Rural Health
Resources by Topic: Access
Disparities in Virtual Cardiology Visits Among Veterans Health Administration Patients During the COVID-19 Pandemic
Presents the results of a study to determine how the COVID-19 pandemic, during the first year, influenced the digital divide for patients using virtual and video-based care in Veterans Health Administration (VA) cardiology clinics across the U.S. Study examined sociodemographic and clinical characteristics, drive time to care, geographic location – rural and urban – and encounter type to determine changes in access to care by video, phone, and face-to-face.
Author(s): Rebecca L Tisdale, Jacqueline Ferguson, James Van Campen, et al.
Citation: JAMIA Open, 5(4)
Date: 12/2022
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Presents the results of a study to determine how the COVID-19 pandemic, during the first year, influenced the digital divide for patients using virtual and video-based care in Veterans Health Administration (VA) cardiology clinics across the U.S. Study examined sociodemographic and clinical characteristics, drive time to care, geographic location – rural and urban – and encounter type to determine changes in access to care by video, phone, and face-to-face.
Author(s): Rebecca L Tisdale, Jacqueline Ferguson, James Van Campen, et al.
Citation: JAMIA Open, 5(4)
Date: 12/2022
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Cancer Clinical Trials: Federal Actions and Selected Non-Federal Practices to Facilitate Diversity of Patients
Examines actions taken by federal agencies to increase diverse population enrollment in cancer clinical trials as well as practices by non-federal cancer centers to facilitate diverse enrollment. Discusses strategies such as collaboration, reducing barriers, data standardization, training, utilization of community ambassadors, and more. Focuses on inclusion of underrepresented groups such as racial/ethnic minorities, young adults, older adults, those with low incomes, women, American Indian and Alaska Native (AI/AN) persons, and people living in rural communities.
Additional links: Full Report
Date: 12/2022
Sponsoring organization: Government Accountability Office
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Examines actions taken by federal agencies to increase diverse population enrollment in cancer clinical trials as well as practices by non-federal cancer centers to facilitate diverse enrollment. Discusses strategies such as collaboration, reducing barriers, data standardization, training, utilization of community ambassadors, and more. Focuses on inclusion of underrepresented groups such as racial/ethnic minorities, young adults, older adults, those with low incomes, women, American Indian and Alaska Native (AI/AN) persons, and people living in rural communities.
Additional links: Full Report
Date: 12/2022
Sponsoring organization: Government Accountability Office
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State Strategies to Support the Future of the Primary Care Physician and Nursing Workforce
Discusses primary care physician and nursing workforce challenges, including the shortage of these providers in rural and underserved areas. Describes policies and strategies implemented by states to address these challenges. Offers resources for states, health systems, and academic institutions exploring innovative strategies to address healthcare workforce challenges.
Author(s): Elaine Chhean, Anita Cardwell, Lauren Block, Sarah Tocher
Date: 12/2022
Sponsoring organization: National Academy for State Health Policy
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Discusses primary care physician and nursing workforce challenges, including the shortage of these providers in rural and underserved areas. Describes policies and strategies implemented by states to address these challenges. Offers resources for states, health systems, and academic institutions exploring innovative strategies to address healthcare workforce challenges.
Author(s): Elaine Chhean, Anita Cardwell, Lauren Block, Sarah Tocher
Date: 12/2022
Sponsoring organization: National Academy for State Health Policy
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Doula Care and Maternal Health: An Evidence Review
Examines the role of doula care in maternal health as well as impacts, challenges, access, disparities, reimbursement, and policy efforts related to maternity/doula care. Includes a county-level U.S. map of maternity care deserts and discussion of rural-specific maternity programs.
Author(s): Kathleen Knocke, Andre Chappel, Sarah Sugar, Nancy De Lew, Benjamin D. Sommers
Date: 12/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the role of doula care in maternal health as well as impacts, challenges, access, disparities, reimbursement, and policy efforts related to maternity/doula care. Includes a county-level U.S. map of maternity care deserts and discussion of rural-specific maternity programs.
Author(s): Kathleen Knocke, Andre Chappel, Sarah Sugar, Nancy De Lew, Benjamin D. Sommers
Date: 12/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Health Care Access in the Heartland: How to Improve Services in Rural America
Outlines strategies policymakers and community leaders in rural America can use to improve healthcare access and services. Combines data analysis of county demographics and health data with focus groups in Arkansas, Kansas, Kentucky, Missouri, Oklahoma, and Tennessee. Provides expert interviews to better understand healthcare access in rural communities.
Author(s): Darren Chapman, Angie Cooper, Elizabeth Dombowsky, et al.
Date: 12/2022
Sponsoring organization: Heartland Forward
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Outlines strategies policymakers and community leaders in rural America can use to improve healthcare access and services. Combines data analysis of county demographics and health data with focus groups in Arkansas, Kansas, Kentucky, Missouri, Oklahoma, and Tennessee. Provides expert interviews to better understand healthcare access in rural communities.
Author(s): Darren Chapman, Angie Cooper, Elizabeth Dombowsky, et al.
Date: 12/2022
Sponsoring organization: Heartland Forward
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Early Changes in Waivered Clinicians and Utilization of Buprenorphine for Opioid Use Disorder After Implementation of the 2021 HHS Buprenorphine Practice Guidelines
Report examines the changes in access to buprenorphine following the implementation of new HHS guidelines as of April 2021. Discusses the revised guidelines and analyzes their effect on access to buprenorphine for patients with opioid use disorder.
Date: 12/2022
Sponsoring organization: U.S. Department of Health and Human Services
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Report examines the changes in access to buprenorphine following the implementation of new HHS guidelines as of April 2021. Discusses the revised guidelines and analyzes their effect on access to buprenorphine for patients with opioid use disorder.
Date: 12/2022
Sponsoring organization: U.S. Department of Health and Human Services
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Preserve Telehealth Access Act of 2021: Telehealth Recommendations
Offers policy recommendations related to Maryland's Preserve Telehealth Access Act of 2021, including recommendations related to provider options to deliver care via telehealth, audio-visual and audio-only delivery, remote patient monitoring, hospice care services, inpatient care, patient privacy, and reimbursement levels.
Author(s): Randolph S. Sergent, Ben Steffen
Date: 12/2022
Sponsoring organization: Maryland Health Care Commission
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Offers policy recommendations related to Maryland's Preserve Telehealth Access Act of 2021, including recommendations related to provider options to deliver care via telehealth, audio-visual and audio-only delivery, remote patient monitoring, hospice care services, inpatient care, patient privacy, and reimbursement levels.
Author(s): Randolph S. Sergent, Ben Steffen
Date: 12/2022
Sponsoring organization: Maryland Health Care Commission
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Health Insurance in Rural Communities, with Abigail Barker and Timothy McBride
An episode of the Exploring Rural Health podcast featuring Abigail Barker and Timothy McBride, co-investigators at the Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis. Discusses their findings about rural health insurance coverage shared in the recently published chartbook, An Insurance Profile of Rural America.
Date: 12/2022
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Abigail Barker and Timothy McBride, co-investigators at the Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis. Discusses their findings about rural health insurance coverage shared in the recently published chartbook, An Insurance Profile of Rural America.
Date: 12/2022
Sponsoring organization: Rural Health Information Hub
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Exploring Health Insurance Coverage in the North Central Region at the Intersection of Location, Employment, Gender, Race, and Ethnicity
Provides data on health insurance coverage in North Central Region states. Includes rural versus urban coverage comparisons, further broken down by employment type and demographic variables.
Date: 12/2022
Sponsoring organization: North Central Regional Center for Rural Development
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Provides data on health insurance coverage in North Central Region states. Includes rural versus urban coverage comparisons, further broken down by employment type and demographic variables.
Date: 12/2022
Sponsoring organization: North Central Regional Center for Rural Development
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Serving Native American Households Using ERA: Learning from High-Spending Programs
Examines high-spending Emergency Rental Assistance (ERA) on Native lands to address housing issues such as overcrowding, homelessness, and application accessibility, among others. Examines 7 Tribes and Tribally Designated Housing Entities (TDHEs) in the states of North Dakota, South Dakota, Colorado, Utah, Wyoming, Montana, and Nebraska. Provides background on housing instability, statistics about allocated funding and households served by ERA, and challenges TDHEs face.
Author(s): Neetu Nair, Sophie Siebach-Glover, Andrew Aurand
Date: 12/2022
Sponsoring organizations: National Low Income Housing Coalition, United Native American Housing Association
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Examines high-spending Emergency Rental Assistance (ERA) on Native lands to address housing issues such as overcrowding, homelessness, and application accessibility, among others. Examines 7 Tribes and Tribally Designated Housing Entities (TDHEs) in the states of North Dakota, South Dakota, Colorado, Utah, Wyoming, Montana, and Nebraska. Provides background on housing instability, statistics about allocated funding and households served by ERA, and challenges TDHEs face.
Author(s): Neetu Nair, Sophie Siebach-Glover, Andrew Aurand
Date: 12/2022
Sponsoring organizations: National Low Income Housing Coalition, United Native American Housing Association
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