Rural Health
Resources by Topic: Specialty care
Rural Health Safety Net Under Renewed Pressure as Pandemic Fades
Examines financial and operational metrics for rural hospitals, comparing hospitals in states that did and did not expand Medicaid, as well as the discontinuation of obstetrics and chemotherapy services. Discusses how the Rural Emergency Hospital (REH) designation can provide a path forward for some rural facilities and explores seven characteristics that may have the greatest impact on a facility's consideration to convert to an REH.
Date: 02/2023
Type: Document
Sponsoring organization: Chartis Center for Rural Health
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Examines financial and operational metrics for rural hospitals, comparing hospitals in states that did and did not expand Medicaid, as well as the discontinuation of obstetrics and chemotherapy services. Discusses how the Rural Emergency Hospital (REH) designation can provide a path forward for some rural facilities and explores seven characteristics that may have the greatest impact on a facility's consideration to convert to an REH.
Date: 02/2023
Type: Document
Sponsoring organization: Chartis Center for Rural Health
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Perceived Benefits of Geriatric Specialty Telemedicine among Rural Patients and Caregivers
Explores the perceived benefits of a Veterans Health Administration (VHA) geriatric specialty telemedicine service (GRECC Connect), which connects geriatric interdisciplinary teams in urban areas with older veterans in rural areas through videoconferencing platforms. Summarizes results of interviews 30 rural older adults enrolled in the VHA and their caregivers about the content and quality of their GRECC Connect visits.
Author(s): Eileen M. Dryden, Meaghan A. Kennedy, Jennifer Conti, et al.
Citation: Health Services Research, 58(Suppl 1), 26-35
Date: 02/2023
Type: Document
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Explores the perceived benefits of a Veterans Health Administration (VHA) geriatric specialty telemedicine service (GRECC Connect), which connects geriatric interdisciplinary teams in urban areas with older veterans in rural areas through videoconferencing platforms. Summarizes results of interviews 30 rural older adults enrolled in the VHA and their caregivers about the content and quality of their GRECC Connect visits.
Author(s): Eileen M. Dryden, Meaghan A. Kennedy, Jennifer Conti, et al.
Citation: Health Services Research, 58(Suppl 1), 26-35
Date: 02/2023
Type: Document
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Radiotherapy Deserts: The Impact of Race, Poverty, and the Rural-Urban Continuum on Density of Providers and the Use of Radiation Therapy in the US
Investigates the prevalence of radiotherapy deserts for prostate cancer (PC) and invasive breast cancer (BC) at the county level in the United States. Analyzes physicians to persons at risk (PPR) and use to persons at risk (UPR) according to gender, race/ethnicity, poverty level, and metro versus non-metro county. Includes U.S. maps depicting death and incidence rate hot zones, high PPR density, high UPR density, and more.
Author(s): Anna W. LaVigne, Theodore L. DeWeese, Jean L. Wright, et al.
Citation: International Journal of Radiation Oncology, 116(1), 17-27
Date: 01/2023
Type: Document
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Investigates the prevalence of radiotherapy deserts for prostate cancer (PC) and invasive breast cancer (BC) at the county level in the United States. Analyzes physicians to persons at risk (PPR) and use to persons at risk (UPR) according to gender, race/ethnicity, poverty level, and metro versus non-metro county. Includes U.S. maps depicting death and incidence rate hot zones, high PPR density, high UPR density, and more.
Author(s): Anna W. LaVigne, Theodore L. DeWeese, Jean L. Wright, et al.
Citation: International Journal of Radiation Oncology, 116(1), 17-27
Date: 01/2023
Type: Document
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Over the Hills and Through the Hollers: How One Program is Assisting Residents of Appalachia with Opioid Use Recovery
Results of a study evaluating the Kentucky Access to Recovery Program (KATR), which provides services to low-income adults recovering from opioid addiction in several rural eastern Kentucky counties. Examines the impact of KATR on service recipients' access to recovery services and supports.
Author(s): Aubrey E. Jones, Jayme E. Walters, Aaron R. Brown
Citation: Journal of Appalachian Health, 4(3), 71-86
Date: 01/2023
Type: Document
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Results of a study evaluating the Kentucky Access to Recovery Program (KATR), which provides services to low-income adults recovering from opioid addiction in several rural eastern Kentucky counties. Examines the impact of KATR on service recipients' access to recovery services and supports.
Author(s): Aubrey E. Jones, Jayme E. Walters, Aaron R. Brown
Citation: Journal of Appalachian Health, 4(3), 71-86
Date: 01/2023
Type: Document
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Pre-Pandemic Geographic Access to Hospital-Based Telehealth for Cancer Care in the United States
Explores the availability of telehealth and oncology services across geographic and sociodemographic domains before the start of the COVID-19 pandemic. Utilizes 2019 and 2020 data sources to examine hospital characteristics by telehealth and oncology services, with information on hospital ownership, number of hospital beds, Health Professional Shortage Area (HPSA) status, presence of Rural Health Clinic (RHC) co-located at hospital, and more. Includes availability of telehealth, oncology, and hospital services broken down by county; HPSA status; income, average age, and race/ethnicity of residents; ratio of population to primary care physicians; rural noncore, rural micropolitan, or urban status; and more.
Author(s): David I. Shalowitz, Peiyin Hung, Whitney E. Zahnd, Jan Eberth
Citation: PLoS One, 18(1)
Date: 01/2023
Type: Document
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Explores the availability of telehealth and oncology services across geographic and sociodemographic domains before the start of the COVID-19 pandemic. Utilizes 2019 and 2020 data sources to examine hospital characteristics by telehealth and oncology services, with information on hospital ownership, number of hospital beds, Health Professional Shortage Area (HPSA) status, presence of Rural Health Clinic (RHC) co-located at hospital, and more. Includes availability of telehealth, oncology, and hospital services broken down by county; HPSA status; income, average age, and race/ethnicity of residents; ratio of population to primary care physicians; rural noncore, rural micropolitan, or urban status; and more.
Author(s): David I. Shalowitz, Peiyin Hung, Whitney E. Zahnd, Jan Eberth
Citation: PLoS One, 18(1)
Date: 01/2023
Type: Document
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Geographic Access to Pediatric Cancer Care in the US
Examines estimated travel time for various populations to access pediatric cancer care in the United States. Analyzes data from more than 90 million children and adolescents and young adults (AYAs) extracted from 2015-2019 American Community Survey 5-year estimates. Includes demographic breakdowns of median travel time by race/ethnicity, age, health insurance status, area deprivation index (ADI), U.S. region, and urban, large town, small town, or rural location. Provides maps that show travel time from population centroids of U.S. ZIP code tabulation areas as well as per capita pediatric oncologist supply by Census division and state.
Author(s): Xiaohui Liu, Mark N. Fluchel, Anne C. Kirchhoff, Haojie Zhu, Tracy Onega
Citation: JAMA Network Open, 6(1), e2251524
Date: 01/2023
Type: Document
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Examines estimated travel time for various populations to access pediatric cancer care in the United States. Analyzes data from more than 90 million children and adolescents and young adults (AYAs) extracted from 2015-2019 American Community Survey 5-year estimates. Includes demographic breakdowns of median travel time by race/ethnicity, age, health insurance status, area deprivation index (ADI), U.S. region, and urban, large town, small town, or rural location. Provides maps that show travel time from population centroids of U.S. ZIP code tabulation areas as well as per capita pediatric oncologist supply by Census division and state.
Author(s): Xiaohui Liu, Mark N. Fluchel, Anne C. Kirchhoff, Haojie Zhu, Tracy Onega
Citation: JAMA Network Open, 6(1), e2251524
Date: 01/2023
Type: Document
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Hawai'i Physician Workforce Report 2023
Examines supply and demand of the physician workforce in Hawaii. Includes data about supply per year and by medical specialty, shortages by county, future trends, and solutions to invest in the workforce pipeline.
Date: 2023
Type: Document
Sponsoring organization: Hawaii and Pacific Basin Area Health Education Centers
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Examines supply and demand of the physician workforce in Hawaii. Includes data about supply per year and by medical specialty, shortages by county, future trends, and solutions to invest in the workforce pipeline.
Date: 2023
Type: Document
Sponsoring organization: Hawaii and Pacific Basin Area Health Education Centers
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The Future Pediatric Subspecialty Physician Workforce: Meeting the Needs of Infants, Children, and Adolescents
Reports on barriers to increasing the pediatric subspecialist workforce and discusses the impact on research to improve health outcomes for children. Discusses access to care, education of the workforce, reimbursement rates, and more. Highlights rural specific challenges throughout.
Additional links: Read Online
Author(s): Board on Children, Youth, and Families
Date: 2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Reports on barriers to increasing the pediatric subspecialist workforce and discusses the impact on research to improve health outcomes for children. Discusses access to care, education of the workforce, reimbursement rates, and more. Highlights rural specific challenges throughout.
Additional links: Read Online
Author(s): Board on Children, Youth, and Families
Date: 2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Rural Communities in the United States Face Persistent Disparities in Access to Orthopaedic Surgical Care
Examines trends in the proportion of orthopedic surgeons practicing in rural areas between 2013 to 2018 using data from the Centers for Medicare & Medicaid Services (CMS) Physician Compare National Downloadable File (PC-NDF). Identifies the proportion of rural U.S. counties with access to orthopedic surgeons. Describes the characteristics associated with surgeons practicing in a rural setting.
Author(s): Victoria S. Wu, Jenna E. Schmidt, Tarun K. Jella, et al.
Citation: The Iowa Orthopaedic Journal, 431(1), 15-21
Date: 2023
Type: Document
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Examines trends in the proportion of orthopedic surgeons practicing in rural areas between 2013 to 2018 using data from the Centers for Medicare & Medicaid Services (CMS) Physician Compare National Downloadable File (PC-NDF). Identifies the proportion of rural U.S. counties with access to orthopedic surgeons. Describes the characteristics associated with surgeons practicing in a rural setting.
Author(s): Victoria S. Wu, Jenna E. Schmidt, Tarun K. Jella, et al.
Citation: The Iowa Orthopaedic Journal, 431(1), 15-21
Date: 2023
Type: Document
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Disparities in Access to Radiation Therapy by Race and Ethnicity in the United States With Focus on American Indian/Alaska Native People
Explores access to radiation therapy American Indian and Alaska Native people across the U.S. Explores travel distances to receive radiation therapy for AI/AN majority and non-AI/AN majority groups. Breaks down data by Indian Health Service region.
Author(s): Solmaz Amiri, Matthew D. Greer, Clemma J. Muller, et al.
Citation: Value in Health, 25(12), 1929-1938
Date: 12/2022
Type: Document
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Explores access to radiation therapy American Indian and Alaska Native people across the U.S. Explores travel distances to receive radiation therapy for AI/AN majority and non-AI/AN majority groups. Breaks down data by Indian Health Service region.
Author(s): Solmaz Amiri, Matthew D. Greer, Clemma J. Muller, et al.
Citation: Value in Health, 25(12), 1929-1938
Date: 12/2022
Type: Document
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