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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Special Needs in Rural America: Implications for Healthcare Workforce Education, Training, and Practice
Offers policy recommendations to strengthen rural health workforce training and improve access to healthcare in rural areas. Addresses the health and social needs of rural America through evidence-based health workforce investments in education, training, and practice. Examines disparities in health and access to care in rural areas, and mismatch in supply and demand.
Date: 07/2020
Sponsoring organization: Council on Graduate Medical Education
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Spatial Barriers as Moral Failings: What Rural Distance Can Teach Us about Women's Health and Medical Mistrust
Explores the perceptions of rural women about their access to healthcare, including maternal care. Discusses some of the perceived barriers to healthcare access by rural women, such as spacial distance and mistrust of healthcare providers.
Author(s): Michele Statz, Kaylie Evers
Citation: Health and Place, 64, 102396
Date: 07/2020
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Rural Interfacility Emergency Department Transfers: Framework and Qualitative Analysis
Examines the transfer for rural emergency patients to other facilities across 2 urban and 5 rural Veterans Health Administration facilities. Discusses 3 factors that influence the decision of transferring a patient: patient factors, system resources, and clinical and administrative processes.
Author(s): Candace D. McNaughton, Kemberlee Bonnet, David Schlundt, et al.
Citation: The Western Journal of Emergency Medicine, 21(4), 858-865
Date: 07/2020
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Perceptions of the Food Environment and Access among Predominantly Black Low-Income Residents of Rural Louisiana Communities
Study of food security, food access, and perceptions of the food environment among predominantly Black, low-income rural Louisiana residents. Discusses issues of food insecurity in rural areas related to financial resources, transportation, and food shopping options. Presents recurring themes from focus group discussions including 44 participants, most of whom were Black women of various ages and employment statuses, including experiences finding and buying food, fishing and hunting, and utilizing food pantries, SNAP, WIC, and other assistance programs.
Author(s): Denise Holston, Jessica Stroope, Matthew Greene, Bailey Houghtaling
Citation: International Journal of Environmental Research and Public Health, 17(15), 5340
Date: 07/2020
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Responding to Behavioral Health Needs in Rural America
Presentation slides discussing behavioral health issues and needs in rural America. Describes approaches to enhance behavioral health service delivery and implications for public policy.
Author(s): Keith J. Mueller
Date: 07/2020
Sponsoring organization: Rural Policy Research Institute
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Individual Market Volatility and Vulnerability, 2015 to 2019
Study examining health insurance options and premium prices from 2015-2019, including rural/urban differences. Provides data and statistics on market volatility and vulnerability, with information broken down by population, race, health status, number of hospital beds, and more.
Author(s): Jean Marie Abraham
Citation: RSF: The Russell Sage Foundation Journal of the Social Sciences 6(2): 206–22
Date: 07/2020
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Experiences of Community Health Centers in Expanding Telemedicine
Presents an overview of the experiences of nine health centers in California that received funding to increase their telemedicine services. Describes barriers to implementing and sustaining expanded services, including reimbursement policies and other regulatory restrictions. Includes recommendations for health centers and policymakers to promote the use of telehealth services.
Author(s): Lori Uscher-Pines, Jessica Sousa, Alina I. Palimaru, et al.
Date: 07/2020
Sponsoring organization: RAND Corporation
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Medicare Beneficiary Use of Telehealth Visits: Early Data from the Start of the COVID-19 Pandemic
Examines changes in Medicare in-person primary care visits and the use of telehealth services at the start of the COVID-19 public health emergency. Discusses how Medicare telehealth flexibilities implemented in response to COVID-19 impacted access to these services. Compares the percentage of primary care telehealth visits between rural and urban providers. Includes a county-level map displaying the percentage of primary care visits conducted via telehealth services in April 2020.
Date: 07/2020
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Health Care Access for Infants and Toddlers in Rural Areas
Research brief describing how rural children are more likely to face a unique combination of challenges that negatively impact their health and development, such as fewer healthcare providers, barriers to accessing care, and higher rates of poverty. Includes rural/urban comparisons for each state, with information on the percentage of infants and toddlers lacking health insurance, receiving recommended vaccinations, attending a preventive medical appointment, and more.
Author(s): Jessie Laurore, Gayane Baziyants, Sarah Daily
Date: 07/2020
Sponsoring organization: Child Trends
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Changes in Care-Seeking after Rural Hospitals Merge
Describes changes to inpatient services in 15 rural hospitals in the 15 months before and after the hospitals' merger with another hospital or health system from 2014-2016. Features statistics on changes in visit type and percent bypass by diagnostic category and discharge date relative to merger.
Author(s): Tyler Malone, Denise Kirk, Randy Randolph, George Pink, Mark Holmes
Date: 07/2020
Sponsoring organization: North Carolina Rural Health Research Program
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