Rural Health
Resources by Type: Document
Promoting Health Coverage of American Indian and Alaska Native Children
Provides an overview of the health disparities American Indian and Alaska Native (AI/AN) children face. Reports on healthcare coverage trends for AI/AN children from 2008 to 2015, with information on 3 public sources of coverage: the Indian Health Service (IHS), Medicaid, and the Children's Health Insurance Program (CHIP). Includes recommendations to improve coverage for AI/AN children.
Author(s): Lauren Roygardner, Andy Schneider, Doug Steiger
Date: 09/2019
Sponsoring organization: Georgetown University Health Policy Institute
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Provides an overview of the health disparities American Indian and Alaska Native (AI/AN) children face. Reports on healthcare coverage trends for AI/AN children from 2008 to 2015, with information on 3 public sources of coverage: the Indian Health Service (IHS), Medicaid, and the Children's Health Insurance Program (CHIP). Includes recommendations to improve coverage for AI/AN children.
Author(s): Lauren Roygardner, Andy Schneider, Doug Steiger
Date: 09/2019
Sponsoring organization: Georgetown University Health Policy Institute
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Improving Access to and Equity of Care for People with Serious Illness Proceedings of a Workshop
Summarizes an April 2019 public workshop on models of care delivery for people with serious illness. Includes discussion of access to care in rural areas, including access to hospice and palliative care.
Additional links: Read Online
Author(s): Roundtable on Quality Care for People with Serious Illness
Date: 09/2019
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summarizes an April 2019 public workshop on models of care delivery for people with serious illness. Includes discussion of access to care in rural areas, including access to hospice and palliative care.
Additional links: Read Online
Author(s): Roundtable on Quality Care for People with Serious Illness
Date: 09/2019
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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State Strategies to Address Opioid Use Disorder Among Pregnant and Postpartum Women and Infants Prenatally Exposed to Substances, Including Infants with Neonatal Abstinence Syndrome
Identifies state strategies to improve outcomes for pregnant and postpartum women with opioid use disorder and infants prenatally exposed to substances, including opioids. Discusses strategies focused on access to and coordination of quality services, including approaches such as telemedicine that are useful in rural areas. Also discusses strategies related to provider awareness and training and other topics.
Author(s): Charlan D. Kroelinger, Marion E. Rice, Shanna Cox, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(36), 777-783
Date: 09/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Identifies state strategies to improve outcomes for pregnant and postpartum women with opioid use disorder and infants prenatally exposed to substances, including opioids. Discusses strategies focused on access to and coordination of quality services, including approaches such as telemedicine that are useful in rural areas. Also discusses strategies related to provider awareness and training and other topics.
Author(s): Charlan D. Kroelinger, Marion E. Rice, Shanna Cox, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(36), 777-783
Date: 09/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Violence Against Hospital Workers: Growing Awareness, Rural Interventions, and Why It Still Goes Unreported
Provides an overview of workplace violence in healthcare settings. Features rural hospitals in Oregon and Idaho that are undertaking a range of prevention activities addressing workplace violence. Also features research findings from a Michigan healthcare system study on the topic, and identifies resources and tools that rural hospital leaders can use to help protect hospital staff.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2019
Sponsoring organization: Rural Health Information Hub
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Provides an overview of workplace violence in healthcare settings. Features rural hospitals in Oregon and Idaho that are undertaking a range of prevention activities addressing workplace violence. Also features research findings from a Michigan healthcare system study on the topic, and identifies resources and tools that rural hospital leaders can use to help protect hospital staff.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2019
Sponsoring organization: Rural Health Information Hub
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Health Insurance Coverage in the United States: 2018
Provides statistics on health insurance coverage in 2018 and also focuses on changes between 2017 and 2018. Table 5 and Appendix Table 4 list statistics for metropolitan and nonmetropolitan areas. Based on data from the Current Population Survey Annual Social and Economic Supplement and the American Community Survey.
Author(s): Edward R. Berchick, Jessica C. Barnett, Rachel D. Upton
Date: 09/2019
Sponsoring organization: U.S. Census Bureau
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Provides statistics on health insurance coverage in 2018 and also focuses on changes between 2017 and 2018. Table 5 and Appendix Table 4 list statistics for metropolitan and nonmetropolitan areas. Based on data from the Current Population Survey Annual Social and Economic Supplement and the American Community Survey.
Author(s): Edward R. Berchick, Jessica C. Barnett, Rachel D. Upton
Date: 09/2019
Sponsoring organization: U.S. Census Bureau
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Evaluation of the Accountable Care Organization Investment Model: AIM Implementation and Impacts over Two Performance Years
Evaluation examining the first two years of the ACO Investment Model (AIM), which tests the use of prepaid shared savings to encourage new ACOs to form in rural and underserved areas (Test 1) and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk (Test 2). Reports on AIM ACO composition, including rurality. Appendices include detailed information on each AIM ACO.
Additional links: Appendices, Findings at a Glance
Date: 09/2019
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Evaluation examining the first two years of the ACO Investment Model (AIM), which tests the use of prepaid shared savings to encourage new ACOs to form in rural and underserved areas (Test 1) and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk (Test 2). Reports on AIM ACO composition, including rurality. Appendices include detailed information on each AIM ACO.
Additional links: Appendices, Findings at a Glance
Date: 09/2019
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Dismantling Buprenorphine Policy Can Provide More Comprehensive Addiction Treatment
Commentary focused on the impact buprenorphine prescribing policy has on access to opioid addiction treatment. Discusses the lack of providers waivered to prescribe buprenorphine in rural areas. Includes a map showing counties that lack providers who can prescribe medications for opioid use disorder.
Author(s): Alex E. Woodruff, Mary Tomanovich, Leo Beletsky, et al.
Date: 09/2019
Sponsoring organization: National Academy of Medicine
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Commentary focused on the impact buprenorphine prescribing policy has on access to opioid addiction treatment. Discusses the lack of providers waivered to prescribe buprenorphine in rural areas. Includes a map showing counties that lack providers who can prescribe medications for opioid use disorder.
Author(s): Alex E. Woodruff, Mary Tomanovich, Leo Beletsky, et al.
Date: 09/2019
Sponsoring organization: National Academy of Medicine
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Maternal Mortality in the United States
Provides an overview of maternal mortality in the United States. Discusses the increase in maternal mortality rates and factors that contribute to maternal deaths. Includes information specific to rural maternal mortality. Identifies policy solutions, including state maternal mortality review committees, and highlights efforts in California and North Carolina to address maternal mortality.
Author(s): Tara O'Neill Hayes, Carly McNeil
Date: 09/2019
Sponsoring organization: American Action Forum
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Provides an overview of maternal mortality in the United States. Discusses the increase in maternal mortality rates and factors that contribute to maternal deaths. Includes information specific to rural maternal mortality. Identifies policy solutions, including state maternal mortality review committees, and highlights efforts in California and North Carolina to address maternal mortality.
Author(s): Tara O'Neill Hayes, Carly McNeil
Date: 09/2019
Sponsoring organization: American Action Forum
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Family Medicine Rural Training Track Residencies: Risks and Resilience
Results of a study to understand threats to rural training track (RTT) program sustainability and resilience factors that help RTTs to thrive.
Author(s): Davis G. Patterson, David Schmitz, Randall L. Longenecker
Citation: Family Medicine, 51(8), 649-656
Date: 09/2019
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Results of a study to understand threats to rural training track (RTT) program sustainability and resilience factors that help RTTs to thrive.
Author(s): Davis G. Patterson, David Schmitz, Randall L. Longenecker
Citation: Family Medicine, 51(8), 649-656
Date: 09/2019
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Rural Hospital Closures Reduce Access to Emergency Care
Recognizes the importance of hospital and emergency care services in providing healthcare in rural communities, and discusses the current hospital closure rate. Uses federal data to compare the financial viability of rural and urban hospitals, and the availability of emergency care in rural communities. Suggests policy recommendations for improving access to healthcare and emergency care for rural populations.
Author(s): Tarun Ramesh, Emily Gee
Date: 09/2019
Sponsoring organization: Center for American Progress
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Recognizes the importance of hospital and emergency care services in providing healthcare in rural communities, and discusses the current hospital closure rate. Uses federal data to compare the financial viability of rural and urban hospitals, and the availability of emergency care in rural communities. Suggests policy recommendations for improving access to healthcare and emergency care for rural populations.
Author(s): Tarun Ramesh, Emily Gee
Date: 09/2019
Sponsoring organization: Center for American Progress
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