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Rural Health
Resources by Topic: COVID-19

Rural Opioid Treatment Program Patient Perspectives on Take-Home Methadone Policy Changes During COVID-19: A Qualitative Thematic Analysis
Examines patient perspectives following policy changes in take-home methadone treatment for opioid use disorder (OUD), based on qualitative interviews with 46 patients from 3 rural opioid treatment programs in Oregon. Highlights main themes related to adapting to the changing policies during the COVID-19 pandemic, the challenges and benefits of at-home dosing, and future policy and procedural changes.
Author(s): Ximena A. Levander, Kim A. Hoffman, John W. McIlveen, et al.
Citation: Addiction Science & Clinical Practice, 16, 72
Date: 12/2021
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Policy Implications of the COVID-19 Pandemic on Food Insecurity in Rural America: Evidence from Appalachia
Study examining food access during the COVID-19 pandemic in a rural Appalachian community in Kentucky, based on qualitative data from 5 focus groups. Discusses food scarcity, supply chain disruptions, federal food assistance, community food resources, and home gardening, and highlights policy implications related to federal programs and social determinants of health.
Author(s): Kathryn M. Cardarelli, Emily DeWitt, Rachel Gillespie, et al.
Citation: International Journal of Environmental Research and Public Health, 18(23), 12792
Date: 12/2021
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The COVID-19 Pandemic's Impact on Rural Hospital Staffing
Summarizes the results of a survey of rural hospital leaders between September 21, 2021 - October 15, 2021, regarding COVID-19 vaccination among rural hospital personnel. Discusses the prevalence of vaccine mandates at rural hospitals and the impact of staffing shortages on access to care.
Date: 11/2021
Sponsoring organization: The Chartis Group
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Assessment of State and Federal Health Policies for Opioid Use Disorder Treatment During the COVID-19 Pandemic and Beyond
Examines state-level policy data from government and nonprofit agencies related to treatment access and treatment retention for patients with Opioid Use Disorder (OUD) during the COVID-19 pandemic. Describes policy changes affecting telehealth coverage, delivery, and payment; issues of licensing and security; and the initiation and dispensing of treatment medications.
Author(s): Seema Chosky Pessar, Anne Boustead, Yimin Ge, Rosanna Smart, Rosalie Liccardo Pacula
Citation: JAMA Health Forum, 2(11), e213833
Date: 11/2021
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Critical Access Hospitals' Initial Response to COVID-19 by System Affiliation
Summarizes results of a survey of Critical Access Hospital (CAH) executives in eight states regarding the initial response to COVID-19 through August 2020. Presents data by system-affiliated and independent CAH status. Discusses COVID-19 case volume, personal protective equipment (PPE) supply, and the perceived impact of system affiliation status on facilities' overall response to COVID-19.
Author(s): Ira Moscovice, Madeleine Pick, Megan Lahr
Date: 11/2021
Sponsoring organization: Flex Monitoring Team
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COVID-19 and the Rural Opioid Epidemic: Recommendations to Improve Health in Illinois
Examines the rural opioid epidemic in Illinois and offers policy recommendations to increase access to Medications for Opioid Use Disorder (MOUD) centers, engaging populations involved with the criminal justice system, and expanding harm reduction services. Offers data on state opioid fatality rates with rural and urban comparisons and monthly mortality rates based on state Department of Public Health data. Discusses the impact of the COVID-19 pandemic on the opioid epidemic.
Date: 11/2021
Sponsoring organizations: SIU Medicine Center for Rural Health and Social Service Development, SIU Paul Simon Public Policy Institute, Southern Illinois University Medicine Department of Population Science and Policy, University of Illinois Chicago School of Public Health
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Creating the New Normal: COVID-19 Leaves Its Mark on Rural America
Offers articles discussing various impacts the COVID-19 pandemic has had on affordable rural housing and those organizations working to ensure affordable rural housing. Shares stories describing how federal aid was used to address homelessness and rural residents' housing needs in Wisconsin, how the pandemic has impacted Oregon farmworkers' housing and health, and how flexible U.S. Department of Housing and Urban Development (HUD) programs have helped rural nonprofits in Washington serve rural communities.
Citation: Rural Voices, 25(1)
Date: 11/2021
Sponsoring organization: Housing Assistance Council
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Critical Access Hospitals' Initial Response to the COVID-19 Pandemic: Use of Federal Funding and Regulatory Flexibilities
Explores how Critical Access Hospitals (CAHs) used federal relief funding and regulatory waivers to respond to the COVID-19 pandemic through August 2020. Summarizes results of a survey of CAH executives in eight states. Discusses the sources of federal funding CAHs received and the types of regulatory waivers and flexibilities these CAHs used.
Author(s): Ira Moscovice, Madeleine Pick, Megan Lahr, Nathan Bean, Keelia Silvis
Date: 11/2021
Sponsoring organization: Flex Monitoring Team
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COVID-19: HHS Agencies' Planned Reviews of Vaccine Distribution and Communication Efforts Should Include Stakeholder Perspectives
Discusses the perspectives of state and local health officials in four states and 12 national stakeholder organizations regarding federal COVID-19 vaccine distribution and education programs. Examines how the Centers for Disease Control and Prevention (CDC) and the Health Services and Research Administration (HRSA) plan to evaluate vaccine implementation efforts. Offers recommendations for CDC and HRSA to obtain input from and share lessons learned with key stakeholders. Includes information on the Rural Health Clinic COVID-19 Program and the Health Center COVID-19 Vaccine Program.
Additional links: Full Report
Date: 11/2021
Sponsoring organization: Government Accountability Office
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Presidential COVID-19 Health Equity Task Force Final Report and Recommendations
Report examining the impacts of COVID-19 on communities of color, tribal communities, rural and remote populations, and underserved communities through a health equity lens, offering proposed actions and outcomes to guide future federal health equity efforts. Highlights community organizations and community-based programs, including rural examples.
Additional links: Presidential COVID-19 Health Equity Task Force Proposed Implementation Plan and Accountability Framework
Date: 10/2021
Sponsoring organizations: Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services, U.S. Department of Health and Human Services Office of Minority Health
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