Rural Health
Resources by Topic: Substance use and misuse
Collaborative Models for Medication-Assisted Treatment: Key Elements of Vermont's Hub-and Spoke System
Describes the collaborative effort of three health-related organizations who partnered to develop and implement a medication assisted therapy (MAT) treatment practice using the hub and spoke model. This system was supported through a Centers for Medicare & Medicaid Services Health Home State Plan amendment for Vermont, a mostly rural state, to modify their current MAT services to increase access to addiction treatment, integrate health and addictions care, improve health outcomes, and promote recovery.
Date: 04/2019
Type: Document
Sponsoring organization: Medicaid Innovation Accelerator Program (IAP)
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Describes the collaborative effort of three health-related organizations who partnered to develop and implement a medication assisted therapy (MAT) treatment practice using the hub and spoke model. This system was supported through a Centers for Medicare & Medicaid Services Health Home State Plan amendment for Vermont, a mostly rural state, to modify their current MAT services to increase access to addiction treatment, integrate health and addictions care, improve health outcomes, and promote recovery.
Date: 04/2019
Type: Document
Sponsoring organization: Medicaid Innovation Accelerator Program (IAP)
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Rural‐Urban Trends in Opioid Overdose Discharges in Missouri Emergency Departments, 2012‐2016
Study of opioid overdose cases treated by Missouri emergency departments from 2012-2016 that compares rural and urban rates. Analyzes billing data from the state's Patient Abstract System (PAS), including population information and type of opiate involved in the overdose over the data period. Discusses the role of non-heroin opioids in overdose rates and implications of observed trends for emergency departments.
Author(s): Whitney Coffey, Andrew Hunter, Evan Mobley, Alana Vivolo-Kantor
Citation: Journal of Rural Health, 36(2), 177-186
Date: 04/2019
Type: Document
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Study of opioid overdose cases treated by Missouri emergency departments from 2012-2016 that compares rural and urban rates. Analyzes billing data from the state's Patient Abstract System (PAS), including population information and type of opiate involved in the overdose over the data period. Discusses the role of non-heroin opioids in overdose rates and implications of observed trends for emergency departments.
Author(s): Whitney Coffey, Andrew Hunter, Evan Mobley, Alana Vivolo-Kantor
Citation: Journal of Rural Health, 36(2), 177-186
Date: 04/2019
Type: Document
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Rural Residence and Poverty Are Independent Risk Factors for Chronic Obstructive Pulmonary Disease in the United States
Uses data from the 2012-2015 National Health Interview Survey to determine whether urban-rural status, poverty, and other individual- or community-level factors are associated with chronic obstructive pulmonary disease (COPD) prevalence in the United States. Compares COPD predictors among current or past smokers and individuals who have never smoked.
Author(s): Sarath Raju, Corinne A. Keet, Laura M. Paulin, et al.
Citation: American Journal of Respiratory and Critical Care Medicine, 199(8), 961-969
Date: 04/2019
Type: Document
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Uses data from the 2012-2015 National Health Interview Survey to determine whether urban-rural status, poverty, and other individual- or community-level factors are associated with chronic obstructive pulmonary disease (COPD) prevalence in the United States. Compares COPD predictors among current or past smokers and individuals who have never smoked.
Author(s): Sarath Raju, Corinne A. Keet, Laura M. Paulin, et al.
Citation: American Journal of Respiratory and Critical Care Medicine, 199(8), 961-969
Date: 04/2019
Type: Document
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Community Pharmacies as Access Points for Addiction Treatment
Investigates the distribution of community pharmacies in rural and urban counties of Wisconsin and the connection it has on county-level opioid-related overdose death rates and the number of treatment facilities.
Author(s): Kevin A. Look, Mercedes Kile, Katie Morgan, Andrew Roberts
Citation: Research in Social & Administrative Pharmacy, 15(4), 404-409
Date: 04/2019
Type: Document
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Investigates the distribution of community pharmacies in rural and urban counties of Wisconsin and the connection it has on county-level opioid-related overdose death rates and the number of treatment facilities.
Author(s): Kevin A. Look, Mercedes Kile, Katie Morgan, Andrew Roberts
Citation: Research in Social & Administrative Pharmacy, 15(4), 404-409
Date: 04/2019
Type: Document
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Buprenorphine Prescribing by Nurse Practitioners, Physician Assistants and Physicians After CARA 2016
Investigates the differences in buprenorphine prescribing patterns among nurse practitioners (NPs), physician assistants (PAs) and physicians in Medicaid following implementation of the Comprehensive Addiction and Recovery Act (CARA) addressing opioid use disorder (OUD). Retail pharmacy claims from July 2017 to June 2018 were analyzed to identify prescriber type, number of patients, payer type, rural and urban differences, and Medicaid trends for FDA-approved buprenorphine drugs for the treatment of OUD.
Author(s): Rekha Varghese, Karin Johnson, Bo Feng, et al.
Date: 04/2019
Type: Document
Sponsoring organizations: IMPAQ International, LLC, Medicaid and CHIP Payment and Access Commission
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Investigates the differences in buprenorphine prescribing patterns among nurse practitioners (NPs), physician assistants (PAs) and physicians in Medicaid following implementation of the Comprehensive Addiction and Recovery Act (CARA) addressing opioid use disorder (OUD). Retail pharmacy claims from July 2017 to June 2018 were analyzed to identify prescriber type, number of patients, payer type, rural and urban differences, and Medicaid trends for FDA-approved buprenorphine drugs for the treatment of OUD.
Author(s): Rekha Varghese, Karin Johnson, Bo Feng, et al.
Date: 04/2019
Type: Document
Sponsoring organizations: IMPAQ International, LLC, Medicaid and CHIP Payment and Access Commission
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Using Rural–Urban Continuum Codes (RUCCS) to Examine Alcohol-Related Motor Vehicle Crash Injury and Enforcement in New York State
Compares rates of alcohol-related motor vehicle accidents in New York State by rural-urban continuum codes (RUCCs). Uses multiple county-level data sources and looks at demographic information, such as age, household income, and RUCC of the location.
Author(s): Joyce C. Pressley, Leah M. Hines, Michael J. Bauer, et al.
Citation: International Journal of Environmental Research and Public Health, 16(8), 1346
Date: 04/2019
Type: Document
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Compares rates of alcohol-related motor vehicle accidents in New York State by rural-urban continuum codes (RUCCs). Uses multiple county-level data sources and looks at demographic information, such as age, household income, and RUCC of the location.
Author(s): Joyce C. Pressley, Leah M. Hines, Michael J. Bauer, et al.
Citation: International Journal of Environmental Research and Public Health, 16(8), 1346
Date: 04/2019
Type: Document
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Opioid Addiction: Meeting the Need for Treatment in Michigan
Analyzes survey data from village, township, city, and county leaders throughout Michigan to identify drug treatment needs across the state. Discusses access issues related to treatment programs that are particularly present in rural areas and information on providing local treatment programs. Offers policy implications and recommendations to improve treatment options.
Author(s): Amy Bohnert, Jennifer Erb-Downward, Thomas Ivacko
Date: 04/2019
Type: Document
Sponsoring organization: Poverty Solutions at the University of Michigan
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Analyzes survey data from village, township, city, and county leaders throughout Michigan to identify drug treatment needs across the state. Discusses access issues related to treatment programs that are particularly present in rural areas and information on providing local treatment programs. Offers policy implications and recommendations to improve treatment options.
Author(s): Amy Bohnert, Jennifer Erb-Downward, Thomas Ivacko
Date: 04/2019
Type: Document
Sponsoring organization: Poverty Solutions at the University of Michigan
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Rural Health Research Recap: State of Rural Women's Healthcare Utilization and Health Indicators
Summarizes rural and urban statistics describing health indicators and healthcare utilization for women, maternal and obstetric healthcare services, and maternal substance use. Includes information regarding barriers to accessing care.
Author(s): Shawnda Schroeder
Date: 04/2019
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Summarizes rural and urban statistics describing health indicators and healthcare utilization for women, maternal and obstetric healthcare services, and maternal substance use. Includes information regarding barriers to accessing care.
Author(s): Shawnda Schroeder
Date: 04/2019
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Examining Cancer Equity in Rural and Tribal Communities
Presents a panel discussion of cancer-related health disparities among rural and tribal communities in North Dakota, South Dakota, and Minnesota. Focuses on the barriers to cancer care in these communities and discusses ways to promote equity and prevention.
Date: 04/2019
Type: Video/Multimedia
Sponsoring organizations: Collaborative Research Center for American Indian Health, SLM Consulting, LLC., South Dakota Public Health Association
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Presents a panel discussion of cancer-related health disparities among rural and tribal communities in North Dakota, South Dakota, and Minnesota. Focuses on the barriers to cancer care in these communities and discusses ways to promote equity and prevention.
Date: 04/2019
Type: Video/Multimedia
Sponsoring organizations: Collaborative Research Center for American Indian Health, SLM Consulting, LLC., South Dakota Public Health Association
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Health Disparities Related to Smoking in Appalachia: Practical Strategies and Recommendations for Communities
Offers statistics on smoking in rural Appalachian communities. Highlights strategies and resources to reduce tobacco use. Covers recommendations to assist policymakers, funders, and leaders working to reduce health disparities related to smoking and tobacco use.
Author(s): Kate Beatty, Nathan Hale, Michael Meit, et al.
Date: 04/2019
Type: Document
Sponsoring organization: Appalachian Regional Commission
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Offers statistics on smoking in rural Appalachian communities. Highlights strategies and resources to reduce tobacco use. Covers recommendations to assist policymakers, funders, and leaders working to reduce health disparities related to smoking and tobacco use.
Author(s): Kate Beatty, Nathan Hale, Michael Meit, et al.
Date: 04/2019
Type: Document
Sponsoring organization: Appalachian Regional Commission
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