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Rural Health Information Hub

Rural Health
Resources by Topic: Access

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: 10/2019
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Disrupting Food Insecurity: Steps Communities Can Take
Offers possible solutions to challenges that affect families' ability to afford a healthy diet. Explores strategies developed specifically to meet needs of overlooked rural communities, including help with housing and transportation.
Additional links: Interactive Data Dashboard
Author(s): Caroline Ratcliffe, Elaine Waxman, Cary Lou, Hannah Hassani, Victoria Tran
Date: 10/2019
Sponsoring organization: Urban Institute
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Food and Beverage Options at Highway Rest Areas in North Carolina: A Mixed-Methods Audit and Geospatial Approach
Results of a 2018 study to determine the accessibility and healthfulness of food and beverages available at 24 rural and 6 urban North Carolina rest areas. Features statistics on characteristics of the rest areas, including distance from limited-service restaurants or convenience stores.
Author(s): Jared T. McGuirt, Grace Huebner, Rachel Ward, Stephanie B. Jilcott Pitts
Citation: Preventing Chronic Disease, 16
Date: 10/2019
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Arizona Primary Care Physician Workforce Report
Features data, using Rural Urban Commuting Areas (RUCA) codes, to assess the distribution of the physician workforce in Arizona, and highlights differences in the distribution by training location and physician specialty. To be used as a guide in the development of policies and programs addressing the healthcare needs of all communities within the state.
Date: 10/2019
Sponsoring organization: Arizona Center for Rural Health
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Enhancing Services for Deaf, Hard of Hearing, and Deafblind Patients in Rural America
Discusses the barriers to care that rural patients who are deaf, hard of hearing, or deafblind face, including lack of accommodations and inadequate clinician training. Features a Michigan clinic with American Sign Language-fluent staff, a New Jersey state division providing deaf sensitivity training, and a Colorado program that brings interpreters to rural communities.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 10/2019
Sponsoring organization: Rural Health Information Hub
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Reported Importance and Access to Health Care Providers Who Understand or Share Cultural Characteristics With Their Patients Among Adults, by Race and Ethnicity
Examines the importance and frequency of seeing culturally competent health care providers among U.S. adults, with data by race and ethnicity. Includes metropolitan and nonmetropolitan data for Hispanic, non-Hispanic White, non-Hispanic Black, and other non-Hispanic adults.
Author(s): Emily P. Terlizzi, Eric M. Connor, Carla E. Zelaya, et al.
Date: 10/2019
Sponsoring organization: National Center for Health Statistics
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Impact of Rural Residence on Kidney Transplant Rates Among Waitlisted Candidates in the VA Transplant Programs
Details a study on the role rurality plays in kidney transplantation access among veterans. Breaks down data of waitlisted veterans by age, sex, and location, among other measures. Compares rates veterans and non-veterans for reference.
Author(s): Amy O'Shea, Carrie L. Franciscus, Peter J. Kaboli, Roberto S. Kalil
Citation: Transplantation, 103(9), 1945-1952
Date: 09/2019
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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
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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
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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
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