Rural Health
Resources by Topic: Access
Medicare Cognitive Assessments: Utilization Tripled between 2018 and 2022, but Challenges Remain
Describes the utilization of traditional Medicare's cognitive assessment service from 2018 through 2022. Presents stakeholder views on challenges providers and beneficiaries face in providing and accessing the service, respectively. Discusses steps the Centers for Medicare & Medicaid Services (CMS) has taken to increase awareness of the service. Includes information on the number of cognitive assessment services by urban and rural beneficiaries by race and ethnicity.
Additional links: Full Report
Date: 12/2023
Sponsoring organization: Government Accountability Office
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Describes the utilization of traditional Medicare's cognitive assessment service from 2018 through 2022. Presents stakeholder views on challenges providers and beneficiaries face in providing and accessing the service, respectively. Discusses steps the Centers for Medicare & Medicaid Services (CMS) has taken to increase awareness of the service. Includes information on the number of cognitive assessment services by urban and rural beneficiaries by race and ethnicity.
Additional links: Full Report
Date: 12/2023
Sponsoring organization: Government Accountability Office
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State Actions to Build the Behavioral Health Crisis Continuum
Toolkit features a continuum of behavioral health crisis services and supports and discusses the strategies for program planning and development for state officials and agencies. Highlights models and resources for core components such as regional call centers, mobile crisis teams, and stabilization facilities, among others. Also includes crisis care principles, such as peer supports, law enforcement partnerships, and rural and frontier delivery challenges.
Author(s): Rebekah Falkner, Laura Galbreath, Sandra Wilkniss
Date: 12/2023
Sponsoring organization: National Academy for State Health Policy
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Toolkit features a continuum of behavioral health crisis services and supports and discusses the strategies for program planning and development for state officials and agencies. Highlights models and resources for core components such as regional call centers, mobile crisis teams, and stabilization facilities, among others. Also includes crisis care principles, such as peer supports, law enforcement partnerships, and rural and frontier delivery challenges.
Author(s): Rebekah Falkner, Laura Galbreath, Sandra Wilkniss
Date: 12/2023
Sponsoring organization: National Academy for State Health Policy
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Exploring Barriers and Promoters of CRC Screening Use among Agricultural Operators: A Pilot Study of an Application of Concept Mapping
Presents results from two agricultural operator focus groups, one of 7 women and the other of 7 men, which took place in rural Nebraska and discussed factors affecting the choice to be screened for colorectal cancer (CRC). Covers cost of care, access, awareness, family and community support, history of CRC, and provider-related variables. Identifies sex-specific factors influencing screening, and discusses approaches to screening promotion for farmers and ranchers.
Author(s): Cheryl Beseler, Jungyoon Kim, Roma Subramanian, et al.
Citation: Rural and Remote Health, 23(4), 8413
Date: 12/2023
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Presents results from two agricultural operator focus groups, one of 7 women and the other of 7 men, which took place in rural Nebraska and discussed factors affecting the choice to be screened for colorectal cancer (CRC). Covers cost of care, access, awareness, family and community support, history of CRC, and provider-related variables. Identifies sex-specific factors influencing screening, and discusses approaches to screening promotion for farmers and ranchers.
Author(s): Cheryl Beseler, Jungyoon Kim, Roma Subramanian, et al.
Citation: Rural and Remote Health, 23(4), 8413
Date: 12/2023
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A Food Access Model in Michigan's Graying America
Presents a model for increasing food access for the aging populations in a rural county in Michigan. Discusses the barriers to food access in the county, highlights specific concerns for each population, and details approaches to overcome those barriers.
Author(s): Wajeeha Kamal, Lily Guiney, Miles Oates
Date: 12/2023
Sponsoring organization: American Communities Project
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Presents a model for increasing food access for the aging populations in a rural county in Michigan. Discusses the barriers to food access in the county, highlights specific concerns for each population, and details approaches to overcome those barriers.
Author(s): Wajeeha Kamal, Lily Guiney, Miles Oates
Date: 12/2023
Sponsoring organization: American Communities Project
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Community Health Partners in Unexpected Places
Examines how health systems partner with community services such as libraries, barber shops, dollar stores, and others to improve access and reduce health disparities in minority and rural populations. Discusses strategies to increase the use of community health partners, such as co-designing with input from the community, procuring funding, building awareness of available programs, and utilizing novel means to conduct day-to-day operations.
Author(s): Michael K. Hole, Sunjay Letchuman, Allister Chang, Leonard L. Berry
Citation: Mayo Clinic Proceedings, 98(12), 1883-1841
Date: 12/2023
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Examines how health systems partner with community services such as libraries, barber shops, dollar stores, and others to improve access and reduce health disparities in minority and rural populations. Discusses strategies to increase the use of community health partners, such as co-designing with input from the community, procuring funding, building awareness of available programs, and utilizing novel means to conduct day-to-day operations.
Author(s): Michael K. Hole, Sunjay Letchuman, Allister Chang, Leonard L. Berry
Citation: Mayo Clinic Proceedings, 98(12), 1883-1841
Date: 12/2023
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Keeping Rural EMS Reliable and Sustainable, with James Small
An episode of the Exploring Rural Health podcast featuring James Small, Rural EMS Outreach Director for the Wisconsin Office of Rural Health. Focuses on rural emergency medical services workforce and funding shortages, and how rural EMS can be maintained and expanded.
Date: 12/2023
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring James Small, Rural EMS Outreach Director for the Wisconsin Office of Rural Health. Focuses on rural emergency medical services workforce and funding shortages, and how rural EMS can be maintained and expanded.
Date: 12/2023
Sponsoring organization: Rural Health Information Hub
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America's Health Rankings Annual Report 2023
Provides a national and state-by-state overview of population health by analyzing 49 measures to describe and rank health outcomes in the U.S. and 38 additional measures used to track current and emerging health issues at state and national levels. Analyzes and presents data on disparities by geography and demographic characteristics throughout, including data on American Indian/Alaska Native populations and metropolitan status.
Additional links: Executive Brief
Date: 12/2023
Sponsoring organization: United Health Foundation
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Provides a national and state-by-state overview of population health by analyzing 49 measures to describe and rank health outcomes in the U.S. and 38 additional measures used to track current and emerging health issues at state and national levels. Analyzes and presents data on disparities by geography and demographic characteristics throughout, including data on American Indian/Alaska Native populations and metropolitan status.
Additional links: Executive Brief
Date: 12/2023
Sponsoring organization: United Health Foundation
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Geographic Variations in Driving Time to U.S. Mental Health Care, Digital Access to Technology, & Household Crowdedness
Evaluated distance to mental health services, household crowdedness, and access to technology and broadband alongside rurality to determine barriers to mental healthcare for both rural and urban residents in 31,924 ZIP Code Tabulation Areas (ZCTAs). Discusses implications for telehealth and policy measures addressing the digital divide.
Author(s): Sophia N.D. Negaro, Rachel M. Hantman, Janice C. Probst, et al.
Citation: Health Affairs Scholar, 1(6)
Date: 12/2023
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Evaluated distance to mental health services, household crowdedness, and access to technology and broadband alongside rurality to determine barriers to mental healthcare for both rural and urban residents in 31,924 ZIP Code Tabulation Areas (ZCTAs). Discusses implications for telehealth and policy measures addressing the digital divide.
Author(s): Sophia N.D. Negaro, Rachel M. Hantman, Janice C. Probst, et al.
Citation: Health Affairs Scholar, 1(6)
Date: 12/2023
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Veterans With Blood Cancers: Clinical Trial Navigation and the Challenge of Rurality
Presents a study on the geographic barriers to accessing cancer trials faced by rural veterans. Explored the availability of cancer trials based on rurality and highlights clinical trial deserts. Breaks down demographic data by race, sex, cancer type, and rurality, among other measures.
Author(s): Daphne R. Friedman, Thomas D. Rodgers, Courtney Kovalick, et al.
Citation: Journal of Rural Health, 40(1), 114-120
Date: 12/2023
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Presents a study on the geographic barriers to accessing cancer trials faced by rural veterans. Explored the availability of cancer trials based on rurality and highlights clinical trial deserts. Breaks down demographic data by race, sex, cancer type, and rurality, among other measures.
Author(s): Daphne R. Friedman, Thomas D. Rodgers, Courtney Kovalick, et al.
Citation: Journal of Rural Health, 40(1), 114-120
Date: 12/2023
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Primary Care Providers Experiences Implementing Low-Dose Computed Tomography Recommendations for Lung Cancer Screening
Identifies factors affecting implementation of lung cancer screening programs in rural areas as discussed in interviews with 15 primary care providers practicing in rural Oregon. Factors discussed include clinic workflows, communication practices, patient access to screening, costs, share decision-making, and clinic screening "champions."
Author(s): Sara E. Golden, Jessica J. Currier, NithyaPriya Ramalingam, et al.
Citation: The Journal of the American Board of Family Medicine, 36(6), 952-965
Date: 11/2023
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Identifies factors affecting implementation of lung cancer screening programs in rural areas as discussed in interviews with 15 primary care providers practicing in rural Oregon. Factors discussed include clinic workflows, communication practices, patient access to screening, costs, share decision-making, and clinic screening "champions."
Author(s): Sara E. Golden, Jessica J. Currier, NithyaPriya Ramalingam, et al.
Citation: The Journal of the American Board of Family Medicine, 36(6), 952-965
Date: 11/2023
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