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Rural Health
Resources by Topic: Access

A Guide to Establishing Syringe Services Programs in Rural, At-Risk Areas
Describes the basics of syringe services programs, identifies the need for them in at-risk rural communities, and provides guidance on considerations when establishing programs. Includes examples of syringe services programs in Kentucky, West Virginia, Indiana, and North Carolina. Also covers information about syringe services-related regulations and laws in select locations.
Author(s): Regina La Belle
Date: 07/2017
Type: Document
Sponsoring organization: Comer Family Foundation
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Rethinking Rural Hospitals
Discusses the various factors associated with rural hospital closures, and makes the case for adopting new, innovative approaches to rural healthcare delivery.
Author(s): Diana J. Mason
Citation: JAMA: Journal of the American Medical Association, 318(2), 114-115
Date: 07/2017
Type: Document
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2016 National Healthcare Quality and Disparities Report
Provides a comprehensive summary and data analysis of the quality of and access to healthcare received in the U.S. and discusses the disparities encountered by different racial and ethnic groups, and by geographic locations.
Date: 07/2017
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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CDC Grand Rounds: Addressing Health Disparities in Early Childhood
Discusses the role public health can play in identifying at-risk children and helping to integrate prevention and intervention services for children early in life. Includes brief discussion of the need for behavioral health services for children in rural areas.
Author(s): Lara R. Robinson, Rebecca H. Bitsko, Ross A. Thompson, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 66(29), 769-772
Date: 07/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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How Western Kentucky Leveraged Medicaid Expansion to Increase Access to Health Care
Describes improvements in healthcare access and quality in Paducah and nearby counties from 2011-2014, when almost 500,000 people were added to the Medicaid rolls. Includes demographic statistics, difference in health system rank from 2012 to 2016, and map showing locations of 9 clinics that have opened or expanded during that time.
Author(s): Sarah Klein, Martha Hostetter, Douglas McCarthy
Date: 07/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Telehealth: Use in Medicare and Medicaid
Discusses the extent to which telehealth is used by Medicare and Medicaid, the factors affecting the use of telehealth in Medicare, and how emerging payment and delivery models could affect future telehealth use. Includes rural-specific information throughout with particular attention paid to the role of rural healthcare facilities as originating sites.
Additional links: Full Report
Date: 07/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Coverage Trends for American Indian and Alaska Native Children and Families
Analyzes data from the U.S. Census Bureau to show trends in health insurance coverage rates among American Indian and Alaska Native (AI/AN) children and families between 2008 and 2015. Examines the expanded role of Medicaid and the Children's Health Insurance Program (CHIP) in driving down the AI/AN uninsured rates, particularly in states with the largest AI/AN populations.
Author(s): Joan Alker, Karina Wagnerman, Andy Schneider
Date: 07/2017
Type: Document
Sponsoring organization: Georgetown University Health Policy Institute
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Barriers Rural Physicians Face Prescribing Buprenorphine for Opioid Use Disorder
Examines the barriers rural physicians who hold Drug Enforcement Agency (DEA) waivers to prescribe buprenorphine face. Seeks to explain why some rural physicians who hold a DEA waiver choose not to prescribe buprenorphine or treat a fewer number of patients than their waiver allows. Data was collected through a 2016 survey of all physicians with DEA waivers in rural areas.
Author(s): C. Holly A. Andrilla, Cynthia Coulthard, Eric H. Larson
Citation: Annals of Family Medicine, 15(4), 359-362
Date: 07/2017
Type: Document
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Fighting AIDS in the Deep South: Glimmers of Hope
Discusses how the southern states, public health officials, and AIDS activists have developed policies and programs focused on getting people tested and connected with medical care to improve health outcomes and prevent the spread of HIV.
Author(s): Teresa Wiltz
Citation: Stateline
Date: 06/2017
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Transportation Matters: A Health Impact Assessment in Rural New Mexico
Reports on a Health Impact Assessment (HIA) in rural New Mexico that informed expansion of public transportation services along the U.S./Mexico border. Addresses the HIA process and results. Discusses transportation challenges in rural areas and the impacts of transportation access.
Author(s): Michelle Del Rio, William L. Hargrove, Joe Tomaka, Marcelo Korc
Citation: International Journal of Environmental Research and Public Health, 14(6)
Date: 06/2017
Type: Document
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