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Rural Health
Resources by Topic: Access

Veterans Health Administration: Opportunities Exist for Improving Veterans' Access to Health Care Services in the Pacific Islands
Details opportunities for veterans to access healthcare in the Pacific Islands. Discusses barriers to care, such as long travel distances, and the use of telehealth and the Choice Program as methods of improving access.
Additional links: Full Report
Date: 04/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Combating the Opioid Crisis: Improving the Ability of Medicare and Medicaid to Provide Care for Patients
Presents the U.S. House of Representatives Energy and Commerce Committee hearing on the role of Medicare and Medicaid in combating the opioid crisis. Features testimony from representatives of Centers for Medicare and Medicaid Services, Boston Medical Center, the Centene Corporation, Centerstone America, Geisinger Health System, and Magellan Healthcare.
Additional links: Mr. David Guth Testimony, Mr. Toby Douglas Testimony
Date: 04/2018
Type: Video/Multimedia
Sponsoring organization: House Committee on Energy and Commerce
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Countering the Production of Health Inequities: Ensuring the Opportunity for Health for All
Examines determinants of health, such as environment, housing, public safety, education, employment, income, and access to healthcare, and the ways they affect groups including rural residents. Features policy recommendations, community examples, and possible solutions to health inequities.
Date: 04/2018
Type: Document
Sponsoring organization: Prevention Institute
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Opioid White Paper: Analysis of Responses to Committee Request for Information
Details an analysis of the information received by the U.S. House of Representatives Ways and Means Committee regarding the opioid crisis. Discusses the current state of the crisis and the measures currently in place regarding prevention and treatment.
Date: 04/2018
Type: Document
Sponsoring organization: House Ways and Means Committee
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The Opioid Crisis Response Act of 2018
Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the Opioid Crisis Response Act of 2018. Features testimony from representatives of the Delaware Office of the Child Advocate, the National Association of State Alcohol and Drug Abuse Directors, and the Addiction Policy Forum.
Date: 04/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Shortage of Rural Surgeons: How Bad Is It?
Features information on supply and demand in the rural surgery workforce, including reasons for current and expected shortages or maldistribution of surgeons. Explains the difficulties in interpreting available data, and offers ideas for accurately assessing surgical needs in rural areas.
Author(s): Mark W. Puls
Citation: Bulletin of the American College of Surgeons, 103(4), 52-55
Date: 04/2018
Type: Document
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Physician Assistants: Modernize Laws to Improve Rural Access
National Rural Health Association policy paper describing benefits to rural communities when practice barriers are removed and payments are sufficient to attract physician assistants to the area. Includes recommendations to help achieve this goal.
Author(s): Roger Wells, Megan Cody, Robert Alpino, Melissa Van Dyne, Ross Abbott, et al.
Date: 04/2018
Type: Document
Sponsoring organization: National Rural Health Association
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Use of the National Health Interview Survey Linked to Medicaid Analytic eXtract Data to Identify Children With Medicaid-covered Births
Explains a method for longitudinal follow-up of children who were enrolled in Medicaid at birth through linked National Health Interview Survey and Medicaid Analytic eXtract data files. Includes NHIS data on health insurance coverage, health status, and healthcare access for children with Medicaid-covered births, including data by urban-rural county of residence.
Author(s): Patricia C. Lloyd, Anne K. Driscoll, Alan E. Simon, Jennifer D. Parker
Date: 04/2018
Type: Document
Sponsoring organization: National Center for Health Statistics
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Leveraging Health Care Reform to Accelerate Nurse Practitioner Full Practice Authority
Presents a descriptive study of legislation from 1994 to 2016 impacting the scope of practice for nurse practitioners (NPs). Discusses how supporting full practice authority (FPA) where physician involvement is not required can lessen the concern over the lack of primary care providers by allowing NPs to offer comprehensive healthcare services to rural and vulnerable patients. Identifies barriers and limitations to FPA.
Author(s): Heather M. Brom, Pamela J. Salsberry, Margaret Clark Graham
Citation: Journal of the American Association of Nurse Practitioners, 30(3), 120-130
Date: 03/2018
Type: Document
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Dental Therapists Linked to Improved Dental Outcomes for Alaska Native Communities in the Yukon-Kuskokwim Delta
Features a study of dental outcomes in Alaska's Yukon-Kuskokwim Delta since Dental Health Aide Therapists (DHATs) have been added to the communities' dental workforce. Details annual data on dental utilization for both children and adults.
Author(s): Donald L. Chi, Dane Lenaker, Lloyd Mancl, Matthew Dunbar, Michael Babb
Citation: Journal of Public Health Dentistry, 78(2), 175-182
Date: 03/2018
Type: Document
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