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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Are You Connected?
Bar chart showing household broadband subscription rates in nonmetropolitan and metropolitan areas by region.
Date: 09/2018
Type: Chart/Graph
Sponsoring organization: U.S. Census Bureau
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Using Community-Based Participatory Research to Develop Healthy Retail Strategies in Native American-Owned Convenience Stores: The THRIVE Study
Highlights a study on the Tribal Health and Resilience in Vulnerable Environments (THRIVE) retail intervention that implements healthy food options in convenience stores in Native American communities. Details the results of a participant survey about the perceived food environment in their communities, and describes the implementation strategies, as well as the foods offered by the intervention.
Author(s): Valarie Blue Bird Jernigan, Mary Williams, Marianna Wetherill, et al.
Citation: Preventive Medicine Reports, 11, 148-153
Date: 09/2018
Type: Document
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Health Equity Challenges in Rural America
Discusses multiple factors contributing to health inequities in rural communities including poorer healthcare access, lack of health insurance, hospital closures, workforce shortages, limited availability of services, and longer distances to specialized healthcare. Offers recommendations for rural community leaders and policy makers to improve economic and socioeconomic conditions, including rural health infrastructure investment.
Author(s): Erika Ziller, Andrew Coburn
Citation: Human Rights Magazine, 43(3)
Date: 08/2018
Type: Document
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Factors Associated with American Indian Mental Health Service Use in Comparison with White Older Adults
Describes the factors associated with mental health service use by older American Indian (AI) adults living in South Dakota, and compares these factors to usage by older White adults to better understand the barriers in utilization of mental health services.
Author(s): Moon, H., Lee, Y.S,, Roh, S., Burnette, C.E..
Citation: Journal of Racial and Ethnic Health Disparities, 5(4), 847-859
Date: 08/2018
Type: Document
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Care That Works: Support and Services at Home (SASH)
Examines the Vermont statewide program utilizing affordable housing communities to provide supportive services and care coordination for older adults and people with disabilities in rural areas. Describes how an on-site wellness nurse and care coordinator works with participants to coordinate assistance provided by social service agencies and community health providers with the services of the housing provider.
Date: 08/2018
Type: Document
Sponsoring organization: Center for Consumer Engagement in Health Innovation
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Dental Health Aides in Alaska: A Qualitative Assessment to Improve Pediatric Oral Health in Remote Rural Villages
Evaluates the response to oral health disparities and access issues in remote Alaska Native villages by pediatric dental health aides. Draws data from interviews with patient focus groups, providers, and individual community members. Discusses barriers and strengths for pediatric dental health aides, including cultural competency, program sustainability, and expanded access to preventative oral health services.
Author(s): Kirsten Senturia, Louis Fiset, Kim Hort, et al.
Citation: Community Dentistry and Oral Epidemiology, 46(4), 416-424
Date: 08/2018
Type: Document
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Frontier and Remote Paramedicine Practitioner Models
Reviews paramedic service delivery models in the U.S. and other English speaking countries, focusing on models with the potential to support and improve health and well-being of frontier populations.
Author(s): Peter O'Meara, Gary Wingrove, Michael Nolan
Citation: Rural and Remote Health, 18(3)
Date: 08/2018
Type: Document
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Colorectal Cancer Screening in Rural and Poor-Resourced Communities
Reports on a community-based participatory research (CBPR) approach testing the usefulness of Empowering Communities for Life (EC4L), a culturally appropriate and community relevant intervention, developed to increase colorectal cancer (CRC) screening in two rural and underserved counties within the Mississippi Delta region of Arkansas. Describes the CBPR model, and the preliminary training and collaboration with community partners, and discusses participant barriers and facilitators to effective screening.
Author(s): Michael A. Preston, Katherine Glover-Collins, Levi Ross, et al.
Citation: American Journal of Surgery, 216(2), 245-250
Date: 08/2018
Type: Document
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Policy Landscape for Community Health Center Integration of Behavioral Health & SUD/OUD Services
Presents the findings from an analysis of community health centers (CHCs) in fourteen states to evaluate the services they offer, and recognize the barriers preventing CHCs from implementing, developing, and sustaining the integration of behavioral health and substance abuse disorder services.
Author(s): Kima Taylor
Date: 08/2018
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Changes in Insurance Coverage and Source of Health Care among High-risk Rural Female Offenders Following the Affordable Care Act
Highlights a study on healthcare coverage for formerly incarcerated rural women who use drugs. Compares pre- and post-Affordable Care Act (ACA) rates and considers the role of insurance coverage in healthcare utilization.
Author(s): Megan F. Dickson, Michele Staton, Martha Tillson, et al.
Citation: Journal of Health Care for the Poor and Underserved, 29(3), 843-863
Date: 08/2018
Type: Document
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