Rural Health
Resources by Topic: Access
Exploring Patient Care Navigation in the Medicare Program
Presents an overview of patient navigation programs through an environmental scan of literature published between 2013 and 2023 and discussions with key informants at four healthcare organizations. Describes the variety of patient navigation services, types of patients targeted, settings that offer navigation services, staffing, funding, clinical outcomes, and more. Includes a brief discussion of programs targeting patients in rural areas. Identifies implementation and policy considerations and potential barriers to supporting patient navigation services.
Additional links: Annex, Executive Summary
Author(s): Zachary Predmore, Joachim Hero, Stephanie Dellva, et al.
Date: 09/2023
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Health Care
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Presents an overview of patient navigation programs through an environmental scan of literature published between 2013 and 2023 and discussions with key informants at four healthcare organizations. Describes the variety of patient navigation services, types of patients targeted, settings that offer navigation services, staffing, funding, clinical outcomes, and more. Includes a brief discussion of programs targeting patients in rural areas. Identifies implementation and policy considerations and potential barriers to supporting patient navigation services.
Additional links: Annex, Executive Summary
Author(s): Zachary Predmore, Joachim Hero, Stephanie Dellva, et al.
Date: 09/2023
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Health Care
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Maternal and Child Health Services Title V Block Grant - Hawaii: FY 2024 Application/FY 2022 Annual Report
Describes Hawaii's maternal and child health programs, which include priorities related to family planning, food security, rates of child abuse and neglect, health screenings for children, wellness visits and vaccination, mental healthcare, telehealth access, and more. Discusses healthcare access issues for rural residents, activities by the Office of Primary Care and Rural Health, Medicaid provider shortages, and other rural-relevant issues.
Date: 09/2023
Type: Document
Sponsoring organization: Hawaii State Department of Health
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Describes Hawaii's maternal and child health programs, which include priorities related to family planning, food security, rates of child abuse and neglect, health screenings for children, wellness visits and vaccination, mental healthcare, telehealth access, and more. Discusses healthcare access issues for rural residents, activities by the Office of Primary Care and Rural Health, Medicaid provider shortages, and other rural-relevant issues.
Date: 09/2023
Type: Document
Sponsoring organization: Hawaii State Department of Health
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Effect of a Telephone-Based Lifestyle Intervention on Weight, Body Composition, and Metabolic Biomarkers in Rural Ohio: Results from a Randomized Pilot Study
Examines the effectiveness of a 15-week telephone counseling intervention encouraging healthy eating and physical activity among 27 rural Ohio adults with overweight or obesity. Provides data on participants' weight, body composition, fasting blood lipids, and inflammatory biomarkers after 15 weeks of intervention. Highlights findings related to weight and cholesterol management, and discusses rural health disparities and access barriers.
Author(s): Xiaochen Zhang, Victoria R. DeScenza, Zachary L. Chaplow, et al.
Citation: Nutrients, 15(18), 3998
Date: 09/2023
Type: Document
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Examines the effectiveness of a 15-week telephone counseling intervention encouraging healthy eating and physical activity among 27 rural Ohio adults with overweight or obesity. Provides data on participants' weight, body composition, fasting blood lipids, and inflammatory biomarkers after 15 weeks of intervention. Highlights findings related to weight and cholesterol management, and discusses rural health disparities and access barriers.
Author(s): Xiaochen Zhang, Victoria R. DeScenza, Zachary L. Chaplow, et al.
Citation: Nutrients, 15(18), 3998
Date: 09/2023
Type: Document
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Access to Intercity Transportation in Rural Areas
Provides information and an interactive map that shows the percentage of rural residents who have access to commercial air, intercity bus, or intercity rail transportation. Includes county-level data for the years 2006, 2012, 2018, and 2021. Depicts state-level transportation access data as well as demographic characteristics of rural areas.
Date: 09/2023
Type: Map/Mapping System
Sponsoring organization: Bureau of Transportation Statistics
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Provides information and an interactive map that shows the percentage of rural residents who have access to commercial air, intercity bus, or intercity rail transportation. Includes county-level data for the years 2006, 2012, 2018, and 2021. Depicts state-level transportation access data as well as demographic characteristics of rural areas.
Date: 09/2023
Type: Map/Mapping System
Sponsoring organization: Bureau of Transportation Statistics
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Hunger Pains: How Food Insecurity Affects Oral Health
Report discusses the ways food insecurity affects oral health outcomes. Highlights populations suffering from food insecurity and compares rural and urban populations. Details the oral health disparities that correlate with food insecurity.
Author(s): Paige Martin, Morgan Santoro, Lisa J. Heaton, et al.
Date: 09/2023
Type: Document
Sponsoring organization: CareQuest Institute for Oral Health
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Report discusses the ways food insecurity affects oral health outcomes. Highlights populations suffering from food insecurity and compares rural and urban populations. Details the oral health disparities that correlate with food insecurity.
Author(s): Paige Martin, Morgan Santoro, Lisa J. Heaton, et al.
Date: 09/2023
Type: Document
Sponsoring organization: CareQuest Institute for Oral Health
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National Advisory Committee on Rural Health and Human Services Meeting Summary, Colorado Springs, Colorado, September 6-8, 2023
Summarizes the 93nd meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Colorado Springs, Colorado. Presents an overview of national and state perspectives on disability and independence in rural communities.
Additional links: Lincoln County Human Services Site Visit Summary
Date: 09/2023
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Summarizes the 93nd meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Colorado Springs, Colorado. Presents an overview of national and state perspectives on disability and independence in rural communities.
Additional links: Lincoln County Human Services Site Visit Summary
Date: 09/2023
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Oregon Areas of Unmet Health Care Need Report, 2023
Covers nine variables that describe areas of unmet healthcare need in Oregon and measure access to primary care, mental, and oral healthcare services. Areas of unmet need are scored based on variables within the following categories: availability of providers, ability to afford care, and utilization. Includes statistics and county-level information by service areas.
Date: 09/2023
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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Covers nine variables that describe areas of unmet healthcare need in Oregon and measure access to primary care, mental, and oral healthcare services. Areas of unmet need are scored based on variables within the following categories: availability of providers, ability to afford care, and utilization. Includes statistics and county-level information by service areas.
Date: 09/2023
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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Mental Health Outcomes Among Patients Living in US Counties Lacking Broadband Access and Psychiatrists
Presents a study on mental health access for people who live in counties without psychiatrists and broadband coverage. Discusses the expansion of telehealth services for mental healthcare and consultation. Aims to evaluate mental health access in mostly rural counties with a workforce shortage and a lack of broadband access.
Author(s): Tarun Ramesh, Ryan K. McBain, Jonathan H. Cantor, et al.
Citation: JAMA Network Open, 6(9), e2333781
Date: 09/2023
Type: Document
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Presents a study on mental health access for people who live in counties without psychiatrists and broadband coverage. Discusses the expansion of telehealth services for mental healthcare and consultation. Aims to evaluate mental health access in mostly rural counties with a workforce shortage and a lack of broadband access.
Author(s): Tarun Ramesh, Ryan K. McBain, Jonathan H. Cantor, et al.
Citation: JAMA Network Open, 6(9), e2333781
Date: 09/2023
Type: Document
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MedPAC Response to a Congressional Request for Information on Improving Access to Health Care in Rural and Underserved Areas
Letter to the House Committee on Ways and Means request for information on improving access to healthcare in rural and underserved areas. Covers MedPAC recommendations for policies to target payments to better support rural and vulnerable beneficiaries' access to care, including the Rural Emergency Hospital program and a proposed Medicare Safety-Net Index; changes to the hospital wage index to address geographic inequities; and the alignment of payment rates across ambulatory settings for certain services.
Date: 09/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Letter to the House Committee on Ways and Means request for information on improving access to healthcare in rural and underserved areas. Covers MedPAC recommendations for policies to target payments to better support rural and vulnerable beneficiaries' access to care, including the Rural Emergency Hospital program and a proposed Medicare Safety-Net Index; changes to the hospital wage index to address geographic inequities; and the alignment of payment rates across ambulatory settings for certain services.
Date: 09/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Adult Obesity in Rural America: An Examination of the Relationships Between Obesity Prevalence, Sociodemographic Factors, Access to Care, and Differences Between Rural and Urban Counties
Provides an overview of obesity prevalence in rural versus urban counties. Analyzes factors related to obesity such as education, income, physical inactivity, healthcare workforce, and food, internet, and healthcare access. Includes case studies and data related to obesity prevalence in Texas and Arkansas.
Additional links: Appendix, Executive Summary
Date: 09/2023
Type: Document
Sponsoring organization: NORC at the University of Chicago
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Provides an overview of obesity prevalence in rural versus urban counties. Analyzes factors related to obesity such as education, income, physical inactivity, healthcare workforce, and food, internet, and healthcare access. Includes case studies and data related to obesity prevalence in Texas and Arkansas.
Additional links: Appendix, Executive Summary
Date: 09/2023
Type: Document
Sponsoring organization: NORC at the University of Chicago
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