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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Tuberculosis And Rural Health Care In America
Episode of WBUR's On Point radio program, featuring discussion of a tuberculosis outbreak in rural Perry county, Alabama. Describes attempts to screen and treat low-income patients, despite many residents' mistrust of the medical profession. Panelists include the author of a recent Harper's Magazine article about tuberculosis in the Black Belt, a Perry County doctor, a University of Alabama professor of rural medicine, and a healthcare reporter from the Los Angeles Times.
Date: 05/2017
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Projecting Demand for the Services of Primary Care Doctors
Estimates the expected growth in demand for primary care medical services in the U.S. between 2013 and 2023. Projections are based on an analysis of historical trends between 2003 and 2013, and factor in the following variables: population growth, population age, health insurance coverage status, and other sources of growth in volume and intensity. Examines legislative and non-legislative ways to increase the supply of primary care services, including in rural areas and facilities.
Author(s): Noelia Duchovny, Sam Trachtman, Ellen Werble
Date: 05/2017
Sponsoring organization: Congressional Budget Office
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Mountains, Plains, Cities, Schools: An Analysis of Colorado's Rural and Urban School-Based Health Centers
Examines important aspects of Colorado's school-based health centers (SBHCs). Includes information on program growth, funding sources, populations served, and service offerings. Uses statewide statistics to compare urban versus rural SBHCs and illustrate how SBHCs help fill critical healthcare gaps within the state.
Date: 05/2017
Sponsoring organization: Colorado Health Institute
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Changes in the Supply of Physicians with a DEA DATA Waiver to Prescribe Buprenorphine for Opioid Use Disorder
Data brief describing changes in access to waivered physicians from 2012 to 2016. Features a county-level map and statistics with breakdowns by urban areas and three levels of rural areas.
Author(s): C. Holly A. Andrilla, Cynthia Coulthard, Eric H. Larson
Date: 05/2017
Sponsoring organization: WWAMI Rural Health Research Center
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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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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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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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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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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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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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