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Rural Health
Resources by Topic: Scope of practice

Improving Rural Health: State Policy Options for Increasing Access to Care
Discusses strategies from state legislatures and other stakeholders to increase access to healthcare in rural areas. Focuses on policies and policy options for state legislatures in three areas: improving health insurance coverage, safeguarding rural health facilities, and changing rural healthcare delivery. Features examples from Colorado, Georgia, Pennsylvania, and Wisconsin.
Author(s): Jack Pitsor
Date: 06/2020
Type: Document
Sponsoring organization: National Conference of State Legislatures
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Scope of Practice for Extension Agents Delivering Health Programs
Outlines procedures and processes useful when recruiting, hiring, training, and evaluating extension agents and their activities in health program delivery to low-resource and rural communities. Describes South Carolina's Rural Health and Nutrition Extension Program.
Author(s): Michelle Parisi
Date: 04/2020
Type: Document
Sponsoring organization: Clemson Cooperative Extension
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The Respiratory Therapist Workforce in the U.S.: Supply, Distribution, Education Pathways, and State Responses to Emergency Surges in Demand
An overview of the respiratory therapist workforce across the U.S. including their practice scope and settings, supply and distribution, education and credentialing, and work force capacity with an additional focus on the emergency related concerns of COVID-19.
Author(s): Susan M Skillman, Bianca K Frogner, Arati Dahal, Benjamin A Stubbs, Grace Guenther
Date: 04/2020
Type: Document
Sponsoring organization: UW Center for Health Workforce Studies
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The Behavioral Health Workforce in Rural America: Developing a National Recruitment Strategy
Describes successful strategies to recruit and retain behavioral health workers in rural areas, based on phone interviews with state-level experts in rural health and behavioral health. Explores financial incentives, education and training programs, telehealth, licensure or scope of practice changes, innovative state approaches, and policy considerations.
Author(s): Nancy Baum, Jaque King
Date: 02/2020
Type: Document
Sponsoring organization: Center for Health and Research Transformation
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Health Disparities in Rural America: Current Challenges and Future Solutions
Describes health risks experienced by rural people and the problems they face in accessing healthcare in shortage areas, and offers possible solutions. Includes a map showing Primary Care Health Professional Shortage Areas by county, and a list of states allowing full practice authority for nurse practitioners as of 2019.
Author(s): Theresa Capriotti, Tiffany Pearson, Lillian Dufour
Date: 02/2020
Type: Document
Sponsoring organization: Clinical Advisor
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Promoting Maternal Health in Rural and Underserved Areas
Examines reasons for the rural obstetrical care crisis and discusses how public policy and technological innovation can improve healthcare quality and access in rural America. Includes sections on scope-of-practice restrictions and policy barriers to telemedicine's broad implementation.
Author(s): Darcy Nikol Bryan
Date: 10/2019
Type: Document
Sponsoring organization: Mercatus Center, George Mason University
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California's Midwives: How Scope of Practice Laws Impact Care
Compares the scope of practice, professional licensures, regulatory systems, and educational requirements for licensed midwives (LMs) and nurse-midwives (NMs) in California. Appendix provides per capita distribution data for midwives by county within the state.
Author(s): Connie Kwong, Margot Brooks, Kim Q. Dau, Joanne Spetz
Date: 10/2019
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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Enhancing Career Paths for Tomorrow's Radiation Oncologists
Presents several alternative or additional career paths for radiation oncologists. Details global health, radiation epidemiology, and frontier medicine among other paths.
Author(s): Neha Vapiwala, Charles R. Thomas, Jr, Surbhi Grover, et al.
Citation: International Journal of Radiation Oncology, Biology, and Physics, 105(1), 52-63
Date: 09/2019
Type: Document
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Minnesota's Dental Therapist Workforce, 2019
Provides an overview of the dental therapist workforce in Minnesota, including the history of the profession in the state, educational programs, scope of practice, and licensing requirements. Reports results of a March 2019 survey of the state's dental therapist workforce, with data on demographics, education, employment, work settings, and geographic distribution. Includes data on work location by level of rurality.
Date: 09/2019
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Rural America Has a Maternal Mortality Problem. Midwives Might Help Solve It.
Highlights the role of certified professional midwives in providing access to maternal and newborn care using an example from an Amish area of Tennessee. Discusses differences in state policies and integration with local health systems. Includes a map identifying maternal mortality rates by state.
Author(s): April Simpson
Date: 08/2019
Type: Document
Sponsoring organization: Pew Charitable Trusts
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