Rural Health
Resources by Topic: Access
Behavioral Health Care System Capacity in Pennsylvania and Its Impact on Hospital Emergency Departments and Patient Health
An assessment of Pennsylvania's behavioral health needs and the impact that the behavioral healthcare system's capacity has on hospital emergency departments and patient health. Examines the effect of provider shortages, the role of first responders, emergency response models, and efforts to expand telehealth. Mentions rural throughout.
Author(s): Yvonne Llewellyn Hursh, Bryan W. DeWalt, Allison N. Kobzowicz, et al.
Date: 07/2020
Type: Document
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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An assessment of Pennsylvania's behavioral health needs and the impact that the behavioral healthcare system's capacity has on hospital emergency departments and patient health. Examines the effect of provider shortages, the role of first responders, emergency response models, and efforts to expand telehealth. Mentions rural throughout.
Author(s): Yvonne Llewellyn Hursh, Bryan W. DeWalt, Allison N. Kobzowicz, et al.
Date: 07/2020
Type: Document
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Special Needs in Rural America: Implications for Healthcare Workforce Education, Training, and Practice
Offers policy recommendations to strengthen rural health workforce training and improve access to healthcare in rural areas. Addresses the health and social needs of rural America through evidence-based health workforce investments in education, training, and practice. Examines disparities in health and access to care in rural areas, and mismatch in supply and demand.
Date: 07/2020
Type: Document
Sponsoring organization: Council on Graduate Medical Education
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Offers policy recommendations to strengthen rural health workforce training and improve access to healthcare in rural areas. Addresses the health and social needs of rural America through evidence-based health workforce investments in education, training, and practice. Examines disparities in health and access to care in rural areas, and mismatch in supply and demand.
Date: 07/2020
Type: Document
Sponsoring organization: Council on Graduate Medical Education
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Spatial Barriers as Moral Failings: What Rural Distance Can Teach Us about Women's Health and Medical Mistrust
Explores the perceptions of rural women about their access to healthcare, including maternal care. Discusses some of the perceived barriers to healthcare access by rural women, such as spacial distance and mistrust of healthcare providers.
Author(s): Michele Statz, Kaylie Evers
Citation: Health and Place, 64, 102396
Date: 07/2020
Type: Document
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Explores the perceptions of rural women about their access to healthcare, including maternal care. Discusses some of the perceived barriers to healthcare access by rural women, such as spacial distance and mistrust of healthcare providers.
Author(s): Michele Statz, Kaylie Evers
Citation: Health and Place, 64, 102396
Date: 07/2020
Type: Document
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Rural Interfacility Emergency Department Transfers: Framework and Qualitative Analysis
Examines the transfer for rural emergency patients to other facilities across 2 urban and 5 rural Veterans Health Administration facilities. Discusses 3 factors that influence the decision of transferring a patient: patient factors, system resources, and clinical and administrative processes.
Author(s): Candace D. McNaughton, Kemberlee Bonnet, David Schlundt, et al.
Citation: The Western Journal of Emergency Medicine, 21(4), 858-865
Date: 07/2020
Type: Document
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Examines the transfer for rural emergency patients to other facilities across 2 urban and 5 rural Veterans Health Administration facilities. Discusses 3 factors that influence the decision of transferring a patient: patient factors, system resources, and clinical and administrative processes.
Author(s): Candace D. McNaughton, Kemberlee Bonnet, David Schlundt, et al.
Citation: The Western Journal of Emergency Medicine, 21(4), 858-865
Date: 07/2020
Type: Document
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Responding to Behavioral Health Needs in Rural America
Presentation slides discussing behavioral health issues and needs in rural America. Describes approaches to enhance behavioral health service delivery and implications for public policy.
Author(s): Keith J. Mueller
Date: 07/2020
Type: Document
Sponsoring organization: Rural Policy Research Institute
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Presentation slides discussing behavioral health issues and needs in rural America. Describes approaches to enhance behavioral health service delivery and implications for public policy.
Author(s): Keith J. Mueller
Date: 07/2020
Type: Document
Sponsoring organization: Rural Policy Research Institute
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Individual Market Volatility and Vulnerability, 2015 to 2019
Study examining health insurance options and premium prices from 2015-2019, including rural/urban differences. Provides data and statistics on market volatility and vulnerability, with information broken down by population, race, health status, number of hospital beds, and more.
Author(s): Jean Marie Abraham
Citation: RSF: The Russell Sage Foundation Journal of the Social Sciences 6(2): 206–22
Date: 07/2020
Type: Document
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Study examining health insurance options and premium prices from 2015-2019, including rural/urban differences. Provides data and statistics on market volatility and vulnerability, with information broken down by population, race, health status, number of hospital beds, and more.
Author(s): Jean Marie Abraham
Citation: RSF: The Russell Sage Foundation Journal of the Social Sciences 6(2): 206–22
Date: 07/2020
Type: Document
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Experiences of Community Health Centers in Expanding Telemedicine
Presents an overview of the experiences of nine health centers in California that received funding to increase their telemedicine services. Describes barriers to implementing and sustaining expanded services, including reimbursement policies and other regulatory restrictions. Includes recommendations for health centers and policymakers to promote the use of telehealth services.
Author(s): Lori Uscher-Pines, Jessica Sousa, Alina I. Palimaru, et al.
Date: 07/2020
Type: Document
Sponsoring organization: RAND Corporation
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Presents an overview of the experiences of nine health centers in California that received funding to increase their telemedicine services. Describes barriers to implementing and sustaining expanded services, including reimbursement policies and other regulatory restrictions. Includes recommendations for health centers and policymakers to promote the use of telehealth services.
Author(s): Lori Uscher-Pines, Jessica Sousa, Alina I. Palimaru, et al.
Date: 07/2020
Type: Document
Sponsoring organization: RAND Corporation
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Evidence Briefing: Tackling the Digital Divide & Telehealth Access for Low-Income Californians
Recording of a July 28, 2020 briefing that features a panel of health care providers discussing strategies to improve access to broadband internet and telehealth services in California. Offers perspectives from a Federally Qualified Health Center and a VA health system that serve rural California residents. Transcript available by clicking the dots above the Subscribe tab, then selecting Open Transcript.
Date: 07/2020
Type: Video/Multimedia
Sponsoring organization: California Initiative for Health Equity and Action
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Recording of a July 28, 2020 briefing that features a panel of health care providers discussing strategies to improve access to broadband internet and telehealth services in California. Offers perspectives from a Federally Qualified Health Center and a VA health system that serve rural California residents. Transcript available by clicking the dots above the Subscribe tab, then selecting Open Transcript.
Date: 07/2020
Type: Video/Multimedia
Sponsoring organization: California Initiative for Health Equity and Action
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Medicare Beneficiary Use of Telehealth Visits: Early Data from the Start of the COVID-19 Pandemic
Examines changes in Medicare in-person primary care visits and the use of telehealth services at the start of the COVID-19 public health emergency. Discusses how Medicare telehealth flexibilities implemented in response to COVID-19 impacted access to these services. Compares the percentage of primary care telehealth visits between rural and urban providers. Includes a county-level map displaying the percentage of primary care visits conducted via telehealth services in April 2020.
Date: 07/2020
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines changes in Medicare in-person primary care visits and the use of telehealth services at the start of the COVID-19 public health emergency. Discusses how Medicare telehealth flexibilities implemented in response to COVID-19 impacted access to these services. Compares the percentage of primary care telehealth visits between rural and urban providers. Includes a county-level map displaying the percentage of primary care visits conducted via telehealth services in April 2020.
Date: 07/2020
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Health Care Access for Infants and Toddlers in Rural Areas
Research brief describing how rural children are more likely to face a unique combination of challenges that negatively impact their health and development, such as fewer healthcare providers, barriers to accessing care, and higher rates of poverty. Includes rural/urban comparisons for each state, with information on the percentage of infants and toddlers lacking health insurance, receiving recommended vaccinations, attending a preventive medical appointment, and more.
Author(s): Jessie Laurore, Gayane Baziyants, Sarah Daily
Date: 07/2020
Type: Document
Sponsoring organization: Child Trends
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Research brief describing how rural children are more likely to face a unique combination of challenges that negatively impact their health and development, such as fewer healthcare providers, barriers to accessing care, and higher rates of poverty. Includes rural/urban comparisons for each state, with information on the percentage of infants and toddlers lacking health insurance, receiving recommended vaccinations, attending a preventive medical appointment, and more.
Author(s): Jessie Laurore, Gayane Baziyants, Sarah Daily
Date: 07/2020
Type: Document
Sponsoring organization: Child Trends
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