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Rural Health
Resources by Type: Document

Buyback Program of Unused Prescription Opioids in US Rural Communities, 2017–2018
Describes a buyback intervention that was designed to encourage rural, ambulatory surgery patients to return unused prescription opioids to a U.S. Department of Veterans Affairs (VA) hospital. Provides data on patient characteristics as well as percent of opioids prescribed and returned during 2017 and 2018. Includes implications for public health.
Author(s): Jean Liu, Julie Franklin, Frank Gesek, Joseph Anderson
Citation: American Journal of Public Health, 110(9), 1318-1324
Date: 2020
Type: Document
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Funding and Service Delivery in Rural and Urban Local US Health Departments in 2010 and 2016
Uses nationally representative data from 2010 and 2016 to explore rural/urban differences in local health department (LHD) funding and service delivery. Includes data and statistics on LHD characteristics, sources of revenue, and types of services provided by LHDs, with information broken down by rurality.
Author(s): Kate Beatty, Megan Heffernan, Nathan Hale, Michael Meit
Citation: American Journal of Public Health, 110(9), 1293-1299
Date: 2020
Type: Document
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Development of a National Childhood Obesogenic Environment Index in the United States: Differences by Region and Rurality
Details the formation of a childhood obesogenic environment index (COEI), which was used to identify rural, urban, and other geographic differences in environmental factors associated with obesity. Variables used to calculate COEI scores include availability of fast-food restaurants, farmers markets, grocery stores, and other related facilities; access to exercise opportunities; violent crime; walkability; and more. Includes county-level data on COEI scores across the U.S.
Author(s): Andrew Kaczynski, Jan Eberth, Ellen Stowe, et al.
Citation: International Journal of Behavioral Nutrition and Physical Activity, 17(83)
Date: 2020
Type: Document
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The Opioid Crisis and the Hispanic/Latino Population: An Urgent Issue
Report highlights the opioid crisis in Hispanic/Latino populations. Details rates of illicit opioid use and prescription drug misuse, as well as overdose and death rates. Discusses measures taken in to provide treatment and prevention in Latino communities, including in rural and border areas.
Date: 2020
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Ten-Year Reflections on the County Health Rankings & Roadmaps
Discussion of how data, evidence, guidance, and examples used in County Health Rankings & Roadmaps publications from January 2009 - January 2019 have helped communities improve the conditions in which their residents live. Examines how the methodology has changed over time, and includes a section on how the researchers adapted their methods so as to appropriately analyze data from rural areas with small populations.
Author(s): Bridget Booske Catlin, Willems Van Dijk
Date: 2020
Type: Document
Sponsoring organizations: Robert Wood Johnson Foundation, University of Wisconsin Population Health Institute
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Contributions of US Medical Schools to Primary Care (2003-2014): Determining and Predicting Who Really Goes Into Primary Care
Results of a project to determine the magnitude by which primary care output is overestimated and to identify a more accurate way to predict actual primary care output. Features statistics on percentages of medical school graduates who intended to practice and who actually practice in primary care, based on data from 17,509 graduates from 20 campuses across 14 university systems.
Author(s): Mark Deutchman, Francesca Macaluso, Jason Chao, et al.
Citation: Family Medicine, 52(7), 483-490
Date: 2020
Type: Document
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Helping Patients Living in Rural Areas Transition from Hospital to Home - The ROADMAP Study
Evaluates a hospital discharge planning program's effectiveness in providing support to rural patients returning home after staying in a hospital. Includes patients' demographic information and compares the number of emergency department visits and rehospitalizations of the control group with those of the intervention group.
Author(s): Tom Seekins, Jennifer Wong, Lynda Yearous, et al.
Date: 2020
Type: Document
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Evidence-Based Practice for Public Health Emergency Preparedness and Response
Reviews evidence on public health emergency preparedness and response (PHEPR) practices and improvements necessary to strengthen the PHEPR system. Focuses on training of community-based partners to improve the outcomes of at-risk populations, activation of an emergency operations center, communication of alerts and guidance to technical audiences during an emergency, and implementation of quarantines.
Date: 2020
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Stem the Tide: Opioid Stewardship Measurement Implementation Guide
Identifies best practices for hospitals and health systems to use data to improve opioid stewardship. Addresses six elements that can support facilities through implementing a data-driven opioid stewardship program. Provides a list of quality improvement measures for hospitals and health systems to track progress. Highlights a consortium of providers serving rural communities across Minnesota, North Dakota, and Wisconsin focused on access to treatment and interventions that address social determinants of health.
Date: 2020
Type: Document
Sponsoring organization: American Hospital Association
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Improving Behavioral Health Screening & Access to Treatment for Veterans in Community Care
Describes a partnership between Veterans Rural Health Resource Center in Iowa City, Iowa; the Iowa Primary Care Association; and the Community Health Centers of Southeastern Iowa. Provides an overview of Phase I of the collaboration, which focused on implementing a new screening process at 4 rural FQHCs to properly identify all veterans seeking care. Discusses the broader impact of this initiative and next steps.
Date: 2020
Type: Document
Sponsoring organizations: Community Health Centers of Southeastern Iowa, Iowa Primary Care Association, Veterans Health Administration's Office of Rural Health
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