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Rural Health
Resources by Topic: Access

Barriers and Facilitators to Implementation of VA Home-based Primary Care on American Indian Reservations: A Qualitative Multi-case Study
Highlights a study on the efficacy of the Veterans Health Affairs (VA) home-based primary care program at providing non-institutional long-term care for rural American Indian veterans living on reservations. Bases findings on a qualitative analysis of interviews conducted with staff, clinicians, and managers who oversaw the program's implementation. Discusses the challenges, barriers, and facilitators related the program's expansion into Indian Country.
Author(s): B. Josea Kramer, Sarah D. Cote, Diane I. Lee, Beth Creekmur, Debra Saliba
Citation: Implementation Science, 12, 109
Date: 09/2017
Type: Document
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"Taking the Bull by the Horns": Four Principles to Align Public Health, Primary Care, and Community Efforts to Improve Rural Cancer Control
Commentary on the CDC MMWR report, Invasive Cancer Incidence, 2004-2013, and Deaths, 2006-2015, in Nonmetropolitan and Metropolitan Counties — United States. Discusses factors contributing to rural cancer disparities and identifies opportunities to improve rural cancer control.
Author(s): Stephanie B. Wheeler, Melinda M. Davis
Citation: Journal of Rural Health, 33(4), 345-349
Date: 09/2017
Type: Document
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Wisconsin Drive Time to Emergency Care
Shows a map of Wisconsin with drive times to Critical Access Hospitals (CAHs), non-CAHs, and freestanding emergency rooms in 10, 20, and 30-minute increments.
Date: 09/2017
Type: Map/Mapping System
Sponsoring organization: Wisconsin Office of Rural Health
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Telehealth and Patient Satisfaction: A Systematic Review and Narrative Analysis
Provides a literature review on articles related to patient satisfaction of telehealth regarding its effectiveness and efficiency. Discusses factors such as cost, health outcomes, quality, ease of use, communication, drive time, access to healthcare, and more, with references to telehealth impacts specific to rural populations.
Author(s): Clemens Scott Kruse, Nicole Krowski, Blanca Rodriguez, et al.
Citation: BMJ Open, 7(8)
Date: 08/2017
Type: Document
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Engaging Patients and Families to Create a Feasible Clinical Trial Integrating Palliative and Heart Failure Care: Results of the Enable CHF-PC Pilot Clinical Trial
Presents the results of a study to determine the feasibility and site differences in an early palliative care (EPC) trial, the ENABLE CHF-PC (Educate, Nurture, Advise, Before Life Ends Comprehensive Heartcare for Patients and Caregivers). Participants were from rural and underserved areas with diverse socioeconomic and racial backgrounds. Sixty-one patients with advance heart failure and 48 caregivers participated in the program.
Author(s): Marie Bakitas, J. Nicholas Dionne-Odom, Salpy V. Pamboukian, et al.
Citation: BMC Palliative Care, 16(1), 45
Date: 08/2017
Type: Document
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Immigrant Health in Rural Maryland: A Qualitative Study of Major Barriers to Health Care Access
Highlights a study on barriers to healthcare access for rural immigrants in Maryland. Bases findings on interviews with immigrants living on Maryland's rural Eastern Shore. Discusses insurance coverage, language barriers, and citizenship status, among other factors.
Author(s): Thurka Sangaramoorthy, Emilia M. Guevara
Citation: Journal of Immigrant and Minority Health, 19, 939-946
Date: 08/2017
Type: Document
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Responding to Health and Social Needs of Aging Latinos in New-growth Communities: A Qualitative Study
A study examining the health and social needs of elderly Latinos in rural eastern North Carolina conducted by an interprofessional team - the Aging Latino Research Team (ALRT) - composed of health and social service providers, Latino leaders, and university faculty.
Author(s): Kim Larson, Holly F. Mathews, Essie Torres, C. Suzanne Lea
Citation: BMC Health Services Research, 17, 601
Date: 08/2017
Type: Document
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Housing Counseling Benefits Rural America
Describes multiple success stories from Housing and Urban Development (HUD) approved housing counseling agencies and the expansion of service delivery options to overcome barriers in rural areas. Examples include using mobile case managers to meet and screen clients without access to transportation, hosting financial education workshops, homeownership sustainability, housing rehabilitation, and more.
Citation: The Bridge, 6(2)
Date: 08/2017
Type: Document
Sponsoring organization: U.S. Department of Housing and Urban Development
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Trends in the Development of the Dental Service Organization Model: Implications for the Oral Health Workforce and Access to Services
Results of a 2017 survey of dental service organizations, which often build new practices in underserved and rural areas, and case studies of 6 dental support organizations providing general or specialty dentistry in North Carolina, Georgia, Texas, Florida, and Massachusetts.
Author(s): Margaret Langelier, Shen Wang, Simona Surdu, Elizabeth Mertz, Cynthia Wides
Date: 08/2017
Type: Document
Sponsoring organizations: Center for Health Workforce Studies, Oral Health Workforce Research Center
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An Assessment of Mobile and Portable Dentistry Programs to Improve Population Oral Health
Describes configurations of portable and mobile dental programs including models and applications, discusses targeted populations, details variations in regulations by state, and examines outcomes of preventive interventions in underserved areas. Includes case studies of 7 programs initiated to improve access in underserved populations or in rural areas.
Additional links: Policy Brief
Author(s): Margaret Langelier, Jean Moore, Rachel Carter, et al.
Date: 08/2017
Type: Document
Sponsoring organization: Oral Health Workforce Research Center
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