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Rural Health
Resources by Topic: COVID-19

Association of Receipt of Paycheck Protection Program Loans With Staffing Patterns Among US Nursing Homes
Evaluated 6,008 nursing homes to determine if receiving a federal forgivable loan impacted nurse staffing hours. Data breakdown includes urbanicity of the evaluated nursing homes in addition to various business, quality, and patient characteristic measures.
Author(s): Jasmine L. Travers, Brian E. McGarry, Steven Friedman, et al.
Citation: JAMA Network Open, 6(7)
Date: 07/2023
Type: Document
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COVID-19 Impact on Dental Service Delivery, Financing, Regulation, and Education Systems: An Environmental Scan
Describes the immediate and longer-term impacts of the COVID-19 pandemic on dental care delivery, regulation, education, and finance. Mentions rural throughout.
Author(s): Margaret Langelier, Aubri Kottek, Theekshana Fernando, et al.
Date: 07/2023
Type: Document
Sponsoring organization: Oral Health Workforce Research Center
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Leveraging Policy Changes Made in Response to COVID-19 to Advance Telehealth and Novel Treatment Approaches for People Who Use Opioids: Qualitative Perspective from Two Rural North Carolina Communities
Results of interviews with 10 providers of healthcare and supportive services for people who use opioids in rural counties in North Carolina. Discusses topics including COVID-19's influence on telehealth, models for opioid treatment delivery in rural areas, and common barriers to service access. Identifies strategies for facilitating services in rural areas, including expanded telehealth access and implementation of other service delivery models.
Author(s): Hillary Chen, Brandon A. Knettel, Lisa Macon Harrison, et al.
Citation: North Carolina Medical Journal, 84(5), 54-60
Date: 07/2023
Type: Document
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New Mexico State-Tribal Collaboration Act Agency Report 2023
Summarizes collaboration between New Mexico state agencies and tribal nations in New Mexico regarding current public health priorities, including COVID-19, substance use disorder, homelessness, and cancer. Identifies resources available for American Indians from each New Mexico department and activities and funding for the fiscal year 2023, covering community health workers, cancer, diabetes, suicide prevention, and more.
Date: 07/2023
Type: Document
Sponsoring organization: New Mexico Department of Health
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Delivery of High-Speed Broadband Services in Unserved and Underserved Areas of the Commonwealth (Pennsylvania): Fourth Annual Report
Provides an update on the role of broadband in education, telehealth, agriculture, and community and economic development; barriers to development; funding resources; developments in Pennsylvania state and local initiatives; and efforts to identify unserved and underserved Pennsylvania communities. Includes a discussion of the Pennsylvania Broadband Development Authority and new federal funding for expansion and development in Pennsylvania.
Additional links: Summary
Author(s): Yvonne Llewellyn Hursh, Lydia Hack, Allison N. Kobzowicz, Bryan W. DeWalt, Wendy L. Baker
Date: 07/2023
Type: Document
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Changes in Telehealth Experienced by Advanced Practice RNs During COVID-19
Summarizes 7,467 advanced practice RNs' national survey responses from June-September 2020 about the use of telehealth before and during the pandemic, and analyzes free-text comments about how the use of telehealth changed during the pandemic. Discusses challenges in rural areas, including provider shortages and lack of broadband access.
Author(s): Mavis N. Schorn, Carole R. Myers, Julie Barroso, et al.
Citation: Computers, Informatics, Nursing, 41(7), 507–513
Date: 07/2023
Type: Document
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Engaging Community Health Workers/Youth Ambassadors to Improve Health Literacy: Proceedings of a Workshop – in Brief
Summarizes presentations and discussions from an April 2023 workshop on the use of community health workers and youth ambassadors to promote health literacy in their communities. Highlights lessons learned by Advancing Health Literacy to Enhance Equitable Community Responses to COVID-19 and the National Infrastructure for Mitigating the Impact of COVID-19 within Racial and Ethnic Minority Communities (NIMIC) grantees who implemented health literacy approaches in community health worker and youth ambassador programs. Includes rural references throughout.
Additional links: Read Online
Date: 07/2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Although IHS Allocated COVID-19 Testing Funds to Meet Community Needs, It Did Not Ensure That the Funds Were Always Used in Accordance with Federal Requirements
Presents results of an audit of Indian Health Service (IHS) funds for COVID-19 testing. Examines if 10 IHS Direct, Tribal, and Urban Indian Organizations (UIO) in the Great Plains Area Office allocated COVID-19 testing funds to meet community needs, the effectiveness of the funding allocation, and if the funding was used in accordance with federal requirements. Outlines recommendations to IHS, as well as IHS comments and the U.S. Department of Health and Human Service Office of the Inspector General's response.
Additional links: Report in Brief
Date: 07/2023
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Unvaccinated Adolescents' COVID-19 Vaccine Intentions: Implications for Public Health Messaging
Examines factors related to COVID-19 vaccine intentions in the U.S. adolescent population. Analyzes April 2021 survey data of 831 unvaccinated respondents regarding their vaccine hesitancy or acceptance according to age, gender, rurality, race/ethnicity, and concerns over COVID-19 infection and vaccine side effects, as well as additional factors impacting their vaccination decisions.
Author(s): Grace W. Ryan, Natoshia M. Askelson, Kate R. Woodworth, et al.
Citation: Journal of Adolescent Health, 73(4), 679-685
Date: 07/2023
Type: Document
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Targeted Provider Relief Funds Allocated to Hospitals Had Some Differences with Respect to the Ethnicity and Race of Populations Served
Examines how early Provider Relief Fund Targeted Distributions (Targeted PRF) in 2020 correlated with the racial, ethnic, and economic characteristics of the communities providers serve. Analyzes the Targeted PRF allocations to hospitals and explores if there are statistically significant correlations between PRF per person and the racial, ethnic, and economic composition of the census tracts. Covers four Targeted PRF allocations to COVID-19 High Impact Area Hospitals, Safety Net Hospitals, Rural Hospitals, and Indian Health Service and Tribal Hospitals. Identifies and describes trends in the allotment to rural hospitals.
Date: 07/2023
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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