Rural Health
Resources by Topic: Access
The Future of Remote Patient Monitoring
Provides an overview of remote monitoring, including evidence-based use cases, coverage and utilization across payers, U.S. Food and Drug Administration (FDA) regulation of remote monitoring devices, and data security and privacy. Offers policy recommendations regarding ways to improve the use of remote monitoring services, ensure access to these services across populations, and enhance data security and privacy standards. Includes rural references throughout.
Author(s): Julia Harris, Mikayla Curtis, Maya Sandalow, G. William Hoagland, Marilyn Werber Serafini
Date: 01/2024
Sponsoring organization: Bipartisan Policy Center
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Provides an overview of remote monitoring, including evidence-based use cases, coverage and utilization across payers, U.S. Food and Drug Administration (FDA) regulation of remote monitoring devices, and data security and privacy. Offers policy recommendations regarding ways to improve the use of remote monitoring services, ensure access to these services across populations, and enhance data security and privacy standards. Includes rural references throughout.
Author(s): Julia Harris, Mikayla Curtis, Maya Sandalow, G. William Hoagland, Marilyn Werber Serafini
Date: 01/2024
Sponsoring organization: Bipartisan Policy Center
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Full Committee Oversight Hearing: "Rural Access: Is VA Meeting All Veterans Where They Live?"
The House Committee on Veterans' Affairs full committee oversight hearing discusses rural veteran's access to healthcare through the VA. Features a discussion of the VA's role as both a healthcare provider and a payer via its Community Care Program. Highlights technological challenges related to telehealth, such as lack of broadband connections and technological literacy of older veterans. Presents testimony from the VA, the Government Accountability Office, the Navajo Nation, and veteran advocacy groups, among others.
Additional links: Witnesses' Testimonies
Date: 01/2024
Sponsoring organization: House Committee on Veterans' Affairs
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The House Committee on Veterans' Affairs full committee oversight hearing discusses rural veteran's access to healthcare through the VA. Features a discussion of the VA's role as both a healthcare provider and a payer via its Community Care Program. Highlights technological challenges related to telehealth, such as lack of broadband connections and technological literacy of older veterans. Presents testimony from the VA, the Government Accountability Office, the Navajo Nation, and veteran advocacy groups, among others.
Additional links: Witnesses' Testimonies
Date: 01/2024
Sponsoring organization: House Committee on Veterans' Affairs
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End-Stage Renal Disease Treatment Choices (ETC) Model: Second Annual Evaluation Report
Evaluation of the End-Stage Renal Disease Treatment Choices (ETC) Model, incorporating analyses of home dialysis use, transplantation, acute care hospitalizations, outpatient ED visits, and hospital readmissions. Features results from interviews and surveys involving model participants and beneficiaries, and examines impacts of the ETC Model during calendar years 2021 and 2022. Includes facility-level statistics with breakdowns by urban and rural areas.
Additional links: Findings at a Glance
Author(s): Brighita Negrusa, Jennifer Wiens, Darin Ullman, et al.
Date: 01/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, The Lewin Group
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Evaluation of the End-Stage Renal Disease Treatment Choices (ETC) Model, incorporating analyses of home dialysis use, transplantation, acute care hospitalizations, outpatient ED visits, and hospital readmissions. Features results from interviews and surveys involving model participants and beneficiaries, and examines impacts of the ETC Model during calendar years 2021 and 2022. Includes facility-level statistics with breakdowns by urban and rural areas.
Additional links: Findings at a Glance
Author(s): Brighita Negrusa, Jennifer Wiens, Darin Ullman, et al.
Date: 01/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, The Lewin Group
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VA Health Care: Office of Rural Health Efforts and Recommendations for Improvement
Presents an evaluation of the Veterans Health Administration's Office of Rural Health (ORH). Discusses the methods the ORH uses to improve healthcare quality and access for rural veterans, such as initiatives to expand VHA services to rural veterans and funding research to improve the healthcare quality in rural areas. Evaluates the ORH's efforts and makes recommendations for improvement.
Additional links: Full Report
Date: 01/2024
Sponsoring organization: Government Accountability Office
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Presents an evaluation of the Veterans Health Administration's Office of Rural Health (ORH). Discusses the methods the ORH uses to improve healthcare quality and access for rural veterans, such as initiatives to expand VHA services to rural veterans and funding research to improve the healthcare quality in rural areas. Evaluates the ORH's efforts and makes recommendations for improvement.
Additional links: Full Report
Date: 01/2024
Sponsoring organization: Government Accountability Office
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Community-Acquired Staphylococcus Aureus Skin and Soft Tissue Infection Risk Assessment Using Hotspot Analysis and Risk Maps: The Case of California Emergency Departments
Using California emergency department data between 2016 and 2019, evaluates the association between risk for Staphylococcus aureus skin and soft tissue infections with various neighborhood characteristics such as population, poverty, and healthcare access shortage measures. Discusses rural disparities.
Author(s): Brittany L. Morgan Bustamante, Laura Fejerman, Larissa May, Beatriz Martínez-Lopéz
Citation: BMC Public Health, 24, 123
Date: 01/2024
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Using California emergency department data between 2016 and 2019, evaluates the association between risk for Staphylococcus aureus skin and soft tissue infections with various neighborhood characteristics such as population, poverty, and healthcare access shortage measures. Discusses rural disparities.
Author(s): Brittany L. Morgan Bustamante, Laura Fejerman, Larissa May, Beatriz Martínez-Lopéz
Citation: BMC Public Health, 24, 123
Date: 01/2024
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Telehealth Expansion, Internet Speed, and Primary Care Access Before and During COVID-19
Analyzes changes in primary care telehealth access among 172,387 Wisconsin Medicaid beneficiaries before and during the COVID-19 public health emergency. Assesses change in access over time by demographic characteristics, rural-urban dwelling, access to high speed internet, and health status.
Author(s): Alyssa Shell Tilhou, Arjun Jain, Thomas DeLeire
Citation: JAMA Network Open, 7(1), e2347686
Date: 01/2024
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Analyzes changes in primary care telehealth access among 172,387 Wisconsin Medicaid beneficiaries before and during the COVID-19 public health emergency. Assesses change in access over time by demographic characteristics, rural-urban dwelling, access to high speed internet, and health status.
Author(s): Alyssa Shell Tilhou, Arjun Jain, Thomas DeLeire
Citation: JAMA Network Open, 7(1), e2347686
Date: 01/2024
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County-Level Colorectal Cancer Screening Rates on Colorectal Cancer Survival in the State of Georgia: Does County-Level Rurality Matter?
Evaluates 5-year colorectal cancer (CRC) survival rates in Georgia by county-level rurality and CRC screening rate, utilizing 2004-2010 Surveillance, Epidemiology, and End Results (SEER) Program data. Discusses rural-urban CRC mortality disparities, and describes the influence of CRC screening on mortality.
Author(s): Meng-Han Tsai, Steven S. Coughlin, Jorge Cortes
Citation: Cancer Medicine, 13(1)
Date: 01/2024
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Evaluates 5-year colorectal cancer (CRC) survival rates in Georgia by county-level rurality and CRC screening rate, utilizing 2004-2010 Surveillance, Epidemiology, and End Results (SEER) Program data. Discusses rural-urban CRC mortality disparities, and describes the influence of CRC screening on mortality.
Author(s): Meng-Han Tsai, Steven S. Coughlin, Jorge Cortes
Citation: Cancer Medicine, 13(1)
Date: 01/2024
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Implementation of a Mobile Health Clinic Framework for Hepatitis C Virus Screening and Treatment: A Descriptive Study
Examines the effectiveness of utilizing mobile health clinics (MHC) for Hepatitis C Virus (HCV) treatment in underserved areas. Analyzes HCV screening and treatment rates of an MHC program initiated by Clemson Rural Health in South Carolina and discusses the impact of MHCs to provide healthcare access in rural and underserved areas.
Author(s): Lior Rennert, Kerry A. Howard, Caitlin M. Kickham, et al.
Citation: The Lancet Regional Health - Americas, 29
Date: 01/2024
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Examines the effectiveness of utilizing mobile health clinics (MHC) for Hepatitis C Virus (HCV) treatment in underserved areas. Analyzes HCV screening and treatment rates of an MHC program initiated by Clemson Rural Health in South Carolina and discusses the impact of MHCs to provide healthcare access in rural and underserved areas.
Author(s): Lior Rennert, Kerry A. Howard, Caitlin M. Kickham, et al.
Citation: The Lancet Regional Health - Americas, 29
Date: 01/2024
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Health in Rural Missouri: Biennial Report 2024-2025
Provides information on rural population health in Missouri, focusing on the social drivers of health, maternal and infant health, healthcare access, and more. Includes metro versus nonmetro as well as county-level data on health outcomes, social indicators, and mortality.
Date: 2024
Sponsoring organization: Missouri Department of Health and Senior Services
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Provides information on rural population health in Missouri, focusing on the social drivers of health, maternal and infant health, healthcare access, and more. Includes metro versus nonmetro as well as county-level data on health outcomes, social indicators, and mortality.
Date: 2024
Sponsoring organization: Missouri Department of Health and Senior Services
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Arkansas State Health Improvement Plan 2024-2029
Offers data on Arkansas health in 5 priority areas: access to care, addiction and mental health, infectious disease and vaccinations, maternal mortality, and obesity. Discusses trends over time and identifies action steps to improve health indicators. Includes rural-specific considerations throughout.
Date: 2024
Sponsoring organization: Arkansas Department of Health
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Offers data on Arkansas health in 5 priority areas: access to care, addiction and mental health, infectious disease and vaccinations, maternal mortality, and obesity. Discusses trends over time and identifies action steps to improve health indicators. Includes rural-specific considerations throughout.
Date: 2024
Sponsoring organization: Arkansas Department of Health
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