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Rural Health
Resources by Type: Document

Collaborative Models for Medication-Assisted Treatment: Key Elements of Vermont's Hub-and Spoke System
Describes the collaborative effort of three health-related organizations who partnered to develop and implement a medication assisted therapy (MAT) treatment practice using the hub and spoke model. This system was supported through a Centers for Medicare & Medicaid Services Health Home State Plan amendment for Vermont, a mostly rural state, to modify their current MAT services to increase access to addiction treatment, integrate health and addictions care, improve health outcomes, and promote recovery.
Date: 04/2019
Type: Document
Sponsoring organization: Medicaid Innovation Accelerator Program (IAP)
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Rural‐Urban Trends in Opioid Overdose Discharges in Missouri Emergency Departments, 2012‐2016
Study of opioid overdose cases treated by Missouri emergency departments from 2012-2016 that compares rural and urban rates. Analyzes billing data from the state's Patient Abstract System (PAS), including population information and type of opiate involved in the overdose over the data period. Discusses the role of non-heroin opioids in overdose rates and implications of observed trends for emergency departments.
Author(s): Whitney Coffey, Andrew Hunter, Evan Mobley, Alana Vivolo-Kantor
Citation: Journal of Rural Health, 36(2), 177-186
Date: 04/2019
Type: Document
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Rural-Urban Disparities in Access to Home- and Community-based Services and Supports: Stakeholder Perspectives from 14 States
Examines rural-urban disparities in the supply and utilization of home- and community-based services (HCBS). Identifies factors that impact access to HCBS in rural areas.
Author(s): Daniel Siconolfi, Regina A. Shih, Esther M. Friedman, et al.
Citation: Journal of the American Medical Directors Association, 20(4), 503-308
Date: 04/2019
Type: Document
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The Influence of a Place-Based Foundation and a Public University in Growing a Rural Health Workforce
Case study of a partnership between the JF Maddox Foundation, the University of New Mexico's Office for Community Health, a local community college, and local community hospitals in southeastern New Mexico to increase healthcare access through workforce recruitment, training, and health promotion efforts. Discusses the healthcare needs of the rapidly growing rural community of Hobbs, NM and describes outcomes and lessons learned from the private-public partnerships that responded to those needs.
Author(s): Robert Reid, Evelyn Rising, Arthur Kaufman, et al.
Citation: Journal of Community Health, 44(2), 292-296
Date: 04/2019
Type: Document
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Influencing Cardiovascular Health Habits in the Rural, Deep South: Results of a Cluster Randomized Trial
Study examining public health interventions through churches to address cardiovascular disease (CVD) among African American adults in the rural South. Describes risk factors for CVD, social determinants of health, and CVD disparities in rural and African American communities. Analyzes sociodemographic and health data for 229 participants in a health promotion study.
Author(s): Laurie S. Abbott, Elizabeth H. Slate, Jennifer L. Lemacks
Citation: Health Education Research, 34(2), 200-208
Date: 04/2019
Type: Document
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Scratching the Surface of Psychiatric Services Distribution and Public Health: An Indiana Assessment
Discusses the shortage of psychiatric providers in rural Indiana using data from the Indiana Professional Licensing Agency. Compares 2015 workforce data to population demographics and county-by-county data on behavioral and public health, including rates of hypertension, smoking, and substance abuse. Tables compare population characteristics to provider licensing data to illustrate psychiatry workforce challenges in rural counties.
Author(s): Steven Moberly, Hannah Maxey, Lacy Foy, et al.
Citation: The Journal of Behavioral Health Services and Research, 46(2), 267-282
Date: 04/2019
Type: Document
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Isolated, Small, and Large Hospitals Have Fewer Nursing Resources than Urban Hospitals: Implications for Rural Health Policy
Describes the nurse work environment, nurse education, nursing skill mix, and patient-to-registered nurse (RN) ratios across hospitals in California, Florida, and Pennsylvania. Examines how the findings differ by urban, large, small, and isolated hospitals, and discusses the potential impact on patient outcomes.
Author(s): Jessica G. Smith, Colin M. Plover, Moira C. McChesney, Eileen T. Lake
Citation: Public Health Nursing, 36(4), 469-477
Date: 04/2019
Type: Document
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Rural Residence and Poverty Are Independent Risk Factors for Chronic Obstructive Pulmonary Disease in the United States
Uses data from the 2012-2015 National Health Interview Survey to determine whether urban-rural status, poverty, and other individual- or community-level factors are associated with chronic obstructive pulmonary disease (COPD) prevalence in the United States. Compares COPD predictors among current or past smokers and individuals who have never smoked.
Author(s): Sarath Raju, Corinne A. Keet, Laura M. Paulin, et al.
Citation: American Journal of Respiratory and Critical Care Medicine, 199(8), 961-969
Date: 04/2019
Type: Document
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Association Between Emergency Medical Service Response Time and Motor Vehicle Crash Mortality in the United States
Analyzes data from counties across the United States to determine whether longer emergency medical service (EMS) response times are related to higher fatality rates from motor vehicle crashes. Includes EMS response times based on rurality, population density, proximity to trauma centers, and more.
Author(s): James Byrne, N. Clay Mann, Mengtao Dai, et al.
Citation: JAMA Surgery, 154(4), 286-293
Date: 04/2019
Type: Document
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Increasing Rural Nurses' Awareness of a Statewide Health Information Resource: An Educational Outreach Initiative
Reports on strategies designed to promote awareness and usage of HEALWA among rural health professionals in Washington state, including the use of a librarian position. HEALWA is a virtual resource library of evidence-based health information that can be accessed by health practitioners across the state.
Author(s): Kathryn Vela, Tania Bardyn
Citation: Journal of the Medical Library Association, 107(2), 244-250
Date: 04/2019
Type: Document
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