Rural Health
Resources by Topic: Access
Examining the Association Between Intervention-Related Changes in Diet, Physical Activity, and Weight as Moderated by the Food and Physical Activity Environments among Rural, Southern Adults
Study examining changes in weight, diet, and physical activity in rural adults who took part in a lifestyle intervention in rural Lenoir County, North Carolina. Reports data on self-reported and objectively-measured changes over 6 months, covering access to different kinds of food retailers, gyms, and parks, as well as community walkability, crime, and barriers to physical activity.
Author(s): Stephanie B. Jilcott Pitts, Thomas C. Keyserling, Larry F. Johnston, et al.
Citation: Journal of the Academy of Nutrition and Dietetics, 117(10), 1618-1627
Date: 10/2018
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Study examining changes in weight, diet, and physical activity in rural adults who took part in a lifestyle intervention in rural Lenoir County, North Carolina. Reports data on self-reported and objectively-measured changes over 6 months, covering access to different kinds of food retailers, gyms, and parks, as well as community walkability, crime, and barriers to physical activity.
Author(s): Stephanie B. Jilcott Pitts, Thomas C. Keyserling, Larry F. Johnston, et al.
Citation: Journal of the Academy of Nutrition and Dietetics, 117(10), 1618-1627
Date: 10/2018
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Understanding Infant and Toddler Child Care Deserts
Examines the availability of licensed infant-toddler child care in 9 states and the District of Columbia, with a focus on how rural communities are disproportionately affected by a limited or complete lack of access to childcare services. Features discussion on consequences of childcare deserts and offers policy recommendations to increase the supply of licensed child care.
Author(s): Steven Jessen-Howard, Rasheed Malik, Simon Workman, Katie Hamm
Date: 10/2018
Sponsoring organization: Center for American Progress
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Examines the availability of licensed infant-toddler child care in 9 states and the District of Columbia, with a focus on how rural communities are disproportionately affected by a limited or complete lack of access to childcare services. Features discussion on consequences of childcare deserts and offers policy recommendations to increase the supply of licensed child care.
Author(s): Steven Jessen-Howard, Rasheed Malik, Simon Workman, Katie Hamm
Date: 10/2018
Sponsoring organization: Center for American Progress
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Rationale and Development of a Randomized Pragmatic Trial to Improve Diabetes Outcomes in Patient-Centered Medical Homes Serving Rural Patients
Reports on a randomized trial developed to determine the effectiveness of a health literacy intervention supporting diabetes self-management education compared to enhanced usual care. Clinical trial occurred in six rural clinics in Arkansas that are Patient-Centered Medical Homes (PCMH), targeting patients with uncontrolled type 2 diabetes.
Author(s): Kristie B. Hadden, Connie L. Arnold, Laura M. Curtis, et al.
Citation: Contemporary Clinical Trials, 75, 152-157
Date: 10/2018
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Reports on a randomized trial developed to determine the effectiveness of a health literacy intervention supporting diabetes self-management education compared to enhanced usual care. Clinical trial occurred in six rural clinics in Arkansas that are Patient-Centered Medical Homes (PCMH), targeting patients with uncontrolled type 2 diabetes.
Author(s): Kristie B. Hadden, Connie L. Arnold, Laura M. Curtis, et al.
Citation: Contemporary Clinical Trials, 75, 152-157
Date: 10/2018
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Geographic Representativeness of a Web-Based Smoking Cessation Intervention: Reach Equity Analysis
Compares the use of a web-based smoking cessation program by 67,854 users across large metro, small metro, and nonmetro populations throughout the United States between 2013 and 2017. Examines if the location of program participants is proportional to the national smoking population.
Author(s): Michael S. Amato, Amanda L. Graham
Citation: Journal of Medical Internet Research, 20(10), e11668
Date: 10/2018
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Compares the use of a web-based smoking cessation program by 67,854 users across large metro, small metro, and nonmetro populations throughout the United States between 2013 and 2017. Examines if the location of program participants is proportional to the national smoking population.
Author(s): Michael S. Amato, Amanda L. Graham
Citation: Journal of Medical Internet Research, 20(10), e11668
Date: 10/2018
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A Regional Analysis of Hepatitis C Virus Collaborative Care with Pharmacists in Indian Health Service Facilities
Reports on an Indian Health Service (IHS) review to identify and address gaps in hepatitis C virus (HCV) treatment of American Indian/Alaska Natives (AI/ANs). The study took place at 11 separate healthcare facilities in mostly rural Oklahoma and Kansas. The HCV treatment included a strong pharmacy component with a collaborative practice agreement, and HCV telehealth services for specialist support.
Author(s): Rebecca Geiger, Jessica Steinert, Grant McElwee,et al.
Citation: Journal of Primary Care & Community Health, 9, 1-5
Date: 10/2018
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Reports on an Indian Health Service (IHS) review to identify and address gaps in hepatitis C virus (HCV) treatment of American Indian/Alaska Natives (AI/ANs). The study took place at 11 separate healthcare facilities in mostly rural Oklahoma and Kansas. The HCV treatment included a strong pharmacy component with a collaborative practice agreement, and HCV telehealth services for specialist support.
Author(s): Rebecca Geiger, Jessica Steinert, Grant McElwee,et al.
Citation: Journal of Primary Care & Community Health, 9, 1-5
Date: 10/2018
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Utilization and Adherence in Medical Homes: An Assessment of Rural-Urban Differences for People with Severe Mental Illness
Discusses whether enrollment in medical homes improves care in rural versus urban settings for people with severe mental illness (SMI). Examines utilization measures of primary care, mental health, emergency department, inpatient hospitalizations, and medication adherence using data derived from North Carolina Medicaid claims from 2004–2007.
Author(s): Mona Kilany, Joseph P. Morrissey, Marisa Elena Domino, et al.
Citation: Medical Care, 56(10), 870-876
Date: 10/2018
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Discusses whether enrollment in medical homes improves care in rural versus urban settings for people with severe mental illness (SMI). Examines utilization measures of primary care, mental health, emergency department, inpatient hospitalizations, and medication adherence using data derived from North Carolina Medicaid claims from 2004–2007.
Author(s): Mona Kilany, Joseph P. Morrissey, Marisa Elena Domino, et al.
Citation: Medical Care, 56(10), 870-876
Date: 10/2018
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Leveraging Telehealth to Support Aging Americans
Reviews the potential benefits of telehealth for Americans 65 and older. Covers remote patient monitoring, federal and state regulations, and best practices from health insurers and healthcare providers. Includes case studies from rural areas.
Date: 10/2018
Sponsoring organizations: AHIP, Coalition to Transform Advanced Care
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Reviews the potential benefits of telehealth for Americans 65 and older. Covers remote patient monitoring, federal and state regulations, and best practices from health insurers and healthcare providers. Includes case studies from rural areas.
Date: 10/2018
Sponsoring organizations: AHIP, Coalition to Transform Advanced Care
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Activation and Utilization of an Electronic Health Record Patient Portal at an Academic Medical Center: Impact of Patient Demographics and Geographic Location
Analyzes the rates of patient portal activation and usage associated with the University of Iowa Hospitals and Clinics by patients in rural and urban areas of the state. Identifies population groups with the lowest activation rates and discusses possible barriers to accessing patient portals.
Author(s): Sarah E. R. Oest, Maia Hightower, Matthew D. Krasowski
Citation: Academic Pathology, 5
Date: 10/2018
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Analyzes the rates of patient portal activation and usage associated with the University of Iowa Hospitals and Clinics by patients in rural and urban areas of the state. Identifies population groups with the lowest activation rates and discusses possible barriers to accessing patient portals.
Author(s): Sarah E. R. Oest, Maia Hightower, Matthew D. Krasowski
Citation: Academic Pathology, 5
Date: 10/2018
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Access in Brief: Rural and Urban Health Care
Compares healthcare access and use of services for children and adults with Medicaid to those with private insurance or no insurance for both rural and urban areas and for adults with disabilities. Includes access data by age group, income, and race/ethnicity and utilization data for office and emergency room visits. Addresses access to prescription drugs and eyeglasses as well as barriers to healthcare access.
Date: 10/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Compares healthcare access and use of services for children and adults with Medicaid to those with private insurance or no insurance for both rural and urban areas and for adults with disabilities. Includes access data by age group, income, and race/ethnicity and utilization data for office and emergency room visits. Addresses access to prescription drugs and eyeglasses as well as barriers to healthcare access.
Date: 10/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Geographic Availability of Low-Dose Computed Tomography for Lung Cancer Screening in the United States, 2017
Includes state-level tables and maps showing locations of lung cancer screening sites and percentage of population ages 55-79 lacking access to a center, and lung cancer mortality versus accessibility of screening centers. Helps identify rural areas in need of screening program creation or expansion.
Author(s): Jan M. Eberth, Parisa Bozorgi, Logan M. Lebrón, et al.
Citation: Preventing Chronic Disease, 15
Date: 10/2018
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Includes state-level tables and maps showing locations of lung cancer screening sites and percentage of population ages 55-79 lacking access to a center, and lung cancer mortality versus accessibility of screening centers. Helps identify rural areas in need of screening program creation or expansion.
Author(s): Jan M. Eberth, Parisa Bozorgi, Logan M. Lebrón, et al.
Citation: Preventing Chronic Disease, 15
Date: 10/2018
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