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Rural Health Information Hub

Rural Health
Resources by Type: Document

Crosscutting Environmental Risk with Design: A Multi-site, Multi-city Socioecological Approach for Iowa's Diversifying Small Towns
Examines the intersection of built environments and environmental design with factors exacerbating health disparities in 3 small Iowa towns. Discusses how study results may be used by small towns to prioritize investments in built environments for vulnerable populations.
Author(s): Benjamin Shirtcliff, Rosie Manzo, Rachel Scudder
Citation: PLoS ONE, 16(6)
Date: 06/2021
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Evaluation of the State Innovation Models (SIM) Initiative Round 2: Model Test Final Report
Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Strengths and Barriers in Implementing the ACE Screening Tool in Tribal, Urban Indian, and Rural Settings
Report examining barriers to the implementation of consistent Adverse Childhood Experience (ACE) screening in rural, tribal, and urban Indian clinics through the California Medi-Cal ACES Aware program. Describes barriers and recommendations related to issues of addressing resiliency, administering screening during a crisis, potential to trigger trauma or other sensitivity in the patient, and cultural appropriateness based on 12 key informant interviews.
Author(s): Becky Garrow, Maureen Wimsatt
Date: 06/2021
Sponsoring organization: ACEs Aware
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Urban–Rural Mortality Disparities from Chronic Lower Respiratory Diseases in the United States, 1999–2019
Letter to the editor presenting data on chronic lower respiratory disease mortality between 1999 and 2019, including a population breakdown by 6 levels of metro and nonmetro status, using the CDC WONDER database. Discusses rural disparities in mortality and charts mortality trends over time.
Author(s): Paul A. Reyfman, Basil Khuder, Jacob B. Pierce, et al.
Citation: American Journal of Respiratory and Critical Care Medicine, 203(11), 1435-1437
Date: 06/2021
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2020 Annual (January–December) Infectious Disease Report
Highlights the number of cases of infectious diseases occurrence in different regions of Alaska in 2020. Looks at diseases such as Hepatitis C, HIV/AIDS, and Lyme disease, among many others.
Citation: State of Alaska Epidemiology Bulletin, 10
Date: 06/2021
Sponsoring organizations: Alaska Department of Health, Alaska Division of Public Health
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Intimate Partner Violence and Structural Violence in the Lives of Incarcerated Women: A Mixed-Method Study in Rural New Mexico
Presents a study of incarcerated women's experiences with intimate partner violence (IPV) and other structural issues disproportionately affecting rural women in New Mexico who are victims of IPV. Draws data from surveys of 99 women, discussing the correlation of IPV with mental health issues, substance use, and socioeconomic conditions.
Author(s): Shilo St. Cyr, Elise Trott Jaramillo, Laura Garrison, et al.
Citation: International Journal of Environmental Research and Public Health, 18(12), 6185
Date: 06/2021
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Arizona's Physician Shortage: Monitoring Rural Physician Retention and Relocation
Brief discussing rural physician shortage issues in Arizona, offering national-level standards for physician age, education, and structural factors impacting retention. Offers recommendations related to physician surveys to monitor shortages and workforce needs in the state.
Date: 06/2021
Sponsoring organization: Arizona Center for Rural Health
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Multilevel Modeling of County-level Excessive Alcohol Use, Rurality, and COVID-19 Case Fatality Rates in the US
Presents a study on the relationship between COVID-19 outcomes and elevated alcohol use in rural counties. Looks at levels of alcohol use and misuse in rural counties prior to the pandemic and compares it with COVID-19 mortality data. Breaks down data by rurality and alcohol use while controlling for other comorbidities such as obesity, smoking, and being over the age of 65.
Author(s): George Pro, Paul A. Gilbert, Julie A. Baldwin, et al.
Citation: PLOS ONE, 16(6), e0253466
Date: 06/2021
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Agricultural Stakeholders' Perceptions of Occupational Health and Safety in the Southeastern U.S. Coastal States
Highlights the perception of eleven agricultural professionals in the southeast on the current state of agricultural health and safety. Discusses a number of factors affecting health and safety of agricultural workers, such as healthcare access, economic and labor issues, and cultural competency, among others. Features information pertaining to worker safety during COVID-19.
Author(s): Tracy Irani, Beatrice Fenelon Pierre, Tyler S. Nesbit
Citation: International Journal of Environmental Research and Public Health, 18(12), 6605
Date: 06/2021
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Implementing and Sustaining Rural Community Paramedicine
Incorporates proceedings from the February 21-22, 2021 Rural Community Paramedicine (CP) Summit, and key strategies for implementing and sustaining CP in rural communities. Contains resources, information on established CP programs, and information about how state Flex Programs can support rural CP efforts. Describes experiences of established CP providers so that rural ambulance providers and hospitals might be better prepared as they consider similar initiatives in their own communities.
Additional links: Webinar
Date: 06/2021
Sponsoring organization: National Rural Health Resource Center
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