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Rural Health
Resources by Topic: Infectious diseases

The EMS and Community Paramedic Workforces Respond to COVID-19
Results of a study in which 17 key informant experts shared their perspectives on how the emergency medical services (EMS) and community paramedicine (CP) workforces responded to COVID-19 during the first year of the pandemic. Also describes how the pandemic has affected EMS and CP. Features statistics on participant characteristics, with breakdowns by rural and urban locations.
Author(s): Davis G. Patterson, Marieke S. van Eijk, Samantha W. Pollack, Benjamin A. Stubbs, Christopher Hanson
Date: 06/2023
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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2023 Scorecard on State Health System Performance
Evaluates state health systems on a state-by-state basis. Enables comparison between state health systems across 58 measures, such as access and affordability, prevention and treatment, reproductive care and women's health, and racial and ethnic equity, among others.
Author(s): David C. Radley, Jesse C. Baumgartner, Sara R. Collins, Laurie C. Zephyrin
Date: 06/2023
Type: Website
Sponsoring organization: Commonwealth Fund
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Nurses' Perceptions, Experiences, and Practices Regarding Human Papillomavirus Vaccination: Results from a Cross-Sectional Survey in Montana
Analyzes the roles and perceptions of nurses in administering the human papillomavirus (HPV) vaccination in predominantly rural and medically underserved areas. Examines data from 227 nurse respondents in Montana about their experiences and beliefs related to HPV, with a focus on barriers and facilitators of vaccine uptake.
Author(s): Juthika Thaker, Alexandria N. Albers, Sophia R. Newcomer
Citation: BMC Nursing, 22, 211
Date: 06/2023
Type: Document
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The Impact of Chronic Underfunding on America's Public Health System: Trends, Risks, and Recommendations, 2023
Provides state-by-state information on public health funding. Includes information on funding provided to the states by the federal government, as well as state public health budgets. Features information about federal funding for COVID-19 response actions.
Author(s): Matt McKillop, Dara Alpert Lieberman
Date: 06/2023
Type: Document
Sponsoring organization: Trust for America's Health
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U.S. Cancer Statistics: Highlights from 2020 Mortality and Incidence with Comparison to 2019 Incidence to Assess the Effect of the COVID-19 Pandemic
A data brief that presents cancer mortality and incidence in 2020 compared to previous years. Includes breakdowns by sex, race, age, cancer type, Census region, and county-level urbanicity. Discusses impact of COVID-19 on cancer screening, diagnosis, and reporting.
Date: 06/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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CATCH-UP Vaccines: Protocol for a Randomized Controlled Trial Using the Multiphase Optimization Strategy (MOST) Framework to Evaluate Education Interventions to Increase Covid-19 Vaccine Uptake in Oklahoma
Utilizes the multiphase optimization strategy (MOST) to examine interventions that improve COVID-19 vaccine uptake in underserved areas of Oklahoma, including rural. Reviews process improvement, barrier elicitation and reduction, and teachable moment messaging as strategies to reduce vaccine health disparities in rural and underserved populations. Includes Oklahoma map showing vaccination rates by ZIP code.
Author(s): Amanda E. Janitz, Jordan M. Neil, Laura A. Bray, et al.
Citation: BMC Public Health, 23
Date: 06/2023
Type: Document
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STI Federal Implementation Plan for the United States: 2021-2025
Outlines federal actions aimed at reducing the burden of sexually transmitted infections (STIs) in the United States through 2025. Covers federal partners' commitments to programs, policies, research, and other activities during fiscal years 2021–2025 to meet the goals of the Sexually Transmitted Infections National Strategic Plan for the United States: 2021–2025. Includes action steps related to tribal communities.
Date: 06/2023
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Evaluation of the Cherokee Nation Hepatitis C Virus Elimination Program — Cherokee Nation, Oklahoma, 2015–2020
Reports results for the first five years of the Cherokee Nation Health Services hepatitis C virus (HCV) elimination program, which includes universal HCV screening, primary HCV workforce expansion, and harm reduction services.
Author(s): Whitney Essex, Molly Feder, Jorge Mera
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(22), 597-600
Date: 06/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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State Medicaid Telehealth Coverage Policy Decisions Since the COVID-19 Public Health Emergency
Describes changes to state Medicaid telehealth policy flexibilities and/or new policies enacted during the COVID-19 PHE as of April–May 2022. Focuses on flexibilities that were rolled back, as well as those made permanent in whole or in part. Examines the decision-making processes behind Medicaid telehealth policy changes. Summarizes findings from guided discussions with state Medicaid representatives across four domains: 1) state attitudes and perspectives on telehealth and telehealth policies; 2) state telehealth policy decision-making processes; 3) states' future plans for telehealth; and 4) challenges and lessons learned. Outlines potential opportunities for the future of telehealth. Includes rural references throughout.
Additional links: Executive Summary
Author(s): Peggy G. Chen, Sara E. Heins, Stephanie Dellva
Date: 05/2023
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs): CMS Flexibilities to Fight COVID-19
Outlines specific regulatory waivers and Medicare flexibilities for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) issued in response to the COVID-19 pandemic. Includes information on payments for telehealth services, COVID-19 vaccines, therapeutics, and more. Identifies whether each waiver or flexibility was terminated, ended at the conclusion of the public health emergency, was extended, or became permanent.
Date: 05/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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