Rural Health
Resources by Topic: Access
Impact of Rural Address and Distance from Clinic on Depression Outcomes Within a Primary Care Medical Home Practice
Compares rural and urban outcomes and rates of recovery for patients diagnosed with depression, describing mental healthcare disparities. Discusses Collaborative Care Management (CCM), which involves nurse care coordinators, behavioral health practitioners, and physicians working together to treat primary care patients with depression. Studies 3,870 patients in southeast Minnesota, analyzing remission data and patients' distance from their primary care clinic. Discusses the impact of rural residence, distance from providers, accessibility of care, and CCM on recovery rates.
Author(s): Hailon Wong, Kyle Moore, Kurt B. Angstman, Gregory M. Garrison
Citation: BMC Family Practice, 20, 123
Date: 09/2019
Type: Document
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Compares rural and urban outcomes and rates of recovery for patients diagnosed with depression, describing mental healthcare disparities. Discusses Collaborative Care Management (CCM), which involves nurse care coordinators, behavioral health practitioners, and physicians working together to treat primary care patients with depression. Studies 3,870 patients in southeast Minnesota, analyzing remission data and patients' distance from their primary care clinic. Discusses the impact of rural residence, distance from providers, accessibility of care, and CCM on recovery rates.
Author(s): Hailon Wong, Kyle Moore, Kurt B. Angstman, Gregory M. Garrison
Citation: BMC Family Practice, 20, 123
Date: 09/2019
Type: Document
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Traumatic Injury and Access to Care in Rural Areas: Leveraging Linked Data and Geographic Information Systems for Planning and Advocacy
Analyzes county-level data representing traumatic injury rates in rural Colorado. Discusses challenges to trauma care in rural areas, including distance to trauma centers, rates of injury, prevention resources, EMS response times, and limited EMS capacity. Includes county-level maps showing transportation time to trauma centers, mortality rates, and hospitalization rates for traumatic injury.
Author(s): Paula Yuma, Rebecca Orsi, Julie Dunn, et al.
Citation: Rural Remote Health, 19(3), 5089
Date: 09/2019
Type: Document
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Analyzes county-level data representing traumatic injury rates in rural Colorado. Discusses challenges to trauma care in rural areas, including distance to trauma centers, rates of injury, prevention resources, EMS response times, and limited EMS capacity. Includes county-level maps showing transportation time to trauma centers, mortality rates, and hospitalization rates for traumatic injury.
Author(s): Paula Yuma, Rebecca Orsi, Julie Dunn, et al.
Citation: Rural Remote Health, 19(3), 5089
Date: 09/2019
Type: Document
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The Use of and Experiences With Telelactation Among Rural Breastfeeding Mothers: Secondary Analysis of a Randomized Controlled Trial
Study exploring a telehealth video-based lactation service offered to rural Pennsylvania mothers through a Critical Access Hospital. Discusses data on study participation, number of telelactation video calls per participant, nature of the participants' concerns or questions, breastfeeding experience, and infant age. Describes challenges of providing lactation support in rural areas and presents telelactation services as a potential solution.
Author(s): Kandice Kapinos, Virginia Kotzias, Debra Bogen, et al.
Citation: Journal of Medical Internet Research, 21(9), e13967
Date: 09/2019
Type: Document
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Study exploring a telehealth video-based lactation service offered to rural Pennsylvania mothers through a Critical Access Hospital. Discusses data on study participation, number of telelactation video calls per participant, nature of the participants' concerns or questions, breastfeeding experience, and infant age. Describes challenges of providing lactation support in rural areas and presents telelactation services as a potential solution.
Author(s): Kandice Kapinos, Virginia Kotzias, Debra Bogen, et al.
Citation: Journal of Medical Internet Research, 21(9), e13967
Date: 09/2019
Type: Document
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Inclusive Public Health Preparedness Program to Promote Resilience in Rural Appalachia (2016–2018)
Describes a collaborative planning process for responding to public health emergencies in a rural Appalachian setting where citizens are more vulnerable to emergencies and natural disasters. Emphasizes the importance of including rural populations with access and functional needs in the planning process to create all-inclusive, all-hazards emergency response services.
Author(s): Jennifer Schroeder, Erin Bouldin
Citation: American Journal of Public Health, 109(Suppl 4), S283-S285
Date: 09/2019
Type: Document
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Describes a collaborative planning process for responding to public health emergencies in a rural Appalachian setting where citizens are more vulnerable to emergencies and natural disasters. Emphasizes the importance of including rural populations with access and functional needs in the planning process to create all-inclusive, all-hazards emergency response services.
Author(s): Jennifer Schroeder, Erin Bouldin
Citation: American Journal of Public Health, 109(Suppl 4), S283-S285
Date: 09/2019
Type: Document
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The Use of Telehealth in School-Based Health Centers
Describes the growth in number and location of the telehealth model of care in traditional school-based health centers (SBHCs), and highlights how telehealth complements the care given by onsite providers. Examines the characteristics of SBHCs' use of the telehealth model including SBHCs who exclusively use telehealth, and the characteristics of provider types, medical sponsorship, and schools and students with access to SBHCs. Discusses the implications of the exclusive use of telehealth services, and how traditional health services are expanding due to the use of telehealth.
Author(s): Hayley Love, Nirmita Panchal, John Schlitt, et al.
Citation: Global Pediatric Health, 6
Date: 09/2019
Type: Document
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Describes the growth in number and location of the telehealth model of care in traditional school-based health centers (SBHCs), and highlights how telehealth complements the care given by onsite providers. Examines the characteristics of SBHCs' use of the telehealth model including SBHCs who exclusively use telehealth, and the characteristics of provider types, medical sponsorship, and schools and students with access to SBHCs. Discusses the implications of the exclusive use of telehealth services, and how traditional health services are expanding due to the use of telehealth.
Author(s): Hayley Love, Nirmita Panchal, John Schlitt, et al.
Citation: Global Pediatric Health, 6
Date: 09/2019
Type: Document
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America's Care of Serious Illness: A State-by-State Report Card on Access to Palliative Care in Our Nation's Hospitals
Examines access to palliative care services in hospitals. Includes some data on access to palliative care in rural hospitals with 50 or more beds and in hospitals with fewer than 50 beds, many of which are in rural areas.
Date: 09/2019
Type: Document
Sponsoring organizations: Center to Advance Palliative Care, National Palliative Care Research Center
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Examines access to palliative care services in hospitals. Includes some data on access to palliative care in rural hospitals with 50 or more beds and in hospitals with fewer than 50 beds, many of which are in rural areas.
Date: 09/2019
Type: Document
Sponsoring organizations: Center to Advance Palliative Care, National Palliative Care Research Center
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Child Care Challenges for Medicaid Work Requirements
Examines the impact of Medicaid work requirements on low-income parents related to finding and affording child care. Discusses challenges related to accessing child care and afterschool programs in rural areas.
Author(s): Gina Adams, Eva H. Allen, Anuj Gangopadhyaya, Genevieve M. Kenney
Date: 09/2019
Type: Document
Sponsoring organization: Urban Institute
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Examines the impact of Medicaid work requirements on low-income parents related to finding and affording child care. Discusses challenges related to accessing child care and afterschool programs in rural areas.
Author(s): Gina Adams, Eva H. Allen, Anuj Gangopadhyaya, Genevieve M. Kenney
Date: 09/2019
Type: Document
Sponsoring organization: Urban Institute
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Financial Alignment Initiative South Carolina Healthy Connections Prime: First Evaluation Report
Evaluation of the first year of the South Carolina Healthy Connections Prime demonstration to integrate care for the state's Medicare-Medicaid beneficiaries. Discusses access and other challenges for rural enrollees and how the program has worked to address rural needs.
Date: 09/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Evaluation of the first year of the South Carolina Healthy Connections Prime demonstration to integrate care for the state's Medicare-Medicaid beneficiaries. Discusses access and other challenges for rural enrollees and how the program has worked to address rural needs.
Date: 09/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Effective Communication and Consistency in Increasing Rural Vaccination Rates
Discusses barriers to vaccination in rural areas and strategies to improve vaccination rates. Features efforts in a Louisiana Rural Health Clinic (RHC) and in rural Kentucky high schools that are increasing vaccination rates.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 09/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Discusses barriers to vaccination in rural areas and strategies to improve vaccination rates. Features efforts in a Louisiana Rural Health Clinic (RHC) and in rural Kentucky high schools that are increasing vaccination rates.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 09/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Subcommittee on Health Hearing: MISSION Critical: Care in the Community Update
Presents a U.S. House of Representatives Committee on Veterans' Affairs Subcommittee on Health hearing on the MISSION Act community care program. Focuses specifically on the program's coverage and consistency of care for veterans.
Additional links: Witness Statements
Date: 09/2019
Type: Video/Multimedia
Sponsoring organization: House Veterans' Affairs Committee, Subcommittee on Health
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Presents a U.S. House of Representatives Committee on Veterans' Affairs Subcommittee on Health hearing on the MISSION Act community care program. Focuses specifically on the program's coverage and consistency of care for veterans.
Additional links: Witness Statements
Date: 09/2019
Type: Video/Multimedia
Sponsoring organization: House Veterans' Affairs Committee, Subcommittee on Health
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