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Rural Health Information Hub

Rural Health
Resources by Topic: Access

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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Late HIV Diagnosis: Differences by Rural/Urban Residence, Florida, 2007–2011
Discusses the demographics, socioeconomics, and the availability of healthcare resources linked with a late diagnosis of HIV in rural and urban regions of Florida.
Author(s): Mary Jo Trepka, Kristopher P. Fennie, Diana M. Sheehan, et al.
Citation: AIDS Patient Care and STDs, 28(4), 188-197
Date: 04/2014
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HIV/AIDS in Rural America: Disproportionate Impact on Minority and Multicultural Populations
Overview of the impact of AIDS and HIV in rural areas. Summarizes the epidemiology of AIDS/HIV, including its impact on rural minority groups. Discusses the challenges rural areas face in preventing and treating AIDS. Includes policy recommendations.
Date: 04/2014
Sponsoring organization: National Rural Health Association
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Reducing Rural Suicide
Describes the efforts of psychologists searching for innovative ways to reach out to people in isolated communities. Includes a specific focus on Native American and veteran populations to address stigma and access to care, and create a preventive environment.
Author(s): Rebecca A. Clay
Citation: APA Monitor on Psychology, 45(4), 36
Date: 04/2014
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Health Care for Rural Veterans: The Example of Federally Qualified Health Centers
Reports that among veterans enrolled in VA healthcare, 41% reside in rural or highly rural communities. Discusses access to healthcare for rural veterans, policy considerations to encourage improved collaboration between the Department of Veterans Affairs (VA) and Federally Qualified Health Centers (FQHCs), and highlights how FQHCs can provide healthcare services to veterans.
Author(s): Elayne J. Heisler, Sidath Viranga Panangala, Erin Bagalman
Date: 04/2014
Sponsoring organization: Congressional Research Service
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