Rural Health
Resources by Type: Document
Tribally-Led Mobile Outreach: Improving Access to Harm Reduction Services in One Rural Reservation Community
Presents a study on the efficacy of a tribally-run mobile outreach service to deliver opioid harm reduction information and services. Breaks down type of services offered, the organizational reach, and population served.
Author(s): Allyson Kelley, Kellie Webb, Katherine Hirchak, et al.
Citation: Frontiers in Public Health, 12, 1383729
Date: 05/2024
Type: Document
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Presents a study on the efficacy of a tribally-run mobile outreach service to deliver opioid harm reduction information and services. Breaks down type of services offered, the organizational reach, and population served.
Author(s): Allyson Kelley, Kellie Webb, Katherine Hirchak, et al.
Citation: Frontiers in Public Health, 12, 1383729
Date: 05/2024
Type: Document
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The Implications of Using Maternity Care Deserts to Measure Progress in Access to Obstetric Care: A Mixed-Integer Optimization Analysis
Compares geographic access to critical care obstetric (CCO) services in Georgia via a county-level maternal care desert model versus a model of census blocks further than 50 miles from CCO services. Uses each model to estimate how expansion of facilities would affect access to care, and also to estimate race and ethnicity, insurance status, age, and poverty rate of reproductive-aged women with limited access to care using 2017 American Community Survey data.
Author(s): Meghan E. Meredith, Lauren N. Steimle, Stephanie M. Radke
Citation: BMC Health Services Research, 24, 682
Date: 05/2024
Type: Document
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Compares geographic access to critical care obstetric (CCO) services in Georgia via a county-level maternal care desert model versus a model of census blocks further than 50 miles from CCO services. Uses each model to estimate how expansion of facilities would affect access to care, and also to estimate race and ethnicity, insurance status, age, and poverty rate of reproductive-aged women with limited access to care using 2017 American Community Survey data.
Author(s): Meghan E. Meredith, Lauren N. Steimle, Stephanie M. Radke
Citation: BMC Health Services Research, 24, 682
Date: 05/2024
Type: Document
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Sentinel Enhanced Dengue Surveillance System — Puerto Rico, 2012–2022
Highlights the results of viral Dengue surveillance in Puerto Rico from May, 2012 to December, 2022. Details and tracks the various forms of illnesses that Dengue presents as. Discusses other diseases caught via the surveillance, such as Zika, COVID-19, and other respiratory viruses.
Author(s): Zachary J. Madewell, Alfonso C. Hernandez-Romieu, Joshua M. Wong, et al.
Citation: MMWR Surveillance Summaries, 73(3), 1-29
Date: 05/2024
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Highlights the results of viral Dengue surveillance in Puerto Rico from May, 2012 to December, 2022. Details and tracks the various forms of illnesses that Dengue presents as. Discusses other diseases caught via the surveillance, such as Zika, COVID-19, and other respiratory viruses.
Author(s): Zachary J. Madewell, Alfonso C. Hernandez-Romieu, Joshua M. Wong, et al.
Citation: MMWR Surveillance Summaries, 73(3), 1-29
Date: 05/2024
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Pandemic-Era Trends in Telehealth Use among Americans with Private Health Insurance
Brief analyzing telehealth use between 2019 and 2021 for people younger than 65 with private health insurance. Discusses the impact of COVID-19 on telehealth use. Analyzes data by various factors such as age, rurality, access, broadband availability, and more. Discusses policy implications related to broadband access, mental healthcare provider shortages, costs, access, and equity. Includes both nationwide and state-by-state rural and urban comparisons.
Author(s): Beth Carter, Olivia Dean, Alex Hartzman, Luis Arzaluz, Aiden Wynia
Date: 05/2024
Type: Document
Sponsoring organization: AARP Public Policy Institute
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Brief analyzing telehealth use between 2019 and 2021 for people younger than 65 with private health insurance. Discusses the impact of COVID-19 on telehealth use. Analyzes data by various factors such as age, rurality, access, broadband availability, and more. Discusses policy implications related to broadband access, mental healthcare provider shortages, costs, access, and equity. Includes both nationwide and state-by-state rural and urban comparisons.
Author(s): Beth Carter, Olivia Dean, Alex Hartzman, Luis Arzaluz, Aiden Wynia
Date: 05/2024
Type: Document
Sponsoring organization: AARP Public Policy Institute
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CMS Bundled Payments for Care Improvement Advanced Model: Fifth Annual Evaluation Report
Fifth annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving the quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care, as well as estimates of Medicare program savings in Model Year 4. Describes changes to the model that were implemented in Model Year 4 and how BPCI Advanced relates to Medicare Accountable Care Organizations (ACOs). Analyzes BPCI Advanced outcomes for beneficiaries from populations that have been historically underserved. Includes rural references throughout.
Additional links: Appendices, Executive Summary, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 05/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fifth annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving the quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care, as well as estimates of Medicare program savings in Model Year 4. Describes changes to the model that were implemented in Model Year 4 and how BPCI Advanced relates to Medicare Accountable Care Organizations (ACOs). Analyzes BPCI Advanced outcomes for beneficiaries from populations that have been historically underserved. Includes rural references throughout.
Additional links: Appendices, Executive Summary, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 05/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Special Supplemental Nutrition Program for Women, Infants, and Children Nutrition Assessment and Tailoring Study (WIC NATS)
Provides an overview of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and how local WIC agencies and clinic sites assess their breastfeeding and nutrition services to improve participant retention and service delivery. Includes two reports: a pre-pandemic nutrition assessment report at the state and local levels and a remote versus in-person report focused on assessment processes. Includes data from state agencies as well as 369 local WIC agencies, with differences between rural versus urban agencies discussed.
Additional links: Final Report Part 1, Final Report Part 2, Summary
Author(s): M. Gabay, A.A. Gola, M. Gearing, et al.
Date: 05/2024
Type: Document
Sponsoring organization: USDA Food and Nutrition Service
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Provides an overview of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and how local WIC agencies and clinic sites assess their breastfeeding and nutrition services to improve participant retention and service delivery. Includes two reports: a pre-pandemic nutrition assessment report at the state and local levels and a remote versus in-person report focused on assessment processes. Includes data from state agencies as well as 369 local WIC agencies, with differences between rural versus urban agencies discussed.
Additional links: Final Report Part 1, Final Report Part 2, Summary
Author(s): M. Gabay, A.A. Gola, M. Gearing, et al.
Date: 05/2024
Type: Document
Sponsoring organization: USDA Food and Nutrition Service
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Mentorship: Solving Gaps in Care with Shared Wisdom
Discusses the role of healthcare provider mentorship in increasing healthcare quality. Highlights the MAVEN Project and the National Rural Health Association's Center for Rural Health Leadership programs.
Author(s): Angela Lutz
Date: 05/2024
Type: Document
Sponsoring organization: National Rural Health Association
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Discusses the role of healthcare provider mentorship in increasing healthcare quality. Highlights the MAVEN Project and the National Rural Health Association's Center for Rural Health Leadership programs.
Author(s): Angela Lutz
Date: 05/2024
Type: Document
Sponsoring organization: National Rural Health Association
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Stand up and Be Counted: Representing More Rural Veterans in Research
Describes the National Institute of Health's (NIH) All of Us Research Program and efforts to increase the representation of rural veterans in the program. Discusses the rural health disparities that the program aims to include in the research project.
Author(s): Angela Lutz
Date: 05/2024
Type: Document
Sponsoring organization: National Rural Health Association
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Describes the National Institute of Health's (NIH) All of Us Research Program and efforts to increase the representation of rural veterans in the program. Discusses the rural health disparities that the program aims to include in the research project.
Author(s): Angela Lutz
Date: 05/2024
Type: Document
Sponsoring organization: National Rural Health Association
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The Role of Medical Education in Addressing Rural Physician Shortages
Discusses medical education strategies for recruiting rural physicians. Highlights grow-your-own programs, rural track programs, service orientation, and exposing rural kids to health careers.
Author(s): A. Brianna Sheppard
Date: 05/2024
Type: Document
Sponsoring organization: National Rural Health Association
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Discusses medical education strategies for recruiting rural physicians. Highlights grow-your-own programs, rural track programs, service orientation, and exposing rural kids to health careers.
Author(s): A. Brianna Sheppard
Date: 05/2024
Type: Document
Sponsoring organization: National Rural Health Association
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Senate Finance Committee Bipartisan Medicare GME Working Group Draft Proposal Outline and Questions for Consideration
Outlines draft policy proposals regarding the Medicare Graduate Medical Education (GME) program aimed at addressing healthcare workforce shortages. Proposals cover the distribution of Medicare GME slots to rural areas and key specialties, encouraging hospitals to train physicians in rural areas, the establishment of a Medicare GME Policy Council, GME data collection and transparency, and more. Includes questions for consideration on policies under consideration.
Date: 05/2024
Type: Document
Sponsoring organization: Senate Committee on Finance
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Outlines draft policy proposals regarding the Medicare Graduate Medical Education (GME) program aimed at addressing healthcare workforce shortages. Proposals cover the distribution of Medicare GME slots to rural areas and key specialties, encouraging hospitals to train physicians in rural areas, the establishment of a Medicare GME Policy Council, GME data collection and transparency, and more. Includes questions for consideration on policies under consideration.
Date: 05/2024
Type: Document
Sponsoring organization: Senate Committee on Finance
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