Rural Health
Resources by Topic: Frontier and remote areas
Evaluation of the Medicare Frontier Extended Stay Clinic Demonstration: Report to Congress
Reports on the results of a Medicare Frontier Extended Stay Clinic (FESC) demonstration project that used an enhanced clinic model in frontier areas to address the needs of seriously ill or injured patients who could not be transferred to a hospital or needed monitoring and observation for a limited period of time. Includes an overview of the demonstration and key findings from the project.
Date: 2014
Sponsoring organization: U.S. Department of Health and Human Services
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Reports on the results of a Medicare Frontier Extended Stay Clinic (FESC) demonstration project that used an enhanced clinic model in frontier areas to address the needs of seriously ill or injured patients who could not be transferred to a hospital or needed monitoring and observation for a limited period of time. Includes an overview of the demonstration and key findings from the project.
Date: 2014
Sponsoring organization: U.S. Department of Health and Human Services
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Characteristics of the Frontier Extended Stay Clinic: A New Facility Model
Describes the characteristics of five pilot Frontier Extended Stay Clinics (FESCs), four of which are located in rural frontier communities in Alaska and the other is located in Washington. Analyzes patient utilization and outcomes, and provides statistics on FESC extended-stay encounters by type and data year.
Author(s): Rosyland Frazier, Sanna Doucette
Citation: International Journal of Circumpolar Health, 72(1)
Date: 08/2013
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Describes the characteristics of five pilot Frontier Extended Stay Clinics (FESCs), four of which are located in rural frontier communities in Alaska and the other is located in Washington. Analyzes patient utilization and outcomes, and provides statistics on FESC extended-stay encounters by type and data year.
Author(s): Rosyland Frazier, Sanna Doucette
Citation: International Journal of Circumpolar Health, 72(1)
Date: 08/2013
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The Utility of Rural and Underserved Designations in Geospatial Assessments of Distance Traveled to Healthcare Services: Implications for Public Health Research and Practice
Reviews different definitions and designations of rurality in relation to resident characteristics in a sample of 8 central Texas counties. Discusses the impact that rural definitions can have on research findings and health policy.
Author(s): Matthew Lee Smith, Justin B. Dickerson, Monica L. Wendel, et al.
Citation: Journal of Environmental and Public Health, 2013, 960157
Date: 06/2013
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Reviews different definitions and designations of rurality in relation to resident characteristics in a sample of 8 central Texas counties. Discusses the impact that rural definitions can have on research findings and health policy.
Author(s): Matthew Lee Smith, Justin B. Dickerson, Monica L. Wendel, et al.
Citation: Journal of Environmental and Public Health, 2013, 960157
Date: 06/2013
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Effectiveness of a Community Health Worker Cardiovascular Risk Reduction Program in Public Health and Health Care Settings
Evaluates the effectiveness of a Community Health Worker system of care to help decrease coronary heart disease in primarily rural and frontier Colorado counties. Includes data and statistics broken down by age, race, risk factors, and geographic location.
Author(s): Mori J. Krantz, Stephanie M. Coronel, Elizabeth M. Whitley, et al.
Citation: American Journal of Public Health, 103(1), 19-27
Date: 01/2013
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Evaluates the effectiveness of a Community Health Worker system of care to help decrease coronary heart disease in primarily rural and frontier Colorado counties. Includes data and statistics broken down by age, race, risk factors, and geographic location.
Author(s): Mori J. Krantz, Stephanie M. Coronel, Elizabeth M. Whitley, et al.
Citation: American Journal of Public Health, 103(1), 19-27
Date: 01/2013
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Options for Rural Health Care System Reform and Redesign
Examines options for rural healthcare infrastructure in a changing health care environment and reflects on previous work around the Affordable Care Act. Includes a discussion of the Frontier Extended Stay Clinic (FESC) and Frontier Community Health Integration Project (F-CHIP).
Date: 12/2012
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Examines options for rural healthcare infrastructure in a changing health care environment and reflects on previous work around the Affordable Care Act. Includes a discussion of the Frontier Extended Stay Clinic (FESC) and Frontier Community Health Integration Project (F-CHIP).
Date: 12/2012
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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National Advisory Committee on Rural Health & Human Services Meeting Minutes, Austin, TX, September 26-28, 2012
Minutes from the National Advisory Committee on Rural Health and Human Services' (NACRHHS) 72nd meeting, which included discussions on the following topics: border health, rural workforce opportunities for low-income rural residents, and future models of rural healthcare infrastructure (FESC and FCHIP).
Date: 09/2012
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Minutes from the National Advisory Committee on Rural Health and Human Services' (NACRHHS) 72nd meeting, which included discussions on the following topics: border health, rural workforce opportunities for low-income rural residents, and future models of rural healthcare infrastructure (FESC and FCHIP).
Date: 09/2012
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Frontier/Remote, Island, and Rural Literature Review
Highlights the evolution of the term frontier as it applies to remote, sparsely settled territory in the U.S. Discusses related definitions of rural relevant to creating a national frontier/remote and island geographic taxonomy.
Author(s): L. Gary Hart
Date: 08/2012
Sponsoring organization: University of North Dakota Center for Rural Health
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Highlights the evolution of the term frontier as it applies to remote, sparsely settled territory in the U.S. Discusses related definitions of rural relevant to creating a national frontier/remote and island geographic taxonomy.
Author(s): L. Gary Hart
Date: 08/2012
Sponsoring organization: University of North Dakota Center for Rural Health
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Innovative Primary Care Delivery in Rural Alaska: A Review of Patient Encounters Seen by Community Health Aides
Reviews outpatient visits to Community Health Aides (CHAs) and Community Health Practitioners (CHPs) from October 2004 to September 2006 to evaluate the scope of health problems seen by CHA/Ps in remote, rural Alaska to the Alaska Native population. Discusses how the program could serve as a healthcare delivery model for remote areas.
Author(s): Christine Golnick, Elvin Asay, Ellen Provost, et al.
Citation: International Journal of Circumpolar Health, 71(1)
Date: 06/2012
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Reviews outpatient visits to Community Health Aides (CHAs) and Community Health Practitioners (CHPs) from October 2004 to September 2006 to evaluate the scope of health problems seen by CHA/Ps in remote, rural Alaska to the Alaska Native population. Discusses how the program could serve as a healthcare delivery model for remote areas.
Author(s): Christine Golnick, Elvin Asay, Ellen Provost, et al.
Citation: International Journal of Circumpolar Health, 71(1)
Date: 06/2012
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National Advisory Committee on Rural Health & Human Services Meeting Minutes, Kansas City, MO, June 18-20, 2012
Provides a summary of the National Advisory Committee on Rural Health and Human Services' (NACRHHS) 71st meeting, which included discussions on the following topics: health reform, services for the elderly, rural hospitals and infrastructure, frontier demonstration projects, child care, and Head Start.
Date: 06/2012
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides a summary of the National Advisory Committee on Rural Health and Human Services' (NACRHHS) 71st meeting, which included discussions on the following topics: health reform, services for the elderly, rural hospitals and infrastructure, frontier demonstration projects, child care, and Head Start.
Date: 06/2012
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Quality of Care for Acute Myocardial Infarction: Are the Gaps Between Rural and Urban Hospitals Closing?
Compares the quality of care provided by rural and urban hospitals for patients with acute myocardial infarction. Includes breakdowns by admission characteristics, such as concurrent conditions, and for remote rural areas.
Additional links: Policy Brief
Author(s): Laura-Mae Baldwin, Leighton Chan, C. Holly A. Andrilla, Edwin Huff, L. Gary Hart
Date: 03/2010
Sponsoring organization: WWAMI Rural Health Research Center
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Compares the quality of care provided by rural and urban hospitals for patients with acute myocardial infarction. Includes breakdowns by admission characteristics, such as concurrent conditions, and for remote rural areas.
Additional links: Policy Brief
Author(s): Laura-Mae Baldwin, Leighton Chan, C. Holly A. Andrilla, Edwin Huff, L. Gary Hart
Date: 03/2010
Sponsoring organization: WWAMI Rural Health Research Center
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