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Rural Health
Resources by Topic: Access

Evaluation of the Medicare Frontier Extended Stay Clinic Demonstration: Report to Congress
Reports on the results of a Medicare Frontier Extended Stay Clinic (FESC) demonstration project that used an enhanced clinic model in frontier areas to address the needs of seriously ill or injured patients who could not be transferred to a hospital or needed monitoring and observation for a limited period of time. Includes an overview of the demonstration and key findings from the project.
Date: 2014
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Effects of Distance to Care and Rural or Urban Residence on Receipt of Radiation Therapy among North Carolina Medicare Enrollees with Breast Cancer
Discusses the effect of distance on quality of care for Medicare-insured patients with breast cancer living in rural and urban areas of North Carolina.
Author(s): Stephanie B. Wheeler, Tzy-Mey Kuo, Danielle Durham, et al.
Citation: North Carolina Medical Journal, 75(4), 239-246
Date: 2014
Type: Document
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Migrant Health Newsline: Commemorative Issue
Final and commemorative issue examining the migrant health movement in the U.S. Includes reprints of past articles about the history of migrant health, the creation of the Migrant Health Program, the Migrant Health Act, and other legislation increasing access to healthcare for migrant and seasonal farmworkers.
Date: 2014
Type: Document
Sponsoring organization: National Center for Farmworker Health
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Medical Transportation in an Era of Change
Discusses how medical transportation for patients is more than a healthcare access issue and how it is becoming an integral component of disease management for patients residing in rural areas far from their medical providers.
Author(s): Dale J. Marsico
Date: 2014
Type: Document
Sponsoring organization: Community Transportation Association of America
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Scheduled Telephone Visits in the Veterans Health Administration Patient-Centered Medical Home
Discusses the Veteran's Administration patient-centered medical home model, Patient Aligned Care Teams (PACT), which includes telephone visits to improve care access and efficiency.
Author(s): Nina R. Sperber, Heather A. King, Karen Steinhauser, et al.
Citation: BMC Health Services Research, 14, 145
Date: 2014
Type: Document
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Impact of Rural Residence and Health System Structure on Quality of Liver Care
A study of Veterans Health Administration (VHA) patients with Hepatitis C (HCV) to ascertain the extent that rural residency can impact access to HCV specialists and quality of liver care.
Author(s): Catherine Rongey, Hui Shen, Nathan Hamilton, et al.
Citation: PLoS One, 8(12)
Date: 12/2013
Type: Document
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Summary Health Statistics for the U.S. Population: National Health Interview Survey, 2012
Summarizes data from a national survey on topics that include health status, health insurance coverage, injury, healthcare access and utilization, and limitations in activities. Includes some data by place of residence for large metropolitan statistical areas (MSAs), small MSAs, and nonmetro (not in an MSA) areas.
Date: 12/2013
Type: Document
Sponsoring organization: National Center for Health Statistics
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Indian Health Service: Opportunities May Exist to Improve the Contract Health Services Program
Examines the challenges involved with timely payments from the Indian Health Service's (IHS) Contract Health Services Program for the care of American Indians and Alaska Natives. Covers IHS's performance measures and other factors that impact the length of time between the provision of healthcare services and IHS Contract Health Services Program reimbursements to providers.
Additional links: Full Report
Date: 12/2013
Type: Document
Sponsoring organization: Government Accountability Office
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Clinical Trial Recruitment in Rural South Carolina: A Comparison of Investigators' Perceptions and Potential Participant Eligibility
Examines the perceptions of principal investigators regarding clinical trial participation barriers and recruitment efforts in rural South Carolina and assesses the actual pool of potential clinical trial participants in rural and urban South Carolina.
Author(s): Caroline D. Bergeron, Caroline Foster, Daniela Friedman, Andrea Tanner, Sei-Hill Kim
Citation: Rural and Remote Health, 13(4), 2567
Date: 12/2013
Type: Document
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Change in Profitability and Financial Distress of Critical Access Hospitals from Loss of Cost-Based Reimbursement
Examines how proposed changes to Critical Access Hospital (CAH) cost-based reimbursement would affect the financial vulnerability of CAHs. Uses models to forecast the financial impact of 20 and 30 percent reductions in Medicare revenue, and the resulting implications for rural healthcare access.
Author(s): Mark Holmes, George H. Pink
Date: 12/2013
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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