Rural Health
Resources by Topic: Infrastructure
Bridging The Home-Based Primary Care Gap In Rural Areas
Discusses challenges with offering home-based primary care (HBPC) in rural communities for older adults and people with disabilities, notably workforce shortages, insufficient infrastructure, and funding. Offers HBPC redesign suggestions with these challenges in mind, discussing community health workers, technology and telehealth, leveraging community resources and partnerships, training, scope of practice laws, payment models, and infrastructure investments.
Author(s): Ginny Rogers, Montgomery Smith, Jonathan Gonzalez-Smith, Robert S. Saunders
Citation: Health Affairs Forefront
Date: 02/2024
Type: Document
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Discusses challenges with offering home-based primary care (HBPC) in rural communities for older adults and people with disabilities, notably workforce shortages, insufficient infrastructure, and funding. Offers HBPC redesign suggestions with these challenges in mind, discussing community health workers, technology and telehealth, leveraging community resources and partnerships, training, scope of practice laws, payment models, and infrastructure investments.
Author(s): Ginny Rogers, Montgomery Smith, Jonathan Gonzalez-Smith, Robert S. Saunders
Citation: Health Affairs Forefront
Date: 02/2024
Type: Document
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Proven Safety Countermeasures in Rural Communities
Provides safety countermeasures that can be implemented on rural roadways and includes statistics on their effectiveness. Focuses on speed management, roadway departure, intersection, pedestrian/bicycle, and crosscutting safety countermeasures.
Date: 01/2024
Type: Document
Sponsoring organization: Federal Highway Administration
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Provides safety countermeasures that can be implemented on rural roadways and includes statistics on their effectiveness. Focuses on speed management, roadway departure, intersection, pedestrian/bicycle, and crosscutting safety countermeasures.
Date: 01/2024
Type: Document
Sponsoring organization: Federal Highway Administration
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Rural Economic Development Toolkit
A toolkit designed to assist rural stakeholders with improving their outdoor recreation economies. Focuses on population health, quality of life, resilient businesses and economies, and vibrant outdoor spaces. Includes information on economic development and best practices, networking and collaboration, funding, infrastructure needs, and addressing challenges.
Additional links: Webinar
Date: 01/2024
Type: Document
Sponsoring organization: Outdoor Recreation Roundtable
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A toolkit designed to assist rural stakeholders with improving their outdoor recreation economies. Focuses on population health, quality of life, resilient businesses and economies, and vibrant outdoor spaces. Includes information on economic development and best practices, networking and collaboration, funding, infrastructure needs, and addressing challenges.
Additional links: Webinar
Date: 01/2024
Type: Document
Sponsoring organization: Outdoor Recreation Roundtable
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Michigan's Roadmap to Rural Prosperity
Describes the characteristics, challenges, and significance of Michigan's rural communities, and identifies strategies for building rural prosperity. Presents data on rural and urban demographics and living conditions. Discusses rural health and well-being, workforce, service delivery, housing, infrastructure, economic development, and natural environment.
Date: 01/2024
Type: Document
Sponsoring organization: Michigan Office of Rural Prosperity
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Describes the characteristics, challenges, and significance of Michigan's rural communities, and identifies strategies for building rural prosperity. Presents data on rural and urban demographics and living conditions. Discusses rural health and well-being, workforce, service delivery, housing, infrastructure, economic development, and natural environment.
Date: 01/2024
Type: Document
Sponsoring organization: Michigan Office of Rural Prosperity
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Legislative Action Bridging Public Health and Clinical Healthcare
Discusses legislation that relates to equitable access to healthcare, with a focus on telehealth, infrastructure, safety net services, management of healthcare costs, and the expansion of the healthcare workforce. Includes information on access to emergency departments in rural areas and the Rural Emergency Hospital (REH) designation.
Author(s): Ashley Cram, Brianna Gorman
Date: 01/2024
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Discusses legislation that relates to equitable access to healthcare, with a focus on telehealth, infrastructure, safety net services, management of healthcare costs, and the expansion of the healthcare workforce. Includes information on access to emergency departments in rural areas and the Rural Emergency Hospital (REH) designation.
Author(s): Ashley Cram, Brianna Gorman
Date: 01/2024
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Discretionary Transportation Grants: DOT Should Improve Transparency in the Infrastructure for Rebuilding America Program
Examines the Department of Transportation (DOT)'s processes to solicit, evaluate, and select applications for Infrastructure for Rebuilding America (INFRA) grant awards in fiscal year (FY) 2022, and the extent to which DOT's evaluation and selection processes aligned with federal guidance. Includes information about the Rural Surface Transportation program, which receives INFRA funding, and statistics on number of INFRA grant awards in FYs 2016–2022, with breakdowns by urban and rural areas.
Additional links: Full Report
Date: 01/2024
Type: Document
Sponsoring organization: Government Accountability Office
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Examines the Department of Transportation (DOT)'s processes to solicit, evaluate, and select applications for Infrastructure for Rebuilding America (INFRA) grant awards in fiscal year (FY) 2022, and the extent to which DOT's evaluation and selection processes aligned with federal guidance. Includes information about the Rural Surface Transportation program, which receives INFRA funding, and statistics on number of INFRA grant awards in FYs 2016–2022, with breakdowns by urban and rural areas.
Additional links: Full Report
Date: 01/2024
Type: Document
Sponsoring organization: Government Accountability Office
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NCHS Rapid Surveys System: Round 5 - Positive Childhood Experiences, Attitudes on Childhood Vaccines
Interactive data on positive childhood experiences and attitudes on childhood vaccination from July 2024. Includes tables and charts on support systems, neighborhood infrastructure, social connection, sources of information for childhood vaccines, and vaccine accessibility. Breaks down data by various demographics including urbanicity.
Date: 2024
Type: Chart/Graph
Sponsoring organization: National Center for Health Statistics
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Interactive data on positive childhood experiences and attitudes on childhood vaccination from July 2024. Includes tables and charts on support systems, neighborhood infrastructure, social connection, sources of information for childhood vaccines, and vaccine accessibility. Breaks down data by various demographics including urbanicity.
Date: 2024
Type: Chart/Graph
Sponsoring organization: National Center for Health Statistics
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Toward a Framework to Improve Diversity and Inclusion in Clinical Trials: Proceedings of a Workshop
Summarizes a May 2024 workshop discussing opportunities for increasing racial and ethnic diversity in clinical trials. Report discusses community engagement, data best practices, access to trials in their communities, perspectives of the Centers for Medicare and Medicaid Services (CMS), the National Institutes of Health (NIH), and Food and Drug Administration (FDA), and cross-sector collaborations. Includes information on community-based research, ethics, and relationship building within tribal communities as well as infrastructure challenges in rural clinical trial site selection.
Additional links: Read Online
Author(s): National Cancer Policy Forum
Date: 2024
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summarizes a May 2024 workshop discussing opportunities for increasing racial and ethnic diversity in clinical trials. Report discusses community engagement, data best practices, access to trials in their communities, perspectives of the Centers for Medicare and Medicaid Services (CMS), the National Institutes of Health (NIH), and Food and Drug Administration (FDA), and cross-sector collaborations. Includes information on community-based research, ethics, and relationship building within tribal communities as well as infrastructure challenges in rural clinical trial site selection.
Additional links: Read Online
Author(s): National Cancer Policy Forum
Date: 2024
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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USDA FY 2025 Annual Performance Plan/FY 2023 Annual Performance Report
Reports the U.S. Department of Agriculture's (USDA) performance for fiscal year (FY) 2023, and presents a performance plan for FY 2025. Discusses USDA programs and funding for rural and tribal community development, infrastructure, housing, broadband, nutrition, and more.
Date: 2024
Type: Document
Sponsoring organization: U.S. Department of Agriculture
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Reports the U.S. Department of Agriculture's (USDA) performance for fiscal year (FY) 2023, and presents a performance plan for FY 2025. Discusses USDA programs and funding for rural and tribal community development, infrastructure, housing, broadband, nutrition, and more.
Date: 2024
Type: Document
Sponsoring organization: U.S. Department of Agriculture
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2024 Texas State Flood Plan
Flood plan for Texas, offering policy recommendations, a summary of existing infrastructure and projects, current and projected flood risks, goals of the plan, costs, and challenges, including for rural areas.
Additional links: Appendix B: Ranked Lists of Recommended Flood Risk Reduction Solutions
Author(s): Reem Zoun, Tressa Olsen, Matt Nelson
Date: 2024
Type: Document
Sponsoring organization: Texas Water Development Board
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Flood plan for Texas, offering policy recommendations, a summary of existing infrastructure and projects, current and projected flood risks, goals of the plan, costs, and challenges, including for rural areas.
Additional links: Appendix B: Ranked Lists of Recommended Flood Risk Reduction Solutions
Author(s): Reem Zoun, Tressa Olsen, Matt Nelson
Date: 2024
Type: Document
Sponsoring organization: Texas Water Development Board
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