Rural Health
Resources by Topic: Access
Rural Healthy People 2020: A Companion Document to Healthy People 2020, Volume 1
Provides a rural focus for the Healthy People 2020 priorities. Includes overviews of the top 10 rural health priority areas identified by rural stakeholders. (Volume 2 discusses priorities 11-20.) Topics addressed include: health insurance, primary care, emergency services, nutrition and weight status, diabetes, mental health, substance abuse, heart disease and stroke, physical activity, older adults, maternal and child health, and tobacco use. Each overview includes reviews of the relevant literature and models that rural communities can use to address the issues. Document is available for free download, after providing brief information about intended use.
Author(s): Jane N. Bolin, Gail Bellamy, Alva O. Ferdinand, Bita Kash, Janet W. Helduser
Date: 2015
Sponsoring organization: Southwest Rural Health Research Center
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Provides a rural focus for the Healthy People 2020 priorities. Includes overviews of the top 10 rural health priority areas identified by rural stakeholders. (Volume 2 discusses priorities 11-20.) Topics addressed include: health insurance, primary care, emergency services, nutrition and weight status, diabetes, mental health, substance abuse, heart disease and stroke, physical activity, older adults, maternal and child health, and tobacco use. Each overview includes reviews of the relevant literature and models that rural communities can use to address the issues. Document is available for free download, after providing brief information about intended use.
Author(s): Jane N. Bolin, Gail Bellamy, Alva O. Ferdinand, Bita Kash, Janet W. Helduser
Date: 2015
Sponsoring organization: Southwest Rural Health Research Center
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Access to Behavioral Health Care for Geographically Remote Service Members and Dependents in the U.S.
Offers a geospatial analysis using TRICARE and other data to determine access to and utilization of mental and behavioral healthcare services for veterans who reside in remote locations. Recommends two pathways for improving access to care: telehealth service and collaborative care between primary care and specialty behavioral care.
Author(s): Ryan Andrew Brown, Grant N. Marshall, Joshua Breslau, et al.
Date: 2015
Sponsoring organization: RAND Corporation
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Offers a geospatial analysis using TRICARE and other data to determine access to and utilization of mental and behavioral healthcare services for veterans who reside in remote locations. Recommends two pathways for improving access to care: telehealth service and collaborative care between primary care and specialty behavioral care.
Author(s): Ryan Andrew Brown, Grant N. Marshall, Joshua Breslau, et al.
Date: 2015
Sponsoring organization: RAND Corporation
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The Effects of Expanding Public Insurance to Rural Low-Income Childless Adults
Details a study on the effects of the Affordable Care Act (ACA) Medicaid expansion on healthcare usage for rural adults without children in Wisconsin from 2007-2012. Discusses the frequency and type of care sought after participants gained coverage. Records visits in 3 categories: Emergency department visits, hospitalizations, and outpatient visits.
Author(s): Marguerite E. Burns, Laura Dague, Thomas DeLeire, et al.
Citation: Health Services Research, 49(s2), 2173-2187
Date: 12/2014
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Details a study on the effects of the Affordable Care Act (ACA) Medicaid expansion on healthcare usage for rural adults without children in Wisconsin from 2007-2012. Discusses the frequency and type of care sought after participants gained coverage. Records visits in 3 categories: Emergency department visits, hospitalizations, and outpatient visits.
Author(s): Marguerite E. Burns, Laura Dague, Thomas DeLeire, et al.
Citation: Health Services Research, 49(s2), 2173-2187
Date: 12/2014
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Transportation Disadvantaged Populations: Nonemergency Medical Transportation Not Well Coordinated, and Additional Federal Leadership Needed
Discusses the federal programs that support nonemergency medical transportation (NEMT) and how coordination of these programs between federal agencies is limited. Coordination between state and local level NEMT services and the challenges that accompany NEMT coordination are reviewed.
Additional links: Full Report
Date: 12/2014
Sponsoring organization: Government Accountability Office
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Discusses the federal programs that support nonemergency medical transportation (NEMT) and how coordination of these programs between federal agencies is limited. Coordination between state and local level NEMT services and the challenges that accompany NEMT coordination are reviewed.
Additional links: Full Report
Date: 12/2014
Sponsoring organization: Government Accountability Office
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The Role of Medicare and the Indian Health Service for American Indians and Alaska Natives: Health, Access and Coverage
Examines the health, healthcare access, income, and education disparities that exist within the Native American and Alaskan Native population, as well as the roles of Medicare and the Indian Health Service (IHS) in addressing these disparities.
Author(s): Cristina Boccuti, Christina Swoope, Samantha Artiga
Date: 12/2014
Sponsoring organization: KFF
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Examines the health, healthcare access, income, and education disparities that exist within the Native American and Alaskan Native population, as well as the roles of Medicare and the Indian Health Service (IHS) in addressing these disparities.
Author(s): Cristina Boccuti, Christina Swoope, Samantha Artiga
Date: 12/2014
Sponsoring organization: KFF
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The Obstetric Care Workforce in Critical Access Hospitals (CAHs) and Rural Non-CAHs
Examines current obstetric practice models in Critical Access Hospitals (CAHs) and other rural hospitals to understand obstetric care services and obstetric workforce issues. Reports on the types of clinicians providing obstetric care in rural hospitals, including obstetricians, family physicians, certified nurse midwives, and general surgeons.
Author(s): Katy Kozhimannil, Michelle Casey, Peiyin Hung, Shailendra Prasad, Ira Moscovice
Date: 11/2014
Sponsoring organization: University of Minnesota Rural Health Research Center
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Examines current obstetric practice models in Critical Access Hospitals (CAHs) and other rural hospitals to understand obstetric care services and obstetric workforce issues. Reports on the types of clinicians providing obstetric care in rural hospitals, including obstetricians, family physicians, certified nurse midwives, and general surgeons.
Author(s): Katy Kozhimannil, Michelle Casey, Peiyin Hung, Shailendra Prasad, Ira Moscovice
Date: 11/2014
Sponsoring organization: University of Minnesota Rural Health Research Center
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METelemedicine: A Pilot Study With Rural Alcohol Users on Community Supervision
Describes a study of 127 alcohol users from 4 rural counties in Appalachian Kentucky who underwent several intervention sessions using motivational enhancement therapy via telemedicine (METelemedicine). Discusses the use of METelemedicine as a means of increasing access to treatment for rural alcohol users. Analyzes results at the 3 month follow-up from initial screening.
Author(s): Michele Staton-Tindall, Jennifer R. Havens, J. Matthew Webster, Carl Leukefeld
Citation: Journal of Rural Health, 30(4), 422-432
Date: 10/2014
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Describes a study of 127 alcohol users from 4 rural counties in Appalachian Kentucky who underwent several intervention sessions using motivational enhancement therapy via telemedicine (METelemedicine). Discusses the use of METelemedicine as a means of increasing access to treatment for rural alcohol users. Analyzes results at the 3 month follow-up from initial screening.
Author(s): Michele Staton-Tindall, Jennifer R. Havens, J. Matthew Webster, Carl Leukefeld
Citation: Journal of Rural Health, 30(4), 422-432
Date: 10/2014
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Evaluation of the Health Care Innovation Awards: Community Resource Planning, Prevention, and Monitoring: Annual Report
Evaluations of 24 Health Care Innovation Awards Round One projects focused on enhancing care coordination and healthcare access through the use of health information technology, care coordination/patient navigation, and health promotion and prevention services. Includes information on 5 rural-focused projects, as well as projects that serve both rural and urban areas.
Author(s): RTI International
Date: 10/2014
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluations of 24 Health Care Innovation Awards Round One projects focused on enhancing care coordination and healthcare access through the use of health information technology, care coordination/patient navigation, and health promotion and prevention services. Includes information on 5 rural-focused projects, as well as projects that serve both rural and urban areas.
Author(s): RTI International
Date: 10/2014
Sponsoring organization: Centers for Medicare and Medicaid Services
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The 2014 Update of the Rural-Urban Chartbook
Updates information presented in Health, United States, 2001: With Urban and Rural Health Chartbook. Highlights current trends and disparities across different levels of metro and nonmetropolitan counties, including population characteristics; health-related behaviors and risk factors; mortality rates; healthcare access and use; mental health measures; and other health measures such as teen birth rates, tooth loss, and activity limitations due to chronic disease. Individual data tables are available in an Excel file.
Author(s): Michael Meit, Alana Knudson, Tess Gilbert, et al.
Date: 10/2014
Sponsoring organization: Rural Health Reform Policy Research Center
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Updates information presented in Health, United States, 2001: With Urban and Rural Health Chartbook. Highlights current trends and disparities across different levels of metro and nonmetropolitan counties, including population characteristics; health-related behaviors and risk factors; mortality rates; healthcare access and use; mental health measures; and other health measures such as teen birth rates, tooth loss, and activity limitations due to chronic disease. Individual data tables are available in an Excel file.
Author(s): Michael Meit, Alana Knudson, Tess Gilbert, et al.
Date: 10/2014
Sponsoring organization: Rural Health Reform Policy Research Center
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Translating and Testing the ENABLE: CHF-PC Concurrent Palliative Care Model for Older Adults with Heart Failure and Their Family Caregivers
Reports on an evaluation study to determine the feasibility and satisfaction of converting a cancer-focused concurrent palliative care (PC) intervention into early PC for rural patients with a diagnosis of heart failure.
Author(s): J. Nicholas Dionne-Odom, Alan Kono, Jennifer Frost, et al.
Citation: Journal of Palliative Medicine, 17(9), 995-1004
Date: 09/2014
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Reports on an evaluation study to determine the feasibility and satisfaction of converting a cancer-focused concurrent palliative care (PC) intervention into early PC for rural patients with a diagnosis of heart failure.
Author(s): J. Nicholas Dionne-Odom, Alan Kono, Jennifer Frost, et al.
Citation: Journal of Palliative Medicine, 17(9), 995-1004
Date: 09/2014
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