Rural Health
Resources by Topic: Access
Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action
Issue brief exploring challenges to diagnostic quality in rural healthcare. Provides an overview of the topic of diagnostic errors in rural settings, and provides suggestions related to resource and workforce limitations, access to care, care coordination and other service delivery models, and social determinants of health.
Author(s): Kisha J. Ali, Nick J. Galvez, Sarah Craig, et al.
Date: 09/2024
Sponsoring organization: Agency for Healthcare Research and Quality
view details
Issue brief exploring challenges to diagnostic quality in rural healthcare. Provides an overview of the topic of diagnostic errors in rural settings, and provides suggestions related to resource and workforce limitations, access to care, care coordination and other service delivery models, and social determinants of health.
Author(s): Kisha J. Ali, Nick J. Galvez, Sarah Craig, et al.
Date: 09/2024
Sponsoring organization: Agency for Healthcare Research and Quality
view details
Food Deserts in Nebraska: A Revised Methodology and Analysis
Analyzes the geography of healthy food access in Nebraska. Identifies census tracts designated as food deserts, discusses factors influencing rural food desert prevalence, and examines trends using county-level sociodemographic data and studies of grocery store and farmer's market locations.
Author(s): Gregory J. McKee, Shawn C. Kaskie
Date: 09/2024
Sponsoring organization: Center for Rural Affairs
view details
Analyzes the geography of healthy food access in Nebraska. Identifies census tracts designated as food deserts, discusses factors influencing rural food desert prevalence, and examines trends using county-level sociodemographic data and studies of grocery store and farmer's market locations.
Author(s): Gregory J. McKee, Shawn C. Kaskie
Date: 09/2024
Sponsoring organization: Center for Rural Affairs
view details
States Could Better Leverage Coverage and Access Requirements To Promote Maternal Health Care Access in Medicaid Managed Care
Describes challenges to maternal healthcare access. Explores the provider coverage rules and network adequacy standards state Medicaid agencies have set for maternal healthcare in Medicaid managed care. Examines state oversight of quantitative network adequacy standards. Offers recommendations to the Centers for Medicare & Medicaid Services (CMS) to ensure access to pregnancy and postpartum care in Medicaid managed care. Includes rural references throughout.
Additional links: Report in Brief
Date: 09/2024
Sponsoring organization: Office of Inspector General (HHS)
view details
Describes challenges to maternal healthcare access. Explores the provider coverage rules and network adequacy standards state Medicaid agencies have set for maternal healthcare in Medicaid managed care. Examines state oversight of quantitative network adequacy standards. Offers recommendations to the Centers for Medicare & Medicaid Services (CMS) to ensure access to pregnancy and postpartum care in Medicaid managed care. Includes rural references throughout.
Additional links: Report in Brief
Date: 09/2024
Sponsoring organization: Office of Inspector General (HHS)
view details
Beyond Connectivity: The Role of Broadband in Rural Economic Growth and Resilience
Reports on the economic value of broadband infrastructure for rural areas. Provides a variety of data on broadband and economic growth in rural communities and compares rural and urban gaps in broadband access. Features a broadband development case study for Beltrami County, Minnesota, which includes discussion of broadband's value for telehealth and other aspects of healthcare delivery and availability.
Author(s): Amanda Weinstein, May Erouart, Adam Dewbury
Date: 09/2024
Sponsoring organization: Center on Rural Innovation
view details
Reports on the economic value of broadband infrastructure for rural areas. Provides a variety of data on broadband and economic growth in rural communities and compares rural and urban gaps in broadband access. Features a broadband development case study for Beltrami County, Minnesota, which includes discussion of broadband's value for telehealth and other aspects of healthcare delivery and availability.
Author(s): Amanda Weinstein, May Erouart, Adam Dewbury
Date: 09/2024
Sponsoring organization: Center on Rural Innovation
view details
Age-Friendly Health Systems Integration into Rural Primary Care Clinics: A Journey of One Geriatric Workforce Enhancement Program
Examines implementation of the Age-Friendly Health Systems (AFHS) 4Ms Framework in rural Arkansas primary care clinics. Details program aspects related to workforce training, workplace culture, and resource provision and discusses evidence-based approaches to implementation. Provides data on the AFHS 4Ms Framework's impact on patient engagement and healthcare quality for older adults in rural settings.
Author(s): Leah Tobey-Moore, Katherine Scalzo, Stacie Massey, Robin McAtee
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing
Date: 09/2024
view details
Examines implementation of the Age-Friendly Health Systems (AFHS) 4Ms Framework in rural Arkansas primary care clinics. Details program aspects related to workforce training, workplace culture, and resource provision and discusses evidence-based approaches to implementation. Provides data on the AFHS 4Ms Framework's impact on patient engagement and healthcare quality for older adults in rural settings.
Author(s): Leah Tobey-Moore, Katherine Scalzo, Stacie Massey, Robin McAtee
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing
Date: 09/2024
view details
A Rural Community Readiness Assessment of Prehospital Telestroke Services in the Ambulance
Assesses community perspectives on the acceptability of ambulance-based prehospital stroke telemedicine services in rural and urban communities in O'ahu, Hawai'i. Utilizes questionnaire results of 263 adults recruited from community events, with additional data from 29 follow-up interviews. Compares rural and urban attitudes toward ambulance telestroke services, local hospitals, and Hawai'i's healthcare system, and identifies positive and negative themes affecting acceptability.
Author(s): Angel Lynn E. Talana, Kyrillos B. Guirguis, J. Aaron Matthews, et al.
Citation: Hawai'i Journal of Health & Social Welfare, 83(9), 250-256
Date: 09/2024
view details
Assesses community perspectives on the acceptability of ambulance-based prehospital stroke telemedicine services in rural and urban communities in O'ahu, Hawai'i. Utilizes questionnaire results of 263 adults recruited from community events, with additional data from 29 follow-up interviews. Compares rural and urban attitudes toward ambulance telestroke services, local hospitals, and Hawai'i's healthcare system, and identifies positive and negative themes affecting acceptability.
Author(s): Angel Lynn E. Talana, Kyrillos B. Guirguis, J. Aaron Matthews, et al.
Citation: Hawai'i Journal of Health & Social Welfare, 83(9), 250-256
Date: 09/2024
view details
Intakes of Lean Proteins and Processed Meats and Differences in Mental Health between Rural and Metro Adults 50 Years and Older
Presents a study on the relationship between diet and mental health status of adults over 50 in rural and urban counties in North Dakota. Focuses specifically on lean versus processed protein intake and their correlation with reported rates of depression and anxiety. Breaks down data by demographic characteristics, including rural and urban location, and discusses food access issues in rural communities.
Author(s): Nathaniel R. Johnson, Sherri N. Stastny, Julie Garden-Robinson
Citation: Nutrients, 16(18), 3056
Date: 09/2024
view details
Presents a study on the relationship between diet and mental health status of adults over 50 in rural and urban counties in North Dakota. Focuses specifically on lean versus processed protein intake and their correlation with reported rates of depression and anxiety. Breaks down data by demographic characteristics, including rural and urban location, and discusses food access issues in rural communities.
Author(s): Nathaniel R. Johnson, Sherri N. Stastny, Julie Garden-Robinson
Citation: Nutrients, 16(18), 3056
Date: 09/2024
view details
Health Care Affordability and Medical Debt: Differences by Rurality, Region, and Socio-Demographic Characteristics
Policy brief examining rural/urban differences in health care affordability and medical debt concerns. Features statistics including rates of affordability issues with breakdowns by rural and urban location, and among rural residents with breakdowns by sociodemographic characteristics.
Author(s): Ingrid Jacobson, Katie Rydberg, Mariana Tuttle, et al.
Date: 09/2024
Sponsoring organization: University of Minnesota Rural Health Research Center
view details
Policy brief examining rural/urban differences in health care affordability and medical debt concerns. Features statistics including rates of affordability issues with breakdowns by rural and urban location, and among rural residents with breakdowns by sociodemographic characteristics.
Author(s): Ingrid Jacobson, Katie Rydberg, Mariana Tuttle, et al.
Date: 09/2024
Sponsoring organization: University of Minnesota Rural Health Research Center
view details
Investigating FIT Kit Completion for CRC Screening in Younger Adults in Rural Areas
Investigates demographic factors for 1,230 rural Nebraskans that influence the return of a fecal immunochemical test (FIT) kit, a colorectal cancer screening tool that may be an inexpensive and convenient option for those with limited access to colonoscopies. Compares the study findings with national trends and discusses reasons and remedies for delays in return time for the kit.
Author(s): Cheryl L. Beseler, Jungyoon Kim, Melissa Leypoldt, et al.
Citation: Discover Social Science and Health, 4(41)
Date: 09/2024
view details
Investigates demographic factors for 1,230 rural Nebraskans that influence the return of a fecal immunochemical test (FIT) kit, a colorectal cancer screening tool that may be an inexpensive and convenient option for those with limited access to colonoscopies. Compares the study findings with national trends and discusses reasons and remedies for delays in return time for the kit.
Author(s): Cheryl L. Beseler, Jungyoon Kim, Melissa Leypoldt, et al.
Citation: Discover Social Science and Health, 4(41)
Date: 09/2024
view details
Disparities in the Real-World Prescription Pattern of Oral Anticoagulants for US Medicare Beneficiaries: A Geospatial Analysis
Analyzes geographic variations in oral anticoagulant prescribing, utilizing 2020 Medicare Provider Utilization and Payment data. Compares rural and urban clinicians' likelihood of prescribing warfarin only, direct oral anticoagulants (DOACs) only, or both warfarin and DOACs, and highlights regional prescribing patterns using color-coded, county-level maps.
Author(s): Jingrui Zou, Dong Liang, Yong Zhu
Citation: BMJ Open, 14, e081628
Date: 09/2024
view details
Analyzes geographic variations in oral anticoagulant prescribing, utilizing 2020 Medicare Provider Utilization and Payment data. Compares rural and urban clinicians' likelihood of prescribing warfarin only, direct oral anticoagulants (DOACs) only, or both warfarin and DOACs, and highlights regional prescribing patterns using color-coded, county-level maps.
Author(s): Jingrui Zou, Dong Liang, Yong Zhu
Citation: BMJ Open, 14, e081628
Date: 09/2024
view details