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Rural Health
Resources by Type: Document

Rural Versus Urban Family Medicine Residency Scope of Training and Practice
Compares rural and urban residency programs related to graduates' perceptions of preparation for practice as well as postgraduation scope of practice (SOP). Examines 6,483 physicians surveyed 3 years after residency graduation and 44,325 physicians surveyed every 7 to 10 years after certification. Provides data on rural versus urban residency graduates and discusses differences in graduates' experiences by residency location.
Author(s): Samantha W. Pollack, C. Holly A. Andrilla, Lars Peterson, et al.
Citation: Family Medicine, 55
Date: 01/2023
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Academic Achievement and Competency in Rural and Urban Family Medicine Residents
Analyzes differences in the quality of preparation in rural versus urban family medicine (FM) residencies. Examines medical knowledge across 22 core competencies utilizing 2016-2018 American Board of Family Medicine (ABFM) data from 11,790 residency graduates. Provides data and discussion on differences between rural and urban programs.
Author(s): Lars Peterson, Zachary J. Morgan, C. Holly A. Andrilla, et al.
Citation: Family Medicine, 55
Date: 01/2023
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2022 Missouri Nursing Workforce Report
Presents an overview of the nursing workforce in Missouri, using data from nurses who held active licenses in Missouri as of October 1, 2022. Provides demographics and statistics on advanced practice registered nurses, registered nurses, and licensed practical nurses, with breakdowns by metropolitan, micropolitan, and rural areas.
Author(s): Bridget Murphy, Jill Lucht, Eric McDavid, et al.
Date: 01/2023
Sponsoring organizations: Missouri State Board of Nursing, University of Missouri Center for Health Policy
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Virtual Home Visiting During the Covid-19 Pandemic: Lessons Learned for Research, Practice, and Policy
Reports on listening sessions regarding the use of virtual technology to perform home visiting in response to the COVID-19 pandemic. Discusses issues such as program implementation and activities, equitable service delivery, and the future of home visiting, with information specific to rural and tribal areas.
Author(s): Alena Hadley, Jasmine Hayes, Shefali Pai-Samant, Francesca Stern
Date: 01/2023
Sponsoring organization: Administration for Children and Families
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Recommendations for Strengthening Iowa's Community-Based Services System: Final Evaluation Report
Provides an overview of Iowa's Medicaid home- and community-based services and programs, as well as the policies and procedures to access those services. Offers recommendations on three approaches that can improve equity, quality, efficiency, coordination, transparency, and accountability. Includes rural references and considerations throughout.
Date: 01/2023
Sponsoring organizations: Iowa Department of Health and Human Services, Mathematica, The Harkin Institute
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Building a Better Wisconsin: Investing in the Health and Well-Being of Wisconsinites - 2023 Governor's Health Equity Council Report
Provides an overview of the Wisconsin Governor's Health Equity Council 2023 recommendations which are focused on upstream health interventions related to the economic, social, and physical environment, with specific attention to health and community services, education and housing, justice, governance, and family-sustaining fiscal policy. Includes strategies specific to rural communities as well as county-level maps on health outcomes and percentage of children in poverty.
Date: 01/2023
Sponsoring organization: Wisconsin Department of Health Services
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January 2023 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) January 2023 meeting. Covers Medicaid data collection and reporting, nursing facility provider payment principles, challenges for states administering Medicaid home- and community-based services and access barriers for Medicaid beneficiaries, Medicaid managed care quality oversight, the unwinding of the Public Health Emergency, and more. Includes rural references and considerations throughout.
Date: 01/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Pre-Pandemic Geographic Access to Hospital-Based Telehealth for Cancer Care in the United States
Explores the availability of telehealth and oncology services across geographic and sociodemographic domains before the start of the COVID-19 pandemic. Utilizes 2019 and 2020 data sources to examine hospital characteristics by telehealth and oncology services, with information on hospital ownership, number of hospital beds, Health Professional Shortage Area (HPSA) status, presence of Rural Health Clinic (RHC) co-located at hospital, and more. Includes availability of telehealth, oncology, and hospital services broken down by county; HPSA status; income, average age, and race/ethnicity of residents; ratio of population to primary care physicians; rural noncore, rural micropolitan, or urban status; and more.
Author(s): David I. Shalowitz, Peiyin Hung, Whitney E. Zahnd, Jan Eberth
Citation: PLoS One, 18(1)
Date: 01/2023
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Access to Oral Health Workforce Report: Part II
Evaluates and discusses patient access to oral healthcare in Pennsylvania. Provides demographic and well-being information, and analysis of variables affecting workforce outcomes and access to care. Features statistics with breakdowns by urban and rural areas.
Additional links: Executive Summary
Author(s): Sean G. Boynes, Helen Hawkey, Kelly A. Braun, et al.
Date: 01/2023
Sponsoring organization: Pennsylvania Coalition for Oral Health
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Early Challenges Highlight Areas for Improvement in COVID-19 Vaccination Programs
Explores challenges faced by 56 state, local, and territorial immunization programs in implementing COVID-19 vaccination programs, including challenges to reaching rural and underserved populations. Discusses mitigation strategies the immunization programs implemented to address those challenges. Includes recommendations for the CDC to improve the efficiency and equity of the COVID-19 vaccination programs.
Date: 01/2023
Sponsoring organization: Office of Inspector General (HHS)
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