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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Ground Ambulance Industry Trends, 2017–2022: An Analysis of Ground Ambulance Organization Entrance and Exit
Describes ground ambulance trends from 2017 to 2022, focusing on organizational characteristics associated with organizations' entry into or exit from the Medicare program. Presents data on the likelihood of entry and exit by a ground ambulance transportation organization by ownership status; urban, rural, or super rural location; and volume. Examines the change in traditional fee-for-service Medicare ground ambulance transport volume at the county level after an organization enters or exits the market.
Author(s): Jonathan Cantor, Sara Heins, Petra W. Rasmussen, Christine Buttorff, Andrew W. Mulcahy
Date: 04/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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How Does Hawai'i's Economic Geography Affect Its Healthcare Industry?
Reports on geographic factors influencing healthcare economics in Hawai'i, including discussion of geographic decentralization, productivity, workforce recruitment, reimbursement and payment, and more. Highlights barriers to healthcare access and service availability in rural, isolated, and remote communities.
Author(s): Steven Bond-Smith, Daniela Bond-Smith
Date: 04/2024
Sponsoring organization: The Economic Research Organization at the University of Hawai'i (UHERO)
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A Rapid Review of Interventions to Improve Care for People Who Are Medically Underserved with Multiple Sclerosis, Diabetic Retinopathy, and Lung Cancer
Literature review on interventions to improve health, promote access to care, and decrease disparities among patients with multiple sclerosis, diabetic retinopathy, and lung cancer. Analyzes 44 studies, highlighting findings related to underserved groups, including people in rural areas, throughout.
Author(s): Sarah Mossburg, Mona Kilany, Kimberly Jinnett, et al.
Citation: International Journal of Environmental Research and Public Health, 21(5), 529
Date: 04/2024
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Technology and Rural Health Care: Rural Administrators and Hospital Perspective
Presentation slides that discuss challenges in rural healthcare and perspectives from administrators and hospital representatives on how technology can provide solutions. Includes information on workforce, healthcare access, networking and collaboration, broadband, and more.
Author(s): Dan M. Shane
Date: 04/2024
Sponsoring organizations: Iowa College of Public Health, Rural Policy Research Institute
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Primary Care Providers' Experiences Treating Opioid Use Disorder Using Telehealth in the Height of the COVID-19 Pandemic
Presents a study of the experiences of primary care providers who used telehealth for opioid use disorder treatment during the COVID-19 pandemic. Draws on the insights of participants from rural and urban counties in Kentucky and Arkansas and compares the experiences of rural and urban providers.
Author(s): Sarah Alexandra Marshall, Lachan E. Siebenmorgen, Nickolas Zaller, et al.
Citation: Journal of Primary Care and Community Health, 15
Date: 04/2024
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Annual Insurance Update 2024: Health Insurance in Kansas
Reports on health insurance coverage across Kansas and nationwide, including 2009-2022 trends in coverage. Presents 2021 county-level data on uninsured rates by age group and urban/rural classification, as well as Medicaid and Children's Health Insurance Program (CHIP) enrollment by county.
Author(s): Angela S Wu, Kaci Cink, Cynthia Snyder, Wen-Chieh Lin
Date: 04/2024
Sponsoring organization: Kansas Health Institute
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Arizona Rural Maternity Care
Offers data on rural maternity healthcare access and mortality in Arizona. Highlights rural and urban comparisons of healthcare access and health insurance coverage. Includes recommendations for improving access and mortality rates.
Author(s): Bryna Koch, Daniel Derksen
Date: 04/2024
Sponsoring organization: Arizona Center for Rural Health
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Rural Mental Health: Challenges & Opportunities
Webinar recording discusses barriers to rural mental health access and offers strategies for overcoming those barriers. Presents Kansas and Missouri as examples. Details unintentional injury fatalities in metro versus nonmetro areas.
Author(s): Angie Schindler-Berg
Date: 04/2024
Sponsoring organization: Mental Health Technology Transfer Center Network
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Geographic Variation in Trauma Deaths in Rural Illinois: A Hypothesis about Trauma Deserts
Analyzes the relationship between trauma deserts and trauma mortality in Illinois counties. Includes metro versus nonmetro comparisons of mortality rates due to various health conditions, as well as driving distances to the nearest emergency medical services (EMS) by county.
Author(s): Adee Athiyaman
Date: 04/2024
Sponsoring organization: Illinois Institute for Rural Affairs
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Reconsidering and Measuring Patient Access in Medicaid
Discusses ways to measure patient access and coverage of those enrolled in Medicaid, focusing on their insurance plan quality, reimbursement rates, and clinician networks. Considers policy impacts on rural areas.
Author(s): Benjamin D. Sommers, Renuka Tipirneni
Citation: JAMA Health Forum, 5(4)
Date: 04/2024
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