Rural Health
Resources by Type: Document
Challenges in Providing Substance Use Disorder Treatment to Child Welfare Clients in Rural Communities
Provides an overview of the unique challenges rural communities face serving parents with substance abuse issues, including provider shortages, limited access to health insurance, transportation and technological barriers, and lack of routine cross-systems collaboration with the child welfare system. Offers strategies to overcome these challenges in rural communities.
Author(s): Elizabeth Clary, Christina Ribar, Elizabeth Weigensberg
Date: 01/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Provides an overview of the unique challenges rural communities face serving parents with substance abuse issues, including provider shortages, limited access to health insurance, transportation and technological barriers, and lack of routine cross-systems collaboration with the child welfare system. Offers strategies to overcome these challenges in rural communities.
Author(s): Elizabeth Clary, Christina Ribar, Elizabeth Weigensberg
Date: 01/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Child Sexual Abuse and Exploitation in Pennsylvania
Presents an overview of child sexual abuse and exploitation in Pennsylvania. Highlights specific issues in rural areas and compares rural and urban areas in the state. Details conclusions and makes policy recommendations.
Additional links: Executive Summary
Author(s): Sarah A. Font, Sheridan Miyamoto, Casey N. Pinto
Date: 01/2020
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Presents an overview of child sexual abuse and exploitation in Pennsylvania. Highlights specific issues in rural areas and compares rural and urban areas in the state. Details conclusions and makes policy recommendations.
Additional links: Executive Summary
Author(s): Sarah A. Font, Sheridan Miyamoto, Casey N. Pinto
Date: 01/2020
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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A Bivariate Mapping Tutorial for Cancer Control Resource Allocation Decisions and Interventions
Discusses the utility of geographic information systems software (ArcGIS) with public health data to inform resource allocation and public health interventions for cancer control planning. Provides step-by-step guidance for developing a bivariate choropleth map (map of two variables) using county data from South Carolina's Behavioral Risk Factor Surveillance System for cervical cancer screening, and data on the availability of cervical cancer screening providers in South Carolina's Breast and Cervical Cancer Early Detection Program.
Author(s): Claire Biesecker, Whitney E. Zahnd, Heather M. Brandt, Swann Arp Adams, Jan M. Eberth
Citation: Preventing Chronic Disease, 17
Date: 01/2020
Type: Document
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Discusses the utility of geographic information systems software (ArcGIS) with public health data to inform resource allocation and public health interventions for cancer control planning. Provides step-by-step guidance for developing a bivariate choropleth map (map of two variables) using county data from South Carolina's Behavioral Risk Factor Surveillance System for cervical cancer screening, and data on the availability of cervical cancer screening providers in South Carolina's Breast and Cervical Cancer Early Detection Program.
Author(s): Claire Biesecker, Whitney E. Zahnd, Heather M. Brandt, Swann Arp Adams, Jan M. Eberth
Citation: Preventing Chronic Disease, 17
Date: 01/2020
Type: Document
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Second Evaluation Report: Next Generation Accountable Care Organization Model Evaluation
Reports on the impact of the Next Generation Accountable Care Organization model in 2016 and 2017, with information on the full sample of 46 participating NGACOs. Provides information on the models' impact on gross and net Medicare spending. The appendices include data on community characteristics, including rurality.
Additional links: Findings at a Glance, Technical Appendices
Date: 01/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Reports on the impact of the Next Generation Accountable Care Organization model in 2016 and 2017, with information on the full sample of 46 participating NGACOs. Provides information on the models' impact on gross and net Medicare spending. The appendices include data on community characteristics, including rurality.
Additional links: Findings at a Glance, Technical Appendices
Date: 01/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Recognizing and Sustaining the Value of Community Health Workers and Promotores
Discusses the ways in which community health workers and promotores (CHW/Ps) contribute to the healthcare system, with a focus on California. Gives examples of the ways in which CHW/Ps in rural areas can alleviate workforce shortages, strengthen patient engagement with the healthcare system, and act as liaisons to social structures, including churches and Native American tribal organizations.
Author(s): Jim Lloyd, Kathy Moses, Rachel Davis
Date: 01/2020
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Discusses the ways in which community health workers and promotores (CHW/Ps) contribute to the healthcare system, with a focus on California. Gives examples of the ways in which CHW/Ps in rural areas can alleviate workforce shortages, strengthen patient engagement with the healthcare system, and act as liaisons to social structures, including churches and Native American tribal organizations.
Author(s): Jim Lloyd, Kathy Moses, Rachel Davis
Date: 01/2020
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Views of Rural US Adults About Health and Economic Concerns
Results of phone surveys of 1705 rural adults, conducted in 2018 and 2019. Explores their views on the most important problems facing their communities, including healthcare access and costs, suicide, and opioid or other drug abuse.
Author(s): Mary G. Findling, Robert J. Blendon, John M. Benson, Justin M. Sayde, Carolyn E. Miller
Citation: JAMA Network Open, 3(1)
Date: 01/2020
Type: Document
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Results of phone surveys of 1705 rural adults, conducted in 2018 and 2019. Explores their views on the most important problems facing their communities, including healthcare access and costs, suicide, and opioid or other drug abuse.
Author(s): Mary G. Findling, Robert J. Blendon, John M. Benson, Justin M. Sayde, Carolyn E. Miller
Citation: JAMA Network Open, 3(1)
Date: 01/2020
Type: Document
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Assessment of Rural-Urban Differences in Postacute Care Utilization and Outcomes Among Older US Adults
Results of a study of 2,044,231 Medicare beneficiaries who were hospitalized in 2011-2015 for pneumonia, stroke, heart failure, hip fracture, or COPD. Examines the frequency, type, and duration of postacute care, as well as readmission and mortality rates in people discharged to a community or to postacute care. Features statistics with breakdowns by urban area, rural community adjacent to urban area, or rural community nonadjacent to urban area.
Author(s): Cyrus M. Kosar, Lacey Loomer, Nasim B. Ferdows, et al.
Citation: JAMA Network Open, 3(1)
Date: 01/2020
Type: Document
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Results of a study of 2,044,231 Medicare beneficiaries who were hospitalized in 2011-2015 for pneumonia, stroke, heart failure, hip fracture, or COPD. Examines the frequency, type, and duration of postacute care, as well as readmission and mortality rates in people discharged to a community or to postacute care. Features statistics with breakdowns by urban area, rural community adjacent to urban area, or rural community nonadjacent to urban area.
Author(s): Cyrus M. Kosar, Lacey Loomer, Nasim B. Ferdows, et al.
Citation: JAMA Network Open, 3(1)
Date: 01/2020
Type: Document
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Informal Caregiving and Technology in Rural America
Highlights the challenges caregivers face in rural communities. Discusses how technology can offer potential solutions and identifies barriers to those solutions, such as broadband connectivity. Features Avera Health's eCare Senior Care, which provides a range of technology-assisted care services for assisted living and senior housing programs, as well as long-term care facilities.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 01/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Highlights the challenges caregivers face in rural communities. Discusses how technology can offer potential solutions and identifies barriers to those solutions, such as broadband connectivity. Features Avera Health's eCare Senior Care, which provides a range of technology-assisted care services for assisted living and senior housing programs, as well as long-term care facilities.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 01/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Patients' Experiences in CAHs: HCAHPS Results, 2018
Provides results from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey for calendar year 2018. Summarizes reporting rates and performance among all U.S. Critical Access Hospitals (CAHs). Includes detailed tables that allow state-by-state comparison of response rates and overall CAH performance.
Author(s): Mariah Quick, Megan Lahr, Tongtan Chantarat, Ira Moscovice
Date: 01/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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Provides results from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey for calendar year 2018. Summarizes reporting rates and performance among all U.S. Critical Access Hospitals (CAHs). Includes detailed tables that allow state-by-state comparison of response rates and overall CAH performance.
Author(s): Mariah Quick, Megan Lahr, Tongtan Chantarat, Ira Moscovice
Date: 01/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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Trends in Opioids Prescribed at Discharge From Emergency Departments Among Adults: United States, 2006–2017
Examines trends in emergency department (ED) discharge opioid prescribing for adults from 2006–2007 through 2016–2017. Provides data by selected patient and hospital characteristics and the type of opioids prescribed. Table 1 includes data on the percent of ED patients prescribed an opioid at discharge by location of patient residence for metropolitan and nonmetropolitan areas.
Author(s): Pinyao Rui, Loredana Santo, Jill J. Ashman
Date: 01/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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Examines trends in emergency department (ED) discharge opioid prescribing for adults from 2006–2007 through 2016–2017. Provides data by selected patient and hospital characteristics and the type of opioids prescribed. Table 1 includes data on the percent of ED patients prescribed an opioid at discharge by location of patient residence for metropolitan and nonmetropolitan areas.
Author(s): Pinyao Rui, Loredana Santo, Jill J. Ashman
Date: 01/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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