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Rural Health
Resources by Topic: Prescription drug misuse

The Role of Primary Care in Improving Access to Medication-Assisted Treatment for Rural Medicaid Enrollees with Opioid Use Disorder
Examines the utilization of primary care among rural Medicaid enrollees in rural Pennsylvania diagnosed with an opioid use disorder (OUD). Describes the relationship between primary care utilization, distance to a medication-assisted treatment (MAT) prescriber, and MAT utilization.
Author(s): Evan S. Cole, Ellen DiDomenico, Gerald Cochran, et al.
Citation: Journal of General Internal Medicine, 34(6), 936-943
Date: 06/2019
Type: Document
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Determining Spatial Access to Opioid Use Disorder Treatment and Emergency Medical Services in New Hampshire
Highlights a study on the effect of geospatial determinants on access to opioid use disorder treatment and emergency medical services in New Hampshire. Breaks down data by metropolitan, micropolitan, small town, and rural communities.
Author(s): Yanjia Cao, Kathleen Stewart, Eric Wish, et al.
Citation: Journal of Substance Abuse Treatment, 101, 55-66
Date: 06/2019
Type: Document
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Pain in the Nation: Building a National Resilience Strategy: Alcohol and Drug Misuse and Suicide and the Millennial Generation - a Devastating Impact
Report highlights the rates of alcohol and drug misuse and suicide among the millennial generation (people in their 20s and 30s). Discusses the role of the opioid crisis in the increases in "deaths of despair" among millennials. Chart on page 6 compares rates in rural and metro areas.
Date: 06/2019
Type: Document
Sponsoring organizations: Trust for America's Health, Well Being Trust
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Location of Medication-Assisted Treatment for Opioid Addiction: In Brief
Examines the location of providers who offer medication-assisted treatment (MAT) for opioid use disorder based on the location of providers with Drug Addiction Treatment Act (DATA) waivers and federally certified opioid treatment programs. Includes maps showing the location of both by county. Addresses the number of rural counties with no providers and policy options for rural access to MAT.
Date: 06/2019
Type: Document
Sponsoring organization: Congressional Research Service
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Characteristics of US Counties With High Opioid Overdose Mortality and Low Capacity to Deliver Medications for Opioid Use Disorder
Highlights a study on opioid overdose mortality in U.S. counties that lack the capacity to treat opioid use disorder. Breaks down counties by patient demographic and geographic region, as well as by rural, metropolitan, and micropolitan status.
Author(s): Rebecca L. Haffajee, Lewei Allison Lin, Amy S. B. Bohnert, Jason E. Goldstick
Citation: JAMA Network Open, 2(6)
Date: 06/2019
Type: Document
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How the Federal Government Supports State and Local Efforts to Improve Rural Health: A Q&A with Tom Morris
Provides a Q&A with Tom Morris, associate administrator of rural health policy at the Health Resources and Services Administration (HRSA). Focuses on how government agencies are addressing rural hospital closures, population health, rural workforce development, and the opioid epidemic.
Date: 06/2019
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Binge Drinking and Prescription Opioid Misuse in the U.S., 2012-2014
Explores the relationship between binge drinking and opioid misuse. Analyzes data from the 2012-2014 National Survey on Drug Use and Health and presents data by age, race, and rural versus urban status, among other measures.
Author(s): Marissa B. Esser, Gery P. Guy Jr., Kun Zhang, et al.
Citation: American Journal of Preventive Medicine
Date: 06/2019
Type: Document
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Regional and Rural–Urban Variation in Opioid Prescribing in the Veterans Health Administration
Examines geographic variation in opioid prescribing patterns at Veterans Health Administration (VHA) facilities, including by region and for rural and urban veterans. Addresses opioids prescribed per capita, prescription incidence, length of use, and prevalence of use. Includes a chart showing rural/urban per capita prescriptions over time.
Author(s): Brian C. Lund, Michael E. Ohl, Katherine Hadlandsmyth, Hilary J. Mosher
Citation: Military Medicine
Date: 05/2019
Type: Document
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Understanding the Public Health Consequences of Suspending a Rural Syringe Services Program: A Qualitative Study of the Experiences of People Who Inject Drugs
Details a study on the public health outcomes associated with discontinuing syringe services programs (SSPs) in rural areas where people who inject drugs (PWIDs) are prevalent. Focuses on the Kanawha-Charleston Health Department in West Virginia.
Author(s): Sean T. Allen, Suzanne M. Grieb, Allison O'Rourke, et al.
Citation: Harm Reduction Journal, 16
Date: 05/2019
Type: Document
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Briefing - Expanding the Role of Nurse Practitioners
Webinar recording and slides on expanding the role of nurse practitioners, focusing on models from Nevada, Colorado, and New Mexico, and what California can learn from them. Includes information on nurse practitioners providing care in rural and frontier areas, as well as what they are doing to help combat the opioid epidemic.
Date: 05/2019
Type: Video/Multimedia
Sponsoring organization: California Health Care Foundation
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