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Rural Health
Resources by Type: Document

Patchwork of Contrasting Medication Cultures Across the USA
Examines differences in prescribing patterns by geographic area, including rural/urban comparisons. Compares opioid prescribing patterns with state drug monitoring programs, disease-associated drug use with relevant death rates, use of brand versus generic drugs, and the impact of insurance rates, poverty, and race/ethnicity.
Author(s): Rachel D. Melamed, Andrey Rzhetsky
Citation: Nature Communications, 9, 4022
Date: 10/2018
Type: Document
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Qualitative Case Study of Needle Exchange Programs in the Central Appalachian Region of the United States
Reports on a qualitative study in West Virginia to address barriers and identify supports that may impact the development of needle exchange programs (NEPs) in rural areas of the U.S. Interviews were conducted in West Virginia with program directors, police chiefs, law enforcement members, and people who inject drugs to obtain information on program implementation and operations, and future growth of NEPs.
Author(s): Stephen M. Davis, Danielle Davidov, Alfgeir L. Kristjansson, Keith Zullig, Adam Baus, et al.
Citation: PLoS One, 13(10)
Date: 10/2018
Type: Document
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Rising Rates of Injection Drug Use Associated Infective Endocarditis in Virginia with Missed Opportunities for Addiction Treatment Referral: A Retrospective Cohort Study
Describes the geographic, clinical trends and characteristics of infective endocarditis related to injection drug use (IDU-IE). Study site serves a large rural area in West Virginia and Virginia. Counties of residence for patient admissions with IDU-IE were identified as rural or urban. Discusses opportunities for improved quality of care for people who inject drugs.
Author(s): Megan E. Gray, Elizabeth T. Rogawski McQuade, W. Michael Scheld, Rebecca A. Dillingham
Citation: BMC Infectious Disease, 18, 532
Date: 10/2018
Type: Document
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Evaluating a Teen Pregnancy Prevention Program in Rural Kentucky
Reports on an evaluation of an adapted, shorter "Reducing the Risk" teen pregnancy prevention curriculum delivered in rural Kentucky high schools by local health departments. Evaluated student outcomes using survey data one year and two years after the programs were delivered.
Author(s): Brian Goesling, Joanne Lee, Robert G. Wood, Susan Zief
Date: 10/2018
Type: Document
Sponsoring organization: Administration for Children and Families
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Region XI American Indian and Alaska Native Head Start: A Portrait of Children and Families
Details a report on the American Indian and Alaska Native children and families who have participated in a Head Start Program. Highlights demographic and social factors, as well as the occurrence of depressive symptoms in parents. Discusses the health and wellness of the children in the program, specifically rates of obesity and perceived overall health.
Author(s): Meryl Yoches Barofsky, Laura Hoard, the AI/AN FACES 2015 Workgroup
Date: 10/2018
Type: Document
Sponsoring organization: Administration for Children and Families
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Trends in Hospital System Affiliation, 2007-2016
Policy brief reporting trends in hospital system affiliation from 2007 to 2016 for hospitals in metro and nonmetro areas, and Critical Access Hospitals (CAHs). Presents statistics on hospital system affiliation by hospital characteristics and highlights trends in hospital system affiliation by Census region.
Author(s): Onyinye Oyeka, Fred Ullrich, Keith Mueller
Date: 10/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Rural Poverty, Part 1
Showcases two papers from the Rural Policy Research Institute's (RUPRI) March 2018 "Rural Poverty: Fifty Years After The People Left Behind" Conference. Covers the causes and consequences of rural poverty and discusses the evolving research agenda to address the issue to improve economic opportunities. Includes information on rural and urban poverty rates by gender, education, marital status, and employment.
Citation: IRP Focus, 34(2), 1-24
Date: 10/2018
Type: Document
Sponsoring organization: Institute for Research on Poverty at the University of Wisconsin–Madison
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The Workforce Trends of Physician Assistants in Iowa (1995-2015)
Examines the growth trends and attrition of the physician assistance (PA) workforce in Iowa with a focus on primary or specialty care practice settings, rural or urban locations, and Health Professional Shortage Areas (HPSAs).
Author(s): Thomas S. Gruca, Gregory C. Nelson, Linda Thiesen, David P. Asprey, Sean G. Young
Citation: PLoS One, 13(10)
Date: 10/2018
Type: Document
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Access in Brief: Rural and Urban Health Care
Compares healthcare access and use of services for children and adults with Medicaid to those with private insurance or no insurance for both rural and urban areas and for adults with disabilities. Includes access data by age group, income, and race/ethnicity and utilization data for office and emergency room visits. Addresses access to prescription drugs and eyeglasses as well as barriers to healthcare access.
Date: 10/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Critical Access Hospitals' Community Health Needs Assessments and Implementation Plans: How Do They Align?
Examines how Critical Access Hospitals (CAHs) are using community health needs assessments to improve population health. Highlights common community health issues identified by the needs assessments, types of strategies CAHs used to address them, and ways to improve on their efforts to meet community needs. Discusses how Flex programs can support CAHs in their work and includes a list of resources to help CAHs.
Author(s): John A. Gale, Zachariah Croll, Lauren Zoll, Andrew F. Coburn
Date: 10/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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