Rural Health
Resources by Topic: Access
Using Population-Based Outcome Measures to Assess the Impact of Telehealth Expansion on Medicare Beneficiaries' Access to Care and Quality of Care
Explores the feasibility of using population-based measures to estimate the association between telehealth use, quality of care, and access to care when both telehealth and in-person visits are available to fee-for-service (FFS) Medicare beneficiaries. Compares data from the second half of 2019 to the second half of 2021 by the level of telehealth utilization in Hospital Service Areas (HSAs). Includes rural references throughout.
Author(s): Morteza Saharkhiz, Tanvi Rao, Sara Parker Lue, et al.
Date: 06/2023
Type: Document
Sponsoring organizations: American Institutes for Research, Medicare Payment Advisory Commission
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Explores the feasibility of using population-based measures to estimate the association between telehealth use, quality of care, and access to care when both telehealth and in-person visits are available to fee-for-service (FFS) Medicare beneficiaries. Compares data from the second half of 2019 to the second half of 2021 by the level of telehealth utilization in Hospital Service Areas (HSAs). Includes rural references throughout.
Author(s): Morteza Saharkhiz, Tanvi Rao, Sara Parker Lue, et al.
Date: 06/2023
Type: Document
Sponsoring organizations: American Institutes for Research, Medicare Payment Advisory Commission
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Improving Financial Access to Maternal and Infant Care in Rural Areas
A brief that discusses ways to improve maternal and infant healthcare access, with a focus on Medicaid initiatives, value-based care systems, and leveraging the perinatal workforce.
Date: 06/2023
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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A brief that discusses ways to improve maternal and infant healthcare access, with a focus on Medicaid initiatives, value-based care systems, and leveraging the perinatal workforce.
Date: 06/2023
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Report to Congress on Medicaid and CHIP, June 2023
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations on disproportionate share hospital (DSH) payments, care integration for people who are dually eligible for Medicaid and Medicare, access to Medicaid coverage for adults leaving incarceration, and barriers to Medicaid home- and community-based services (HCBS). Includes rural references throughout.
Date: 06/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations on disproportionate share hospital (DSH) payments, care integration for people who are dually eligible for Medicaid and Medicare, access to Medicaid coverage for adults leaving incarceration, and barriers to Medicaid home- and community-based services (HCBS). Includes rural references throughout.
Date: 06/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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The Benefits and Challenges of Converting to a Rural Emergency Hospital
Podcast episode with Anson General Hospital's Chief Executive Office and Chief Nursing Officer regarding the hospital's transition to a Rural Emergency Hospital. Discusses changes to services offered, financial and operational impacts of the conversion, and what the local patient population thinks about the transition.
Date: 06/2023
Type: Audio
Sponsoring organization: American Hospital Association
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Podcast episode with Anson General Hospital's Chief Executive Office and Chief Nursing Officer regarding the hospital's transition to a Rural Emergency Hospital. Discusses changes to services offered, financial and operational impacts of the conversion, and what the local patient population thinks about the transition.
Date: 06/2023
Type: Audio
Sponsoring organization: American Hospital Association
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Expansion of Telehealth Availability for Mental Health Care After State-Level Policy Changes From 2019 to 2022
Explores mental health access associated with state-level telehealth policy changes due to COVID-19. Highlights disparities in mental health via telehealth access before and after COVID-related policy changes and details access rates in counties based on race and rurality, among other measures.
Author(s): Ryan K. McBain, Megan S. Schuler, Nabeel Qureshi, et al.
Citation: JAMA Network Open, 6(6), e2318045
Date: 06/2023
Type: Document
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Explores mental health access associated with state-level telehealth policy changes due to COVID-19. Highlights disparities in mental health via telehealth access before and after COVID-related policy changes and details access rates in counties based on race and rurality, among other measures.
Author(s): Ryan K. McBain, Megan S. Schuler, Nabeel Qureshi, et al.
Citation: JAMA Network Open, 6(6), e2318045
Date: 06/2023
Type: Document
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Video Brochures in a Mailed Fecal Immunochemical Test Outreach Program Provide Cancer Screening Information in a User-friendly Format for Rural Appalachian Community Members
Presents a study on the efficacy of using a video brochure to provide colorectal cancer (CRC) screening information and instructions for a fecal immunochemical tests (FITs) sent out to rural patients in Appalachian Ohio. Explores the barriers to CRC screening, including the low rates of returning FITs, and discusses the effect the video brochure had on this process.
Author(s): Mira L. Katz, Abigail B. Shoben, Sabrina Newell, et al.
Citation: Journal of Rural Health
Date: 06/2023
Type: Document
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Presents a study on the efficacy of using a video brochure to provide colorectal cancer (CRC) screening information and instructions for a fecal immunochemical tests (FITs) sent out to rural patients in Appalachian Ohio. Explores the barriers to CRC screening, including the low rates of returning FITs, and discusses the effect the video brochure had on this process.
Author(s): Mira L. Katz, Abigail B. Shoben, Sabrina Newell, et al.
Citation: Journal of Rural Health
Date: 06/2023
Type: Document
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Consolidation and Corporate Ownership in Health Care: Trends and Impacts on Access, Quality, and Costs
Recording of a June 8, 2023, U.S. Senate Committee on Finance hearing on healthcare consolidation and its impacts on healthcare access and finances. Testimony from the American Academy of Family Physicians discusses the impact of consolidation on rural primary care providers.
Additional links: R. Shawn Martin, American Academy of Family Physicians - Testimony
Date: 06/2023
Type: Document
Sponsoring organization: Senate Committee on Finance
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Recording of a June 8, 2023, U.S. Senate Committee on Finance hearing on healthcare consolidation and its impacts on healthcare access and finances. Testimony from the American Academy of Family Physicians discusses the impact of consolidation on rural primary care providers.
Additional links: R. Shawn Martin, American Academy of Family Physicians - Testimony
Date: 06/2023
Type: Document
Sponsoring organization: Senate Committee on Finance
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Maniilaq Health Center: Providing High-Quality Obstetric Care to American Indian/Alaska Native People in Rural Kotzebue, Alaska
Results of a case study highlighting a hospital providing care to rural American Indian and Alaska Native patients in Alaska. Examines the maternity care context with attention to the intersection of race and geography with social determinants of health to inform clinical and policy efforts to improve rural maternal health and health equity in Alaska and beyond.
Author(s): Hailey A. Baker, Katy Backes Kozhimannil, Bridget Basile Ibrahim
Date: 06/2023
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Results of a case study highlighting a hospital providing care to rural American Indian and Alaska Native patients in Alaska. Examines the maternity care context with attention to the intersection of race and geography with social determinants of health to inform clinical and policy efforts to improve rural maternal health and health equity in Alaska and beyond.
Author(s): Hailey A. Baker, Katy Backes Kozhimannil, Bridget Basile Ibrahim
Date: 06/2023
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Diabetes Prevalence and Monitoring in Nonmetropolitan and Metropolitan Areas Within a Commercially Insured U.S. Population
Explores the prevalence of diabetes in metro and nonmetro areas. Draws data from commercial insurance enrollees and compares rates of diabetes testing and outcomes by rurality.
Author(s): Lindsey R. Hammerslag, Jeffery Talbert
Date: 06/2023
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Explores the prevalence of diabetes in metro and nonmetro areas. Draws data from commercial insurance enrollees and compares rates of diabetes testing and outcomes by rurality.
Author(s): Lindsey R. Hammerslag, Jeffery Talbert
Date: 06/2023
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Rural Health Research Recap: Rural Hospital Closures: 2023 Update
Summarizes recent research from Rural Health Research Centers examining hospital closures. Features statistics including number of acute hospitals as of 2020 with breakdowns by type and location, rural hospital closures from 2005-2022 with breakdowns by isolated rural, small rural, and large rural location, and numbers of closures by year from 2005-2022 with breakdowns by complete or converted closures.
Author(s): Per Ostmo
Date: 06/2023
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Summarizes recent research from Rural Health Research Centers examining hospital closures. Features statistics including number of acute hospitals as of 2020 with breakdowns by type and location, rural hospital closures from 2005-2022 with breakdowns by isolated rural, small rural, and large rural location, and numbers of closures by year from 2005-2022 with breakdowns by complete or converted closures.
Author(s): Per Ostmo
Date: 06/2023
Type: Document
Sponsoring organization: Rural Health Research Gateway
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