Rural Health
Resources by Type: Document
A Systematic Review of Rural-specific Barriers to Medication Treatment for Opioid Use Disorder in the United States
Analyzes a number of studies looking at medication-assisted treatment (MAT) for opioid use disorder in rural areas. Explores barriers to accessing MAT in rural areas and makes rural and urban comparisons.
Author(s): Jamey J. Lister, Addie Weaver, Jennifer D. Ellis, Joseph A. Himle, David M. Ledgerwood
Citation: The American Journal of Drug and Alcohol Abuse
Date: 12/2019
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Analyzes a number of studies looking at medication-assisted treatment (MAT) for opioid use disorder in rural areas. Explores barriers to accessing MAT in rural areas and makes rural and urban comparisons.
Author(s): Jamey J. Lister, Addie Weaver, Jennifer D. Ellis, Joseph A. Himle, David M. Ledgerwood
Citation: The American Journal of Drug and Alcohol Abuse
Date: 12/2019
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Newborns with Withdrawal Symptoms Caused by Maternal Exposure to Select Substances
Reports on the use of International Classification of Diseases (ICD) diagnosis codes describing withdrawal symptoms of newborns impacted by maternal exposure to certain substances, and identifies the number of newborns impacted by exposure using data from Oklahoma's Medicaid and birth certificate records. Lists clinical symptoms and conditions present among affected newborns, and offers data on the demographic distribution by county, select maternal characteristics, and birth outcomes of newborns with withdrawal symptoms.
Date: 12/2019
Sponsoring organization: Oklahoma State Department of Health
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Reports on the use of International Classification of Diseases (ICD) diagnosis codes describing withdrawal symptoms of newborns impacted by maternal exposure to certain substances, and identifies the number of newborns impacted by exposure using data from Oklahoma's Medicaid and birth certificate records. Lists clinical symptoms and conditions present among affected newborns, and offers data on the demographic distribution by county, select maternal characteristics, and birth outcomes of newborns with withdrawal symptoms.
Date: 12/2019
Sponsoring organization: Oklahoma State Department of Health
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The Strong African American Families Program Improves Lives of Rural African American Youth
Video with transcript, describing a program developed by the Center for Family Research at the University of Georgia, designed to foster wellbeing and improve outcomes for rural African American young people ages 10-14. Describes challenges they face, and explores ways in which the program strengthens parenting, promotes youth protective factors, and decreases the likelihood that participants will engage in high-risk behaviors, including substance abuse.
Date: 12/2019
Sponsoring organization: National Institute on Drug Abuse
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Video with transcript, describing a program developed by the Center for Family Research at the University of Georgia, designed to foster wellbeing and improve outcomes for rural African American young people ages 10-14. Describes challenges they face, and explores ways in which the program strengthens parenting, promotes youth protective factors, and decreases the likelihood that participants will engage in high-risk behaviors, including substance abuse.
Date: 12/2019
Sponsoring organization: National Institute on Drug Abuse
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An Analysis of Utah's Emergency Department Non-traumatic Dental Visits 2007-2017
Report explores the non-traumatic oral healthcare visits handled by emergency departments in Utah from 2007 to 2017. Looks at data by rural and urban hospital location, diagnosis, and payers, among other measures.
Author(s): Michelle Martin, Michelle Silver, Brittney Okada, et al.
Date: 12/2019
Sponsoring organization: Utah Department of Health and Human Services
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Report explores the non-traumatic oral healthcare visits handled by emergency departments in Utah from 2007 to 2017. Looks at data by rural and urban hospital location, diagnosis, and payers, among other measures.
Author(s): Michelle Martin, Michelle Silver, Brittney Okada, et al.
Date: 12/2019
Sponsoring organization: Utah Department of Health and Human Services
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Congestive Heart Failure-Related Hospital Deaths Across the Urban-Rural Continuum in the United States
Examines current trends in congestive heart failure (CHF)-related hospital deaths with an emphasis on rural-urban differences for each census region. 2009-2014 data from the Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS) was used, focusing on adult hospital admissions with CHF identified as the principal diagnosis. Results from this study may aid in identifying geographic areas needing interventions to improve access to care and to reduce CHF mortality.
Author(s): Kristin Primm, Alva O. Ferdinand, Timothy Callaghan, et al.
Citation: Preventive Medicine Reports, 16
Date: 12/2019
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Examines current trends in congestive heart failure (CHF)-related hospital deaths with an emphasis on rural-urban differences for each census region. 2009-2014 data from the Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS) was used, focusing on adult hospital admissions with CHF identified as the principal diagnosis. Results from this study may aid in identifying geographic areas needing interventions to improve access to care and to reduce CHF mortality.
Author(s): Kristin Primm, Alva O. Ferdinand, Timothy Callaghan, et al.
Citation: Preventive Medicine Reports, 16
Date: 12/2019
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Strategic Choice in Developing Telemedicine - Observations from Three Organizations
Discusses organizational considerations such as local and regional market conditions and economics for hospital systems incorporating telemedicine into their healthcare services. Features a literature review and results of interviews with Kaiser Permanente Southern California, the Mayo Clinic Center for Connected Care, and the University of Mississippi Medical Center. Explores challenges and plans for expansion of services to underserved areas.
Author(s): Thomas Vaughn, Fred Ullrich, Muska Nataliansyah, Keith J. Mueller
Date: 12/2019
Sponsoring organization: Rural Policy Research Institute
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Discusses organizational considerations such as local and regional market conditions and economics for hospital systems incorporating telemedicine into their healthcare services. Features a literature review and results of interviews with Kaiser Permanente Southern California, the Mayo Clinic Center for Connected Care, and the University of Mississippi Medical Center. Explores challenges and plans for expansion of services to underserved areas.
Author(s): Thomas Vaughn, Fred Ullrich, Muska Nataliansyah, Keith J. Mueller
Date: 12/2019
Sponsoring organization: Rural Policy Research Institute
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Opioid Prescribing Among Adults With Disabilities in the United States After the 2014 Federal Hydrocodone Rescheduling Regulation
Examines the impact of the 2014 federal rescheduling regulation regarding hydrocodone-combination products on Medicare beneficiaries with disabilities. Provides maps of prolonged opioid use by Medicare beneficiaries with disabilities by state before and after the regulation was implemented. Includes data analysis of beneficiaries in metropolitan, urban, and rural areas.
Author(s): Victor Law, Yong-Fang Kuo, Mukaila A. Raji, Jacques Baillargeon
Citation: Public Health Reports, 135(1), 114-123
Date: 12/2019
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Examines the impact of the 2014 federal rescheduling regulation regarding hydrocodone-combination products on Medicare beneficiaries with disabilities. Provides maps of prolonged opioid use by Medicare beneficiaries with disabilities by state before and after the regulation was implemented. Includes data analysis of beneficiaries in metropolitan, urban, and rural areas.
Author(s): Victor Law, Yong-Fang Kuo, Mukaila A. Raji, Jacques Baillargeon
Citation: Public Health Reports, 135(1), 114-123
Date: 12/2019
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340B Drug Discount Program: Increased Oversight Needed to Ensure Nongovernmental Hospitals Meet Eligibility Requirements
Provides an overview of the Government Accountability Office's (GAO) review of 258 nongovernmental hospitals that participate in the 340B Drug Pricing Program and their contracts with state and local governments. Evaluates the contracts to determine if they meet the eligibility requirement to serve low-income individuals. Outlines weaknesses in the Health Resources and Services Administration's review of the hospital contracts and offers six recommendations to improve the contract review process.
Additional links: Full Report
Date: 12/2019
Sponsoring organization: Government Accountability Office
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Provides an overview of the Government Accountability Office's (GAO) review of 258 nongovernmental hospitals that participate in the 340B Drug Pricing Program and their contracts with state and local governments. Evaluates the contracts to determine if they meet the eligibility requirement to serve low-income individuals. Outlines weaknesses in the Health Resources and Services Administration's review of the hospital contracts and offers six recommendations to improve the contract review process.
Additional links: Full Report
Date: 12/2019
Sponsoring organization: Government Accountability Office
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A Shrinking Primary Care Workforce in Puerto Rico
Discusses Puerto Rico's aging primary care workforce and concerns about the number of healthcare professionals who have left the island following the 2017 hurricane and the relatively low recruitment and retention rate for graduates of Puerto Rico's residency programs. Features statistics showing primary care physician age distribution in Puerto Rico compared with the rest of the United States in 2018.
Author(s): Elizabeth Wilkinson, David Killeen, Gabriel José Pérez-López, Yalda Jabbarpour
Date: 12/2019
Sponsoring organization: Robert Graham Center
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Discusses Puerto Rico's aging primary care workforce and concerns about the number of healthcare professionals who have left the island following the 2017 hurricane and the relatively low recruitment and retention rate for graduates of Puerto Rico's residency programs. Features statistics showing primary care physician age distribution in Puerto Rico compared with the rest of the United States in 2018.
Author(s): Elizabeth Wilkinson, David Killeen, Gabriel José Pérez-López, Yalda Jabbarpour
Date: 12/2019
Sponsoring organization: Robert Graham Center
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Availability of Grocery Delivery to Food Deserts in States Participating in the Online Purchase Pilot
Research letter describing a study of the Online Purchase Pilot (OPP), which allows beneficiaries in 8 states to use the Supplemental Nutrition Assistance Program (SNAP) to buy groceries online. Includes statistics on the availability of grocery delivery among rural food desert census tracts and SNAP households in the 8 OPP states.
Author(s): Eric J. Brandt, David M. Silvestri, Jerold R. Mandi, Margaret L. Holland, Joseph S. Ross
Citation: JAMA Network Open, 2(12)
Date: 12/2019
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Research letter describing a study of the Online Purchase Pilot (OPP), which allows beneficiaries in 8 states to use the Supplemental Nutrition Assistance Program (SNAP) to buy groceries online. Includes statistics on the availability of grocery delivery among rural food desert census tracts and SNAP households in the 8 OPP states.
Author(s): Eric J. Brandt, David M. Silvestri, Jerold R. Mandi, Margaret L. Holland, Joseph S. Ross
Citation: JAMA Network Open, 2(12)
Date: 12/2019
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