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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Prescription Medication Use, Coverage, and Nonadherence Among Adults Age 65 and Older: United States, 2021–2022
Reports on medication use, prescription drug insurance coverage, and nonadherence due to cost for older adults between 2021 and 2022. Includes data breakdown of various demographic and health status characteristics including 4 levels of urbanization.
Author(s): Robin A. Cohen, Laryssa Mykyta
Date: 09/2024
Sponsoring organization: National Center for Health Statistics
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Medical Visits and Mortality among Dementia Patients during the COVID-19 Pandemic Compared to Rates Predicted from 2019
Evaluates actual versus predicted changes in medical visits and mortality during the COVID-19 pandemic among adults aged 66 and older with Alzheimer's disease and related dementias (ADRD). Utilizes 2019-2022 Centers for Medicare and Medicaid Services (CMS) data. See table 3 for a bar graph displaying differences in COVID-related and COVID-unrelated excess mortality for selected sociodemographic factors, including level of rurality, during the pandemic.
Author(s): Kaushik Ghosh, Susan T. Stewart, Trivellore Raghunathan, David M. Cutler
Citation: BMC Geriatrics, 24, 727
Date: 09/2024
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Perceptions of Multi-Cancer Early Detection Tests among Communities Facing Barriers to Health Care
Used focus groups to identify barriers and facilitators of multi-cancer early detection tests use for people facing access barriers to healthcare including rural Alaskan residents among others. Discusses the mental health impacts of cancer screening, knowledge of screening, patient-provider relationships, trust in healthcare systems, access to healthcare, and financial accessibility.
Author(s): Kristi L. Roybal, Robyn A. Husa, Maria Connolly, et al.
Citation: Health Affairs Scholar, 2(9)
Date: 09/2024
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Implementation of a Rural Emergency Department-initiated Buprenorphine Program in the Mountain West: A Study Protocol
Protocol for a study of emergency department (ED) initiation of buprenorphine treatment for opioid use disorder (OUD) in the rural Mountain West. Discusses study design, implementation strategies, and barriers to OUD treatment access and provision in rural areas.
Author(s): Natasha Seliski, Troy Madsen, Savannah Eley, et al.
Citation: Addiction Science & Clinical Practice, 19, 63
Date: 09/2024
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Building a Regional Healthcare Presence and Partnerships, with Krista Postai and Jason Wesco
An episode of the Exploring Rural Health podcast featuring Krista Postai, CEO of Community Health Center of Southeast Kansas (CHC/SEK), and Jason Wesco, CHC/SEK's President and Chief Strategy Officer. Focuses on the community health center's journey from a single facility operating out of a trailer to having 18 locations across the region that leverage community partnerships to address health-related social needs.
Date: 09/2024
Sponsoring organization: Rural Health Information Hub
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Is Access to Optimal Concussion Care for Pediatric Athletes Limited by Geography?
Examines access to optimal concussion care for pediatric patients in metro and rural areas of the United States. Analyzes internet searches written as "concussion care near me" originating from one rural area and one metro area in each state to observe distance to care, if available clinic treats pediatric patients, and if care allows for self-referral and/or is multidisciplinary. Includes data from select states and representative regions across the country.
Author(s): Ryan Powers, Robert Trevino, Holly Erpenbach, Danny Thomas
Citation: Clinical Journal of Sport Medicine 34(5), 425-429
Date: 09/2024
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Critical Lessons from a Pragmatic Randomized Trial of Home-Based COVID-19 Testing in Rural Native American and Latino Communities
Examines the impact of utilizing community health workers (CHWs) to provide COVID-19 home testing in rural Latino and Native American communities. Includes data on completion of COVID-19 tests and provides qualitative feedback on accessibility, feasibility, and completion of COVID-19 home testing with CHW assistance.
Author(s): Eliza Webber, Sonia Bishop, Paul K. Drain, et al.
Citation: Journal of Rural Health, 40(4), 709-719
Date: 09/2024
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Rural Versus Urban Health Disparities in the COVID-19 Era Among Veterans With COPD
Surveyed 100 rural and urban Minnesota veterans with chronic obstructive pulmonary disease (COPD) between March 2021 and February 2022 to identify differences in perception and practices of COVID-19 mitigation, access to healthcare, and health disparities.
Author(s): Camille Robichaux, Alexander Zanotto, Chris H. Wendt, et al.
Citation: Chronic Obstructive Pulmonary Diseases: Journal of the COPD Foundation, 11(5), 538
Date: 08/2024
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Remote Patient Monitoring for Rural Michigan Hospitals
Discusses the usefulness of remote patient monitoring (RPM) as a way supplement access to healthcare treatment in Michigan and provides an overview of how to successfully implement an RPM program in rural hospitals. Includes best practices for RPM, with a focus on implementation, measuring and reporting, governance, and more.
Date: 08/2024
Sponsoring organization: Michigan Center for Rural Health
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Syringe Access, Syringe Sharing, and Perceptions of HCV: A Qualitative Study Exploring the HCV Risk Environment in Rural Northern New England, United States
Highlights a study on syringe access for people who inject drugs (PWID), rates of syringe sharing, and perceived hepatitis C (HCV) risk in rural Northern New England. Bases findings on semi-structured interviews and breaks down data by state of residence, age, and drug of choice, among other measures.
Author(s): Eric Romo, Elyse Bianchet, Patrick Dowd, et al.
Citation: Viruses, 16(9), 1364
Date: 08/2024
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