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Rural Health
Resources by Topic: Social determinants of health

2020 Public Health Ethics Forum: Ethical Dilemmas in Rural Health
Recorded webinars from the 2020 Public Health Ethics Forum focused on the theme: Ethical Dilemmas in Rural Health. Focuses on the impacts of the COVID-19 pandemic, ethics related to barriers and access to rural healthcare services, physical determinants of health and environmental justice, and achieving health equity in rural areas. Transcript available below description.
Additional links: Forum Part 2, Forum Part 3
Date: 09/2020
Type: Video/Multimedia
Sponsoring organization: Centers for Disease Control and Prevention
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Coordination of Services for People With Serious Mental Illness and General Medical Conditions: Perspectives From Rural Northeastern United States
Highlights a study on healthcare providers' perspectives on the coordination of mental and physical healthcare and social services for rural patients with physical and mental conditions. Breaks down survey responses by coordination level and theme.
Author(s): Marianne Storm, Karen L. Fortuna, Emily A. Gill, et al.
Citation: Psychiatric Rehabilitation Journal, 43(3), 234-243
Date: 09/2020
Type: Document
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The State of Rural Public Health: Enduring Needs in a New Decade
Examines changes in rural/urban disparities over a 40-year period, including differences in life expectancy, social determinants of health, challenges facing local health departments (LHDs), and more. Discusses factors contributing to disparities and provides recommendations to support LHDs and improve public health in rural communities. Supplement contains figures depicting county-level data on life expectancy at birth as well as rural/urban differences in spending at LHDs and transfers to local governments.
Additional links: Supplement
Author(s): Jonathon Leider, Michael Meit, J. Mac McCullough, et al.
Citation: American Journal of Public Health, 110(9), 1283-1290
Date: 09/2020
Type: Document
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Health Policy Brief: Adverse Childhood Experiences (ACEs) Health Impact of ACEs in Ohio
Examines the impact of adverse childhood experiences (ACEs) on health and wellbeing of Ohio residents and provides a state map that examines ACE prevalence by region. Includes discussions about the potential adverse consequences of ACEs as well as the percentage of residents who have experienced multiple ACEs, broken down by urban, suburban, Appalachian, non-Appalachian, and rural county.
Date: 08/2020
Type: Document
Sponsoring organization: Health Policy Institute of Ohio
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Introducing the Social Determinants of Health in Rural Communities Toolkit
Webinar recording presents the Social Determinants of Health in Rural Communities Toolkit. Discusses strategies, models, and lessons learned for addressing social determinants of health in rural communities. Features presentations from representatives of NORC Walsh Center for Rural Health Analysis, CASA of Oregon, and the Community Outreach and Patient Empowerment Program.
Additional links: Audio Recording, PowerPoint Handout
Date: 08/2020
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Investing in Rural Communities to Achieve Health Equity
Brief describing how The Two Georgias Initiative supported communities in their efforts to address the growing health and healthcare disparities occurring in rural areas of Georgia. Discusses the collective efforts of 11 organizations representing rural communities to establish a community health coalition and a community health improvement plan that includes representation of those most impacted by health inequities. Encourages grantmaking organizations to create funding opportunities that address health equity issues in rural areas.
Author(s): Lisa Medellin, Samantha Bourque Tucker
Date: 07/2020
Type: Document
Sponsoring organization: Grantmakers in Health
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The Improved Health Outcomes Program (iHOP): A Unique Model to Promote Provider-Driven Research in a Medicaid Population
Describes the iHOP program, a grant-funded partnership between a Medicaid managed care insurer, the University of Louisville, and healthcare providers in Kentucky. The program operated from 2007-2018 and was designed to address the healthcare needs of Medicaid and uninsured populations across the state. Includes information on specific project initiatives, including those focused on special populations such as refugees, Latinos, and rural individuals.
Author(s): Tara J. Schapmire, Jill Bell, Mark. P. Pfeifer
Citation: International Journal of Environmental Research and Public Health, 17(14), 5079
Date: 07/2020
Type: Document
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The Role of Public Health in COVID-19 Emergency Response Efforts From a Rural Health Perspective
Examines the difficulties rural communities face in responding to the COVID-19 pandemic, especially in the southeastern region of the U.S. Discusses the COVID-19 Community Vulnerability Index, a tool that analyzes epidemiological factors, socioeconomic status, and other indicators to determine which communities are at an increased risk of COVID-19.
Author(s): Sandra Melvin, Corey Wiggins, Nakeitra Burse, Erica Thompson, Mauda Monger
Citation: Preventing Chronic Disease, 17
Date: 07/2020
Type: Document
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Rural Matters - Coronavirus and the Navajo Nation
Presents a first-hand account of the effects of the COVID-19 pandemic in the Navajo Nation. Discusses the social and environmental factors that contribute to the spread of the virus.
Author(s): Heather Kovich
Citation: New England Journal of Medicine, 383, 105-107
Date: 07/2020
Type: Document
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Left Out: Barriers to Health Equity for Rural and Underserved Communities
Summarizes responses to a Request for Information from the U.S. House Ways and Means Committee's Rural and Underserved Communities Health Task Force. Describes factors contributing to healthcare challenges in rural areas, including demographics, social and structural determinants of health, insurance coverage, access to care, and workforce shortages. Highlights promising models of healthcare delivery in rural areas. Includes state-by-state health equity maps.
Additional links: State and Territory Health Equity Maps, Summary
Date: 07/2020
Type: Document
Sponsoring organization: House Ways and Means Committee
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