Rural Health
Resources by Topic: Access
Veterans Health Care: VA Needs to Address Challenges as It Implements the Veterans Community Care Program
Examines challenges and lessons learned from the former Veterans Choice Program in order to help the Department of Veterans Affairs (VA) implement the new Veterans Community Care Program (VCCP), which allows veterans to seek healthcare services from non-VA facilities in certain situations. Addresses the proposed access standards for the VCCP program. Offered as testimony at the April 10, 2019 U.S. Senate hearing, VA MISSION Act: Implementing the Veterans Community Care Program.
Additional links: Full Report
Date: 04/2019
Sponsoring organization: Government Accountability Office
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Examines challenges and lessons learned from the former Veterans Choice Program in order to help the Department of Veterans Affairs (VA) implement the new Veterans Community Care Program (VCCP), which allows veterans to seek healthcare services from non-VA facilities in certain situations. Addresses the proposed access standards for the VCCP program. Offered as testimony at the April 10, 2019 U.S. Senate hearing, VA MISSION Act: Implementing the Veterans Community Care Program.
Additional links: Full Report
Date: 04/2019
Sponsoring organization: Government Accountability Office
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Broadband Mapping: Challenges and Solutions
Recording of a hearing from the U.S. Senate Committee on Commerce, Science, and Transportation focusing on efforts to collect more accurate broadband coverage information. Includes testimonies from the U.S. Telecom Association, Competitive Carriers Association, Mississippi Farm Bureau Federation, and others regarding current mapping challenges and the importance of broadband access for rural communities, including for healthcare services.
Additional links: Jonathan Spalter Testimony, Mike McCormick Testimony, Mike Oblizalo Testimony, Tim Donovan Testimony
Date: 04/2019
Sponsoring organizations: Committee on Commerce, Science, and Transportation, U.S. Senate
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Recording of a hearing from the U.S. Senate Committee on Commerce, Science, and Transportation focusing on efforts to collect more accurate broadband coverage information. Includes testimonies from the U.S. Telecom Association, Competitive Carriers Association, Mississippi Farm Bureau Federation, and others regarding current mapping challenges and the importance of broadband access for rural communities, including for healthcare services.
Additional links: Jonathan Spalter Testimony, Mike McCormick Testimony, Mike Oblizalo Testimony, Tim Donovan Testimony
Date: 04/2019
Sponsoring organizations: Committee on Commerce, Science, and Transportation, U.S. Senate
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Oral Health: Targeting Rural Areas
Compiles articles from a special issue of the Texas Public Health Journal focusing on rural oral health in Texas, Louisiana, and Oklahoma. Covers emergency department use in Texas for oral health needs in rural versus urban counties, geriatric oral health and workforce options such as teledentistry, a Delivery System Reform Incentive Payment project under a state waiver targeting rural communities, partnerships to reach underserved areas and pregnant women, and oral health initiatives in Louisiana and Oklahoma.
Citation: Texas Public Health Journal, 71(2), 2-16
Date: 04/2019
Sponsoring organization: Texas Public Health Association
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Compiles articles from a special issue of the Texas Public Health Journal focusing on rural oral health in Texas, Louisiana, and Oklahoma. Covers emergency department use in Texas for oral health needs in rural versus urban counties, geriatric oral health and workforce options such as teledentistry, a Delivery System Reform Incentive Payment project under a state waiver targeting rural communities, partnerships to reach underserved areas and pregnant women, and oral health initiatives in Louisiana and Oklahoma.
Citation: Texas Public Health Journal, 71(2), 2-16
Date: 04/2019
Sponsoring organization: Texas Public Health Association
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The Health and Well-Being of North Carolina's Farmworkers: The Importance of Inclusion, Accessible Services and Personal Connection
Provides an overview of farmworker health in North Carolina. Covers demographics, barriers to healthcare access, health risks, and negative health outcomes experienced by migrants and women. Highlights the impact of farmworker health services provided by Federally Qualified Health Centers and the North Carolina Farmworker Health Program.
Author(s): Elizabeth Freeman Lambar, Gayle Thomas
Citation: North Carolina Medical Journal, 80(2), 107-112
Date: 03/2019
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Provides an overview of farmworker health in North Carolina. Covers demographics, barriers to healthcare access, health risks, and negative health outcomes experienced by migrants and women. Highlights the impact of farmworker health services provided by Federally Qualified Health Centers and the North Carolina Farmworker Health Program.
Author(s): Elizabeth Freeman Lambar, Gayle Thomas
Citation: North Carolina Medical Journal, 80(2), 107-112
Date: 03/2019
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Challenges Associated with Living Remotely from a Pediatric Cancer Center: A Qualitative Study
Examines barriers related to living in rural areas while receiving treatment in urban healthcare centers for pediatric cancer patients. Shares recommendations to improve care and services for pediatric cancer patients and their families.
Author(s): Emily B. Walling, Mark Fiala, Andrea Connolly, Alyssa Drevenak, Sarah Gehlert
Citation: Journal of Oncology Practice, 15(3), e219-e229
Date: 03/2019
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Examines barriers related to living in rural areas while receiving treatment in urban healthcare centers for pediatric cancer patients. Shares recommendations to improve care and services for pediatric cancer patients and their families.
Author(s): Emily B. Walling, Mark Fiala, Andrea Connolly, Alyssa Drevenak, Sarah Gehlert
Citation: Journal of Oncology Practice, 15(3), e219-e229
Date: 03/2019
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Indiana Primary Care Needs Assessment, 2019
Summarizes 2015-2018 efforts to identify gaps in healthcare access and allocate resources to communities in greatest need. Lists Primary Care, Mental, and Dental Health Professional Shortage Area (HPSA) designations obtained between 2015 and 2018. Identifies population health priorities related to infant mortality, obesity, smoking, and substance misuse in Indiana.
Author(s): Chipo Chavanduka, Sierra Vaughn, Hannah Maxey
Date: 03/2019
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Summarizes 2015-2018 efforts to identify gaps in healthcare access and allocate resources to communities in greatest need. Lists Primary Care, Mental, and Dental Health Professional Shortage Area (HPSA) designations obtained between 2015 and 2018. Identifies population health priorities related to infant mortality, obesity, smoking, and substance misuse in Indiana.
Author(s): Chipo Chavanduka, Sierra Vaughn, Hannah Maxey
Date: 03/2019
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Evaluating Breast Cancer Care Coordination at a Rural National Cancer Institute Comprehensive Cancer Center Using Network Analysis and Geospatial Methods
Examines geographic access data for breast cancer patients served by a National Cancer Institute Comprehensive Cancer Center in New England. Discusses cancer care coordination, physician networks, and care network density (the amount of patient sharing among providers in a care network) to evaluate healthcare quality and outcomes.
Author(s): Erika L. Moen, Nirav S. Kapadia, A. James O'Malley, Tracy Onega
Citation: Cancer Epidemiology, Biomarkers and Prevention, 28(3), 455-461
Date: 03/2019
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Examines geographic access data for breast cancer patients served by a National Cancer Institute Comprehensive Cancer Center in New England. Discusses cancer care coordination, physician networks, and care network density (the amount of patient sharing among providers in a care network) to evaluate healthcare quality and outcomes.
Author(s): Erika L. Moen, Nirav S. Kapadia, A. James O'Malley, Tracy Onega
Citation: Cancer Epidemiology, Biomarkers and Prevention, 28(3), 455-461
Date: 03/2019
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Rural Pulse 2019: Rural/Urban Findings - March 2019
Results of a survey of 1,560 Minnesota residents, exploring their views on issues including access to healthcare, behavioral health services, public transportation, and elder care, and how well these issues are being addressed at the state and local levels. Features statistics including demographics with breakdowns by urban and rural residence, and survey responses with breakdowns by 6 Minnesota regions.
Date: 03/2019
Sponsoring organization: Blandin Foundation
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Results of a survey of 1,560 Minnesota residents, exploring their views on issues including access to healthcare, behavioral health services, public transportation, and elder care, and how well these issues are being addressed at the state and local levels. Features statistics including demographics with breakdowns by urban and rural residence, and survey responses with breakdowns by 6 Minnesota regions.
Date: 03/2019
Sponsoring organization: Blandin Foundation
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Using Implementation Facilitation to Implement Primary Care Mental Health Integration via Clinical Video Telehealth in Rural Clinics: Protocol for a Hybrid Type 2 Cluster Randomized Stepped-wedge Design
Presents a study on the effectiveness of telehealth in mental health integration in rural Veterans Health Administration clinics. Outlines implementation timeline and discusses the results of the implementation.
Author(s): Richard R. Owen, Eva N. Woodward, Karen L. Drummond, et al.
Citation: Implementation Science, 14, 33
Date: 03/2019
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Presents a study on the effectiveness of telehealth in mental health integration in rural Veterans Health Administration clinics. Outlines implementation timeline and discusses the results of the implementation.
Author(s): Richard R. Owen, Eva N. Woodward, Karen L. Drummond, et al.
Citation: Implementation Science, 14, 33
Date: 03/2019
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Substance Use Disorder Treatment Policy Recommendations for the State of Louisiana: Final Report - March 2019
Assessment to inform recommendations for the state of Louisiana on timely, comprehensive, evidence-based, and sustainable treatment for opioid use disorder. Includes 8 recommendations, and discusses challenges in rural areas, such as high overdose rates, provider shortages, and lack of access to buprenorphine.
Date: 03/2019
Sponsoring organization: Pew
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Assessment to inform recommendations for the state of Louisiana on timely, comprehensive, evidence-based, and sustainable treatment for opioid use disorder. Includes 8 recommendations, and discusses challenges in rural areas, such as high overdose rates, provider shortages, and lack of access to buprenorphine.
Date: 03/2019
Sponsoring organization: Pew
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