Rural Health
Resources by Topic: Access
Medical Barriers to Nursing Home Care for Rural Residents
Explores challenges faced by rural people seeking placement in nursing homes, especially those with behavioral or psychiatric conditions, complex care needs, dementia, or obesity, and identifies possible solutions through policy changes. Uses data from telephone interviews with 23 discharge planners from rural hospitals in Georgia, Idaho, Minnesota, Pennsylvania, and Wisconsin.
Author(s): Carrie Henning-Smith, Michelle Casey, Shailendra Prasad, Katy Kozhimannil
Date: 05/2017
Sponsoring organization: University of Minnesota Rural Health Research Center
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Explores challenges faced by rural people seeking placement in nursing homes, especially those with behavioral or psychiatric conditions, complex care needs, dementia, or obesity, and identifies possible solutions through policy changes. Uses data from telephone interviews with 23 discharge planners from rural hospitals in Georgia, Idaho, Minnesota, Pennsylvania, and Wisconsin.
Author(s): Carrie Henning-Smith, Michelle Casey, Shailendra Prasad, Katy Kozhimannil
Date: 05/2017
Sponsoring organization: University of Minnesota Rural Health Research Center
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The Role of Public Versus Private Health Insurance in Ensuring Health Care Access & Affordability for Low-Income Rural Children
Reports on the rural-urban differences in healthcare access for children with public health insurance versus private insurance, and how families perceive affordability of healthcare when enrolled in Medicaid, the Children's Health Insurance Program (CHIP), and private insurance plans.
Author(s): Erika C. Ziller, Jennifer D. Lenardson, Amanda R. Burgess
Date: 05/2017
Sponsoring organization: Maine Rural Health Research Center
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Reports on the rural-urban differences in healthcare access for children with public health insurance versus private insurance, and how families perceive affordability of healthcare when enrolled in Medicaid, the Children's Health Insurance Program (CHIP), and private insurance plans.
Author(s): Erika C. Ziller, Jennifer D. Lenardson, Amanda R. Burgess
Date: 05/2017
Sponsoring organization: Maine Rural Health Research Center
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Using Community Health Workers and Volunteers to Reach Complex Needs Populations
A recorded webinar that discusses how to integrate community health workers (CHWs) and volunteers into the healthcare system to care for complex patients in hard-to-reach areas. Includes a case study from rural Montana about collaborating with volunteers to help socially isolated patients access community resources and social services.
Date: 04/2017
Sponsoring organization: Center for Health Care Strategies
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A recorded webinar that discusses how to integrate community health workers (CHWs) and volunteers into the healthcare system to care for complex patients in hard-to-reach areas. Includes a case study from rural Montana about collaborating with volunteers to help socially isolated patients access community resources and social services.
Date: 04/2017
Sponsoring organization: Center for Health Care Strategies
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LTSS Research: Hospice in Indian Country
Presents a literature review on the barriers to end-of-life care for American Indians and Alaska Natives (AI/AN), and provides recommendations to minimize these barriers. Discusses the cultural considerations of hospice and palliative care for AI/AN patients.
Date: 04/2017
Sponsoring organization: Centers for Medicare and Medicaid Services
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Presents a literature review on the barriers to end-of-life care for American Indians and Alaska Natives (AI/AN), and provides recommendations to minimize these barriers. Discusses the cultural considerations of hospice and palliative care for AI/AN patients.
Date: 04/2017
Sponsoring organization: Centers for Medicare and Medicaid Services
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Improvements in Colorectal Cancer Incidence Not Experienced by Nonmetropolitan Women: A Population-Based Study From Utah
Study of colorectal cancer (CRC) incidence and mortality in Utah, comparing rural and metropolitan populations using data from the Surveillance, Epidemiology, and End Results (SEER) program. Examines periodic CRC disparities from 1991-2010 by location and sex. Discusses cultural factors impacting CRC screening and strategies for increasing access to screening.
Author(s): Brynn Fowler, N. Jewel Samadder, Deanna Kepka, et al.
Citation: Journal of Rural Health, 34(2), 155-161
Date: 04/2017
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Study of colorectal cancer (CRC) incidence and mortality in Utah, comparing rural and metropolitan populations using data from the Surveillance, Epidemiology, and End Results (SEER) program. Examines periodic CRC disparities from 1991-2010 by location and sex. Discusses cultural factors impacting CRC screening and strategies for increasing access to screening.
Author(s): Brynn Fowler, N. Jewel Samadder, Deanna Kepka, et al.
Citation: Journal of Rural Health, 34(2), 155-161
Date: 04/2017
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Assessing Local Capacity to Expand Rural Breast Cancer Screening and Patient Navigation: An Iterative Mixed-Method Tool
Report on the development of a mixed-method tool for assessing county capacity as part of a needs assessment process, describing outcomes in rural North Texas counties. Discusses the expansion of the Breast Screening and Patient Navigation (BSPAN) program into a hub-and-spoke delivery model to strengthen networks of community clinics, community groups, and nonprofit organizations. Offers qualitative and quantitative data on changes over the development period.
Author(s): Stephen J. Inrig, Robin T. Higashi, Jasmin A. Tiro, Keith E. Argenbright, Simon J. Craddock Lee
Citation: Evaluation and Program Planning, 61, 113-124
Date: 04/2017
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Report on the development of a mixed-method tool for assessing county capacity as part of a needs assessment process, describing outcomes in rural North Texas counties. Discusses the expansion of the Breast Screening and Patient Navigation (BSPAN) program into a hub-and-spoke delivery model to strengthen networks of community clinics, community groups, and nonprofit organizations. Offers qualitative and quantitative data on changes over the development period.
Author(s): Stephen J. Inrig, Robin T. Higashi, Jasmin A. Tiro, Keith E. Argenbright, Simon J. Craddock Lee
Citation: Evaluation and Program Planning, 61, 113-124
Date: 04/2017
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Rural-Urban Differences in Awareness and Use of Family Planning Services Among Adolescent Women in California
Examines awareness and use of family planning services for rural and urban adolescent women in California. Discusses differences and offers recommendations for reducing teenage pregnancies in rural areas.
Author(s): Jennifer Yarger, Martha J. Decker, Mary I. Campa, Claire D. Brindis
Citation: Journal of Adolescent Health, 60(4), 395-401
Date: 04/2017
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Examines awareness and use of family planning services for rural and urban adolescent women in California. Discusses differences and offers recommendations for reducing teenage pregnancies in rural areas.
Author(s): Jennifer Yarger, Martha J. Decker, Mary I. Campa, Claire D. Brindis
Citation: Journal of Adolescent Health, 60(4), 395-401
Date: 04/2017
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Substance Use in Rural Central Appalachia: Current Status and Treatment Considerations
Examines the factors in rural Central Appalachia that influence substance misuse and the treatments, strategies, and interventions to curb drug misuse and improve treatment outcomes. Discusses how the combination of poverty, work-related distress, lack of healthcare coverage, and the shortage of qualified providers of substance use treatments affect the need for a multifaceted policy approach in the region.
Author(s): Lara Moody, Emily Satterwhite, Warren K. Bickel
Citation: Rural Mental Health, 41(2), 123-135
Date: 04/2017
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Examines the factors in rural Central Appalachia that influence substance misuse and the treatments, strategies, and interventions to curb drug misuse and improve treatment outcomes. Discusses how the combination of poverty, work-related distress, lack of healthcare coverage, and the shortage of qualified providers of substance use treatments affect the need for a multifaceted policy approach in the region.
Author(s): Lara Moody, Emily Satterwhite, Warren K. Bickel
Citation: Rural Mental Health, 41(2), 123-135
Date: 04/2017
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The Opioid Epidemic: Evidence Based Strategies Legislative Report
Discusses the causes and consequences of the opioid epidemic in Louisiana, as well as recommendations to help address it. Outlines differences between rural and urban areas of the state. Provides maps showing access to treatment programs and buprenorphine providers.
Date: 04/2017
Sponsoring organizations: Louisiana Commission on Preventing Opioid Abuse, Louisiana Department of Health
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Discusses the causes and consequences of the opioid epidemic in Louisiana, as well as recommendations to help address it. Outlines differences between rural and urban areas of the state. Provides maps showing access to treatment programs and buprenorphine providers.
Date: 04/2017
Sponsoring organizations: Louisiana Commission on Preventing Opioid Abuse, Louisiana Department of Health
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Projected Financial Losses Experienced by Community Health Centers under a Scenario of Major Cuts in Key Sources of Federal Funding: 2018-2022
Simulates the potential financial impacts on health centers and communities if the following congressional proposals are implemented: cuts to federal funding for Medicaid expansion, cuts to federal funding for Marketplace subsidies, and expiration of the Community Health Centers Fund. Also assesses the implications for other state and federal programs that may be required to help fill the resulting service and funding gaps.
Author(s): Avi Dor, Eric Luo, Ali Moghtaderi, Anne Rossier Markus
Date: 04/2017
Sponsoring organizations: Geiger Gibson Program in Community Health, George Washington University Milken Institute School of Public Health Department of Health Policy and Management, RCHN Community Health Foundation
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Simulates the potential financial impacts on health centers and communities if the following congressional proposals are implemented: cuts to federal funding for Medicaid expansion, cuts to federal funding for Marketplace subsidies, and expiration of the Community Health Centers Fund. Also assesses the implications for other state and federal programs that may be required to help fill the resulting service and funding gaps.
Author(s): Avi Dor, Eric Luo, Ali Moghtaderi, Anne Rossier Markus
Date: 04/2017
Sponsoring organizations: Geiger Gibson Program in Community Health, George Washington University Milken Institute School of Public Health Department of Health Policy and Management, RCHN Community Health Foundation
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