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Rural Health
Resources by Topic: Chronic disease management

Concussion in Rural America: Experts Detail Injury and Recovery of Traumatic Brain Injury
Reports on concussions, or mild traumatic brain injuries (mTBI), in rural areas. Discusses the impact of these injuries, the role of support networks, TBI training for rural clinicians, rural TBI data, and management of mTBI in rural areas.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 04/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Small Healthcare Provider Quality Improvement: Sourcebook, 2016-2019
Detailed descriptions of 32 rural quality improvement initiatives funded through the Small Health Care Provider Quality Improvement grant program during the 2016-2019 grant period. Initiatives focused on enhancing chronic disease management, increasing patient and caregiver engagement, improving quality of care, and better health outcomes.
Date: 02/2020
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Improving the Care of Students with Diabetes in Rural Schools Utilizing an Online Diabetes Education Program for School Personnel
Analyzes the impact of Diabetes Care at School: Bridging the Gap, an online diabetes education program, to determine the knowledge and confidence of school personnel who provide care to students with diabetes in rural areas.
Author(s): Cassity Gutierrez
Citation: Rural and Remote Health, 20(1), 5596
Date: 02/2020
Type: Document
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Achieving Health Equity in Preventive Services: Evidence Summary
Summarizes research on achieving health equity in preventive services including screening, counseling, medication, and management for cancer, cardiovascular disease, and diabetes in adult patients by identifying the effects of impediments and barriers that create disparities, and the effectiveness of strategies and interventions to reduce them. Study reports barriers that resulted in or explained a disparity in preventive service, and the effectiveness of the clinician-patient relationship, health information technology, and health system intervention. Studies included African American, Hispanic, Korean and Chinese American, and rural and low-income patients.
Additional links: Full Report
Date: 12/2019
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Opioid-Related Hospitalization and Its Association With Chronic Diseases: Findings From the National Inpatient Sample, 2011-2015
Results of a study examining whether opioid-related hospitalization is associated with cancer, stroke, obesity, asthma, liver or spinal disease, and arthritis. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Janani Rajbhandari-Thapa, Donglan Zhang, Heather M. Padilla, Sae Rom Chung
Citation: Preventing Chronic Disease, 16
Date: 11/2019
Type: Document
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Geographic Disparities Associated with Travel to Medical Care and Attendance in Programs to Prevent/Manage Chronic Illness Among Middle-Aged and Older Adults in Texas
Examines 2,108 rural and urban middle-aged and older adults in Texas with one or more chronic conditions who travel long distances to receive medical care and their utilization of programs focused on prevention and chronic disease management. Participants from 9 counties responded to health assessment surveys regarding their number of doctor's visits within the previous year, distance to receive medical care, residential status, and other personal characteristics.
Author(s): Matthew L. Smith, Samuel D. Towne Jr., Caroline D Bergeron, et al.
Citation: Rural and Remote Health,19(4), 5147
Date: 11/2019
Type: Document
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Office-Based Spirometry: Key to Diagnosing Rural COPD Patients
Describes the use of spirometry in the diagnosis of chronic obstructive pulmonary disease (COPD). Provides an overview of required equipment, staffing needs, and interpretation for rural offices interested in offering spirometry. Features a West Virginia Federally Qualified Health Center (FQHC) pulmonary rehabilitation program.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Diagnosing the Rural COPD Patient: Ask About Symptoms, Use Spirometry
Provides insights on the diagnosis of chronic obstructive pulmonary disease (COPD), discussing common symptom patterns associated with COPD, spirometry as the diagnostic test for the condition, and tools and resources for COPD patient care.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Medicaid: Efforts to Identify, Predict, or Manage High-Expenditure Beneficiaries
Describes strategies used in 7 states to manage beneficiaries' healthcare costs while ensuring quality care, and lists resources the Centers for Medicare and Medicaid Services provides to help states identify, predict, and manage high-expenditure beneficiaries. Discusses effects of social determinants of health and staff shortages in rural areas. Includes statistics for Medicaid expenditures among beneficiaries enrolled only in Medicaid, for fiscal years 2009-2011.
Additional links: Full Report
Date: 08/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Making Connections: Nationwide Implementation of Video Telehealth Tablets to Address Access Barriers in Veterans
Results of a survey of 68 facility telehealth coordinators to evaluate implementation of a Department of Veterans Affairs initiative to provide tablets to high-need veterans with chronic conditions. Features statistics including demographics of tablet recipients and tablet users, with breakdowns by urban, rural, and highly rural location.
Author(s): Donna M. Zulman, Emily P. Wong, Cindie Slightam, et al.
Citation: JAMIA Open, 2(3), 323–329
Date: 08/2019
Type: Document
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