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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Quantifying Disparities in Accessibility and Availability of Pediatric Primary Care across Multiple States with Implications for Targeted Interventions
Examines disparities in accessing pediatric primary care for rural and urban communities and children with public versus private insurance. Uses data on accessibility and availability for children in 7 states: California, Georgia, Louisiana, Minnesota, Mississippi, North Carolina, and Tennessee. Discusses the policy implications of the findings both generally and for the states studied.
Author(s): Monica Gentili, Pravara Harati, Nicoleta Serban, Jean O'Connor, Julie Swann
Citation: Health Services Research, 53(3), 1458-1477
Date: 06/2018
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Challenges Facing a Rural Opioid Epidemic: Treatment and Prevention of HIV and Hepatitis C
Presents a study on the current trends of HIV and hepatitis C virus (HCV) infection coinciding with the opioid epidemic and the strategies for treatment and prevention in rural areas. Highlights the barriers to HIV and HCV testing and treatment for rural people who inject drugs.
Author(s): Asher J. Schranz, Jessica Barrett, Christopher B. Hurt, et al.
Citation: Current HIV/AIDS Reports, 15(3), 245-254
Date: 06/2018
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The Impacts of Medicaid Expansion on Rural Low-Income Adults – Lessons from the Oregon Health Insurance Experiment
Describes a randomly controlled study examining Medicaid expansion. Includes data from interviews with 86 rural study participants discussing healthcare access, personal finances, and self-reported health status.
Author(s): Heidi Allen, Bill Wright, Lauren Broffman
Citation: Medical Care Research and Review, 75(3), 354-383
Date: 06/2018
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Medicaid Expansion and Community Health Centers: Care Quality and Service Use Increased for Rural Patients
Reports on a study to assess the impact of Medicaid expansion on quality of care and insurance coverage in rural and urban community health centers (CHCs), and to examine the impact of expansion on the volume of healthcare services provided by CHCs. Uses data from the 2011-15 or 2012-15 Uniform Data System collected by the Bureau of Primary Health Care of the Health Resources and Services Administration (HRSA).
Author(s): Megan B. Cole, Brad Wright, Ira B. Wilson, Omar Galárraga, Amal N. Trivedi
Citation: Health Affairs, 37(6), 900-907
Date: 06/2018
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Promising Practice: Alabama SORH Collaborates with VA to Provide Telehealth Care for Vets
Describes a collaboration between the Alabama State Office of Rural Health and Alabama Veterans Affairs to create and implement a telehealth program aimed at delivering care to rural veterans.
Author(s): Beth Blevins
Date: 06/2018
Sponsoring organization: National Organization of State Offices of Rural Health
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Closing Behavioral Health Workforce Gaps: A HRSA Program Expanding Direct Mental Health Service Access in Underserved Areas
Commentary describing HRSA's Behavioral Health Workforce Education and Training program, an initiative to address behavioral health disparities through supply and distribution of providers to underserved areas. Includes statistics on employment status and location of 1,975 graduates of the program.
Author(s): Hayden O. Kepley, Robin A. Streeter
Citation: American Journal of Preventive Medicine, 54(6), Supplement 3, S190-S191
Date: 06/2018
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Self-Reported Occupational Injuries and Perceived Occupational Health Problems among Latino Immigrant Swine Confinement Workers in Missouri
Describes self-reported occupational injuries and perceived occupational health problems among Latino immigrants working in concentrated animal feeding operations (CAFOs) in Missouri. Includes statistics on occupational injuries; health status; healthcare access; and demographics, such as age, education, English language proficiency, marital status, length of employment, and more.
Author(s): Athena K. Ramos, Axel Fuentes, Marcela Carvajal-Suarez
Citation: Journal of Environmental and Public Health, 2018, 8710901
Date: 06/2018
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Dental Therapy in Minnesota
Reports on the dental therapist workforce in Minnesota offering information on education, certification, licensure, and practice. Discusses the financial viability of dental practices employing dental therapists and how dental therapists can increase access to oral care in rural areas.
Date: 06/2018
Sponsoring organization: Minnesota Department of Health
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Rural and Nonrural Primary Care Physician Practices Increasingly Rely on Nurse Practitioners
Details a study comparing rural and urban reliance on nurse practitioners as providers of primary care. Discusses the role of Medicaid expansion and scope of practice in findings.
Author(s): Hilary Barnes, Michael R. Richards, Matthew D. McHugh, Grant Martsolf
Citation: Health Affairs, 37(6)
Date: 06/2018
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Engaging People with Disabilities: Strategies for Rural Health Departments
Discusses various methods for rural health departments to engage with people with disabilities. Highlights differences for rural disabled people. Presents county-level map of rural disabled populations.
Date: 06/2018
Sponsoring organization: National Association of County and City Health Officials
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