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Rural Health
Resources by Topic: Access

Texans' Views and Experiences with End-of-Life Issues
Survey of 2,305 Texans regarding attitudes, experiences, and needs around illness and end-of-life issues. Discusses barriers to access of end-of-life care, race and ethnicity, insurance status, and more. Includes rural data throughout.
Additional links: Research Summary
Date: 06/2023
Type: Document
Sponsoring organizations: Perry Undem, St. David's Foundation
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Arkansas Rural Hospital Assessment: Final Report
An assessment of 18 rural Arkansas hospitals with regard to their financial stability, workforce challenges, facilities, distance from other facilities, sustainability, and more. Compares Critical Access Hospitals (CAH) and non-CAHs in the state. Discusses decision-making around the Rural Emergency Hospital designation.
Author(s): Alvarez & Marsal Public Sector Services LLC
Date: 06/2023
Type: Document
Sponsoring organization: Arkansas Department of Finance & Administration
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Reversing Population Decline in Rural Pennsylvania
Explores the factors that attract or discourage people from relocating to and staying in rural areas, and how those factors align with existing population shrinkage strategies in rural communities. Discusses the importance of access to healthcare when people make decisions about living in rural or urban areas.
Author(s): Bing Ran, Joseph Hafer
Date: 06/2023
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Indicators of Healthy Aging: A Guide to Explore Healthy Aging Data through Community Health Improvement
Provides an overview for local health departments (LHDs) and partners to assess the components of healthy aging in their communities through research, data, and practice. Focuses on tracking health indicators and the social determinants of health (SDOH) and how to use data while considering community-level factors that impact healthcare access, such as race/ethnicity, location/rurality, Health Professional Shortage Area (HPSA) status, and more.
Date: 06/2023
Type: Document
Sponsoring organizations: National Association of County and City Health Officials, Trust for America's Health
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Access to Medications for Opioid Use Disorder in Rural Versus Urban Veterans Health Administration Facilities
Explores rural veterans' access to medications for opioid use disorder (MOUD) via the Veterans Health Administration (VHA) system. Highlights VHA efforts to expand access to MOUD within VHA facilities and aims to identify access levels for rural veterans via the VA's Community Care program. Breaks down data by type of MOUD and by rural or urban location.
Author(s): Jessica J. Wyse, Sarah Shull, Stephan Lindner, et al.
Citation: Journal of General Internal Medicine, 38(8), 1871-1876
Date: 06/2023
Type: Document
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Strengthening Outreach, Recruitment, and Engagement Approaches with Families: The Head Start REACH Case Study Report
Summarizes findings from the case studies of 6 urban and rural Head Start programs, including how Head Start programs identify families most in need of their services and how the programs reach and retain these families. Explores key themes about the eligibility, recruitment, selection, enrollment, and attendance/retention approaches that programs use to reach and support them.
Author(s): Harshini Shah, Tosin Shenbanjo, Caroline Lauver, et al.
Date: 06/2023
Type: Document
Sponsoring organization: Administration for Children and Families
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Predicting Firm Creation in Rural Texas: A Multi-Model Machine Learning Approach to a Complex Policy Problem
Evaluates Texas counties between 2008 and 2018 to identify factors contributing to entrepreneurship for rural areas. Discusses how healthcare, elder care, and child care predict growth in entrepreneurship. Compares predictive factors for rural areas with urban predictive factors. Makes recommendations for research, policy, and scholarship for rural entrepreneurship.
Author(s): Mark C. Hand, Vivek Shastry, Varun Rai
Citation: PLOS ONE, 18(6), e0287217
Date: 06/2023
Type: Document
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Tennessee Rural Health Care Task Force: Improving Rural Health Care Across Tennessee
Report from the Tennessee Rural Health Care Task Force. Offers recommendations to the state in the areas of access to care, workforce development, and social drivers of health. Discusses rural health research and advocacy, health insurance, telemedicine, workforce training, grants and loans, and more.
Author(s): Morgan McDonald, David Dill
Date: 06/2023
Type: Document
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Ambulance Deserts: Geographic Disparities in the Provision of Ambulance Services
Webinar recording presenting key findings from a chartbook that analyzes 41 states in 2021-2022 and identifies places and people in ambulance deserts, defined as locations that are more than 25 minutes from an ambulance station.
Additional links: Presentation Slides, Transcript
Author(s): Yvonne Jonk
Date: 06/2023
Type: Video/Multimedia
Sponsoring organizations: Maine Rural Health Research Center, Rural Health Research Gateway
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NHPCO Pediatric Facts and Figure, 2023 Edition
Provides an overview of pediatric hospice and palliative care in the United States. Includes information and data on patient characteristics, access to care, reimbursement, barriers and facilitators to care, and more. Section 3 compares the number and percentage of metropolitan and non-metropolitan counties with access to pediatric hospice and palliative care.
Date: 06/2023
Type: Document
Sponsoring organization: National Hospice and Palliative Care Organization
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