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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Oral Health
Details migrant agricultural workers' oral health status and unmet oral health needs. Discusses risk factors and barriers to care.
Date: 2018
Sponsoring organization: National Center for Farmworker Health
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Patient-Centered Medical Home Implementation in Indian Health Service Direct Service Facilities
Report explores implementation strategies for patient-centered medical homes (PCMH) via Indian Health Service (IHS) clinics in tribal communities. Details obstacles to implementation and steps to overcoming them, such as staff retraining, team-based care, and using health information technology, among others.
Author(s): Justin W. Timbie, Ammarah Mahmud, Christine Buttorff, Erika Meza
Date: 2018
Sponsoring organization: RAND Corporation
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CMS Rural Health Strategy
Identifies five objectives CMS focuses on to support high quality healthcare in rural communities: applying a rural lens to CMS programs and policies, improving access through provider engagement, telehealth, patient empowerment, and leveraging partnerships. Identifies key activities to address each of the objectives.
Additional links: Frequently Asked Questions (FAQs) about the Rural Strategy, Infographic
Date: 2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Impact of Nurse Practitioner Scope-of-Practice Regulations in Primary Care
Examines the current and projected role of nurse practitioners (NPs) in rural and primary care settings, and discusses how changes in scope-of-practice (SOP) regulations for NPs may help alleviate healthcare access issues caused by a limited supply of physicians.
Author(s): Aziza Arifkhanova
Date: 2018
Sponsoring organization: RAND Corporation
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Oregon Office of Rural Health Brochure
Identifies the mission and the activities of the Oregon State Office of Rural Health (SORH). Addresses workforce services supporting rural recruitment and retention, data analysis and technical assistance to strengthen rural healthcare systems, and policy development and advocacy efforts benefiting rural health.
Date: 2018
Sponsoring organization: Oregon Office of Rural Health
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Safer Futures Project Evaluation
Illustrates the project findings of an education-based intimate partner violence (IPV) screening tool program and its effectiveness in referring women - mostly white and living in a rural area - impacted by IPV to a community-based IPV advocate.
Date: 12/2017
Sponsoring organizations: Regional Research Institute Portland State University, Tillamook County Women's Resource Center
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Preventing Farm-Related Stress, Depression, Substance Abuse, and Suicide
Discusses stressors specific to farmers, their families, and rural communities, offering information on recognizing signs of depression, substance abuse, and suicide risk. Offers strategies for managing stress and lists resources for suicide prevention, substance abuse treatment, and farm and ranch stress and depression. Part of the collected volume Surviving the Farm Economy Downturn.
Additional links: Surviving the Farm Economy Downturn
Author(s): Rebekka M. Dudensing, Samuel D. Towne, Carly E. McCord
Date: 12/2017
Sponsoring organizations: Southern Extension Risk Management Education, U.S. Department of Agriculture
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First Trimester Prenatal Care Initiation Among Hispanic Women Along the U.S.-Mexico Border
Reports on a study to determine what factors, including barriers, influence pregnant and parenting Hispanic women from counties within the U.S.-Mexico border region to seek first trimester prenatal care – care associated with improved birth outcomes.
Author(s): Katherine Selchau, Maricela Babuca, Kara Bower, et al.
Citation: Maternal and Child Health Journal, 21(Suppl 1), 11–18
Date: 12/2017
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The Differential Effects of Rural Health Care Access on Race-Specific Mortality
Investigates the association between race-specific rural mortality and the health infrastructure of rural counties using data from the National Center for Health Statistics Compressed Mortality File (2008-2012); county-level demographic, socioeconomic, and healthcare indicators from Health Resources and Services Administration's Area Health Resource File; and the U.S. Census. Covers the rural public health infrastructure index that indicates the presence or absence of 4 types of healthcare measures: public health employees, Critical Access Hospitals (CAHs) or rural referral centers, Rural Health Clinics (RHCs), and emergency departments within counties.
Author(s): Jeralynn Cossman, Wesley James, Julia Kay Wolf
Citation: SSM Population Health, 3, 618-623
Date: 12/2017
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Healthcare Resource Availability and Cardiovascular Health in the USA
A cross sectional, multivariate analysis investigating the relationship between provider supply and physical facilities, including Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), and cardiovascular health of individuals and populations in rural and urban areas.
Author(s): Courtney S Pilkerton, Sarah S Singh, Thomas K Bias, Stephanie J Frisbee
Citation: BMJ Open, 7(12)
Date: 12/2017
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