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Rural Health
Resources by Topic: Transportation

Livable Communities: Transit Services and Infrastructure that Promote Livability
Discusses the characteristics of a livable community, offers examples to improve transportation services, and suggests ways to implement a successful livability initiative in rural contexts.
Date: 11/2021
Type: Document
Sponsoring organization: National Rural Transit Assistance Program
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Barriers to Aging in Place in Rural Communities: Perspectives from State Offices of Rural Health
Summarizes findings from a survey of State Offices of Rural Health (SORHs) describing barriers for older adults in successfully aging in place in rural communities, including transportation, access to care, workforce issues, and cost of care. Presents respondents' policy and programmatic recommendations that would be beneficial for supporting older adults aging in place in rural areas.
Author(s): Megan Lahr, Carrie Henning-Smith
Date: 11/2021
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Out of the Shadows: Reducing the Rural Impact of Epilepsy
Provides an overview of epilepsy in rural areas, including the impact that driving restrictions can have on rural people with epilepsy. Discusses rural management approaches, including self-management programs, Seizure First Aid, and Seizure Safe Schools.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Going to the Doctor: Rideshare as Nonemergency Medical Transportation
Discusses the role of rideshare-based non-emergency medical transportation (RB-NEMT) in serving the transportation needs across the country, including in rural areas. Details the different types of RB-NEMT services, such as door-to-door, curb-to-curb, hand-to-hand, and area-to-area. Breaks down the different groups that benefit from RB-NEMT by transportation limitations, age, and insurance type, among other factors. Discusses RB-NEMT's efficacy for rural areas, medical and logistical barriers, and makes policy recommendations.
Date: 10/2021
Type: Document
Sponsoring organization: RAND Corporation
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ADA Toolkit
Provides information and resources for local and rural transit managers. Identifies requirements under ADA regulations based on the type of transit service and best practices. Includes information on considerations for riders with disabilities related to COVID-19.
Date: 10/2021
Type: Website
Sponsoring organization: National Rural Transit Assistance Program
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NADTC Best Practices Compendium
Highlights innovative programs, best practices, and lessons learned by 16 programs funded by the National Aging and Disability Transportation Center (NADTC) between 2017-2019. Identifies common themes across the programs that serve as key considerations for communities that want to expand accessible transportation options for older adults and people with disabilities. Includes a section focused on rural transportation programs.
Date: 09/2021
Type: Document
Sponsoring organization: National Aging and Disability Transportation Center
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Air Ambulance Use and Surprise Billing
Provides an overview of air ambulance services, including the types and number of air ambulance providers and suppliers, utilization rates by patients, average costs, and the potential for balance billing for air ambulance transport. Summarizes key policies and legislation related to air ambulances, including the No Surprises Act. Presents data on air ambulance utilization by rurality between 2014-2018.
Author(s): Gina Turrini, Joel Ruhter, Andre R. Chappel, Nancy De Lew
Date: 09/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Disparities in Emergency Medical Services Time Intervals for Patients with Suspected Acute Coronary Syndrome: Findings from the North Carolina Prehospital Medical Information System
Study of EMS response, scene, and transport times for suspected acute coronary syndrome (ACS) patients in North Carolina using North Carolina Prehospital Medical Information System data from 2011 to 2017. Examines patient demographics, including age, sex, race, and ethnicity, and breaks down response, scene, and transport times by urban, suburban, and rural location.
Author(s): Eric R. Cui, Antonio R. Fernandez, Jessica K. Zegre-Hemsey, et al.
Citation: Journal of the American Heart Association, 10(15), e019305
Date: 08/2021
Type: Document
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2020 Transportation Trends
Identifies trends and issues affecting the availability of accessible transportation for older adults and people with disabilities. Includes examples of programs underway in rural areas to address transportation needs.
Date: 07/2021
Type: Document
Sponsoring organization: National Aging and Disability Transportation Center
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Rural-Urban Variations in Travel Burdens for Care: Findings from the 2017 National Household Travel Survey
Provides estimates of the distance traveled and time spent on one-way trips for medical and dental care, examines how rural residents' travel behaviors vary by sociodemographic and geographic characteristics, and evaluates factors associated with a high travel burden for medical and dental care among rural residents. Features statistics with breakdowns by time and distance traveled, age, sex, race/ethnicity, household income, and rural or urban residence.
Additional links: Executive Summary
Author(s): Marvellous Akinlotan, Kristin Primm, Nima Khodakarami, Jane Bolin, Alva O. Ferdinand
Date: 07/2021
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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