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Rural Health
Resources by Type: Document

Introducing Clinical Pharmacy Specialists into Interprofessional Primary Care Teams
Examines the integration of clinical pharmacy specialists as part of the interprofessional primary care team and in the Clinical Pharmacy Specialist Rural Veteran Access (CRVA) initiative to determine impacts on healthcare access for rural patients.
Author(s): Megan B. McCullough, Anna Zogas, Chris Gillespie, et al.
Citation: Medicine (Baltimore), 100(38), e26689
Date: 09/2021
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Restoring Access to Maternity Care in Rural America
Examines regional partnerships to build rural access to maternity care through hub-and-spoke models of education and support from urban healthcare organizations to rural maternity providers, investments in telehealth, and remote monitoring systems. Discusses barriers to maternity care access in rural areas and highlights local examples of maternal health provider networks, investments in the rural maternity workforce, and policy implications of developing rural maternity care.
Author(s): Martha Hostetter, Sarah Klein
Date: 09/2021
Sponsoring organization: Commonwealth Fund
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COVID-19 Cases and Vaccination Rates
Data brief examining the relationship between vaccination rates, COVID-19 one-week incidence, and metropolitan or nonmetropolitan location, using data on confirmed COVID-19 cases from August 29, 2021 – September 4, 2021 and vaccination data as of August 15, 2021. Features statistics on total case rates and vaccination percentages, with breakdowns by census regions, select states, and metropolitan or nonmetropolitan location.
Author(s): Fred Ullrich, Keith Mueller
Date: 09/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Arizona Health Workforce Profile: Physical Therapists
Examines Arizona's physical therapist (PT) workforce, breaking down the distribution of PTs by county and for rural, small metro, and large metro areas based on 2021 National Plan and Provider Enumeration System (NPPES) data. Highlights the need for physical therapy nationwide and in Arizona and efforts to develop the workforce through education and licensing initiatives.
Author(s): B. Koch, S. Coates, C. Drake, D. Derksen
Date: 09/2021
Sponsoring organization: Arizona Center for Rural Health
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Obstacles Persist for Rural Patients to Access Hospice
Discusses challenges to delivering hospice care in rural areas. Highlights changes to allow providers at Rural Health Centers and Federal Qualified Health Centers to serve as attending physicians for hospice patients. Explores the impact of COVID-19 on the delivery of hospice services, including the use of telehealth services and workforce concerns.
Author(s): Jim Parker
Date: 09/2021
Sponsoring organization: Hospice News
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Broadband: FCC Is Taking Steps to Accurately Map Locations that Lack Access
Describes efforts by the Federal Communications Commission (FCC) to develop a location fabric, a geographically specific, granular dataset, representing existing and necessary broadband deployment sites. Presents findings from an examination of potential geographic data sources, surveys of 44 states and territories, and interviews with state and federal agency stakeholders. Discusses limitations related to the accuracy, completeness, and consistency of location data.
Additional links: Full Report
Date: 09/2021
Sponsoring organization: Government Accountability Office
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Hyperlocal Covid-19 Testing and Vaccination Strategies to Reach Communities with Low Vaccine Uptake
Describes promising state and local strategies to promote equitable and accessible COVID-19 testing and vaccination programs among communities with low vaccination rates. Presents examples of how states and communities use existing infrastructure and modify strategies to meet community needs. Includes rural examples and highlights rural-focused strategies for vaccinations.
Author(s): Andrea Thoumi, Kamaria Kaalund, Christina Silcox, et al.
Date: 09/2021
Sponsoring organization: Duke-Margolis Center for Health Policy
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Disparities in Health Care in Medicare Advantage Associated with Dual Eligibility or Eligibility for a Low-Income Subsidy
Shares Medicare Advantage (MA) plan performance data for specific healthcare quality measures reported in 2019, which represents care received in 2018. Analyzes and compares the quality of clinical care for dual-eligible (DE) beneficiaries, those who qualify for both Medicare and Medicaid, and Medicare beneficiaries who are eligible for a Part D low-income subsidy (LIS) with the quality of care for beneficiaries who do not qualify as DE nor LIS by racial/ethnic groups and rural status.
Date: 09/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Trajectory of COVID-19 Vaccine Hesitancy Over Time and Association of Initial Vaccine Hesitancy With Subsequent Vaccination
Assesses the association between baseline vaccine hesitancy and vaccine receipt at study follow-up, using data from 3,439 participants surveyed between August-December 2020 and again between March-April 2021. Also explores the validity of vaccine self-report. Features demographic statistics with breakdowns by metropolitan or nonmetropolitan location.
Author(s): Aaron J. Siegler, Nicole Luisi, Eric W. Hall, et al.
Citation: JAMA Network Open, 4(9)
Date: 09/2021
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Association of Hospital Telestroke Adoption With Changes in Initial Hospital Presentation and Transfers Among Patients With Stroke and Transient Ischemic Attacks
Results of a study to assess whether implementation of telestroke services is associated with changes in where and how patients present with stroke symptoms, their decision to be transferred to another hospital, and to which hospitals they are transferred. Uses data from 593 hospitals that adopted telestroke from 2009-2016. Features statistics on hospital characteristics by telestroke status, with breakdowns by urban or rural location.
Author(s): Kori S. Zachrison, Jessica V. Richard, Andrew Wilcock, et al.
Citation: JAMA Network Open, 4(9)
Date: 09/2021
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