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Rural Health
Resources by Topic: Access

Availability of Respiratory Care Services in Critical Access and Rural Hospitals
Policy brief describing availability of respiratory therapy and therapists in Critical Access Hospitals and in urban and rural Prospective Payment System hospitals in 2016. Includes statistics with breakdowns by hospital type and rural or urban location.
Author(s): Michelle Casey, Alex Evenson, Ira Moscovice, Zhengtian Wu
Date: 06/2018
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Comprehensive Rural Population Health: Where is the General Surgeon?
Provides an overview of the role that general surgeons play, discusses the importance of surgical access, and describes efforts underway to attract students into the field and to train the rural surgical workforce.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Opportunities and Challenges to Utilizing Telehealth Technologies in the Provision of Medication Assisted Therapies in the Medi-Cal Program
Describes advantages and barriers to using telehealth for delivery of medication-assisted treatment (MAT) to California's Medicaid enrollees, especially those in rural and underserved areas. Includes recommendations for changes to California state laws in order to alleviate the challenges. Appendix C lists states allowing telehealth prescribing.
Date: 06/2018
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2018
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes a chapter on ensuring appropriate access to and use of hospital emergency department (ED) services that provides extensive information on rural access to ED services and identifies examples of rural off-campus emergency departments. Other sections of the report addressing rural concerns focus on post-acute care, quality and value payment programs, and medical device payment policies. Also includes a report on the effects of the Hospital Readmissions Reduction Program.
Additional links: Fact Sheet
Date: 06/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, June 2018
Provides an in-depth examination of and makes recommendations on two critical issues, the high cost of prescription drugs and the opioid epidemic, as they relate to Medicaid. The opioid section includes discussion of rural access to treatment for substance use disorder. Also discusses Medicaid's role as the nation's largest payer for long-term services and supports.
Date: 06/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Evaluating National Program to Improve Access to Acute Stroke Services for Rural Veterans
Features a study on the Veterans Health Administration's efforts to improve access to acute stroke services for rural and underserved veteran populations. Discusses the National TeleStroke Program (NTSP) and it's impact on rural veterans.
Date: 06/2018
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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Veterans Choice Program: Improvements Needed to Address Access-Related Challenges as VA Plans Consolidation of Its Community Care Programs
Presents a study on the Veterans Health Administration (VHA) Veterans Choice Program. Evaluates the VHA's ability to consolidate Community Care Programs without affecting access for rural veterans. Highlights findings and provides recommendations for changes.
Additional links: Full Report
Date: 06/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Health Insurance Coverage by Occupation Among Adults Aged 18–64 Years — 17 States, 2013–2014
Examines changes in health insurance coverage between 2013 and 2014. Includes data on health insurance among employed workers by selected characteristics, including rural residence. Provides health insurance data by occupational group. Reports on 17 states that asked all Behavioral Risk Factor Surveillance System survey participants about healthcare coverage and asked employed participants about their industry and occupation.
Author(s): Winifred L. Boal, Jia Li, Aaron Sussell
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(21), 593-598
Date: 06/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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A Statewide Program Providing Colorectal Cancer Screening to the Uninsured of South Carolina
Describes the implementation and clinical outcomes of the Colorectal Cancer Prevention Network (CCPN), a South Carolina statewide partnership providing no cost access to colonoscopy screening to uninsured populations seeking medical care at Federally Qualified Health Centers (FQHCs), hospital-based indigent services, and other free medical clinics.
Author(s): Jan M. Eberth, Annie Thibault, Renay Caldwell, et al.
Citation: Cancer, 124(9), 1912-1920
Date: 05/2018
Type: Document
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The Interaction Between Rural/Urban Status and Dual Use Status among Veterans with Heart Failure
Details a study on hospitalization and emergency department use by veterans with heart failure who use VA-only services or use a combination of VA and other healthcare services. Examines the role of urban and rural status in the veterans healthcare utilization rates.
Author(s): Kelly J Hunt, Mulugeta Gebregziahber, Charles J Everett, Paul A Heidenreich, Robert Neal
Citation: Rural and Remote Health, 18(2), 4495
Date: 05/2018
Type: Document
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