea; agricultural labor and its impact on health; chronic health conditions and trauma of exposures; and community-proposed solutions.
Author(s): Ann Marie Cheney, Tatiana Barrera, Katheryn Rodriguez, Ana María Jaramillo López
Citation: International Journal of Environmental Research and Public Health, 19(19), 12940
Date: 10/2022
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Opioid Abuse among Rural Adults
Examines the impact of the opioid abuse epidemic among rural adults in 2022 and changes since 2017. Covers rural access to mental health treatment, how comfortable rural adults with opioid addiction are discussing their concerns with others, perceptions of opioid abuse and its causes, and potential solutions to the opioid crisis.
Date: 10/2022
Sponsoring organization: American Farm Bureau Federation
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October 2022 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) October 2022 meeting. Covers Medicaid race and ethnicity data collection and reporting, improving access to Medicaid coverage and care for adults leaving incarceration, the unwinding of the Public Health Emergency, streamlining the delivery of home- and community-based services, potential recommendations for structuring Disproportionate Share Hospital allotments during economic crises, and more. Includes rural references and considerations throughout.
Date: 10/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Improving Maternal Health Outcomes To Reduce Maternal Mortality and Severe Maternal Morbidity
Report highlights the Inter-Tribal Council of Arizona's Maternal Health Innovation (MHI) Program's goals and strategies for achieving them. Details the current state of maternal health in the Council's 21 tribe area and explores the barriers to maternal care, as well as a program timeline.
Additional links: Strategic Planning Summary
Date: 10/2022
Sponsoring organization: Inter Tribal Council of Arizona, American Indian Research Center for Health
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