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Rural Health
Resources by Topic: Access

Mapping the Food Landscape in New Hampshire
Examines access to food and food support in New Hampshire at a census tract level. Covers farm and non-farm retail food sources, retail sites that accept Supplemental Nutrition Assistance Program (SNAP) and Special Nutrition Program for Women, Infants, and Children (WIC), food support sites such as the National School Lunch Program, and food pantries. Identifies less densely populated areas and areas with more people in poverty and discusses some issues specific to rural areas of the state.
Author(s): Jessica A. Carson
Date: 06/2019
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Analysis of Oral Dietary Supplement Use in Rural Older Adults
Interviewed 138 rural older Nebraskan adults using at least 3 prescribed medications to determine associations with oral dietary supplement (ODS) use. Discusses implications of ODS use alongside prescription medication as well as rural-specific reasons for ODS use.
Author(s): Marcia Y. Shade, Matthew Witry, Katie Robinson, Kevin Kupzyk
Citation: Journal of Clinical Nursing, 28(9-10), 1600-1606
Date: 05/2019
Type: Document
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Addressing Rural Seniors' Unmet Needs For Oral Health Care
Highlights a study on barriers to oral healthcare for rural seniors. Discusses the poor health outcomes seniors face when they lack access to oral healthcare. Details barriers such as cost, lack of insurance coverage, and provider shortages, among others.
Author(s): Cheryl Fish-Parcham, Melissa Burroughs, Eric P. Tranby, Avery R. Brow
Citation: Health Affairs Blog
Date: 05/2019
Type: Document
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Suboptimal Geographic Accessibility to Comprehensive HIV Care in the US: Regional and Urban–Rural Differences
Discusses access to HIV care facilities in urban and rural areas based on travel distance to care sites. Analyzes national data to determine average driving time to care sites and percentage of people living with HIV who have a drive time of greater than 30 minutes. Figure 1 offers a map of the contiguous U.S. representing HIV care sites and the population living with HIV/AIDS by county based on 2014 data.
Author(s): Steven P. Masiano, Erika G. Martin, Rose S. Bono, et al.
Citation: Journal of the International AIDS Society, 22(5), e25286
Date: 05/2019
Type: Document
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Examining Urban and Rural Differences in How Distance to Care Influences the Initiation and Completion of Treatment among Insured Cervical Cancer Patients
Study examining rates of cervical cancer treatment for patients in North Carolina, focusing on the role of geographic distance in healthcare disparities. Analyzes data for insured cervical cancer patients from 2004-2013, taken from a state registry. Discusses the differences in time between diagnosis and completion of concurrent chemoradiotherapy between rural and urban patients.
Author(s): Lisa Spees, Wendy Brewster, Mahesh Varia, et al.
Citation: Cancer, Epidemiology, Biomarkers and Prevention, 28(5), 882-889
Date: 05/2019
Type: Document
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Are Rural and Urban Emergency Departments Equally Prepared to Reduce Avoidable Hospitalizations?
Presents the results of a cross-sectional, web-based survey sent to medical directors and/or nurse managers from 135 hospital-based emergency departments (EDs) in Michigan. Examines the rural and urban differences in the presence of clinical pathways, services to reduce admissions, barriers connecting patients to outpatient services, and the availability of resources to reduce or prevent avoidable admissions.
Author(s): Margaret B. Greenwood-Ericksen, Michelle L. Macy, Jason Ham, et al.
Citation: Western Journal of Emergency Medicine, 20(3), 477-484
Date: 05/2019
Type: Document
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The New Economy and Child Care: Nonstandard-Hour Work, Child Care, and Child Health and Well-Being
Examines childcare instability experienced by mothers with young children. Includes information from state childcare administrators related to the support provided by the childcare subsidy system for parents working nonstandard hours. Includes a brief discussion of rural childcare deserts.
Author(s): Angela Rachidi, Russell Sykes, Kerry Desjardins, Julius Cesar Chaidez
Date: 05/2019
Type: Document
Sponsoring organizations: American Public Human Services Association, Mathematica
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A Roadmap for Delivering Child Care in Agricultural Communities
Workbook designed to identify challenges and assets in providing services in rural communities, and to examine how these factors play a part in accessing services. Includes resources and links for further information.
Author(s): A.K. Liebman, M.A. Salzwedel, J. Simmons, B.C. Lee
Date: 05/2019
Type: Document
Sponsoring organizations: Migrant Clinicians Network, National Children's Center for Rural and Agricultural Health and Safety
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Infectious Diseases Society of America Position Statement on Telehealth and Telemedicine as Applied to the Practice of Infectious Diseases
Position statement to educate members of the Infectious Diseases Society of America on telehealth and to promote use of this technology in clinical care, research, and education. Explores the potential to increase access to subspecialist care in rural areas, and describes reimbursement policies of private insurers, Medicare, and Medicaid, for telehealth services provided to patients in rural areas. Also describes HIPAA requirements for telehealth interactions and protected health information.
Author(s): Jeremy D. Young, Rima Abdel-Massih, Thomas Herchline, et al.
Citation: Clinical Infectious Diseases, 68(9), 1437-1443
Date: 05/2019
Type: Document
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Twenty Years of School-Based Health Care Growth and Expansion
Examines the status of school-based health centers (SBHCs) and changes from 1998-2017. Includes data on the number of rural SBHCs over time, telehealth-exclusive SBHCs, sponsorship of SBHCs by Federally Qualified Health Centers (FQHCs), the number in each state, funding sources, populations served, types of healthcare provided, and more.
Author(s): Hayley E. Love, John Schlitt, Samira Soleimanpour, Nirmita Panchal, Caroline Behr
Citation: Health Affairs, 38(5), 755-764
Date: 05/2019
Type: Document
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