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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare needs and services

Rural Road Safety Funding at the US Department of Transportation: Example Projects from 2022
Compiles a selection of projects from certain U.S. Department of Transportation (USDOT) discretionary and non-discretionary grant programs intended to address rural road safety. Helps prospective rural applicants understand how USDOT grants have previously been used to improve rural road safety, and showcases the importance of safety across USDOT grant programs.
Date: 06/2024
Type: Document
Sponsoring organization: U.S. Department of Transportation
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2023 Immunization Profile Study: A Look at Immunization Capacity among Local Health Departments
Reports survey results from 422 local health departments (LHDs) on immunization workforce capacity, vaccine provision and uptake, funding and reimbursement, immunization data capacity, barriers to vaccination, and more in 2023. Includes data comparisons of small, medium, and large LHDs.
Author(s): Margaret C. Cunningham, Amy Maxson, Robin Mowson, et al.
Date: 06/2024
Type: Document
Sponsoring organization: National Association of County and City Health Officials
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The Evolution of Health System Planning and Implementation of Maternal Telehealth Services During the COVID-19 Pandemic
Analyzes the impact of telehealth to provide maternal healthcare services during the COVID-19 pandemic. Utilizes interview feedback from 15 health system leaders to discuss issues such as telehealth reimbursement, research, access, barriers, and integration. Includes commentary on telehealth use in rural areas.
Author(s): Monisa Aijaz, Burcu Bozkurt, Arrianna Marie Planey, et al.
Citation: Digital Health, 10
Date: 06/2024
Type: Document
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Reimagining Rural Health Equity: Understanding Disparities and Orienting Policy, Practice, and Research in Rural America
Commentary piece discussing public health disparities and disadvantage in rural areas. Proposes five principles for policy, research, and practice in support of health equity. Includes coverage of rural leadership and assets, rural characteristics, and the value of rural-specific interventions, among other topics.
Author(s): Anne N. Sosin, Elizabeth A. Carpenter-Song
Citation: Health Affairs, 43(6), 791-797
Date: 06/2024
Type: Document
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Facilitators and Barriers to Adopting or Expanding Medications for Opioid Use Disorder Provision in Rural Colorado Jails: a Qualitative Analysis
Reports findings of interviews with representatives of 7 rural Colorado jails on facilitators and barriers of medication for opioid use disorder (MOUD) adoption and expansion. Discusses factors including attitudes toward MOUD, collaborative partnerships, physical space, distance to services, provider availability, staff, and more.
Author(s): Heidi L. McNeely, Terri L. Schreiber, William L. Swann, Claudia R. Amura
Citation: Health and Justice, 12, 26
Date: 06/2024
Type: Document
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS and the Long-term Care Hospital PPS for FY 2025
Comments on a May 2, 2024, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Discusses proposals on rate-setting in both the inpatient prospective payment systems (IPPS) and LTCH PPS; the Transforming Episode Accountability Model (TEAM), including the definition of rural hospitals eligible to participate in a lower-risk track; new payments to small, independent hospitals that establish and maintain a 6-month buffer supply of essential medicines; updates to wage index values and policies; and updates to outlier reconciliation thresholds.
Date: 06/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Effects of Affordable Care Act on Uninsured Hospitalization: Evidence from Texas
Examines the impact of the Affordable Care Act (ACA) in Texas and its relationship to uninsured patient discharges. Analyzes 2011-2019 ACA Marketplace data with breakdowns according to patient race/ethnicity, age, gender, major diagnostic categories (MDC), type of admission, and rural versus urban location.
Author(s): Nima Khodakarami, Benjamin Ukert
Citation: Health Services Research
Date: 06/2024
Type: Document
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Veterans Health Care: Opportunities Exist to Improve Assessment of Network Adequacy for Mental Health
Provides an overview of the U.S. Department of Veterans Affairs (VA) Community Care Networks (CCN) program and how the VA and contractors develop and maintain mental health provider networks. Describes how the VA assesses the adequacy of the CCN mental health provider networks. Examines the extent to which the VA collects information on the factors that contribute to scheduling timeliness challenges for community care appointments, including for mental health appointments. Presents data on the percentage of CCN mental health claims that were within drive-time and appointment-availability standards between April 2022 and March 2023 by CCN region, rurality, and care setting.
Additional links: Full Report
Date: 06/2024
Type: Document
Sponsoring organization: Government Accountability Office
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Voices of Experience: Lay Perspectives on Severe Maternal Morbidity in Appalachia
Highlights the perspectives of 10 rural Appalachian women interviewed about their experiences with severe maternal morbidity, social determinants of health, the healthcare system, and access to quality healthcare. Offers potential interventions based on interview themes.
Author(s): Anna Hansen, Cassidy Carter, Nancy Schoenberg, Carrie Oser
Citation: SSM - Qualitative Research in Health, 4, 100410
Date: 06/2024
Type: Document
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Rural and Urban Differences in Disparities in Substance Use and Substance Use Disorders Affecting Sexual Minority Populations
Examines substance use (SU), substance use disorders (SUD), and SUD treatment in heterosexual and sexual minority populations. Analyzes 2015 to 2019 National Survey on Drug Use and Health data with information broken down by demographics, SU, and large metro, small metro, or nonmetro location.
Author(s): Christina Dyar, Ethan Morgan
Citation: Journal of Rural Health, 40(3), 542-556
Date: 06/2024
Type: Document
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