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Rural Health
Resources by Type: Document

Adverse Childhood Events in American Indian/Alaska Native Populations
Reports on an investigation of adverse childhood experiences (ACEs) among American Indian and Alaska Native (AI/AN) individuals. Provides socioeconomic and regional data on eight specific ACE variables as reported by AI/AN respondents. Looks at the frequencies and prevalence of ACEs for AI/AN populations in comparison to other racial/ethnic groups.
Author(s): Giano, Z., Camplain, R.L., Camplain, C., et al.
Citation: American Journal of Preventive Medicine, 60(2), 213-221
Date: 02/2021
Type: Document
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Video Telehealth Expands Care for Veterans with Multiple Sclerosis
Features a report on promising practices in providing access to care for rural veterans with multiple sclerosis (MS) via video-based telehealth. Details the traditional barriers to care for MS patients in rural areas and how the video telehealth model can help patients overcome them.
Date: 02/2021
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Primary Care in the United States: A Chartbook of Facts and Statistics
Examines aspects of primary care in the United States, including facts and figures on patient contact with primary care, frequency and range of conditions seen in primary care, care coordination, scope of practice, payment models, and preventive care visit utilization. Features statistics on percentage of primary care physicians by geography, with breakdowns by urban, large rural, small rural, and isolated rural location.
Author(s): Brian Antono, Andrew Bazemore, Irene Dankwa-Mullan, et al.
Date: 02/2021
Type: Document
Sponsoring organization: Robert Graham Center
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Pennsylvania Mental Health Services for Victims of Sexual Assault and Rape: A Staff Study
Examines existing laws and services in Pennsylvania and offers recommendations to ensure that sexual assault victims receive quality, trauma-informed medical care. Includes recommendations to promote a certified sexual assault nurse examiner (SANE) program, increase the use of telehealth, and provide for a designation for hospitals, based on their ability to provide comprehensive sexual assault services. Features a section comparing availability of certified SANE nurses in rural and urban areas.
Author(s): Yvonne Llewellyn Hursh, Allison N. Kobzowicz, Grant Rosul, Wendy L. Baker
Date: 02/2021
Type: Document
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Urban-Rural Differences in COVID-19 Exposures and Outcomes in the South: A Preliminary Analysis of South Carolina
Examines confirmed cases of COVID-19 in South Carolina from March 1 - September 5, 2020. Compares data between urban and rural counties and their relationship to mitigation strategies and social vulnerability. Includes figures that show space-time analysis of COVID-19 impacts.
Author(s): Qian Huang, Sarah Jackson, Sahar Derakhshan, et al.
Citation: PLoS One, 16(2)
Date: 02/2021
Type: Document
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Integrating Family and Friend Support, Information Technology, and Diabetes Education in Community-Centric Diabetes Self-Management
Study examining the impacts of community support on diabetes self-management in a rural island community in Hawaii based on a pilot program with 7 participants over a 9 month period. Describes the challenges of implementing diabetes self-management education programs in rural areas, access to dietitians and endocrinologists, and the potential for telehealth and health information technology to facilitate diabetes self-management.
Author(s): Christina Higa, Elizabeth J. Davidson, Joanne R. Loos
Citation: Journal of the American Medical Informatics Association, 28(2), 261-275
Date: 02/2021
Type: Document
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Rural Hospital Patient and Family Engagement - 2021 Toolkit
Toolkit provides guidance for rural hospitals to foster effective communication between patients, staff, and leadership. Discusses communication strategies in a number of domains, such as data collection, community engagement, and workforce development, among others.
Date: 02/2021
Type: Document
Sponsoring organization: Colorado Hospital Association
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Increasing Rural Patient Access Using Clinical Pharmacy Specialist Providers: Successful Practice Integration Within the Department of Veterans Affairs
Highlights a study on the efficacy of the Veterans Affairs' clinical pharmacy specialist program in improving rural access to care. Evaluates outcomes in primary care, mental health, and pain management.
Author(s): Julie A Groppi, Heather Ourth, Michael Tran, et al.
Citation: American Journal of Health-System Pharmacy, 78(8), 712-719
Date: 02/2021
Type: Document
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Traffic Safety in Appalachia: Final Report
Defines the traffic safety culture in Appalachia and discusses causes of common safety problems in the region, including drug- and alcohol-impaired driving. Explores environmental concerns of Appalachian drivers, such as expansive rural regions, mountainous and curved terrain, and dense forests exposed to extreme weather elements. Includes analysis of Appalachian traffic fatalities, fatal crash data statistics, and an evaluation of the Appalachian Development Highway System as a possible intervention measure for treating traffic safety problems. Also includes a case study of severe crashes in Appalachian North Carolina, featuring statistics with breakdowns by rural and urban areas.
Additional links: Research Brief
Author(s): Wesley Kumfer, Katherine Harmon, Bo Lan, et al.
Date: 02/2021
Type: Document
Sponsoring organization: Appalachian Regional Commission
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Rural-Urban Disparities in All-cause Mortality among Low-Income Medicare Beneficiaries, 2004–17
Examines the change in all-cause mortality rates among low-income Medicare beneficiaries dually-enrolled in Medicaid between 2004 and 2017. Compares rates between rural and urban beneficiaries by age, ethnicity, insurance type, and census region.
Author(s): Emefah Loccoh, Karen E. Joynt Maddox, Jiaman Xu, et al.
Citation: Health Affairs, 40(2), 289-296
Date: 02/2021
Type: Document
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