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Rural Health
Resources by Topic: Access

Impact of the Affordable Care Act Coverage Expansion on Rural and Urban Populations
Discusses the advances supported by provisions in the Affordable Care Act (ACA) related to health insurance coverage, premium tax credits, and healthcare access for rural and urban populations with a special focus on rural individuals.
Author(s): Kelsey Avery, Kenneth Finegold, Xiao Xiao
Date: 06/2016
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Oral Health Care in North Dakota Long Term Care Facilities
Provides data on oral health in long-term care (LTC) facilities in North Dakota. Compares rural and urban variation in oral health policies regarding services and staff training. Includes recommendations to encourage LTC facilities to strengthen relationships with oral health providers and improve access to oral health for their residents.
Author(s): Shawnda Schroeder
Date: 06/2016
Type: Document
Sponsoring organization: University of North Dakota Center for Rural Health
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Dental Workforce in Rural and Urban North Dakota
Highlights the issues surrounding access to and utilization of oral healthcare in rural and urban North Dakota with a focus on dental workforce.
Author(s): Shawnda Schroeder
Date: 06/2016
Type: Document
Sponsoring organization: University of North Dakota Center for Rural Health
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Purchased/Referred Care
Explains the Purchased/Referred Care (PRC) program, formerly the Contract Health Services program, which is a program that guides usage of healthcare services outside of Indian Health Service or tribal healthcare facilities when needed.
Date: 06/2016
Type: Document
Sponsoring organization: Indian Health Service
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Impact of a Rural Regional Myocardial Infarction System of Care in Wyoming
Study of time-to-treatment for patients experiencing ST-segment elevation myocardial infarction heart attacks in Wyoming, a rural, frontier state. Examines data from 11 hospitals capable of providing primary percutaneous coronary intervention (PCI), 4 of which are in Wyoming and 7 in surrounding states, looking at rates of PCI and other treatment strategies. Discusses cooperation between hospitals and emergency medical services and implications for statewide efforts in rural areas.
Author(s): James R. Langabeer II, Derek T. Smith, Marylou Cardenas-Turanzas, et al.
Citation: Journal of the American Heart Association, 5(5), e003392
Date: 05/2016
Type: Document
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2015 National Healthcare Quality and Disparities Report: Chartbook on Access to Health Care
Summarizes and illustrates trends across measures of access to healthcare using data from the National Healthcare Quality and Disparities Report. Includes a chart displaying the distribution of trauma center utilization by geographic location, including rural areas.
Date: 05/2016
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Innovation in Rural Health Care: Contemporary Efforts to Transform into High Performance Systems
Provides themes and strategies focused on reducing the challenges related to healthcare innovation in rural areas based on discussions with rural and frontier innovators held September 2013 and July 2015. Includes a brief summary of programs and interventions developed by the rural and frontier organizations participating in these discussions.
Date: 05/2016
Type: Document
Sponsoring organization: Rural Health Value
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Health Insurance Marketplaces: Premium Trends in Rural Areas
A policy brief analyzing the variation in the average Health Insurance Marketplace (HIM) health insurance premiums from 2014 to 2015, without accounting for subsidies. Discusses the differences rural populations may be experiencing in HIM insurance premiums relative to urban populations.
Author(s): Abigail R. Barker, Leah M. Kemper, Timothy D. McBride, Keith J. Mueller,
Date: 05/2016
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Aging Veterans in the United States: A Snapshot of Older Veterans and Their Social, Economic, and Housing Characteristics
A discussion of veterans 55 years and older living in the United States. Includes information about the disproportionate number of older veterans in rural areas and the need for housing and other support services to help them. Includes data and statistics regarding both urban and rural veterans.
Date: 05/2016
Type: Document
Sponsoring organization: Housing Assistance Council
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Interoperability among U.S. Non-Federal Acute Care Hospitals in 2015
Estimates of the percentage of interoperable exchange activity among non-federal acute care hospitals, including whether patient information is electronically available from sources outside their own systems. Determines if that information is used for clinical decisions and discusses barriers to exchanging that information.
Author(s): Vaishali Patel, JaWanna Henry, Yuriy Pylypchuk, Talisha Searcy
Date: 05/2016
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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