Rural Health
Resources by Topic: Access
Medicaid Expansion in Texas: Potential Economic and Employment Implications
Compares the findings of a survey of low-income adults in Texas – a non-expansion Medicaid state – with the findings from surveys of low-income populations living in Arkansas, Kentucky, and Louisiana – states having expanded Medicaid to assess the economic impact on their families and their state.
Author(s): Lucy Chen, Joy Madubuonwu, Caroline Pecos-Duarte, Benjamin D. Sommers
Date: 09/2019
Type: Document
Sponsoring organization: Commonwealth Fund
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Compares the findings of a survey of low-income adults in Texas – a non-expansion Medicaid state – with the findings from surveys of low-income populations living in Arkansas, Kentucky, and Louisiana – states having expanded Medicaid to assess the economic impact on their families and their state.
Author(s): Lucy Chen, Joy Madubuonwu, Caroline Pecos-Duarte, Benjamin D. Sommers
Date: 09/2019
Type: Document
Sponsoring organization: Commonwealth Fund
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Transformation Support Provided Remotely to a National Cohort of Optometry Practices
Describes the results of a practice transformation and quality improvement project for optometry practices. Compares cost-savings and emergency department avoidance data between rural and urban practices.
Author(s): Ronald N. Adler, Warren J. Ferguson, Hussein Antar, et al.
Citation: Annals of Family Medicine, 17(5), S33-S39
Date: 08/2019
Type: Document
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Describes the results of a practice transformation and quality improvement project for optometry practices. Compares cost-savings and emergency department avoidance data between rural and urban practices.
Author(s): Ronald N. Adler, Warren J. Ferguson, Hussein Antar, et al.
Citation: Annals of Family Medicine, 17(5), S33-S39
Date: 08/2019
Type: Document
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Scaling Up Hepatitis C Prevention and Treatment Interventions for Achieving Elimination in the United States: A Rural and Urban Comparison
Details a study on hepatitis C treatment and prevention interventions for people who use drugs in rural and urban areas. Compares the results of medication-assisted treatment (MAT) and syringe service program (SSP) interventions in rural Perry County, Kentucky and urban San Fransisco, California.
Author(s): Hannah Fraser, Claudia Vellozzi, Thomas J Hoerger, et al.
Citation: American Journal of Epidemiology, 188(8), 1539-1551
Date: 08/2019
Type: Document
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Details a study on hepatitis C treatment and prevention interventions for people who use drugs in rural and urban areas. Compares the results of medication-assisted treatment (MAT) and syringe service program (SSP) interventions in rural Perry County, Kentucky and urban San Fransisco, California.
Author(s): Hannah Fraser, Claudia Vellozzi, Thomas J Hoerger, et al.
Citation: American Journal of Epidemiology, 188(8), 1539-1551
Date: 08/2019
Type: Document
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Barriers of Colorectal Cancer Screening in Rural USA: A Systematic Review
Explores barriers to colorectal cancer screening in rural areas, reviewing research between 1998–2017 and drawing data from 27 articles. Discusses commonly reported barriers, including cost and lack of insurance, perceptions of the screening procedure, and recommendation from providers to complete screening, among others.
Author(s): Hongmei Wang, Shreya Roy, Jungyoon Kim, et al.
Citation: Rural Remote Health, 19(3), 5181
Date: 08/2019
Type: Document
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Explores barriers to colorectal cancer screening in rural areas, reviewing research between 1998–2017 and drawing data from 27 articles. Discusses commonly reported barriers, including cost and lack of insurance, perceptions of the screening procedure, and recommendation from providers to complete screening, among others.
Author(s): Hongmei Wang, Shreya Roy, Jungyoon Kim, et al.
Citation: Rural Remote Health, 19(3), 5181
Date: 08/2019
Type: Document
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Indian Health Service Human-Centered Design
Examines the requirements of a next-generation health information technology (HIT) system at the Indian Health Services (IHS), including interoperability, electronic health records, and telehealth capabilities, among others. Presents service blueprints and use cases that can be field-tested and evaluated. Publication is free to access after providing an email address.
Date: 08/2019
Type: Document
Sponsoring organizations: &Partners, U.S. Department of Health and Human Services
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Examines the requirements of a next-generation health information technology (HIT) system at the Indian Health Services (IHS), including interoperability, electronic health records, and telehealth capabilities, among others. Presents service blueprints and use cases that can be field-tested and evaluated. Publication is free to access after providing an email address.
Date: 08/2019
Type: Document
Sponsoring organizations: &Partners, U.S. Department of Health and Human Services
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Factors that Influence Access to Medication-Assisted Treatment
Results of a study examining factors that influence access to medication-assisted treatment and substance use disorder treatment, including rural location, stigma, shortage of providers, and insurance coverage. Uses data from an electronic survey distributed to 59 State Opioid Treatment Authorities or Single State Authorities in the spring of 2019.
Additional links: Policy Brief
Author(s): Dana Foney, Shannon Mace
Date: 08/2019
Type: Document
Sponsoring organizations: National Council for Mental Wellbeing, University of Michigan Behavioral Health Workforce Research Center
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Results of a study examining factors that influence access to medication-assisted treatment and substance use disorder treatment, including rural location, stigma, shortage of providers, and insurance coverage. Uses data from an electronic survey distributed to 59 State Opioid Treatment Authorities or Single State Authorities in the spring of 2019.
Additional links: Policy Brief
Author(s): Dana Foney, Shannon Mace
Date: 08/2019
Type: Document
Sponsoring organizations: National Council for Mental Wellbeing, University of Michigan Behavioral Health Workforce Research Center
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Reaching the Quadruple Aim: Workforce and Service Delivery Within Certified Community Behavioral Health Clinics
Summary of data collected between February and August 2019 on the Certified Community Behavioral Health Clinic (CCBHC) model's impact on the behavioral workforce and the aims of improving patient and provider experiences, improving the health of populations, and reducing costs. Discusses access and barriers to care, workforce capacity, primary care and behavioral healthcare integration, and offers recommendations for enhancing financing and reimbursement. Features statistics including populations served by CCBHCs, with breakdowns by urban, rural, and tribal locations.
Author(s): Dana Foney, Shannon Mace, Adriano Boccanelli
Date: 08/2019
Type: Document
Sponsoring organizations: National Council for Mental Wellbeing, University of Michigan Behavioral Health Workforce Research Center
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Summary of data collected between February and August 2019 on the Certified Community Behavioral Health Clinic (CCBHC) model's impact on the behavioral workforce and the aims of improving patient and provider experiences, improving the health of populations, and reducing costs. Discusses access and barriers to care, workforce capacity, primary care and behavioral healthcare integration, and offers recommendations for enhancing financing and reimbursement. Features statistics including populations served by CCBHCs, with breakdowns by urban, rural, and tribal locations.
Author(s): Dana Foney, Shannon Mace, Adriano Boccanelli
Date: 08/2019
Type: Document
Sponsoring organizations: National Council for Mental Wellbeing, University of Michigan Behavioral Health Workforce Research Center
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Home Equity: A Vision of Housing Security, Health and Opportunity
Provides data demonstrating the interrelationship between housing insecurity and health equity. Examines how policies and racism have impacted housing stability in Colorado's rural, urban, and suburban communities. Looks at the challenges to housing security faced by communities of color, undocumented immigrants, people with disabilities, families with children, low income households, rural communities, and homelessness populations. Suggests housing policies that may impact communities and improve housing security.
Date: 08/2019
Type: Document
Sponsoring organization: Colorado Health Institute
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Provides data demonstrating the interrelationship between housing insecurity and health equity. Examines how policies and racism have impacted housing stability in Colorado's rural, urban, and suburban communities. Looks at the challenges to housing security faced by communities of color, undocumented immigrants, people with disabilities, families with children, low income households, rural communities, and homelessness populations. Suggests housing policies that may impact communities and improve housing security.
Date: 08/2019
Type: Document
Sponsoring organization: Colorado Health Institute
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Making Connections: Nationwide Implementation of Video Telehealth Tablets to Address Access Barriers in Veterans
Results of a survey of 68 facility telehealth coordinators to evaluate implementation of a Department of Veterans Affairs initiative to provide tablets to high-need veterans with chronic conditions. Features statistics including demographics of tablet recipients and tablet users, with breakdowns by urban, rural, and highly rural location.
Author(s): Donna M. Zulman, Emily P. Wong, Cindie Slightam, et al.
Citation: JAMIA Open, 2(3), 323–329
Date: 08/2019
Type: Document
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Results of a survey of 68 facility telehealth coordinators to evaluate implementation of a Department of Veterans Affairs initiative to provide tablets to high-need veterans with chronic conditions. Features statistics including demographics of tablet recipients and tablet users, with breakdowns by urban, rural, and highly rural location.
Author(s): Donna M. Zulman, Emily P. Wong, Cindie Slightam, et al.
Citation: JAMIA Open, 2(3), 323–329
Date: 08/2019
Type: Document
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The Evolving Policy Landscape of Telehealth Services Delivered in the Home and Other Nonclinical Settings
Issue brief identifying key findings for state officials considering adopting new policies for home-based telehealth services. Describes Medicaid and Medicare coverage for telehealth services, including those provided in rural and Health Professional Shortage Areas, Critical Access Hospitals, and Rural Health Clinics.
Author(s): Brittany Lazur, Andrea Bennett, Valerie King
Date: 08/2019
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Issue brief identifying key findings for state officials considering adopting new policies for home-based telehealth services. Describes Medicaid and Medicare coverage for telehealth services, including those provided in rural and Health Professional Shortage Areas, Critical Access Hospitals, and Rural Health Clinics.
Author(s): Brittany Lazur, Andrea Bennett, Valerie King
Date: 08/2019
Type: Document
Sponsoring organization: Milbank Memorial Fund
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