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Rural Health
Resources by Type: Document

Cancer Curriculum for Appalachian Kentucky Middle and High Schools
Results of an online survey sent to 21 science and health teachers in Appalachian Kentucky, consisting of questions on existing cancer education efforts, relevance of cancer education, and feasibility of a curriculum of this type being used in the classroom.
Author(s): Lauren Hudson, Katherine Sharp, Chris Prichard, et al.
Citation: Journal of Appalachian Health, 3(1), 43-55
Date: 2021
Type: Document
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Advancing Progress in the Development and Implementation of Effective, High-Quality Cancer Screening: Proceedings of a Workshop
Details a workshop during which presenters and participants described challenges to current cancer screening methods and discussed opportunities for improvement to ultimately reduce cancer morbidity and mortality. Provides information on populations in the U.S.-Mexico border region.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2021
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Impact of the COVID-19 Shutdown on Mental Health in Appalachia by Working Status
Results of a study on issues faced by Appalachian residents during the COVID-19-related shutdown in the spring of 2020, including concerns about healthcare and finances, and the effect on mental health. Examines whether there were higher levels of anxiety, fear, and depression among those who continued working outside the home compared with those who began working remotely during the shutdown. Features demographics and statistics on chronic health conditions and types of concerns, with breakdowns by work categories.
Author(s): Erin N. Haynes, Timothy J. Hilbert, Susan C. Westneat, et al.
Citation: Journal of Appalachian Health, 3(1), 18-28
Date: 2021
Type: Document
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A Description of COVID-19 Lifestyle Restrictions Among a Sample of Rural Appalachian Women
Findings from a survey given to 33 women who had previously participated in a larger survey involving substance use and behavioral risks. Features demographics and statistics on substance use, mental health, and types of activity restrictions related to COVID-19.
Author(s): Michele Staton, Martha Tillson, J. Matthew Webster
Citation: Journal of Appalachian Health, 3(1), 4-17
Date: 2021
Type: Document
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Using State Licensure Data to Assess North Carolina's Health Workforce COVID-19 Response Capacity
Assesses the supply of healthcare providers in North Carolina who are able to respond to the COVID-19 pandemic, using licensure data merged with population data and numbers of intensive care unit (ICU) beds. Mentions rural throughout. Features county-level maps showing ratios of respiratory therapists, critical care nurses and physicians per 10,000 county population, and ratios of critical care nurses and respiratory therapists to numbers of ICU beds.
Author(s): Heather Wilson, Evan M. Galloway, Julie C. Spero, et al.
Citation: North Carolina Medical Journal, 82(1), 29-35
Date: 2021
Type: Document
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Guidebook and Research Plan to Help Communities Improve Transportation to Health Care Services
Provides guidance to help healthcare and transportation agencies work together to increase transportation services and improve health outcomes. Discusses the effect of limited transportation services on healthcare access and cost in urban, suburban, and rural settings. Includes case studies and examples of collaborative efforts between transportation and healthcare organizations.
Additional links: Read Online
Author(s): Transportation Research Board
Date: 2021
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Health Services and Primary Care Research Study
Presents the results of a study in 36 rural primary care practices, including rural health clinics and Federally Qualified Health Clinics, comparing Medicare Fee for Service behavioral therapy for obesity delivered to individual clients in clinics to in-clinic group visits delivered by clinical providers; and phone-based group visits delivered by a centralized provider. Participants included 1407 adults from rural areas over a 24 month period with a goal to identify the most effective therapy for rural settings.
Author(s): Peter Mendel, Courtney A. Gidengil, Andrada Tomoaia-Cotisel, et al.
Date: 2021
Type: Document
Sponsoring organization: RAND Corporation
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Delaware State Health Improvement Plan: 2020 Annual Report
Assesses policy improvements and the alignment of activities among 9 key Delaware stakeholder groups with the 2018-2023 Delaware State Health Needs Assessment and State Health Improvement Plan. Includes sections on chronic disease, maternal and child health, substance use disorders, and mental health, and offers system-wide recommendations.
Additional links: Executive Summary
Date: 12/2020
Type: Document
Sponsoring organizations: Delaware Health and Social Services, University of Delaware Partnership for Healthy Communities
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Maternal Mortalities and Severe Maternal Morbidity in Arizona
Provides an overview of maternal mortality and severe maternal morbidity in Arizona as related to issues such as access to healthcare, social determinants of health, and quality of care. Utilizes 2016-2017 data to examine adverse maternal outcomes by county as well as by demographic information such as age, race/ethnicity, rural versus urban geographic location, and more.
Date: 12/2020
Type: Document
Sponsoring organization: Arizona Department of Health Services
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County Reclassifications and Rural–Urban Mortality Disparities in the United States (1970–2018)
Examines urban and rural mortality disparities since 1970, comparing baseline changes to mortality rates by decade of reclassificiation of rural and urban counties based on CDC WONDER data. Describes the impact of reclassification on disparities and the importance of rural and urban classification in policy interventions.
Author(s): Matthew M. Brooks, J. Tom Mueller, Brian C. Thiede
Citation: American Journal of Public Health, 110(12): 1814-1816
Date: 12/2020
Type: Document
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