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Rural Health
Resources by Topic: COVID-19

Outcome Comparison of High-Risk Native American Patients Who Did or Did Not Receive Monoclonal Antibody Treatment for COVID-19
Results of a monoclonal antibody (mAb) treatment program for high-risk Native American patients at a rural acute care facility on the Fort Apache Indian Reservation in eastern Arizona. Features demographics and statistics comparing 30-day outcomes among patients who did or did not receive mAb treatment between December 2020 and February 2021.
Author(s): Ryan M. Close, T. Shaifer Jones, Christopher Jentoft, James B. McAuley
Citation: JAMA Network Open, 4(9)
Date: 09/2021
Type: Document
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COVID-19 Working Paper: Meatpacking Working Conditions and the Spread of COVID-19
Report details the working conditions of meatpacking plants and how they affected the spread of COVID-19 during the first months of the pandemic. Compares manufacturing jobs in rural versus total counties and highlights specific rural counties where meatpacking plants were infected. Discusses occupational characteristics that may have contributed to the spread.
Author(s): Thomas P. Krumel, Jr., Corey Goodrich
Date: 09/2021
Type: Document
Sponsoring organization: USDA Economic Research Service
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COVID-19 Cases and Vaccination Rates
Data brief examining the relationship between vaccination rates, COVID-19 one-week incidence, and metropolitan or nonmetropolitan location, using data on confirmed COVID-19 cases from August 29, 2021 – September 4, 2021 and vaccination data as of August 15, 2021. Features statistics on total case rates and vaccination percentages, with breakdowns by census regions, select states, and metropolitan or nonmetropolitan location.
Author(s): Fred Ullrich, Keith Mueller
Date: 09/2021
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Hyperlocal Covid-19 Testing and Vaccination Strategies to Reach Communities with Low Vaccine Uptake
Describes promising state and local strategies to promote equitable and accessible COVID-19 testing and vaccination programs among communities with low vaccination rates. Presents examples of how states and communities use existing infrastructure and modify strategies to meet community needs. Includes rural examples and highlights rural-focused strategies for vaccinations.
Author(s): Andrea Thoumi, Kamaria Kaalund, Christina Silcox, et al.
Date: 09/2021
Type: Document
Sponsoring organization: Duke-Margolis Center for Health Policy
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Trajectory of COVID-19 Vaccine Hesitancy Over Time and Association of Initial Vaccine Hesitancy With Subsequent Vaccination
Assesses the association between baseline vaccine hesitancy and vaccine receipt at study follow-up, using data from 3,439 participants surveyed between August-December 2020 and again between March-April 2021. Also explores the validity of vaccine self-report. Features demographic statistics with breakdowns by metropolitan or nonmetropolitan location.
Author(s): Aaron J. Siegler, Nicole Luisi, Eric W. Hall, et al.
Citation: JAMA Network Open, 4(9)
Date: 09/2021
Type: Document
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Indian Health Service Use of Critical Care Response Teams Has Helped to Meet Facility Needs During the COVID-19 Pandemic
Provides an overview of the Indian Health Service's (IHS) Critical Care Response Teams (CCRTs) program, which was developed to support IHS and Tribal facilities in caring for critically ill COVID-19 patients. Examines the first five CCRT deployments from June -September 2020. Offers recommendations to leverage CCRT program success to support other IHS care improvement efforts.
Date: 09/2021
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Mental Health System Development in Rural and Remote Areas during COVID-19
Report highlights the barriers faced by rural, remote, and tribal communities to accessing mental healthcare during the COVID-19 pandemic. Details rates of mental health treatment over the past year and compares rural and urban communities. Discusses factors affecting access in rural areas such as workforce shortages, lack of telehealth services, and lack of culturally competent care for American Indian and Alaska Native populations, among others.
Date: 09/2021
Type: Document
Sponsoring organization: National Association of State Mental Health Program Directors
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Overview of Barriers and Facilitators in COVID-19 Vaccine Outreach
Provides an overview of lessons learned from infectious disease outbreaks about barriers to vaccine uptake. Describes examples of promising and innovative COVID-19 vaccination outreach strategies, including strategies to build vaccine confidence in rural communities. Identifies best practices that could be used to inform outreach in areas with low vaccination rates. Highlights online tools and resources to assist with the design of vaccine outreach programs.
Author(s): Aldren Gonzales, Euny C. Lee, Violanda Grigorescu, et al.
Date: 09/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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COVID-19 Funding Sources Impacting Rural Providers
Reference guide to help rural healthcare providers navigate federal COVID-19 response and recovery funding. Includes tables identifying eligibility by provider type and how funds can be spent. Provides an overview of each funding opportunity and reporting requirements.
Date: 09/2021
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Assessing the Impact of COVID-19 on Low-Income Households and Communities in North Carolina
Discusses impacts of the COVID-19 pandemic on efforts to combat poverty and promote self-sufficiency in low-income communities across North Carolina. Presents excerpts from interviews with community leaders, and identifies takeaways related to the pandemic's impact on individuals, organizational strategies, partnerships and collaboration, and public health. Highlights rural communities and Black North Carolinians throughout, and covers topics including vaccination, internet access, mental health, and more. Provides recommendations for community action agencies.
Author(s): James H. Johnson Jr., Jeanne Milliken Bonds, Allan M. Parnell
Date: 08/2021
Type: Document
Sponsoring organizations: North Carolina Community Action Association, Urban Investment Strategies Center
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