Rural Health
Resources by Topic: Access
The Advisory Committee on Immunization Practices' Ethical Principles for Allocating Initial Supplies of COVID-19 Vaccine — United States, 2020
Discusses four ethical principles that will inform the Advisory Committee on Immunization Practices recommendations for the initial allocation of COVID-19 vaccine: maximizing benefits and minimizing harms; promoting justice; mitigating health inequities; and promoting transparency. The section on health inequities includes discussion of concerns for rural residents.
Author(s): Nancy McClung, Mary Chamberland, Kathy Kinlaw, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(47), 1782-1786
Date: 11/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Discusses four ethical principles that will inform the Advisory Committee on Immunization Practices recommendations for the initial allocation of COVID-19 vaccine: maximizing benefits and minimizing harms; promoting justice; mitigating health inequities; and promoting transparency. The section on health inequities includes discussion of concerns for rural residents.
Author(s): Nancy McClung, Mary Chamberland, Kathy Kinlaw, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(47), 1782-1786
Date: 11/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Ensuring Health Across Rural Minnesota in 2030
Offers recommendations to policymakers and stakeholders on how to expand access to high-quality and inexpensive healthcare for rural communities in Minnesota. Covers trends in factors that may affect rural health, such as increased diversity, older populations, higher healthcare costs, lack of broadband, closures of healthcare facilities, and more. Discusses how the COVID-19 pandemic has exacerbated issues in rural communities.
Date: 11/2020
Sponsoring organization: National Rural Health Resource Center
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Offers recommendations to policymakers and stakeholders on how to expand access to high-quality and inexpensive healthcare for rural communities in Minnesota. Covers trends in factors that may affect rural health, such as increased diversity, older populations, higher healthcare costs, lack of broadband, closures of healthcare facilities, and more. Discusses how the COVID-19 pandemic has exacerbated issues in rural communities.
Date: 11/2020
Sponsoring organization: National Rural Health Resource Center
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Emergency Obstetric Training Needed in Rural Hospitals without Obstetric Units
Results of a survey of 47 nurse managers and emergency department administrators from rural hospitals without obstetric care. Examines the types of trainings and resources that would better prepare these hospitals to handle obstetric emergencies.
Author(s): Mary Gilbertson, Mariana Story Tuttle, Kristin DeArruda Wharton, Katy Backes Kozhimannil
Date: 11/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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Results of a survey of 47 nurse managers and emergency department administrators from rural hospitals without obstetric care. Examines the types of trainings and resources that would better prepare these hospitals to handle obstetric emergencies.
Author(s): Mary Gilbertson, Mariana Story Tuttle, Kristin DeArruda Wharton, Katy Backes Kozhimannil
Date: 11/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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Models of Success in Rural Maternity Care: ANGELS Network & Millard-Henry Clinic
Describes the Antenatal and Neonatal Guidelines, Education, and Learning System (ANGELS) program, a high-risk pregnancy program based at the University of Arkansas for Medical Science designed to improve the ability of tertiary care facilities in the state to deliver low birth weight babies. Discusses the importance of communication between ANGELS staff and partner clinics and the role of telehealth services for specialty care.
Author(s): Megan Lahr, Mary Gilbertson
Date: 11/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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Describes the Antenatal and Neonatal Guidelines, Education, and Learning System (ANGELS) program, a high-risk pregnancy program based at the University of Arkansas for Medical Science designed to improve the ability of tertiary care facilities in the state to deliver low birth weight babies. Discusses the importance of communication between ANGELS staff and partner clinics and the role of telehealth services for specialty care.
Author(s): Megan Lahr, Mary Gilbertson
Date: 11/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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Models of Success in Rural Maternity Care: Western Wisconsin Health
Profiles Western Wisconsin Health, a Critical Access Hospital in rural Wisconsin with a successful obstetrics unit. Describes the philosophy of the leadership and staff, as well as the scope of services. Includes recommendations for emulating this model.
Author(s): Katy B. Kozhimannil, Mary Gilbertson
Date: 11/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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Profiles Western Wisconsin Health, a Critical Access Hospital in rural Wisconsin with a successful obstetrics unit. Describes the philosophy of the leadership and staff, as well as the scope of services. Includes recommendations for emulating this model.
Author(s): Katy B. Kozhimannil, Mary Gilbertson
Date: 11/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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Accountable Health Communities Model - Two Rural Participants' Experiences
Describes how two health systems, Ballard Health and Rocky Mountain Health Plan, implemented the Accountable Health Communities Model to address health-related social needs of rural Medicare, Medicaid, and dual-eligible beneficiaries. Discusses challenges each system faced while implementing the model.
Date: 11/2020
Sponsoring organization: Rural Health Value
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Describes how two health systems, Ballard Health and Rocky Mountain Health Plan, implemented the Accountable Health Communities Model to address health-related social needs of rural Medicare, Medicaid, and dual-eligible beneficiaries. Discusses challenges each system faced while implementing the model.
Date: 11/2020
Sponsoring organization: Rural Health Value
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Evaluating Telehealth Adoption and Related Barriers Among Hospitals Located in Rural and Urban Areas
Study examining telehealth adoption in hospitals, comparing rural, micropolitan, and metropolitan areas using 2018 American Hospital Association (AHA) Annual Survey data. Discusses barriers to telehealth implementation related to health information exchange (HIE) capacity and patient engagement through health information technology (HIT) systems.
Author(s): Jie Chen, Aitalohi Amaize, Deanna Barath
Citation: Journal of Rural Health, 37(4), 801-811
Date: 11/2020
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Study examining telehealth adoption in hospitals, comparing rural, micropolitan, and metropolitan areas using 2018 American Hospital Association (AHA) Annual Survey data. Discusses barriers to telehealth implementation related to health information exchange (HIE) capacity and patient engagement through health information technology (HIT) systems.
Author(s): Jie Chen, Aitalohi Amaize, Deanna Barath
Citation: Journal of Rural Health, 37(4), 801-811
Date: 11/2020
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Comment Letter on HHS Report to Congress on Telehealth for Pediatric SUD
Reviews the U.S. Department of Health and Human Services (HHS) report, Reducing Barriers to Furnishing Substance Use Disorder (SUD) Services Using Telehealth and Remote Patient Monitoring for Pediatric Populations Under Medicaid: Final Report. Covers the role of telehealth in mitigating the shortage of behavioral health providers and expanding behavioral health services to children covered by Medicaid. Discusses the need for additional research on telehealth in Medicaid, information sharing between states, and addressing barriers to technology.
Date: 11/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reviews the U.S. Department of Health and Human Services (HHS) report, Reducing Barriers to Furnishing Substance Use Disorder (SUD) Services Using Telehealth and Remote Patient Monitoring for Pediatric Populations Under Medicaid: Final Report. Covers the role of telehealth in mitigating the shortage of behavioral health providers and expanding behavioral health services to children covered by Medicaid. Discusses the need for additional research on telehealth in Medicaid, information sharing between states, and addressing barriers to technology.
Date: 11/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Chartbook on Healthcare for Veterans
Explores the disparities in access to, and healthcare received by, veterans. Describes disparities between veterans and non-veterans, within the veteran population, and among users of the Veterans Health Administration (VHA). Includes rural-urban comparisons throughout.
Date: 11/2020
Sponsoring organizations: Agency for Healthcare Research and Quality, U.S. Department of Veterans Affairs
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Explores the disparities in access to, and healthcare received by, veterans. Describes disparities between veterans and non-veterans, within the veteran population, and among users of the Veterans Health Administration (VHA). Includes rural-urban comparisons throughout.
Date: 11/2020
Sponsoring organizations: Agency for Healthcare Research and Quality, U.S. Department of Veterans Affairs
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Making it Work: Models of Success in Rural Maternity Care
Describes factors that underlie 3 successful models of rural maternity care and informs communities, clinicians, and hospitals wishing to keep obstetric services available on the local level. Includes information from interviews conducted at facilities in Baldwin, Wisconsin; Lakin, Kansas; and Russelville, Arkansas.
Author(s): Katy B. Kozhimannil, Carrie Henning-Smith, Megan Lahr, Mary Gilbertson
Date: 11/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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Describes factors that underlie 3 successful models of rural maternity care and informs communities, clinicians, and hospitals wishing to keep obstetric services available on the local level. Includes information from interviews conducted at facilities in Baldwin, Wisconsin; Lakin, Kansas; and Russelville, Arkansas.
Author(s): Katy B. Kozhimannil, Carrie Henning-Smith, Megan Lahr, Mary Gilbertson
Date: 11/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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