Rural Health
Resources by Type: Document
Training Needs to Prepare the Healthcare Workforce for Rural Practice
Issue brief focused on improving the health of rural communities through strengthening the rural healthcare workforce. Discusses key principles to promote rural graduate medical education, Area Health Education Centers, and special considerations for rural training and practice.
Date: 06/2021
Type: Document
Sponsoring organization: Council on Graduate Medical Education
view details
Issue brief focused on improving the health of rural communities through strengthening the rural healthcare workforce. Discusses key principles to promote rural graduate medical education, Area Health Education Centers, and special considerations for rural training and practice.
Date: 06/2021
Type: Document
Sponsoring organization: Council on Graduate Medical Education
view details
Veterans' Use of Veterans Health Administration Primary Care in an Era of Expanding Choice
Characterizes and compares veterans' use of Veterans Health Administration (VA) primary care services at VA facilities and through a VA community care network (VA-CCN) provider, using data from fiscal years 2015-2018. Features statistics including patient characteristics by primary care venue and odds of having any VA-CCN primary care, with breakdowns by urban, rural, or highly rural location.
Author(s): Denise M. Hynes, Samuel Edwards, Alex Hickok, et al.
Citation: Medical Care, 59(6), S292-S300
Date: 06/2021
Type: Document
view details
Characterizes and compares veterans' use of Veterans Health Administration (VA) primary care services at VA facilities and through a VA community care network (VA-CCN) provider, using data from fiscal years 2015-2018. Features statistics including patient characteristics by primary care venue and odds of having any VA-CCN primary care, with breakdowns by urban, rural, or highly rural location.
Author(s): Denise M. Hynes, Samuel Edwards, Alex Hickok, et al.
Citation: Medical Care, 59(6), S292-S300
Date: 06/2021
Type: Document
view details
County-level Predictors of Growth in Community-based Primary Care Use Among Veterans
Measures county-level growth in Veterans Health Administration (VA) community-based primary care (CBPC) penetration following enactment of the Veterans Access, Choice, and Accountability Act, and assesses whether CBPC penetration increased in rural counties with limited access to VA facilities. Features statistics on county-level CBCP rates and characteristics of counties with high or low growth in penetration rates, with breakdowns by urban, rural, and highly rural locations.
Author(s): Sarah H. Gordon, Erin Beilstein-Wedel, Amy K. Rosen, et al.
Citation: Medical Care, 59(6), S301-S306
Date: 06/2021
Type: Document
view details
Measures county-level growth in Veterans Health Administration (VA) community-based primary care (CBPC) penetration following enactment of the Veterans Access, Choice, and Accountability Act, and assesses whether CBPC penetration increased in rural counties with limited access to VA facilities. Features statistics on county-level CBCP rates and characteristics of counties with high or low growth in penetration rates, with breakdowns by urban, rural, and highly rural locations.
Author(s): Sarah H. Gordon, Erin Beilstein-Wedel, Amy K. Rosen, et al.
Citation: Medical Care, 59(6), S301-S306
Date: 06/2021
Type: Document
view details
Did Access to Care Improve Since Passage of the Veterans Choice Act?: Differences Between Rural and Urban Veterans
Examines wait times among rural and urban veterans for physical therapy, cardiology, optometry, orthopedic, and dental services. Features demographic statistics for fiscal year (FY) 2015 with breakdowns by rural or urban patients, and average consult wait times during FY 2015 and FY 18 with breakdowns by urban or rural location, service types, and care settings.
Author(s): Deborah Gurewich, Michael Schwartz, Erin Beilstein-Wedel, Heather Davila, Amy K. Rosen
Citation: Medical Care, 59(6), S270-S278
Date: 06/2021
Type: Document
view details
Examines wait times among rural and urban veterans for physical therapy, cardiology, optometry, orthopedic, and dental services. Features demographic statistics for fiscal year (FY) 2015 with breakdowns by rural or urban patients, and average consult wait times during FY 2015 and FY 18 with breakdowns by urban or rural location, service types, and care settings.
Author(s): Deborah Gurewich, Michael Schwartz, Erin Beilstein-Wedel, Heather Davila, Amy K. Rosen
Citation: Medical Care, 59(6), S270-S278
Date: 06/2021
Type: Document
view details
Rural Veterans' Experiences With Outpatient Care in the Veterans Health Administration Versus Community Care
Compares rural veterans' experiences with community care (CC) and Veterans Administration (VA) outpatient healthcare services to those of urban veterans, and examines changes over time. Features demographic statistics with breakdowns by rural CC and rural VA patients, and ratings for 4 healthcare experiences and outcome measures for rural and urban veterans in fiscal years 2016 and 2019.
Author(s): Heather Davila, Amy K. Rosen, Erin Beilstein-Wedel, et al.
Citation: Medical Care, 59, S286-S291
Date: 06/2021
Type: Document
view details
Compares rural veterans' experiences with community care (CC) and Veterans Administration (VA) outpatient healthcare services to those of urban veterans, and examines changes over time. Features demographic statistics with breakdowns by rural CC and rural VA patients, and ratings for 4 healthcare experiences and outcome measures for rural and urban veterans in fiscal years 2016 and 2019.
Author(s): Heather Davila, Amy K. Rosen, Erin Beilstein-Wedel, et al.
Citation: Medical Care, 59, S286-S291
Date: 06/2021
Type: Document
view details
Crosscutting Environmental Risk with Design: A Multi-site, Multi-city Socioecological Approach for Iowa's Diversifying Small Towns
Examines the intersection of built environments and environmental design with factors exacerbating health disparities in 3 small Iowa towns. Discusses how study results may be used by small towns to prioritize investments in built environments for vulnerable populations.
Author(s): Benjamin Shirtcliff, Rosie Manzo, Rachel Scudder
Citation: PLoS ONE, 16(6)
Date: 06/2021
Type: Document
view details
Examines the intersection of built environments and environmental design with factors exacerbating health disparities in 3 small Iowa towns. Discusses how study results may be used by small towns to prioritize investments in built environments for vulnerable populations.
Author(s): Benjamin Shirtcliff, Rosie Manzo, Rachel Scudder
Citation: PLoS ONE, 16(6)
Date: 06/2021
Type: Document
view details
Vermont Baseline Needs Assessment: Rural and Non-Rural Practitioners
Report details a needs assessment of Vermont's practitioners' capacity to treat substance use disorder (SUD) and compares rural and urban counties. Breaks down workforce distribution by county, by rural versus urban, and by the type of SUD treatment they are able to provide, as well as their MAT waiver status, among other measures.
Date: 06/2021
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
view details
Report details a needs assessment of Vermont's practitioners' capacity to treat substance use disorder (SUD) and compares rural and urban counties. Breaks down workforce distribution by county, by rural versus urban, and by the type of SUD treatment they are able to provide, as well as their MAT waiver status, among other measures.
Date: 06/2021
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
view details
Evaluation of the State Innovation Models (SIM) Initiative Round 2: Model Test Final Report
Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
view details
Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
view details
Nutrition Interventions in Low-Income Rural and Urban Retail Environments: A Systematic Review
Literature review of articles published between October 2010 - October 2019, identifying and comparing nutrition interventions implemented in 20 rural and 26 urban low-income retail food stores. Includes a discussion of behavioral economics (BE) strategies used to promote healthier food choices.
Author(s): Linda Fergus, Katherine Seals, Denise Holston
Citation: Journal of the Academy of Nutrition and Dietetics, 121(6), 1087-1114
Date: 06/2021
Type: Document
view details
Literature review of articles published between October 2010 - October 2019, identifying and comparing nutrition interventions implemented in 20 rural and 26 urban low-income retail food stores. Includes a discussion of behavioral economics (BE) strategies used to promote healthier food choices.
Author(s): Linda Fergus, Katherine Seals, Denise Holston
Citation: Journal of the Academy of Nutrition and Dietetics, 121(6), 1087-1114
Date: 06/2021
Type: Document
view details
Strengths and Barriers in Implementing the ACE Screening Tool in Tribal, Urban Indian, and Rural Settings
Report examining barriers to the implementation of consistent Adverse Childhood Experience (ACE) screening in rural, tribal, and urban Indian clinics through the California Medi-Cal ACES Aware program. Describes barriers and recommendations related to issues of addressing resiliency, administering screening during a crisis, potential to trigger trauma or other sensitivity in the patient, and cultural appropriateness based on 12 key informant interviews.
Author(s): Becky Garrow, Maureen Wimsatt
Date: 06/2021
Type: Document
Sponsoring organization: ACEs Aware
view details
Report examining barriers to the implementation of consistent Adverse Childhood Experience (ACE) screening in rural, tribal, and urban Indian clinics through the California Medi-Cal ACES Aware program. Describes barriers and recommendations related to issues of addressing resiliency, administering screening during a crisis, potential to trigger trauma or other sensitivity in the patient, and cultural appropriateness based on 12 key informant interviews.
Author(s): Becky Garrow, Maureen Wimsatt
Date: 06/2021
Type: Document
Sponsoring organization: ACEs Aware
view details