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Rural Health
Resources by Topic: Emergency medical technicians and paramedics

Rural Nevada EMS Capacity Assessment
Presents results of a 2020 survey of 36 rural EMS agencies, addressing transporting patients, funding and billing, workforce and recruitment issues, health information technology, and more.
Author(s): Laima Etchegoyhen, John Packham, Tabor Griswold, Jeannine Warner
Date: 10/2021
Sponsoring organization: Nevada Health Workforce Research Center
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Who Will Answer the Call? An Abstract of Challenges Facing Michigan's Rural EMS Agencies
Provides an overview of challenges experienced by Michigan's rural emergency medical services (EMS) agencies, such as reimbursement, access to care, recruitment and retention, workforce shortages and training, and more.
Date: 09/2021
Sponsoring organization: Rural Subcommittee of the EMS Coordinating Committee
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Innovations in Overdose Response: Strategies Implemented by Emergency Medical Services Providers
Reports on the findings of an environmental scan conducted in collaboration with the National Association of EMS Officials looking for new and promising overdose response strategies for state and local EMS providers to increase access to treatment and recovery services. Discusses sharing data for public health surveillance and response, building system-wide partnerships, administering buprenorphine, developing post-overdose response teams, utilizing mobile integrated health clinics, and implementation barriers to be considered.
Date: 07/2021
Sponsoring organization: Association of State and Territorial Health Officials
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Texas Emergency Medical Services Personnel, 2020: Trends, Distribution, and Demographics
Fact sheet showing emergency medical services (EMS) personnel growth trends, geographic distribution by county and ratio of population to EMS personnel by metropolitan, non-metropolitan, border, and non-border geography, provider demographics by race/ethnicity, age, sex, and license type.
Date: 06/2021
Sponsoring organization: Texas Health and Human Services
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Implementing and Sustaining Rural Community Paramedicine
Incorporates proceedings from the February 21-22, 2021 Rural Community Paramedicine (CP) Summit, and key strategies for implementing and sustaining CP in rural communities. Contains resources, information on established CP programs, and information about how state Flex Programs can support rural CP efforts. Describes experiences of established CP providers so that rural ambulance providers and hospitals might be better prepared as they consider similar initiatives in their own communities.
Additional links: Webinar
Date: 06/2021
Sponsoring organization: National Rural Health Resource Center
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Arizona READI
Discusses the Arizona Rural EMS Advanced Telemedicine Demonstration Initiative (AzREADI) program, which uses telemedicine to support rural emergency services by connecting EMS with physicians during service calls. Discusses challenges of providing EMS services in rural Arizona.
Date: 05/2021
Sponsoring organization: Arizona Public Media
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Rural and Urban Experiences with EMS Overdose Treatment
Results of a survey of 90 urban and rural emergency medical service (EMS) providers practicing in Indiana during the period from November 2020 to March 2021, to determine how many training hours they receive and how comfortable they are with treating opioid overdoses and general drug overdoses. Features survey responses with breakdowns by urban and rural location. Poster presented at the 2021 RTT Collaborative Annual Meeting.
Author(s): Brycen Ratcliffe, Robin Danek, Ellen Ireland, Eric Reyes
Date: 04/2021
Sponsoring organization: Indiana University School of Medicine
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Rural EMS Workforce: A Call to Action
Policy brief discussing rural emergency medical services (EMS) systems. Highlights challenges facing the rural EMS workforce, including the costs of training and reimbursement concerns. Outlines policy recommendations to strengthen rural EMS systems.
Author(s): Christopher McLaughlin, Olivia Riutta, Jonnathan Busko
Date: 02/2021
Sponsoring organization: National Rural Health Association
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Rural Emergency Medical Service Providers Perceptions on the Causes of and Solutions to the Opioid Crisis: A Qualitative Assessment
Study examining the perspectives of rural emergency medical service (EMS) providers on key issues related to the opioid crisis, including prescription, ease of access to opioids, socioeconomic vulnerability, mental health, and lack of alternative treatment options. Discusses qualitative data taken from 123 surveys addressing perceived causes and solutions to the crisis.
Author(s): Heather Blue, Ashley Dahly, Susan Chhen, et al.
Citation: Journal of Primary Care and Community Health, 12, 2150132720987715
Date: 01/2021
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Characteristics and Challenges of Rural Ambulance Agencies - A Brief Review and Policy Considerations
Examines challenges including prolonged response and transport times, insufficient payment by insurers, transitions from volunteer to paid workforce, and lack of plans and policies to coordinate services. Features recommendations for identifying public policy considerations to stabilize rural ambulance agencies.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Andrew F. Coburn, et al.
Date: 01/2021
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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