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Rural Health Information Hub

Rural Health
Resources by Type: Document

Changes in Provision of Selected Services by Rural and Urban Hospitals between 2009 and 2017
Examines the increase in number of rural hospitals that have closed or converted to a model eliminating inpatient care, as well as rural hospitals that have reduced or terminated historically essential services including obstetrics, surgery, long-term care, home health, and oncology. Features statistics on the number of hospitals offering various types of healthcare services in 2009 and in 2017, with breakdowns by urban and rural location.
Author(s): Kathleen Knocke, George H. Pink, Kristie W. Thompson, Randy K. Randolph, Mark Holmes
Date: 04/2021
Sponsoring organization: North Carolina Rural Health Research Program
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Promising Flex Program Initiatives to Support Critical Access Hospitals during the COVID-19 Pandemic
Reports on promising State Flex Program (SFP) strategies to support Critical Access Hospitals (CAHs) and address priority needs during the COVID-19 pandemic. Highlights initiatives implemented by SFPs in seven states: Alaska, Arizona, Idaho, Kentucky, Montana, Pennsylvania, and Wyoming. Discusses strategies regarding support for frontline staff, staff communication, communication to rural communities, clinical and service improvement, and CAH and Rural Health Clinic financial performance. Discusses ongoing considerations and concerns.
Author(s): Celia Jewell, Sara Kahn-Troster, John Gale
Date: 04/2021
Sponsoring organization: Flex Monitoring Team
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A Roadmap to Develop Sharing Initiatives in Public Health
A guidebook to help local and county governments learn how they might share public health services regionally for more effective and efficient operations. The guide is based on a national public health learning community that includes rural public health organizations.
Date: 04/2021
Sponsoring organization: Public Health Accreditation Board
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Influenza Vaccination in the Past 12 Months Among Children Aged 6 Months–17 Years: United States, 2019
Presents data on influenza vaccination for children aged 6 months to 17 years using 2019 National Health Interview Survey data. Compares vaccination rates by various demographics as well as comparing levels of urbanization and regional vaccination rates.
Author(s): Lindsey I. Black, Amanda E. Ng, Benjamin Zablotsky
Date: 04/2021
Sponsoring organization: National Center for Health Statistics
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COVID-19: Efforts to Increase Vaccine Availability and Perspectives on Initial Implementation
Examines the federal government's efforts related to COVID-19 vaccines between October 2020 and April 2021, including vaccine development and vaccination program implementation. Describes challenges to vaccine implementation and steps taken by the government in response.
Additional links: Full Report
Date: 04/2021
Sponsoring organization: Government Accountability Office
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Rural Community-based Palliative Care ECHO Program Summary
Describes a nine-month intervention to support 11 community-based palliative care programs in rural Minnesota using the Extension for Community Healthcare Outcomes (ECHO) Model. Provides an overview of the participants, session topics, technology utilized, and results. Offers insights and lessons learned.
Date: 04/2021
Sponsoring organization: Stratis Health
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Graduate Medical Education: Programs and Residents Increased During Transition to Single Accreditor; Distribution Largely Unchanged
Examines the number of graduate medical education (GME) programs and the number of residents in GME programs between the 2014-2015 and 2019-2020 academic years. Describes changes in the number, specialty or subspecialty, and geographic distribution of GME programs and their residents.
Additional links: Full Report
Date: 04/2021
Sponsoring organization: Government Accountability Office
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The Hospital as a Convener in Rural Communities
Examines the traditional and non-traditional role of rural hospitals as conveners that support community health initiatives and population health. Discusses examples of approaches used by rural and urban serving hospitals from Michigan and Virginia. Offers steps for hospitals on becoming a convener, and suggests community stakeholders for forming partnerships to improve health and well-being in their communities.
Date: 04/2021
Sponsoring organization: American Hospital Association
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Geographic Access to Health Care for Rural Medicare Beneficiaries in Five States: An Update
Describes the provider mix caring for rural and urban Medicare beneficiaries in Alaska, Idaho, North Carolina, South Carolina, and Washington, using 2014 data. Examines the quality of care, number of annual visits, and the distances traveled for treatment of several conditions. Compares 2014 data with estimates from 1998, to assess the changes in geographical access to care. Features statistics with breakdowns by urban, large rural, small rural, and isolated rural locations.
Date: 04/2021
Sponsoring organization: WWAMI Rural Health Research Center
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Rural and Urban Hospital Characteristics by Obstetric Service Provision Status, 2010-2018
Illustrates the differences between urban and rural hospitals providing obstetric (OB) services. Compares them by size, capacity, location, and community characteristics, and compares these factors between rural hospitals with OB units and those that had discontinued services during the study period. Features statistics with breakdowns by urban and rural location.
Additional links: Characteristics of Rural and Urban U.S. Hospitals Based on Obstetric Services
Author(s): Julia D. Interrante, Lindsay K. Admon, Mariana S. Tuttle, Bridget Basile Ibrahim, Katy B. Kozhimannil
Date: 04/2021
Sponsoring organization: University of Minnesota Rural Health Research Center
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