Rural Health
Resources by Topic: Access
The Effect of Proximity to Grocery Stores and the Pandemic on Parents' and Youths' Perceptions of Eating Habits in Predominately African American Rural Communities
Surveyed 203 youth and parents to determine the impact of grocery store access on eating habits, health, and exercise habits in 3 rural communities. Compares results between parents with and without grocery store access as well as between parents and youth. Discusses the impact of COVID-19 on eating habits and exercise.
Author(s): Amanda Williams, Sharlene D. Newman
Citation: Frontiers in Nutrition, 11
Date: 08/2024
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Surveyed 203 youth and parents to determine the impact of grocery store access on eating habits, health, and exercise habits in 3 rural communities. Compares results between parents with and without grocery store access as well as between parents and youth. Discusses the impact of COVID-19 on eating habits and exercise.
Author(s): Amanda Williams, Sharlene D. Newman
Citation: Frontiers in Nutrition, 11
Date: 08/2024
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Veterans Health Care: VA's Video Telehealth Access Program Would Benefit from Performance Goals and Measures
Describes programs implemented by the U.S. Department of Veterans Affairs Veterans Health Administration (VHA) to address veterans' barriers to accessing telehealth, with a focus on the Accessing Telehealth at Local Area Stations (ATLAS) Pilot Program. Examines telehealth performance and use data, veterans' satisfaction with VHA telehealth services, and VHA efforts to assess the quality of its telehealth services. Offers recommendations to the VHA regarding the development and use of performance goals and measures to assess the effectiveness and efficiency of the ATLAS program.
Additional links: Full Report
Date: 08/2024
Sponsoring organization: Government Accountability Office
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Describes programs implemented by the U.S. Department of Veterans Affairs Veterans Health Administration (VHA) to address veterans' barriers to accessing telehealth, with a focus on the Accessing Telehealth at Local Area Stations (ATLAS) Pilot Program. Examines telehealth performance and use data, veterans' satisfaction with VHA telehealth services, and VHA efforts to assess the quality of its telehealth services. Offers recommendations to the VHA regarding the development and use of performance goals and measures to assess the effectiveness and efficiency of the ATLAS program.
Additional links: Full Report
Date: 08/2024
Sponsoring organization: Government Accountability Office
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Sociodemographic Differences in Nonfinancial Access Barriers to Health Care Among Adults: United States, 2022
Examines nonfinancial reasons adults delay medical care, such as work or other time commitments, lack of available appointments, not having access to clinic or provider hours, difficulty finding provider match for insurance, and length of time to get to provider's office. Utilizes 2022 National Health Interview Survey to break down healthcare access barriers according to sex, age, race/ethnicity, family income, education, employment, insurance status, and urbanization level, including large central metropolitan, large fringe metropolitan, medium and small metropolitan, or nonmetropolitan.
Author(s): Amanda E. Ng, Dzifa Adjaye-Gbewonyo, James M. Dahlhamer
Date: 08/2024
Sponsoring organization: National Center for Health Statistics
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Examines nonfinancial reasons adults delay medical care, such as work or other time commitments, lack of available appointments, not having access to clinic or provider hours, difficulty finding provider match for insurance, and length of time to get to provider's office. Utilizes 2022 National Health Interview Survey to break down healthcare access barriers according to sex, age, race/ethnicity, family income, education, employment, insurance status, and urbanization level, including large central metropolitan, large fringe metropolitan, medium and small metropolitan, or nonmetropolitan.
Author(s): Amanda E. Ng, Dzifa Adjaye-Gbewonyo, James M. Dahlhamer
Date: 08/2024
Sponsoring organization: National Center for Health Statistics
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Healthiest Communities 2024
Presents data and comparative rankings for urban and rural counties describing population health, health equity, education, housing, food and nutrition, and environment, among other indicators. Includes peer group rankings for rural high-performing and up-and-coming counties. Offers searchable county data at the bottom of the page by county name or ZIP code.
Date: 08/2024
Sponsoring organization: U.S. News & World Report
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Presents data and comparative rankings for urban and rural counties describing population health, health equity, education, housing, food and nutrition, and environment, among other indicators. Includes peer group rankings for rural high-performing and up-and-coming counties. Offers searchable county data at the bottom of the page by county name or ZIP code.
Date: 08/2024
Sponsoring organization: U.S. News & World Report
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Palliative Care in Rural Communities
Presents the CARE (Complex, Access, Resourceful, Extraordinary) Framework to highlight the challenges and benefits of healthcare delivery in rural communities. Highlights multiple models for palliative care outside acute care settings with consideration for the CARE Framework.
Author(s): Tracy Fasolino, Kathleen Valentine, Megan E. Mayfield, William E. Rosa, Anne Koci
Citation: American Journal of Nursing, 128(4), 50-55
Date: 07/2024
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Presents the CARE (Complex, Access, Resourceful, Extraordinary) Framework to highlight the challenges and benefits of healthcare delivery in rural communities. Highlights multiple models for palliative care outside acute care settings with consideration for the CARE Framework.
Author(s): Tracy Fasolino, Kathleen Valentine, Megan E. Mayfield, William E. Rosa, Anne Koci
Citation: American Journal of Nursing, 128(4), 50-55
Date: 07/2024
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Factors Associated With Surveillance Testing in Individuals With COVID-19 Symptoms During the Last Leg of the Pandemic: Multivariable Regression Analysis
Examines demographic, clinical, and behavioral factors associated with COVID-19 testing in a predominantly rural, underserved population in West Virginia between May and November 2022. Utilizes Rapid Acceleration of Diagnostics for Underserved Populations program (RADx-UP2) survey data of 2103 individuals. Includes a geospatial analysis of associations between county-level community distress and likelihood of being symptomatic when presenting for testing.
Author(s): Timothy Dotson, Brad Price, Brian Witrick, et al.
Citation: JMIR Public Health and Surveillance, 2024(10), e52762
Date: 07/2024
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Examines demographic, clinical, and behavioral factors associated with COVID-19 testing in a predominantly rural, underserved population in West Virginia between May and November 2022. Utilizes Rapid Acceleration of Diagnostics for Underserved Populations program (RADx-UP2) survey data of 2103 individuals. Includes a geospatial analysis of associations between county-level community distress and likelihood of being symptomatic when presenting for testing.
Author(s): Timothy Dotson, Brad Price, Brian Witrick, et al.
Citation: JMIR Public Health and Surveillance, 2024(10), e52762
Date: 07/2024
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Differences in Lifestyle Behaviors, Quality of Life, and Access to Healthcare among Rural and Urban Cancer Survivors
Examines lifestyle behaviors, healthcare access, quality of life, and psychological distress among 188 rural and 242 urban cancer survivors. Discusses rural-urban differences in obesity, smoking, alcohol consumption, factors influencing access to care, and more.
Author(s): Tiffany D. Ho, Bonny Morris, Kristina L. Tatum, et al.
Citation: Preventive Oncology & Epidemiology, 2(1), 2374967
Date: 07/2024
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Examines lifestyle behaviors, healthcare access, quality of life, and psychological distress among 188 rural and 242 urban cancer survivors. Discusses rural-urban differences in obesity, smoking, alcohol consumption, factors influencing access to care, and more.
Author(s): Tiffany D. Ho, Bonny Morris, Kristina L. Tatum, et al.
Citation: Preventive Oncology & Epidemiology, 2(1), 2374967
Date: 07/2024
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An REH Conversion Story: Harper County Hospital
Profiles Oklahoma's Harper County Hospital and its transition from a Critical Access Hospital (CAH) to a Rural Emergency Hospital (REH). Summarizes an interview with Kevin O'Brien, Chief Executive Officer (CEO) of Harper County Hospital, regarding the experience of converting to REH status. Covers the hospital's financial position before conversion, including limitations to being a county-owned hospital; the exploration of the REH designation; and the financial and operational impacts of the REH designation, including services added by the hospital after the conversion.
Date: 07/2024
Sponsoring organization: Rural Health Redesign Center
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Profiles Oklahoma's Harper County Hospital and its transition from a Critical Access Hospital (CAH) to a Rural Emergency Hospital (REH). Summarizes an interview with Kevin O'Brien, Chief Executive Officer (CEO) of Harper County Hospital, regarding the experience of converting to REH status. Covers the hospital's financial position before conversion, including limitations to being a county-owned hospital; the exploration of the REH designation; and the financial and operational impacts of the REH designation, including services added by the hospital after the conversion.
Date: 07/2024
Sponsoring organization: Rural Health Redesign Center
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An REH Conversion Story: Mercy Hospital
Profiles Mercy Hospital, in Moundridge, Kansas, and its transition from a prospective payment system (PPS) hospital to a Rural Emergency Hospital (REH). Summarizes an interview with Aaron Herbel, Chief Executive Officer (CEO) of Mercy Hospital, regarding the experience of converting to REH status. Covers the conversion timeline, the involvement of hospital and community stakeholders, and the opening of a walk-in clinic that coincided with the REH conversion.
Author(s): Hope Burch, Tracey Dorff, Anna Anna, Janice Walters
Date: 07/2024
Sponsoring organization: Rural Health Redesign Center
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Profiles Mercy Hospital, in Moundridge, Kansas, and its transition from a prospective payment system (PPS) hospital to a Rural Emergency Hospital (REH). Summarizes an interview with Aaron Herbel, Chief Executive Officer (CEO) of Mercy Hospital, regarding the experience of converting to REH status. Covers the conversion timeline, the involvement of hospital and community stakeholders, and the opening of a walk-in clinic that coincided with the REH conversion.
Author(s): Hope Burch, Tracey Dorff, Anna Anna, Janice Walters
Date: 07/2024
Sponsoring organization: Rural Health Redesign Center
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An REH Conversion Story: Helena Regional Medical Center
Profiles Helena Regional Medical Center, in Phillips County, Arkansas, and its transition from a prospective payment system (PPS) hospital to a Rural Emergency Hospital (REH). Summarizes the perspective of the hospital's former Chief Executive Officer (CEO) as the facility navigated the change in status, including obstacles, financial and operational impacts, and advantages to operating as an REH.
Author(s): Hope Burch, Tracey Dorff, Anna Anna, Janice Walters
Date: 07/2024
Sponsoring organization: Rural Health Redesign Center
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Profiles Helena Regional Medical Center, in Phillips County, Arkansas, and its transition from a prospective payment system (PPS) hospital to a Rural Emergency Hospital (REH). Summarizes the perspective of the hospital's former Chief Executive Officer (CEO) as the facility navigated the change in status, including obstacles, financial and operational impacts, and advantages to operating as an REH.
Author(s): Hope Burch, Tracey Dorff, Anna Anna, Janice Walters
Date: 07/2024
Sponsoring organization: Rural Health Redesign Center
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