Rural Health
Resources by Topic: Access
Rural-Urban Disparities in Video Telehealth Use During Rapid Mental Health Care Virtualization Among American Indian/Alaska Native Veterans
Compares the use of video telehealth for mental healthcare between American Indian/Alaska Native (AI/AN) and non–AI/AN veterans by urban and rural residence from October 2019 through December 2020. Provides an overview of health disparities among AI/AN veterans. Presents monthly data on the number and percent of mental health encounters by type, rurality, and AI/AN status.
Author(s): Isabelle S. Kusters, Amber B. Amspoker, Kristen Frosio, et al.
Citation: JAMA Psychiatry
Date: 07/2023
Type: Document
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Compares the use of video telehealth for mental healthcare between American Indian/Alaska Native (AI/AN) and non–AI/AN veterans by urban and rural residence from October 2019 through December 2020. Provides an overview of health disparities among AI/AN veterans. Presents monthly data on the number and percent of mental health encounters by type, rurality, and AI/AN status.
Author(s): Isabelle S. Kusters, Amber B. Amspoker, Kristen Frosio, et al.
Citation: JAMA Psychiatry
Date: 07/2023
Type: Document
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Tackling the Maternal and Infant Health Crisis: A Governor's Playbook
Provides an overview of maternal morbidity and mortality trends, including racial and geographic disparities, as well as the underlying causes of poor maternal health in the United States. Outlines 32 recommendations across five priority areas that can be implemented in coordination with critical stakeholders, such as industry and community leaders, community-based organizations, faith-based organizations, and people with lived experience. Priority 3 covers recommendations related to disparities affecting Black and American Indian/Alaska Native individuals. Includes rural references throughout.
Date: 07/2023
Type: Document
Sponsoring organizations: Afton Bloom, Boldly Go Philanthropy, National Governors Association
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Provides an overview of maternal morbidity and mortality trends, including racial and geographic disparities, as well as the underlying causes of poor maternal health in the United States. Outlines 32 recommendations across five priority areas that can be implemented in coordination with critical stakeholders, such as industry and community leaders, community-based organizations, faith-based organizations, and people with lived experience. Priority 3 covers recommendations related to disparities affecting Black and American Indian/Alaska Native individuals. Includes rural references throughout.
Date: 07/2023
Type: Document
Sponsoring organizations: Afton Bloom, Boldly Go Philanthropy, National Governors Association
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Delivery of High-Speed Broadband Services in Unserved and Underserved Areas of the Commonwealth (Pennsylvania): Fourth Annual Report
Provides an update on the role of broadband in education, telehealth, agriculture, and community and economic development; barriers to development; funding resources; developments in Pennsylvania state and local initiatives; and efforts to identify unserved and underserved Pennsylvania communities. Includes a discussion of the Pennsylvania Broadband Development Authority and new federal funding for expansion and development in Pennsylvania.
Additional links: Summary
Author(s): Yvonne Llewellyn Hursh, Lydia Hack, Allison N. Kobzowicz, Bryan W. DeWalt, Wendy L. Baker
Date: 07/2023
Type: Document
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Provides an update on the role of broadband in education, telehealth, agriculture, and community and economic development; barriers to development; funding resources; developments in Pennsylvania state and local initiatives; and efforts to identify unserved and underserved Pennsylvania communities. Includes a discussion of the Pennsylvania Broadband Development Authority and new federal funding for expansion and development in Pennsylvania.
Additional links: Summary
Author(s): Yvonne Llewellyn Hursh, Lydia Hack, Allison N. Kobzowicz, Bryan W. DeWalt, Wendy L. Baker
Date: 07/2023
Type: Document
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Rural-Urban Differences in Health Care Unaffordability
Analyzes healthcare unaffordability in rural versus urban contexts as well as mitigating sociodemographic variables. Examines 90,761 survey responses from the 2019-2021 National Health Interview Survey according to 3 levels of unaffordability, further breaking down the data by race/ethnicity, sex, income, self-rated health, insurance type, education, age, and rural versus urban location.
Author(s): Hannah MacDougall, Daniel Mork, Stephanie Hanson, Carrie Henning Smith
Citation: The Journal of Rural Health, 40(2), 376-385
Date: 07/2023
Type: Document
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Analyzes healthcare unaffordability in rural versus urban contexts as well as mitigating sociodemographic variables. Examines 90,761 survey responses from the 2019-2021 National Health Interview Survey according to 3 levels of unaffordability, further breaking down the data by race/ethnicity, sex, income, self-rated health, insurance type, education, age, and rural versus urban location.
Author(s): Hannah MacDougall, Daniel Mork, Stephanie Hanson, Carrie Henning Smith
Citation: The Journal of Rural Health, 40(2), 376-385
Date: 07/2023
Type: Document
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Hunger Doesn't Take a Vacation: Summer Nutrition Status Report 2023
Provides national and state findings on children's summer nutrition program utilization in the summer of 2022. Includes policy discussions related to expanding access and improving participation in summer food programs in rural areas via non-congregate meal options.
Date: 07/2023
Type: Document
Sponsoring organization: Food Research & Action Center
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Provides national and state findings on children's summer nutrition program utilization in the summer of 2022. Includes policy discussions related to expanding access and improving participation in summer food programs in rural areas via non-congregate meal options.
Date: 07/2023
Type: Document
Sponsoring organization: Food Research & Action Center
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State Differences in Recommended Components of Care Received During Postpartum Visits for Rural and Urban Residents, 2016-2019
Policy brief measuring state-level differences in receipt of recommended postpartum care components for urban and rural residents, using data from the Pregnancy Risk Assessment Monitoring System. Features statistics on the median number of postpartum care components with breakdowns by state and rurality, and state-level maps with shadings showing frequency of screening for depression, smoking, abuse, and counseling for contraception, eating and exercise, and birth spacing.
Author(s): Julia D. Interrante, Phoebe Chastain, Katy Backes Kozhimannil
Date: 07/2023
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Policy brief measuring state-level differences in receipt of recommended postpartum care components for urban and rural residents, using data from the Pregnancy Risk Assessment Monitoring System. Features statistics on the median number of postpartum care components with breakdowns by state and rurality, and state-level maps with shadings showing frequency of screening for depression, smoking, abuse, and counseling for contraception, eating and exercise, and birth spacing.
Author(s): Julia D. Interrante, Phoebe Chastain, Katy Backes Kozhimannil
Date: 07/2023
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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The Frontier of Harm Reduction: Expanding Services for Rural People Who Use Drugs
Describes how harm reduction approaches help reduce health risks related to substance use and explains how these approaches are being adapted in rural areas. Highlights innovative harm reduction strategies being used in rural communities in Alaska, Wisconsin, and South Dakota.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 07/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Describes how harm reduction approaches help reduce health risks related to substance use and explains how these approaches are being adapted in rural areas. Highlights innovative harm reduction strategies being used in rural communities in Alaska, Wisconsin, and South Dakota.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 07/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Promoting Rural Residents' Participation in Clinical Trials: Clinical Trials Basics Programming and Training for Rural Public Librarians
Describes a collaboration between Virginia Commonwealth University (VCU) Health and Wellness Library and the VCU Wright Center for Clinical and Translational Research that aimed to provide public librarians with skills to increase the health literacy of community members regarding clinical trials in rural and underserved areas.
Author(s): Dana L. Ladd, Jackson C. Wright
Citation: Journal of the Medical Library Association, 111(3), 722-727
Date: 07/2023
Type: Document
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Describes a collaboration between Virginia Commonwealth University (VCU) Health and Wellness Library and the VCU Wright Center for Clinical and Translational Research that aimed to provide public librarians with skills to increase the health literacy of community members regarding clinical trials in rural and underserved areas.
Author(s): Dana L. Ladd, Jackson C. Wright
Citation: Journal of the Medical Library Association, 111(3), 722-727
Date: 07/2023
Type: Document
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Changes in Telehealth Experienced by Advanced Practice RNs During COVID-19
Summarizes 7,467 advanced practice RNs' national survey responses from June-September 2020 about the use of telehealth before and during the pandemic, and analyzes free-text comments about how the use of telehealth changed during the pandemic. Discusses challenges in rural areas, including provider shortages and lack of broadband access.
Author(s): Mavis N. Schorn, Carole R. Myers, Julie Barroso, et al.
Citation: Computers, Informatics, Nursing, 41(7), 507–513
Date: 07/2023
Type: Document
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Summarizes 7,467 advanced practice RNs' national survey responses from June-September 2020 about the use of telehealth before and during the pandemic, and analyzes free-text comments about how the use of telehealth changed during the pandemic. Discusses challenges in rural areas, including provider shortages and lack of broadband access.
Author(s): Mavis N. Schorn, Carole R. Myers, Julie Barroso, et al.
Citation: Computers, Informatics, Nursing, 41(7), 507–513
Date: 07/2023
Type: Document
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Jumping Through Hoops: Community Care Clinician and Staff Experiences Providing Primary Care to Rural Veterans
Presents a study on the experiences of rural, non-VA clinicians who treat rural veterans. Discusses some of the challenges rural providers face providing care to veterans via the MISSION Act. Explores issues regarding communication, accessing medical records, and responsibility sharing with the VA, among others.
Author(s): Mary Patzel, Chrystal Barnes, NithyaPriya Ramalingam, et al.
Citation: Journal of General Internal Medicine, 38(3), 821–828
Date: 07/2023
Type: Document
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Presents a study on the experiences of rural, non-VA clinicians who treat rural veterans. Discusses some of the challenges rural providers face providing care to veterans via the MISSION Act. Explores issues regarding communication, accessing medical records, and responsibility sharing with the VA, among others.
Author(s): Mary Patzel, Chrystal Barnes, NithyaPriya Ramalingam, et al.
Citation: Journal of General Internal Medicine, 38(3), 821–828
Date: 07/2023
Type: Document
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