Rural Health
Resources by Topic: Access
Building an Adequate VA Care Network: Evaluating the Impact of Choice Providers
Discusses the impact of Veterans Affairs (VA) Choice providers on VA network adequacy. Focuses primarily on the impact of Choice providers located in areas of low VA network adequacy, such as rural areas and/or healthcare shortage areas.
Author(s): Evan Carey
Date: 08/2017
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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Discusses the impact of Veterans Affairs (VA) Choice providers on VA network adequacy. Focuses primarily on the impact of Choice providers located in areas of low VA network adequacy, such as rural areas and/or healthcare shortage areas.
Author(s): Evan Carey
Date: 08/2017
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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Research Highlight: Identifying Barriers to Engagement in Mental Health Care: Perspectives of Rural Veterans and Providers
Describes a study of ways that attitudes influence treatment-seeking and use of mental health services among veterans in rural areas. Features results from interviews with 25 rural veterans and 11 rural mental healthcare providers in Arkansas, Colorado, Maine, and Wisconsin.
Author(s): Ellen P. Fischer, Jean C. McSweeney, Patricia Wright
Date: 08/2017
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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Describes a study of ways that attitudes influence treatment-seeking and use of mental health services among veterans in rural areas. Features results from interviews with 25 rural veterans and 11 rural mental healthcare providers in Arkansas, Colorado, Maine, and Wisconsin.
Author(s): Ellen P. Fischer, Jean C. McSweeney, Patricia Wright
Date: 08/2017
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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Home is Where the Heart Is: Insights on the Coordination and Delivery of Home Health Services in Rural America
Identifies facilitators and barriers to providing home health services in rural areas, discusses how rural home health services are currently provided, and offers thoughts about the provision of home health services in the future. Addresses electronic health records, reimbursement issues, workforce challenges, value-based payment, and more.
Author(s): Alana Knudson, Britta Anderson, Kellie Schueler, Emily Arsen
Date: 08/2017
Type: Document
Sponsoring organization: Rural Health Reform Policy Research Center
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Identifies facilitators and barriers to providing home health services in rural areas, discusses how rural home health services are currently provided, and offers thoughts about the provision of home health services in the future. Addresses electronic health records, reimbursement issues, workforce challenges, value-based payment, and more.
Author(s): Alana Knudson, Britta Anderson, Kellie Schueler, Emily Arsen
Date: 08/2017
Type: Document
Sponsoring organization: Rural Health Reform Policy Research Center
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Research Highlight: The Virtual Specialty Care QUERI Program - Improving Access to High-Quality Specialty Care for Rural Veterans
Highlights the Virtual Specialty Care (VSC) QUERI Program, a measure to support operational partners, such as the Office of Rural Health, Office of Connected Care, and Mental Health Services, as virtual care technologies are implemented to increase access to specialty care for rural veterans. Discusses the challenges of evaluating rapidly evolving technologies without stifling their development.
Author(s): John Fortney, Greg Reger, Alexis Beatty
Date: 08/2017
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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Highlights the Virtual Specialty Care (VSC) QUERI Program, a measure to support operational partners, such as the Office of Rural Health, Office of Connected Care, and Mental Health Services, as virtual care technologies are implemented to increase access to specialty care for rural veterans. Discusses the challenges of evaluating rapidly evolving technologies without stifling their development.
Author(s): John Fortney, Greg Reger, Alexis Beatty
Date: 08/2017
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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Dental Utilization for Communities Served by Dental Therapists in Alaska's Yukon Kuskokwim Delta: Findings from an Observational Quantitative Study
Presents results from a program evaluation designed to assess the impact of dental therapists on dental utilization and oral health outcomes in the Yukon Kuskokwim (YK) Delta of Alaska. Examines utilization and outcomes based on total dental therapist treatment days, presents results for both child and adult populations, and focuses on three primary measures: preventive dental care use, extraction of teeth, and dental care under general anesthesia.
Author(s): Donald L. Chi, Dane Lenaker, Lloyd Mancl, et al.
Date: 08/2017
Type: Document
Sponsoring organization: University of Washington
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Presents results from a program evaluation designed to assess the impact of dental therapists on dental utilization and oral health outcomes in the Yukon Kuskokwim (YK) Delta of Alaska. Examines utilization and outcomes based on total dental therapist treatment days, presents results for both child and adult populations, and focuses on three primary measures: preventive dental care use, extraction of teeth, and dental care under general anesthesia.
Author(s): Donald L. Chi, Dane Lenaker, Lloyd Mancl, et al.
Date: 08/2017
Type: Document
Sponsoring organization: University of Washington
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Telehealth Private Payer Laws: Impact and Issues
Analyzes the body of state-level telehealth reimbursement policies, which has grown rapidly in both size and scope since 2010. Seeks to understand how these policies impact telehealth utilization, and the effect private payer laws have on selected commercial payers. Includes information on payment parity laws, modalities, site restrictions, Medicaid policies, and more.
Additional links: Executive Summary
Date: 08/2017
Type: Document
Sponsoring organizations: Center for Connected Health Policy: The National Telehealth Policy Resource Center, Milbank Memorial Fund
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Analyzes the body of state-level telehealth reimbursement policies, which has grown rapidly in both size and scope since 2010. Seeks to understand how these policies impact telehealth utilization, and the effect private payer laws have on selected commercial payers. Includes information on payment parity laws, modalities, site restrictions, Medicaid policies, and more.
Additional links: Executive Summary
Date: 08/2017
Type: Document
Sponsoring organizations: Center for Connected Health Policy: The National Telehealth Policy Resource Center, Milbank Memorial Fund
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Health Care Access and Utilization Among Native Hawaiian and Pacific Islander Persons in the United States, 2014
Provides detailed statistics on healthcare access and utilization for the Native Hawaiian and Pacific Islander (NHPI) population as a whole, as well as multiple- and single-race NHPI populations, with comparisons to other groups and to the U.S. population. Topics addressed include health insurance coverage, usual place of care, emergency department visits, delayed care due to cost, dentist visits, influenza and pneumococcal vaccination, and HIV screening.
Author(s): Carla E. Zelaya, Adena M. Galinsky, Catherine Simile, Patricia M. Barnes
Citation: Vital and Health Statistics, 3(41)
Date: 08/2017
Type: Document
Sponsoring organization: National Center for Health Statistics
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Provides detailed statistics on healthcare access and utilization for the Native Hawaiian and Pacific Islander (NHPI) population as a whole, as well as multiple- and single-race NHPI populations, with comparisons to other groups and to the U.S. population. Topics addressed include health insurance coverage, usual place of care, emergency department visits, delayed care due to cost, dentist visits, influenza and pneumococcal vaccination, and HIV screening.
Author(s): Carla E. Zelaya, Adena M. Galinsky, Catherine Simile, Patricia M. Barnes
Citation: Vital and Health Statistics, 3(41)
Date: 08/2017
Type: Document
Sponsoring organization: National Center for Health Statistics
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Chartbook: Trends in Rural Children's Oral Health and Access to Care
Findings brief discussing oral health disparities between urban and rural children in 2003, 2007, and 2011-2012. Features statistics including poverty status, health insurance coverage, percentage of children having a recent preventive dental visit, and condition of teeth, with breakdowns by race or ethnicity and urban, large rural, or small rural status.
Author(s): Amy B. Martin, Janice C. Probst, Karen M. Jones
Date: 08/2017
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Findings brief discussing oral health disparities between urban and rural children in 2003, 2007, and 2011-2012. Features statistics including poverty status, health insurance coverage, percentage of children having a recent preventive dental visit, and condition of teeth, with breakdowns by race or ethnicity and urban, large rural, or small rural status.
Author(s): Amy B. Martin, Janice C. Probst, Karen M. Jones
Date: 08/2017
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Improving Rural Oral Health: Six States' Response to the United States Department of Health and Human Services Oral Health Strategic Framework
Findings brief describing how Colorado, Iowa, New Mexico, North Carolina, Pennsylvania, and South Carolina have responded to the Department of Health and Human Services' 2014-2017 goals for advancing oral health in America, with emphasis on programs available to children. Features statistics including number of dental insurance companies, number of public health dental clinics or Federally Qualified Health Centers providing oral health services, and number of full-time and part-time dentists and dental hygienists at these facilities in each of the six states.
Author(s): Amy B. Martin, Janice C. Probst, Karen M. Jones
Date: 08/2017
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Findings brief describing how Colorado, Iowa, New Mexico, North Carolina, Pennsylvania, and South Carolina have responded to the Department of Health and Human Services' 2014-2017 goals for advancing oral health in America, with emphasis on programs available to children. Features statistics including number of dental insurance companies, number of public health dental clinics or Federally Qualified Health Centers providing oral health services, and number of full-time and part-time dentists and dental hygienists at these facilities in each of the six states.
Author(s): Amy B. Martin, Janice C. Probst, Karen M. Jones
Date: 08/2017
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Regulating Network Adequacy for Rural Populations: Perspectives of Five States
Policy brief describing how California, Kentucky, Montana, Texas, and Wisconsin define insurance network adequacy and how much consideration is given to rural issues in regulating their networks. Features statistics including these states' rural population, rural percent of total population, rural area in square miles, number of marketplace networks, and percent that are narrow networks.
Author(s): Michelle Casey, Carrie Henning-Smith, Jean Abraham, Ira Moscovice
Date: 08/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Policy brief describing how California, Kentucky, Montana, Texas, and Wisconsin define insurance network adequacy and how much consideration is given to rural issues in regulating their networks. Features statistics including these states' rural population, rural percent of total population, rural area in square miles, number of marketplace networks, and percent that are narrow networks.
Author(s): Michelle Casey, Carrie Henning-Smith, Jean Abraham, Ira Moscovice
Date: 08/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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