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Rural Health
Resources by Type: Document

The Impact of the Coronavirus on Local Food Insecurity
Investigates the effect of the COVID-19 pandemic on food insecurity in the United States by examining county- and state-level data on changes in food insecurity from 2018-2020. Highlights information from counties in rural areas.
Date: 05/2020
Type: Document
Sponsoring organization: Feeding America
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Home on the Range: Plans and Providers Team Up to Bring Palliative Care to Rural Californians
Report discussing challenges and solutions to expanding palliative care access in rural California. Addresses barriers related to enrollment, staffing, and sustainability as well as strategies for creating partnerships between communities, healthcare systems, human services organizations, and other rural groups. Appendix features a chart listing health plans and rural providers offering palliative care services, with descriptions for each.
Author(s): Kathleen Kerr, Monique Parrish, Lyn Ceronsky
Date: 05/2020
Type: Document
Sponsoring organization: California Health Care Foundation
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The Oral Health of 13-15 Year Old American Indian and Alaska Native (AI/AN) Dental Clinic Patients - A Follow-Up Report to the 2013 Survey
Presents a study on the oral health status of American Indians and Alaska Natives for age 13-15. Draws data from the across the Indian Health Service and compares with national data.
Author(s): Kathy R. Phipps, Timothy L. Ricks, Nathan P. Mork, Timothy L. Lozon
Date: 05/2020
Type: Document
Sponsoring organization: Indian Health Service
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MBQIP Talking Points
Lists summary statements Flex Program staff can use to help address concerns and encourage Critical Access Hospital (CAH) participation in quality reporting and improvement programs. Includes statements that can be adapted to help frame responses and discussions related to CAH quality improvement participation.
Date: 05/2020
Type: Document
Sponsoring organization: Stratis Health
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Report to Congress: Reducing Barriers to Furnishing Substance Use Disorder (SUD) Services Using Telehealth and Remote Patient Monitoring for Pediatric Populations under Medicaid - Final Report
Details methods to reduce barriers to the use of telehealth for mental health and substance abuse disorder treatment for pediatric patients covered by Medicaid. Highlights barriers, best practices, and costs, among other measures. Features several case studies across the U.S., including in rural communities.
Date: 05/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, HHS Office of the Assistant Secretary for Planning and Evaluation
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A Cohort Comparison of Differences Between Regional and Buncombe County Patients of a Comprehensive Perinatal Substance Use Disorders Program in Western North Carolina
Presents a study on access to perinatal substance use disorder care in rural counties in western North Carolina compared to the more urban Buncombe County. Analyzes a hub-and-spoke model that aims to provide perinatal substance use disorder care across the state and discusses the barriers to care in rural areas.
Author(s): Shelley L. Galvin, Melinda Ramage, Catherine Leiner, et al.
Citation: North Carolina Medical Journal, 81(3), 157-165
Date: 05/2020
Type: Document
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HIV Prevention and Treatment Challenges in Rural America
Provides an overview of the prevalence of HIV and access to HIV prevention and treatment services in rural communities. Discusses challenges to providing and accessing HIV prevention and treatment efforts in rural areas, including the lack of local healthcare services, the cost of care, and HIV-related stigma. Describes federal programs that support HIV prevention and treatment services in rural areas. Offers policy recommendations to address these barriers and to reduce rural HIV disparities.
Date: 05/2020
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Maternal and Obstetric Care Challenges in Rural America
Provides an overview of the clinical factors and social determinants of health that may increase the risk of maternal morbidity and mortality in rural communities. Discusses the impact of insurance coverage status, hospital and obstetric unit closures, and workforce shortages on rural maternal health. Describes the role of the Department of Health and Human Services in addressing maternal health outcomes. Offers policy recommendations to reduce rural maternal health disparities.
Date: 05/2020
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Embracing the Power of Show-Me ECHO Learning Communities to Transform Clinical Practice in Missouri
Describes the Show-Me ECHO project, a collaborative video and case-based healthcare education model in Missouri that facilitates professional development across the state. Describes Show-Me ECHO's role in bringing clinicians together to share and learn through practical and experiential knowledge in order to expand healthcare access in rural and underserved communities. Specifically addresses Show-Me ECHO's impacts on knowledge sharing and collaboration in response to the COVID-19 pandemic.
Author(s): Lea Brandt, Melissa Warne-Griggs, Kimberly Hoffman, Lori Popejoy, E. Rachel Mutrux
Citation: Missouri Medicine, 117(3), 216-221
Date: 05/2020
Type: Document
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Availability of Hospice in Rural Pennsylvania
Compares the distribution and number of hospices in rural and urban Pennsylvania counties, provides a descriptive profile of rural Pennsylvania's hospice users, and projects the number of future Pennsylvania hospice users. Includes information from interviews with hospice providers and administrators to help understand challenges and opportunities for stakeholders. Features statistics with breakdowns by rural and urban location and nonprofit or for-profit status, and a county-level map showing locations of Pennsylvania hospices as of 2019.
Additional links: Executive Summary
Author(s): Lisa Kitko, Joel Segel, Elizabeth Thiede
Date: 05/2020
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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