Rural Health
Resources by Topic: Access
Input from Multiple Stakeholder Levels Prioritizes Targets for Improving Implementation of an Exercise Intervention for Rural Women Cancer Survivors
Presents findings from group technique meetings with interventionists, community/organizational stakeholders, and cancer survivors to identify facilitators for participation and implementation of a multicomponent exercise intervention for women in rural settings. Highlights factors relevant to program strategy and planning, including differences in perspective and priorities among stakeholders, interventionists, and participants.
Author(s): Haiyan Qu, Richard Shewchuk, Xuejun Hu, et al.
Citation: Implementation Science Communications 2020, 1, 97
Date: 11/2020
Type: Document
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Presents findings from group technique meetings with interventionists, community/organizational stakeholders, and cancer survivors to identify facilitators for participation and implementation of a multicomponent exercise intervention for women in rural settings. Highlights factors relevant to program strategy and planning, including differences in perspective and priorities among stakeholders, interventionists, and participants.
Author(s): Haiyan Qu, Richard Shewchuk, Xuejun Hu, et al.
Citation: Implementation Science Communications 2020, 1, 97
Date: 11/2020
Type: Document
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Buprenorphine Dispensing in an Epicenter of the U.S. Opioid Epidemic: A Case Study of the Rural Risk Environment in Appalachian Kentucky
Explores buprenorphine dispensing practices among pharmacists in rural, Appalachian Kentucky, highlighting issues related to buprenorphine dispensing hesitancy. Identifies themes from interviews with 14 pharmacists operating in 12 rural, Appalachian Kentucky counties and discusses dispensing risk environment. Reviews factors influencing hesitancy, including national and state-level drug policy, stigma, and continuing impacts of the opioid epidemic.
Author(s): Hannah LF Cooper, David H. Cloud, Patricia R. Freeman, et al.
Citation: International Journal of Drug Policy, 85, 102701
Date: 11/2020
Type: Document
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Explores buprenorphine dispensing practices among pharmacists in rural, Appalachian Kentucky, highlighting issues related to buprenorphine dispensing hesitancy. Identifies themes from interviews with 14 pharmacists operating in 12 rural, Appalachian Kentucky counties and discusses dispensing risk environment. Reviews factors influencing hesitancy, including national and state-level drug policy, stigma, and continuing impacts of the opioid epidemic.
Author(s): Hannah LF Cooper, David H. Cloud, Patricia R. Freeman, et al.
Citation: International Journal of Drug Policy, 85, 102701
Date: 11/2020
Type: Document
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Rural Disparities in Surgical Care from Gynecologic Oncologists Among Midwestern Ovarian Cancer Patients
Compares the surgeries of 1,003 rural and urban women between 18 and 89 with ovarian cancer between 2010 and 2012 in Kansas, Missouri, and Iowa with particular focus on access to gynecologic oncologist specialists. Discusses referral practices, distances to specialists, and outcomes of surgeries with specialists compared to non-specialists.
Author(s): Kristin Weeks, Charles F. Lynch, Michele West, et al.
Citation: Gynecologic Oncology, 160(2), 477-484
Date: 11/2020
Type: Document
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Compares the surgeries of 1,003 rural and urban women between 18 and 89 with ovarian cancer between 2010 and 2012 in Kansas, Missouri, and Iowa with particular focus on access to gynecologic oncologist specialists. Discusses referral practices, distances to specialists, and outcomes of surgeries with specialists compared to non-specialists.
Author(s): Kristin Weeks, Charles F. Lynch, Michele West, et al.
Citation: Gynecologic Oncology, 160(2), 477-484
Date: 11/2020
Type: Document
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Access in Appalachia Concept and Methodologies: Final Report
Provides an overview of the accessibility needs to goods and services - food, healthcare, broadband, education, as well as, customer, labor, and supplier markets - for the people and businesses of Appalachia. Looks at the current research on rural accessibility and economic development. Outlines methods for measuring accessibility, offers an analyses approach using accessibility metrics, and discusses other considerations in long range accessibility planning.
Date: 11/2020
Type: Document
Sponsoring organizations: Appalachian Regional Commission, EBP US, Inc.
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Provides an overview of the accessibility needs to goods and services - food, healthcare, broadband, education, as well as, customer, labor, and supplier markets - for the people and businesses of Appalachia. Looks at the current research on rural accessibility and economic development. Outlines methods for measuring accessibility, offers an analyses approach using accessibility metrics, and discusses other considerations in long range accessibility planning.
Date: 11/2020
Type: Document
Sponsoring organizations: Appalachian Regional Commission, EBP US, Inc.
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November 2020 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) November 2020 meeting. Covers the expansion of telehealth in Medicare, Medicare beneficiaries' access to care in rural areas, effects of pharmaceutical manufacturer rebates on Part D's risk adjustment, and improving competition among Part D's benchmark plans.
Date: 11/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) November 2020 meeting. Covers the expansion of telehealth in Medicare, Medicare beneficiaries' access to care in rural areas, effects of pharmaceutical manufacturer rebates on Part D's risk adjustment, and improving competition among Part D's benchmark plans.
Date: 11/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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An Observational Study of Telemental Care Delivery and the Context for Involuntary Commitment for Mental Health Patients in a Group of Rural Emergency Departments
Examines telemental healthcare delivery in Critical Access Hospital (CAH) emergency departments (ED) in 4 Indiana counties, with a focus on the context surrounding subsequent psychiatric involuntary commitment (IC) or noninvoluntary commitment (non-IC) of mental health patients who presented to the participating EDs. Provides information on patient demographics, ED wait time and length of stay, ED costs and reimbursement, and telehealth parity laws.
Author(s): Roseanne Fairchild, Shiaw-Fen Ferng-Kuo, Hicham Rahmouni, Daniel Hardesty
Citation: Telemedicine Reports, 1(1), 22-35
Date: 11/2020
Type: Document
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Examines telemental healthcare delivery in Critical Access Hospital (CAH) emergency departments (ED) in 4 Indiana counties, with a focus on the context surrounding subsequent psychiatric involuntary commitment (IC) or noninvoluntary commitment (non-IC) of mental health patients who presented to the participating EDs. Provides information on patient demographics, ED wait time and length of stay, ED costs and reimbursement, and telehealth parity laws.
Author(s): Roseanne Fairchild, Shiaw-Fen Ferng-Kuo, Hicham Rahmouni, Daniel Hardesty
Citation: Telemedicine Reports, 1(1), 22-35
Date: 11/2020
Type: Document
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The Arizona Behavioral Health Workforce
Brief reporting on behavioral health needs in Arizona, the distribution of workforce by profession, rural disparities in access to behavioral health providers.
Author(s): B Koch, S Coates, D Derksen
Date: 11/2020
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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Brief reporting on behavioral health needs in Arizona, the distribution of workforce by profession, rural disparities in access to behavioral health providers.
Author(s): B Koch, S Coates, D Derksen
Date: 11/2020
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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The Complex Geographies of Telelactation and Access to Community Breastfeeding Support in the State of Ohio
Study examining face-to-face and virtual breastfeeding support options in Ohio, comparing access in urban and rural areas. Explores potential for telelactation services to increase access for rural mothers, noting the barrier of broadband service access. Offers maps that represent spatial data on breastfeeding support access and that identify locations where breastfeeding support interventions would have the most impact.
Author(s): Tony H. Grubesic, Kelly M. Durbin
Citation: PLoS One, 15(11), e0242457
Date: 11/2020
Type: Document
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Study examining face-to-face and virtual breastfeeding support options in Ohio, comparing access in urban and rural areas. Explores potential for telelactation services to increase access for rural mothers, noting the barrier of broadband service access. Offers maps that represent spatial data on breastfeeding support access and that identify locations where breastfeeding support interventions would have the most impact.
Author(s): Tony H. Grubesic, Kelly M. Durbin
Citation: PLoS One, 15(11), e0242457
Date: 11/2020
Type: Document
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Synergistic Disparities and Public Health Mitigation of COVID-19 in the Rural United States
Describes how public health responses to the COVID-19 pandemic emphasize racial, economic, and geographic disparities, especially among rural and poor populations. Covers public health mitigation measures, including disease surveillance, physical distancing, hand and respiratory hygiene, and public health communication. Discusses the ethical demands of public health practice during and following a public health emergency.
Author(s): Kata Chillag, Lisa Lee
Citation: Journal of Bioethical Inquiry, 17(4), 649-656
Date: 11/2020
Type: Document
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Describes how public health responses to the COVID-19 pandemic emphasize racial, economic, and geographic disparities, especially among rural and poor populations. Covers public health mitigation measures, including disease surveillance, physical distancing, hand and respiratory hygiene, and public health communication. Discusses the ethical demands of public health practice during and following a public health emergency.
Author(s): Kata Chillag, Lisa Lee
Citation: Journal of Bioethical Inquiry, 17(4), 649-656
Date: 11/2020
Type: Document
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Introducing Telehealth to Rural and Indigenous Communities: A Telehealth 101 Virtual Workshop for Tribes
Webinar recordings from a 2-day workshop on telehealth implementation in rural and Indigenous communities. Presentation topics include telehealth business, technology, standards, and evaluation; health equity; maternal health; Indian Health Service (IHS) resources; telehealth funding; telebehavioral health and telemedicine-based Medication Assisted Treatment (MAT); and other telehealth-related topics.
Date: 11/2020
Type: Video/Multimedia
Sponsoring organizations: American Indian Public Health Resource Center, Health Resources and Services Administration, North Dakota Department of Health
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Webinar recordings from a 2-day workshop on telehealth implementation in rural and Indigenous communities. Presentation topics include telehealth business, technology, standards, and evaluation; health equity; maternal health; Indian Health Service (IHS) resources; telehealth funding; telebehavioral health and telemedicine-based Medication Assisted Treatment (MAT); and other telehealth-related topics.
Date: 11/2020
Type: Video/Multimedia
Sponsoring organizations: American Indian Public Health Resource Center, Health Resources and Services Administration, North Dakota Department of Health
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