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Rural Health Information Hub

Rural Health
Resources by Topic: Frontier and remote areas

Organizational Readiness to Implement System Changes in an Alaskan Tribal Dental Care Organization
Study of an Alaska tribal dental care organization's readiness for system-level changes based on surveys of dental providers, assistants, and support staff employed by the organization at 15 clinics in remote villages and 3 main dental clinics located in cities. Discusses perceptions of staff regarding workforce issues and support for change related to policies and evidence-based practices. Scores each area of readiness for change based on survey data, including organizational functioning, resources, and management.
Author(s): C.L. Randall, K. Hort, C.E. Huebner, et al.
Citation: Journal of Clinical and Translational Research, 5(2), 156-165
Date: 04/2020
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North Dakota Frontier Counties
Map of North Dakota identifying the counties designated as frontier based on 2018 population estimates.
Date: 02/2020
Sponsoring organization: University of North Dakota Center for Rural Health
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Report to Congress: Demonstration Project on Community Health Integration Models in Certain Rural Counties - Final Report
Presents findings from the Frontier Community Health Integration Project Demonstration (FCHIP) over the 3-year project period. Shares results for the 10 participating Critical Access Hospitals in three states: North Dakota, Montana, and Nevada. The demonstration focused on interventions addressing ambulance services, skilled nursing facility/nursing facility beds, and telehealth. Offers recommendations for legislative and administrative action.
Date: 2020
Sponsoring organization: U.S. Department of Health and Human Services
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Frontier Counties
Printable map that shows the location of frontier counties nationwide. Data source: U.S. Census Bureau
Date: 2020
Sponsoring organization: Rural Health Information Hub
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Enhancing Career Paths for Tomorrow's Radiation Oncologists
Presents several alternative or additional career paths for radiation oncologists. Details global health, radiation epidemiology, and frontier medicine among other paths.
Author(s): Neha Vapiwala, Charles R. Thomas, Jr, Surbhi Grover, et al.
Citation: International Journal of Radiation Oncology, Biology, and Physics, 105(1), 52-63
Date: 09/2019
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Wisconsin Divided Ten Ways: A Review of Rural-Urban Classification Systems
Provides a high-level overview of core classification systems, and systems that are county-based, census tract-based, ZIP code-based, and municipal-based. Includes county-level maps with shadings indicating levels of population density, based on various definitions of the terms urban and rural.
Additional links: Appendix A - Wisconsin County Classifications, Appendix B - Wisconsin Census Tract Classifications, Appendix C - Wisconsin ZIP Code Classification, Appendix D - Municipal Classifications
Date: 07/2019
Sponsoring organization: Wisconsin Office of Rural Health
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Opportunities to Advance Complex Care in Rural and Frontier Areas
Examines obstacles rural and frontier healthcare organizations face in providing complex care based on interviews with experts around the U.S. Focuses on rural social determinants of health, workforce shortages, and rural community relationships. Includes examples of models related to community collaboration, care coordination, social determinants of health, the health workforce, technology, and payment.
Author(s): Jim Lloyd
Date: 05/2019
Sponsoring organization: Center for Health Care Strategies
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Family Physicians' Contributions to Rural Emergency Care and Urban Urgent Care
Presents a study on the role of family physicians play in rural versus urban emergency departments. Compares rates in urban, large rural, small rural, and frontier facilities.
Author(s): Lars E. Peterson, James C. Puffer, Urooj Nasim, Stephen Petterson, Warren P. Newton
Citation: Journal of the American Board of Family Medicine, 32(3), 295-296
Date: 05/2019
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2018 Transportation Trends
Identifies issues affecting the availability of accessible transportation for older adults and people with disabilities. Includes examples of programs underway in rural and frontier areas to address transportation needs.
Date: 04/2019
Sponsoring organization: National Aging and Disability Transportation Center
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AKVDRS Suicide Death Update - Alaska, 2012-2017
Details a study on the suicide death rate in Alaska from 2012-2017. Features rates for American Indian and Alaska Native, by substance use, and by region.
Author(s): Deborah Hull-Jilly, Scott Saxon
Citation: State of Alaska Epidemiology Bulletin, 1
Date: 01/2019
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