Rural Health
Resources by Topic: Access
Addressing Rural Hospital Closures Through Infrastructure Reform
Provides a historical overview of rural Medicare reimbursement and provider designations and discusses their impact on hospital closures. Supports changing the rural health infrastructure to provide more flexibility for rural hospitals and to emphasize primary care and emergency care access.
Author(s): Eleni Salyers
Date: 08/2019
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Provides a historical overview of rural Medicare reimbursement and provider designations and discusses their impact on hospital closures. Supports changing the rural health infrastructure to provide more flexibility for rural hospitals and to emphasize primary care and emergency care access.
Author(s): Eleni Salyers
Date: 08/2019
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Effects of the Patient Protection and Affordable Care Act on Coverage and Access to Care in Metropolitan vs. Non-Metropolitan Areas through 2016
Examines the combined effects of the Patient Protection and Affordable Care Act (PPACA) insurance provisions versus the effect of the Medicaid expansions, using recent national data to show possible differences between metropolitan and nonmetropolitan areas. Features statistics including changes in each of the years between 2013 and 2016, with breakdowns by metropolitan and nonmetropolitan areas.
Author(s): George L. Wehby, Wei Lyu, Dan M. Shane
Date: 08/2019
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines the combined effects of the Patient Protection and Affordable Care Act (PPACA) insurance provisions versus the effect of the Medicaid expansions, using recent national data to show possible differences between metropolitan and nonmetropolitan areas. Features statistics including changes in each of the years between 2013 and 2016, with breakdowns by metropolitan and nonmetropolitan areas.
Author(s): George L. Wehby, Wei Lyu, Dan M. Shane
Date: 08/2019
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Perceived Facilitators and Barriers to Rural Nursing Practice
Results of a web-based survey of 435 nurses, examining perceived facilitators and barriers to nursing practice, job satisfaction, and self-identified challenges in nursing work environments and patient care. Features statistics including educational training and work preparation, educational characteristics of ambulatory care nurses, and demographic characteristics of survey participants, with breakdowns by rural, suburban, and urban location.
Author(s): Janice C. Probst, Selina Hunt McKinney, Whitney Zahnd, Eboni Haynes
Date: 08/2019
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Results of a web-based survey of 435 nurses, examining perceived facilitators and barriers to nursing practice, job satisfaction, and self-identified challenges in nursing work environments and patient care. Features statistics including educational training and work preparation, educational characteristics of ambulatory care nurses, and demographic characteristics of survey participants, with breakdowns by rural, suburban, and urban location.
Author(s): Janice C. Probst, Selina Hunt McKinney, Whitney Zahnd, Eboni Haynes
Date: 08/2019
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Department of Health Care Services: It Has Not Ensured That Medi-Cal Beneficiaries in Some Rural Counties Have Reasonable Access to Care
Findings from a study to determine whether rural beneficiaries of the Medi-Cal Regional Model health plan were given acceptable access to care and adequate quality of care after the state transitioned into managed care plans in 2013. Includes county-level map showing Medi-Cal Managed Care Models and statistics showing maximum distance required to access care, with breakdowns by provider type.
Author(s): Elaine M. Howle
Citation: California State Auditor Report 2018-122
Date: 08/2019
Type: Document
Sponsoring organization: Auditor of the State of California
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Findings from a study to determine whether rural beneficiaries of the Medi-Cal Regional Model health plan were given acceptable access to care and adequate quality of care after the state transitioned into managed care plans in 2013. Includes county-level map showing Medi-Cal Managed Care Models and statistics showing maximum distance required to access care, with breakdowns by provider type.
Author(s): Elaine M. Howle
Citation: California State Auditor Report 2018-122
Date: 08/2019
Type: Document
Sponsoring organization: Auditor of the State of California
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Life-Saving Naloxone from Pharmacies
Describes the role naloxone plays in reversing the effects of an opioid overdose. Discusses the need for greater access to naloxone, particularly in rural areas, and highlights trends in opioid and naloxone prescribing. Includes links to related CDC resources.
Date: 08/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Describes the role naloxone plays in reversing the effects of an opioid overdose. Discusses the need for greater access to naloxone, particularly in rural areas, and highlights trends in opioid and naloxone prescribing. Includes links to related CDC resources.
Date: 08/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Arizona Opioid Action Plan Version 2.0, July 2019 - June 2021
Outlines the Arizona Department of Health Services' goals and recommendations for responding to the state's opioid-related public health emergency declaration. Intended to serve as an action plan and primary data source, containing information on opioid legislation, federal barriers, public education, youth prevention, medical education curriculum, and more. Includes rural-specific information and recommendations.
Date: 07/2019
Type: Document
Sponsoring organization: Arizona Department of Health Services
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Outlines the Arizona Department of Health Services' goals and recommendations for responding to the state's opioid-related public health emergency declaration. Intended to serve as an action plan and primary data source, containing information on opioid legislation, federal barriers, public education, youth prevention, medical education curriculum, and more. Includes rural-specific information and recommendations.
Date: 07/2019
Type: Document
Sponsoring organization: Arizona Department of Health Services
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Rural and Urban Patients with Diffuse Large B-Cell and Follicular Lymphoma Experience Reduced Overall Survival: A National Cancer Database Study
Investigates overall survival (OS) in cancer patients related to geography-based factors. Discusses intersecting lower OS factors including higher rates of poverty, comorbid disease, treatment delay, lack of insurance, and decreased access to specialty care. Patients were classified into rural, urban, and metropolitan segments utilizing Rural – Urban Continuum Codes.
Author(s): Andrew J. Ritter, Jordan S. Goldstein, Amy A. Ayers, Christopher R. Flowers
Citation: Leukemia & Lymphoma, 60(7), 1656-1667
Date: 07/2019
Type: Document
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Investigates overall survival (OS) in cancer patients related to geography-based factors. Discusses intersecting lower OS factors including higher rates of poverty, comorbid disease, treatment delay, lack of insurance, and decreased access to specialty care. Patients were classified into rural, urban, and metropolitan segments utilizing Rural – Urban Continuum Codes.
Author(s): Andrew J. Ritter, Jordan S. Goldstein, Amy A. Ayers, Christopher R. Flowers
Citation: Leukemia & Lymphoma, 60(7), 1656-1667
Date: 07/2019
Type: Document
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2019 Medicaid and Commercial Access to Care Index: How Payer Type Influences Coloradans' Access to Needed Health Care
Provides information on healthcare access through both Medicaid and private insurers, as well as several other factors to determine whether the health needs of Colorado residents are being met. Measures improvement in healthcare access based on three components of access: potential access, barriers to care, and realized access. Features data breakdown by county.
Date: 07/2019
Type: Document
Sponsoring organization: Colorado Health Institute
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Provides information on healthcare access through both Medicaid and private insurers, as well as several other factors to determine whether the health needs of Colorado residents are being met. Measures improvement in healthcare access based on three components of access: potential access, barriers to care, and realized access. Features data breakdown by county.
Date: 07/2019
Type: Document
Sponsoring organization: Colorado Health Institute
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Endoscopic Services in the United States: By Whom, for What, and Why?
Discusses the relevance of declining volume of endoscopic procedures in urban and rural areas, from the standpoint of healthcare delivery. Focuses on colorectal cancer screening, assessments of endoscopic quality, and possible solutions, including training in flexible endoscopy.
Author(s): James W. Feimster, John D. Mellinger
Citation: The Journal of the American Board of Family Medicine, 32(4), 454-456
Date: 07/2019
Type: Document
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Discusses the relevance of declining volume of endoscopic procedures in urban and rural areas, from the standpoint of healthcare delivery. Focuses on colorectal cancer screening, assessments of endoscopic quality, and possible solutions, including training in flexible endoscopy.
Author(s): James W. Feimster, John D. Mellinger
Citation: The Journal of the American Board of Family Medicine, 32(4), 454-456
Date: 07/2019
Type: Document
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Health Needs Assessment of Five Pennsylvania Plain Populations
Offers the results of a health needs assessment for 5 Anabaptist Pennsylvania Plain communities compared with the general state population. Discusses prevalence of genetic diseases and mental health conditions, screenings and vaccinations, and general health outcomes. Provides data on demographics, nutrition, environmental health, and health conditions taken from household surveys conducted in 2014 and 2015 which were designed to represent Plain community views of modern medicine.
Author(s): Kirk Miller, Berwood Yost, Christina Abbott, et al.
Citation: International Journal of Environmental Research and Public Health, 16(13), 2378
Date: 07/2019
Type: Document
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Offers the results of a health needs assessment for 5 Anabaptist Pennsylvania Plain communities compared with the general state population. Discusses prevalence of genetic diseases and mental health conditions, screenings and vaccinations, and general health outcomes. Provides data on demographics, nutrition, environmental health, and health conditions taken from household surveys conducted in 2014 and 2015 which were designed to represent Plain community views of modern medicine.
Author(s): Kirk Miller, Berwood Yost, Christina Abbott, et al.
Citation: International Journal of Environmental Research and Public Health, 16(13), 2378
Date: 07/2019
Type: Document
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