Rural Health
Resources by Topic: Access
Overview of the Universal Service Fund and Selected Federal Broadband Programs
Provides an overview of federal programs supporting broadband deployment. Highlights programs established in response to the COVID-19 pandemic.
Date: 06/2021
Sponsoring organization: Congressional Research Service
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Provides an overview of federal programs supporting broadband deployment. Highlights programs established in response to the COVID-19 pandemic.
Date: 06/2021
Sponsoring organization: Congressional Research Service
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VA Community Care: Understanding Veterans' Access, Utilization, and Satisfaction
Supplemental journal features a wide variety articles pertaining to veterans' access to care, utilization, and the VA's Community Care Network (CCN). Discusses the CCN's relationship with the MISSION Act, telehealth, and challenges facing rural veterans, among other issues.
Citation: Medical Care, 59, (6, Suppl 3)
Date: 06/2021
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Supplemental journal features a wide variety articles pertaining to veterans' access to care, utilization, and the VA's Community Care Network (CCN). Discusses the CCN's relationship with the MISSION Act, telehealth, and challenges facing rural veterans, among other issues.
Citation: Medical Care, 59, (6, Suppl 3)
Date: 06/2021
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Access to Mechanical Thrombectomy for Ischemic Stroke in the United States
Examines access to mechanical thrombectomy for ischemic stroke, utilizing 2016-2018 emergency department and acute care hospital data for facilities in 11 states. Provides data on rural and urban differences in likelihood of presenting at thrombectomy gap, gateway, and hub facilities after ischemic stroke.
Author(s): Hooman Kamel, Neal S. Parikh, Abhinaba Chatterjee, et al.
Citation: Stroke, 52(8), 2554-2561
Date: 05/2021
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Examines access to mechanical thrombectomy for ischemic stroke, utilizing 2016-2018 emergency department and acute care hospital data for facilities in 11 states. Provides data on rural and urban differences in likelihood of presenting at thrombectomy gap, gateway, and hub facilities after ischemic stroke.
Author(s): Hooman Kamel, Neal S. Parikh, Abhinaba Chatterjee, et al.
Citation: Stroke, 52(8), 2554-2561
Date: 05/2021
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Texas Women and Women's Health Providers: Metro v. Non-Metro
Report on the number of women's health providers in rural and urban areas of Texas. Includes a county-level breakdown of the ratio of providers per 100,000 people as well as counties with no providers. Also includes a comparison of the number of types of providers and average ages between rural and urban areas.
Date: 05/2021
Sponsoring organization: Texas Health and Human Services
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Report on the number of women's health providers in rural and urban areas of Texas. Includes a county-level breakdown of the ratio of providers per 100,000 people as well as counties with no providers. Also includes a comparison of the number of types of providers and average ages between rural and urban areas.
Date: 05/2021
Sponsoring organization: Texas Health and Human Services
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Use of the Spatial Access Ratio to Measure Geospatial Access to Emergency General Surgery Services in California
Evaluates the ability of Spatial Access Ratio (SPAR) to identify disparities in emergency general surgery (EGS) access in California. Compares the locations of 238 EGS-capable hospitals to the location of California residents with focus on the socio-demographic characteristics of population size, poverty rate, health insurance coverage, and rural or urban status. Table 2 shows access to EGS hospitals by rurality, among other data. Discusses the use of SPAR to allocate resources differently.
Author(s): Marta McCrum, Neng Wan, Steven Lizotte, et al.
Citation: The Journal of Trauma and Acute Care Surgery, 90(5), 853-860
Date: 05/2021
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Evaluates the ability of Spatial Access Ratio (SPAR) to identify disparities in emergency general surgery (EGS) access in California. Compares the locations of 238 EGS-capable hospitals to the location of California residents with focus on the socio-demographic characteristics of population size, poverty rate, health insurance coverage, and rural or urban status. Table 2 shows access to EGS hospitals by rurality, among other data. Discusses the use of SPAR to allocate resources differently.
Author(s): Marta McCrum, Neng Wan, Steven Lizotte, et al.
Citation: The Journal of Trauma and Acute Care Surgery, 90(5), 853-860
Date: 05/2021
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Marketplace Premiums and Participation in 2021
Report examining changes in marketplace insurance premiums and insurer participation at the state and rating region level from 2020-2021. Offers data on state average benchmark premium and percent changes over time between 2017-2020. Appendix B offers tables for select states with select urban and rural regional data.
Author(s): John Holahan, Jessica Banthin, Erik Wengle
Date: 05/2021
Sponsoring organization: Urban Institute
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Report examining changes in marketplace insurance premiums and insurer participation at the state and rating region level from 2020-2021. Offers data on state average benchmark premium and percent changes over time between 2017-2020. Appendix B offers tables for select states with select urban and rural regional data.
Author(s): John Holahan, Jessica Banthin, Erik Wengle
Date: 05/2021
Sponsoring organization: Urban Institute
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Outreach to New Mothers Through Direct Mail and Email: Recruitment in the Early Check Research Study
Results of a study to evaluate outreach approaches implemented during phase I of a recruitment strategy for Early Check, a statewide newborn screening research study geared toward mothers from North Carolina or South Carolina who gave birth in North Carolina from September 2018 through March 2019. Features statistics with breakdowns including urban or rural residence.
Author(s): Ryan S. Paquin, Megan A. Lewis, Blake A. Harper, et al.
Citation: Clinical and Translational Science, 14(3), 880-889
Date: 05/2021
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Results of a study to evaluate outreach approaches implemented during phase I of a recruitment strategy for Early Check, a statewide newborn screening research study geared toward mothers from North Carolina or South Carolina who gave birth in North Carolina from September 2018 through March 2019. Features statistics with breakdowns including urban or rural residence.
Author(s): Ryan S. Paquin, Megan A. Lewis, Blake A. Harper, et al.
Citation: Clinical and Translational Science, 14(3), 880-889
Date: 05/2021
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Building on the Evidence Base: Studies on the Effects of Medicaid Expansion, February 2020 to March 2021
Summarizes the results of a review of 200 studies published between February 2020 and March 2021 on the impact of state Medicaid expansions under the Patient Protection and Affordable Care Act (ACA). Highlights findings on mortality; cancer, chronic disease, and disabilities; sexual and reproductive health; behavioral health; economic impacts on states and providers, including rural providers; disparities; and social determinants of health. Builds on a literature review that examined studies published between January 2014 and January 2020.
Author(s): Madeline Guth, Meghana Ammula
Date: 05/2021
Sponsoring organization: KFF
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Summarizes the results of a review of 200 studies published between February 2020 and March 2021 on the impact of state Medicaid expansions under the Patient Protection and Affordable Care Act (ACA). Highlights findings on mortality; cancer, chronic disease, and disabilities; sexual and reproductive health; behavioral health; economic impacts on states and providers, including rural providers; disparities; and social determinants of health. Builds on a literature review that examined studies published between January 2014 and January 2020.
Author(s): Madeline Guth, Meghana Ammula
Date: 05/2021
Sponsoring organization: KFF
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Challenges Faced by Rural Primary Care Providers When Caring for COPD Patients in the Western United States
Results of a survey of 71 rural primary care providers in 7 states, including Colorado and Kansas, to examine challenges faced when caring for chronic obstructive pulmonary disease (COPD) patients. Features demographic statistics with breakdowns by age, degree, rural or non-rural practice location, practice type, and state, and survey answers by provider type and location.
Additional links: Online Supplement
Author(s): Fernando Diaz del Valle, Patricia B. Koff, Sung-Joon Min, et al.
Citation: Chronic Obstructive Pulmonary Diseases, 8(3), 336-349
Date: 05/2021
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Results of a survey of 71 rural primary care providers in 7 states, including Colorado and Kansas, to examine challenges faced when caring for chronic obstructive pulmonary disease (COPD) patients. Features demographic statistics with breakdowns by age, degree, rural or non-rural practice location, practice type, and state, and survey answers by provider type and location.
Additional links: Online Supplement
Author(s): Fernando Diaz del Valle, Patricia B. Koff, Sung-Joon Min, et al.
Citation: Chronic Obstructive Pulmonary Diseases, 8(3), 336-349
Date: 05/2021
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Arizona READI
Discusses the Arizona Rural EMS Advanced Telemedicine Demonstration Initiative (AzREADI) program, which uses telemedicine to support rural emergency services by connecting EMS with physicians during service calls. Discusses challenges of providing EMS services in rural Arizona.
Date: 05/2021
Sponsoring organization: Arizona Public Media
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Discusses the Arizona Rural EMS Advanced Telemedicine Demonstration Initiative (AzREADI) program, which uses telemedicine to support rural emergency services by connecting EMS with physicians during service calls. Discusses challenges of providing EMS services in rural Arizona.
Date: 05/2021
Sponsoring organization: Arizona Public Media
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