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Rural Health
Resources by Topic: Children and youth

Opportunity for All: Fighting Rural Child Poverty
Examines trends in poverty in rural areas, including comparison with urban areas. Provides a discussion of the impact of safety net programs that address poverty and support healthy children and their families in rural areas.
Date: 05/2015
Type: Document
Sponsoring organization: White House (Obama Administration)
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The Persistent Health Care Access Gap for Children Living in Poverty: Will the Health Technology Revolution Level the Playing Field?
Discusses the need for and challenges to expanding healthcare technology for medically underserved children living in poverty stricken areas and rural areas. Highlights the potential to improve access to healthcare and health outcomes through the use of electronic health records (EHRs), telehealth, mobile medical clinics and diagnostic tools, and mobile communication devices. Offers recommendations for accelerating the use of technology in rural and underserved areas.
Date: 04/2015
Type: Document
Sponsoring organization: Children's Health Fund
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Public Law 114-10: Medicare Access and CHIP Reauthorization Act of 2015
Full text of the Medicare Access and CHIP Reauthorization Act of 2015, commonly referred to as MACRA. MACRA seeks to transition healthcare from fee-for-service to value-based care by repealing the Sustainable Growth Rate (SGR) formula and replacing it with the Quality Payment Program (QPP). The QPP streamlines data collection efforts and rewards providers based on value instead of volume through the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs).
Date: 04/2015
Type: Document
Sponsoring organization: U.S. Congress
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Rural Populations and Early Periodic Screening, Diagnosis, and Treatment Services: Challenges and Opportunities for Local Public Health Departments
Results of a study using data from 1995 to 2010, examining geographic differences in screening, diagnosis, and treatment of South Carolina normal birth weight infant cohorts with continuous Medicaid coverage. Explores how the level of services changed as local health departments transitioned away from direct service provision to a population-based delivery service model. Includes statistics with breakdowns by urban or rural residence.
Author(s): Nathan L. Hale, Michael Smith, James Hardin, Amy Brock-Martin
Citation: American Journal of Public Health, 105(Suppl 2), S330-S336
Date: 04/2015
Type: Document
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Improving Access and Provision of Preventive Oral Health Care for Very Young, Poor, and Low-Income Children Through a New Interdisciplinary Partnership
Describes a demonstration model in which dental care and education was provided by a nurse practitioner-dietitian team to 4,360 Ohio preschool children enrolled in the Women, Infants, and Children program at one urban and one rural site.
Author(s): Diana L. Biordi, Marjet Heitzer, Eric Mundy, et al.
Citation: American Journal of Public Health, 105(Suppl 2), e23-e29
Date: 04/2015
Type: Document
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The Oral Health of American Indian and Alaska Native Children Aged 1-5 Years: Results of the 2014 IHS Oral Health Survey
Reports on tooth decay among American Indian and Alaska Native (AI/AN) preschool children. Includes a comparison to tooth decay among other racial/ethnic groups. Also provides information on untreated decay and use of dental sealants.
Author(s): Kathy R. Phipps, Timothy L. Ricks
Date: 04/2015
Type: Document
Sponsoring organization: Indian Health Service
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The Health and Well-Being of Children in Rural Areas: A Portrait of the Nation 2011–2012
Describes data from the National Survey of Children's Health demonstrating the health and well-being of children, as well as the family environment and the characteristics of the community that affect rural children and their families.
Date: 04/2015
Type: Document
Sponsoring organization: Maternal and Child Health Bureau
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Harnessing the Power Of Cross-Sector Collaboration: Menominee Indian Tribe, Keshena, Wis.
Describes the Menominee Indian School District (Wisconsin) "Bridges Out of Poverty" trauma informed strategy and training program that recognizes how historical oppression and inequality can influence social determinants that perpetuate poor health outcomes and low academic achievement in students.
Date: 03/2015
Type: Document
Sponsoring organization: American Public Health Association
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Ethnic Differences in Associations Among Popularity, Likability, and Trajectories of Adolescents' Alcohol Use and Frequency
Highlights a study on alcohol use as it is related to social popularity by minority adolescents in rural communities. Breaks down data by grade level and frequency of use, among other factors.
Author(s): Sophia Choukas-Bradley, Matteo Giletta, Enrique W. Neblett, Mitchell J. Prinstein
Citation: Child Development, 86(2), 519-535
Date: 03/2015
Type: Document
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Overview of Alternative Schools and Education Programs
Analyzes data from 28 alternative education programs, including 16 programs located in rural Montana communities. Defines an alternative education program, from the Montana Office of Public Instruction (OPI), as a restructured academic program operating within an accredited public school to serve at-risk students. Provides information on student characteristics and alternative school services. Covers three local model programs that work to address the behavioral and mental health, substance abuse treatment, and counseling needs of students.
Additional links: Health Brief
Author(s): Katie Loveland, Aaron Wernham
Date: 03/2015
Type: Document
Sponsoring organization: Montana Healthcare Foundation
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