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Rural Health
Resources by Type: Document

Trends and Geographic Patterns in Drug-Poisoning Death Rates in the U.S., 1999–2009
Utilizes small-area estimation techniques to approximate county-level age-adjusted death rates (AADR) associated with drug poisoning in the U.S. to explore geographic and temporal variations. Includes AADR data by annual change, rural versus urban location, and region of the U.S.
Author(s): Lauren M. Rossen, Diba Khan, Margaret Warner
Citation: American Journal of Preventive Medicine, 45(6), e19-e25
Date: 12/2013
Type: Document
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A Cost Analysis of a Community Health Worker Program in Rural Vermont
Examines the cost and effectiveness of a hospital affiliated community health program staffed by 3 community health workers in rural Vermont. Cost data was compiled from 2 categories that included the personnel involved and operational costs from 2010 to 2011.
Author(s): Alberta M. Mirambeau, Guijing Wang, Laural Ruggles, Diane O. Dunet
Citation: Journal of Community Health, 38(6), 1050–1057
Date: 12/2013
Type: Document
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Risk, Reward, and the Double-Edged Sword: Perspectives on Pharmacogenetic Research and Clinical Testing Among Alaska Native People
Examines the relationship between native populations in rural Alaska and the use of ethnically specific research regarding prescription drug effectiveness. Provides responses from Alaskan Natives concerning the use of data collected and recommendations for the role of tribal leadership in the advancement of pharmacogenetics.
Author(s): Jennifer L. Shaw, Renee Robinson, Helene Starks, Wylie Burke, Denise A. Dillard
Citation: American Journal of Public Health, 103(12), 2220-2225
Date: 12/2013
Type: Document
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Research Ethics and Indigenous Communities
Discusses a model intertribal institutional review board (Intertribal IRB) in the Rocky Mountain/Great Plains area and their attention to the appreciation and respect of American Indian/Alaskan Native knowledge when conducting research studies. Includes questions to ask, steps to follow, and protocols to use when creating an Intertribal IRB.
Author(s): Allyson Kelley, Annie Belcourt-Dittloff, Cheryl Belcourt, Gordon Belcourt
Citation: American Journal of Public Health, 103(1), 19-27103(12), 2146-2152
Date: 12/2013
Type: Document
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Impact of Rural Residence and Health System Structure on Quality of Liver Care
A study of Veterans Health Administration (VHA) patients with Hepatitis C (HCV) to ascertain the extent that rural residency can impact access to HCV specialists and quality of liver care.
Author(s): Catherine Rongey, Hui Shen, Nathan Hamilton, et al.
Citation: PLoS One, 8(12)
Date: 12/2013
Type: Document
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The Evolution, Expansion, and Effectiveness of Community Health Workers
Reviews the development of Community Health Worker roles, accomplishments, and future contributions in rural and urban settings. Discusses the education and training of CHWs, and includes a detailed table of their activities in promoting prevention and well-being.
Author(s): Randall R. Bovbjerg, Lauren Eyster, Barbara A. Ormond, Theresa Anderson, Elizabeth Richardson
Date: 12/2013
Type: Document
Sponsoring organization: Urban Institute
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Promising Approaches to Integrating Community Health Workers into Health Systems: Four Case Studies
Identifies the scope of practice, supervision, financing, and the workforce standards implemented by states and employers in the development of community health worker (CHW) programs. Four case studies that include rural counties illustrate the challenges and opportunities for integrating CHWs into health systems.
Author(s): Lauren Eyster, Randall R. Bovbjerg
Date: 12/2013
Type: Document
Sponsoring organization: Urban Institute
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Summary Health Statistics for the U.S. Population: National Health Interview Survey, 2012
Summarizes data from a national survey on topics that include health status, health insurance coverage, injury, healthcare access and utilization, and limitations in activities. Includes some data by place of residence for large metropolitan statistical areas (MSAs), small MSAs, and nonmetro (not in an MSA) areas.
Date: 12/2013
Type: Document
Sponsoring organization: National Center for Health Statistics
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Long-Term Care Services in the United States: 2013 Overview
Presents descriptive results from the first findings of the National Study of Long-Term Care Providers (NSLTCP). Provides information on the supply, staffing, and services offered by providers of long-term care services; and the demographic, health, and users of these services. Figure 2 shows the distribution of providers among metropolitan, micropolitan, and non-metro areas by type of service: adult day services, home health, hospice, nursing home, and residential care community.
Author(s): Lauren Harris-Kojetin, Manisha Sengupta, Eunice Park-Lee, Roberto Valverde
Date: 12/2013
Type: Document
Sponsoring organization: National Center for Health Statistics
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Indian Health Service: Opportunities May Exist to Improve the Contract Health Services Program
Examines the challenges involved with timely payments from the Indian Health Service's (IHS) Contract Health Services Program for the care of American Indians and Alaska Natives. Covers IHS's performance measures and other factors that impact the length of time between the provision of healthcare services and IHS Contract Health Services Program reimbursements to providers.
Additional links: Full Report
Date: 12/2013
Type: Document
Sponsoring organization: Government Accountability Office
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