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Rural Health
Resources by Type: Document

Responding to COVID-19: Perspectives on Curricular Changes in a Rural Medical School
An overview of decision-making processes for use by curriculum leaders and rural medical school administrators to meet accreditation requirements while keeping medical students safe and prepared for graduation. Features suggestions for defining need by year of training, determining methods for curriculum delivery, maintaining continuity of care in rural communities, and providing mental health resources for students and faculty.
Author(s): Loni Crumb, Kendall M. Campbell, Allison Crowe, et al.
Citation: Southern Medical Journal, 113(8), 368–371
Date: 08/2020
Type: Document
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State Innovation Model (SIM) Summative Evaluation Report: Activities and Goal Evaluation Award Year 2-4 (AY2-4)
Summarizes the process and implementation activities of the State Innovation Model (SIM) test grant program in Iowa during award years 2 through 4, which spanned November 2016 through April 2019. SIM test awards are administered by the Centers of Medicare and Medicaid Services (CMS) Innovation Center and allow states to implement and test strategies for health system transformation that meet the specific needs of residents of each state. Describes the process evaluation of SIM implementation activities and results of the 2016 and 2018 statewide evaluation surveys. Presents data on outcome measures regarding access and cost of care, diabetes, obesity, and tobacco use.
Author(s): Tessa Heeren, Rochelle Schultz Spinarski, Elizabeth Momany, et al.
Date: 08/2020
Type: Document
Sponsoring organization: Center for Social Science Innovation
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Profiles of Rural Medical Educators: Conversations with our Nation's Experts on Reversing Rural Physician Shortages
E-book featuring conversations with 16 prominent educators, offering insights on training and retaining medical doctors in rural communities. Includes perspectives of current and past National Rural Health Association members and national experts on reversing rural physician shortages and ways in which to deal with inadequate funding and resources. Intended for educators, politicians, physicians, administrators, medical students, funders, and rural communities seeking to recruit and retain excellent doctors.
Author(s): Rural Medical Educator Group
Date: 08/2020
Type: Document
Sponsoring organization: National Rural Health Association
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Development of a Survivorship Care Plan (SCP) Program for Rural Latina Breast Cancer Patients: Proyecto Mariposa - Application of Intervention Mapping
Investigates the use of Intervention Mapping (IM) in developing Proyecto Mariposa, a comprehensive Survivorship Care Plan (SCP) program focused on helping Latina breast cancer survivors in a rural U.S.–Mexico border area. Lists steps and activities implemented during SCP program development and describes personal and environmental determinants that can affect SCP use.
Author(s): Eunjeong Ko, María Luisa Zúñiga, Susan I. Woodruff, Yolanda Serra-Martinez, Veronica Cardenas
Citation: International Journal of Environmental Research and Public Health, 17(16), 5784
Date: 08/2020
Type: Document
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OIG's Top Unimplemented Recommendations: Solutions To Reduce Fraud, Waste, and Abuse in HHS Programs: August 2020
Annual report identifying the top 25 unimplemented recommendations from the Office of Inspector General (OIG) that, in OIG's view, would have the most substantial positive impact on Health and Human Services (HHS) programs. Positive impact may refer to cost savings, program efficacy and efficiency, and/or quality improvement. Primary areas of interest in the August 2020 edition include: reforming the hospital wage index system; ensuring that Medicaid managed care enrollees have timely access to behavioral health services; developing and implementing a staffing program for recruiting, retaining, and transitioning staff and leadership to remote Indian Health Service hospitals; and ensuring proper payments for 340B-purchased drugs.
Date: 08/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Crisis Services: Meeting Needs, Saving Lives
Presents the National Guidelines for Behavioral Health Crisis Care Best Practices Toolkit and a number of companion papers on crisis care. Toolkit highlights best practices for crisis care and the papers discuss a number of related topics, including homelessness, substance use, opioid-related deaths, and rural and frontier areas, among other issues.
Date: 08/2020
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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What is Rural?
Provides an overview of the different ways the federal government describes areas as rural. Discusses confusion that can arise from multiple definitions of rural areas. Compares how different urban-rural designations classify each county in South Carolina.
Author(s): Samantha Renaud, Kevin Bennett
Date: 08/2020
Type: Document
Sponsoring organization: South Carolina Center for Rural and Primary Healthcare
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Perceptions of the Food Environment and Access among Predominantly Black Low-Income Residents of Rural Louisiana Communities
Study of food security, food access, and perceptions of the food environment among predominantly Black, low-income rural Louisiana residents. Discusses issues of food insecurity in rural areas related to financial resources, transportation, and food shopping options. Presents recurring themes from focus group discussions including 44 participants, most of whom were Black women of various ages and employment statuses, including experiences finding and buying food, fishing and hunting, and utilizing food pantries, SNAP, WIC, and other assistance programs.
Author(s): Denise Holston, Jessica Stroope, Matthew Greene, Bailey Houghtaling
Citation: International Journal of Environmental Research and Public Health, 17(15), 5340
Date: 08/2020
Type: Document
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Recruitment Best Practices of a Cardiovascular Risk Reduction Randomised Control Trial in Rural Alaska Native Communities
Describes the research methods of the Healthy and Empowering Alaskan Lives Towards Healthy Hearts (HEALTHH) project, which recruited Indigenous participants from the 16 communities that make up the rural Norton Sound region of Alaska to study smoking behavior and chronic disease prevention efforts among Alaska Native populations. Explores special considerations for research involving remote Alaska Native communities and analyzes data related to recruitment best practices, staffing issues, and barriers to enrolling study participants.
Author(s): Mariah Knox, Jordan Skan, Neal L. Benowitz, Matthew Schnellbaecher, Judith J. Prochaska
Citation: International Journal of Circumpolar Health, 79(1), 1806639
Date: 08/2020
Type: Document
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Rigorous Evaluation in Tribal MIECHV: A Series of Briefs
Discusses the process of developing an evaluation program for Tribal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program grantees. Highlights evaluation challenges, methods for meeting evaluation requirements, and engaging tribal communities, among other issues, in a series of 5 briefs.
Additional links: Full Report
Date: 08/2020
Type: Document
Sponsoring organizations: Administration for Children and Families, Office of Planning, Research, and Evaluation
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