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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Health, United States, 2014: With Special Feature on Adults Aged 55-64
Presents an annual overview of national trends in health statistics. Covers health status and determinants, healthcare utilization, access, and expenditures. Includes data on rural areas - see index under "Metropolitan/nonmetropolitan data." 2014 edition includes a special section on adults aged 55-64, covering health status, health behaviors, health insurance coverage, healthcare utilization, and more.
Date: 05/2015
Sponsoring organization: National Center for Health Statistics
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Improving Access and Provision of Preventive Oral Health Care for Very Young, Poor, and Low-Income Children Through a New Interdisciplinary Partnership
Describes a demonstration model in which dental care and education was provided by a nurse practitioner-dietitian team to 4,360 Ohio preschool children enrolled in the Women, Infants, and Children program at one urban and one rural site.
Author(s): Diana L. Biordi, Marjet Heitzer, Eric Mundy, et al.
Citation: American Journal of Public Health, 105(Suppl 2), e23-e29
Date: 04/2015
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A Rural Appalachian Faith-Placed Smoking Cessation Intervention
Describes a faith-oriented smoking cessation program comprising 590 smokers in 26 churches located in rural Appalachia. Discusses 3 themes identified by the participants' evaluation of the program including the program's ability to leverage social connections, be conveniently orientated, and to provide financial support for smoking cessation.
Author(s): Nancy E. Schoenberg, Henry E. Bundy, Jordan A. Baeker Bispo, et al.
Citation: Journal of Religion and Health, 54(2), 598-611
Date: 04/2015
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Study of Barriers for Women Veterans to VA Health Care: Final Report
Examines the use, preference, and barriers faced by rural and urban women veterans in accessing Veterans Affairs (VA) healthcare to better understand the challenges in receiving care. Informs Congress regarding the status of healthcare for women veterans.
Date: 04/2015
Sponsoring organization: U.S. Department of Veterans Affairs
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Improving Access to Noninstitutional Long-Term Care for American Indian Veterans
Describes program models to expand Native American veterans' access to home-based primary care (HBPC), which provides non-institutional long-term care to homebound veterans. Overviews emerging models of HBPC and co-management developed by Veterans Affairs Medical Centers in collaboration with tribes and Indian Health Service facilities. Also includes several models that expanded HBPC access for non-native as well as Native American rural veterans.
Author(s): Betty J. Kramer, Beth Creekmur, Sarah Cote, Debra Saliba
Citation: Journal of the American Geriatrics Society, 63(4), 789-796
Date: 04/2015
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The Health and Well-Being of Children in Rural Areas: A Portrait of the Nation 2011–2012
Describes data from the National Survey of Children's Health demonstrating the health and well-being of children, as well as the family environment and the characteristics of the community that affect rural children and their families.
Date: 04/2015
Sponsoring organization: Maternal and Child Health Bureau
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Sole Community Hospitals: Early Indications Show That TRICARE's Revised Reimbursement Rules Have Not Affected Access to Care
Reports on the impact of a January 2014 revision to TRICARE's reimbursement for Sole Community Hospitals (SCHs), which serve primarily rural areas. The new TRICARE reimbursement rules approximate Medicare's for these hospitals. Looks at the impact of revised SCH reimbursement on healthcare access for servicemembers and their dependents. Findings based on claims data, as well as interviews with 10 SCHs and with national stakeholders. Appendices include information on SCHs with a high number of TRICARE admissions.
Additional links: Full Report
Date: 04/2015
Sponsoring organization: Government Accountability Office
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Travel Time and Attrition From VHA Care Among Women Veterans: How Far is Too Far?
Examines whether travel time impacts women veterans decisions to drop Veterans Health Administration care, with a comparison of the impact of travel time on rural and urban women veterans (see Figure 2).
Author(s): Sarah A. Friedman, Susan M. Frayne, Eric Berg, et al.
Citation: Medical Care, 53(4 Suppl 1), S15-S22
Date: 04/2015
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Addressing Chronic Disease Through Community Health Workers: A Policy and Systems-Level Approach
Provides guidelines for the integration of community health workers (CHWs) into community based chronic disease prevention programs. Includes examples from a variety of CHW programs, some of which serve rural communities.
Date: 04/2015
Sponsoring organization: Centers for Disease Control and Prevention
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Intimate Partner Violence in Rural America
Policy brief examining rates of intimate partner violence (IPV) affecting women in rural areas. Discusses factors affecting IPV rates, including Adverse Childhood Experiences (ACEs), poverty, rural human services infrastructure, and rural healthcare. Offers policy recommendations to address rural IPV.
Date: 03/2015
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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