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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Homelessness in Rural America
Discusses the unique needs and characteristics of individuals and families experiencing homelessness in rural America. Makes recommendation to the Secretary of the Department of Health and Human Services on ways to improve access to healthcare and other human services for America's rural homeless populations.
Date: 07/2014
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Geographical and Seasonal Barriers to Mammography Services and Breast Cancer Stage at Diagnosis
Discusses the geographical and seasonal barriers rural women face in receiving routine mammography screening and early detection for breast cancer.
Author(s): Adedayo Onitilo, Hong Liang, Rachel Stankowski, et al.
Citation: Rural and Remote Health, 14(3), 2738
Date: 07/2014
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Barriers to Substance Abuse Treatment in Rural and Urban Communities: A Counselor Perspective
Compares rural and urban substance abuse counselors' perceptions of barriers to providing substance abuse treatment by analyzing data collected from 28 counselors in Kentucky.
Author(s): Erin Pullen, Carrie Oser
Citation: Substance Use & Misuse, 49(7), 891-901
Date: 06/2014
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Effect of Rurality on Screening for Breast Cancer: A Systematic Review and Meta-Analysis Comparing Mammography
Examines urban and rural differences among adult women who utilize mammography screenings. Discusses urban–rural disparities in breast cancer treatment and experience.
Author(s): Janni Leung, Samantha McKenzie, Jennifer Martin, Deirdre McLaughlin
Citation: Rural and Remote Health, 14(2), 2730
Date: 06/2014
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The Association Between Managed Care Enrollments and Potentially Preventable Hospitalization among Adult Medicaid Recipients in Florida
Examines the spillover effect of Medicaid managed care into Medicaid patients in traditional fee-for-service plans. Analyzes the interaction on the preventable hospitalizations in both rural and urban settings at the patient and county levels.
Author(s): Jungwon Park, Keon-Hyung Lee
Citation: BMC Health Services Research, 14, 247
Date: 06/2014
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Using GIS to Plan Specialty Health Services for Veterans: The Example of Acute Stroke Care
Examines access to stroke care for veterans who are age 65 and older and focuses on veterans' travel time to receive stroke care. Discusses improving access to care by building relationships with community partners and using telehealth equipment for stroke care.
Author(s): Diane C. Cowper Ripley, Eric R. Litt, Huanguang Jia, et al.
Citation: Journal of Geographic Information System, 6(3), 46463
Date: 05/2014
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High Deductible Health Insurance Plans in Rural Areas
Examines whether rural residents with private insurance are more likely to have a high deductible health insurance plan (HDHP) than urban residents, and if it differs by location in remote, rural areas. Addresses differences in income and education and offers recommendations related to the Health Insurance Marketplaces.
Additional links: Policy Brief: Rural Residents More Likely to be Enrolled in High Deductible Health Plans
Author(s): Jennifer D. Lenardson, Erika C. Ziller, Andrew F. Coburn
Date: 05/2014
Sponsoring organization: Maine Rural Health Research Center
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'Heart Attack' Symptoms and Decision-Making: The Case of Older Rural Women
Identifies barriers to care for heart attack symptoms from interviewing rural women, including difficulty identifying symptoms, perception of ambulance response times, privacy concerns, and more. Interviews rural woman about myocardial infarction prevention, recognition, and treatment.
Author(s): Melanie Jackson, B. Jan McCulloch
Citation: Rural and Remote Health, 14(2), 2560
Date: 05/2014
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Rural Emergency Medical Technician Pre-Hospital Electrocardiogram Transmission
Rural communities face challenges to rapid emergency response services for heart attacks, mostly related to prolonged travel time. As a strategy to address this, this research article sought evidence of the risks and benefits associated with electrocardiogram (ECG) protocols, which urban ambulance teams staffed with paramedic level providers have been successful in implementing.
Author(s): Angela Powell, Joshua Halon, Jessica Nelson
Citation: Rural and Remote Health, 14(2), 2690
Date: 05/2014
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Shared and Unshared Barriers to Cancer Symptom Management Among Urban and Rural American Indians
Reports on a 5-year study measuring cancer symptom management in both rural and urban American Indian (AI) populations in the southwestern U.S. Separates findings into shared barriers, such as transportation and lack of support services, and unshared barriers, such as cultural beliefs about treatment and language differences, between rural and urban groups.
Author(s): Tracy Line Itty, Felicia Schanche Hodge, Fernando Martinez
Citation: Journal of Rural Health, 30(2), 206-213
Date: 04/2014
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