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Rural Health
Resources by Type: Document

Barriers to Participation in Clinical Trials of Rural Older Adult Cancer Survivors: A Qualitative Study
Explores barriers to clinical trial participation for older cancer survivors living in rural areas. Utilizes semi-structured interviews to discuss challenges such as lack of transportation, limited communication with providers, age, and more.
Author(s): Evelyn Arana-Chicas, Laura M. Hincapie Prisco, Saloni Sharma, et al.
Citation: Journal of Rural Health
Date: 06/2024
Type: Document
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Health Insurance Coverage and Access to Care among American Indians and Alaska Natives: Recent Trends and Key Challenges
Issue brief presenting data on rates of insurance coverage, Medicaid coverage, and access to healthcare for American Indians and Alaska Natives (AI/AN) using American Community Survey data. Discusses the impacts of health disparities, coverage expansions under the Affordable Care Act, and state Medicaid expansions on AI/AN populations.
Date: 06/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Improving Access to Affordable and Equitable Health Coverage: A Review from 2010 to 2024
An issue brief that provides commentary and data on how the Affordable Care Act (ACA) has impacted access to health insurance coverage. Provides uninsurance rates by demographic groups and discusses the effect of the ACA on rural areas.
Author(s): Thomas Buchmueller, Amelia Whitman, Christie Peters, Nancy De Lew
Date: 06/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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2023 Immunization Profile Study: A Look at Immunization Capacity among Local Health Departments
Reports survey results from 422 local health departments (LHDs) on immunization workforce capacity, vaccine provision and uptake, funding and reimbursement, immunization data capacity, barriers to vaccination, and more in 2023. Includes data comparisons of small, medium, and large LHDs.
Author(s): Margaret C. Cunningham, Amy Maxson, Robin Mowson, et al.
Date: 06/2024
Type: Document
Sponsoring organization: National Association of County and City Health Officials
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Partnerships to Establish and Sustain Rural GME: Q and A with Randy Longenecker, MD
Interview with Randy Longenecker, founding executive director of the RTT Collaborative, now called the Rural Medical Training Collaborative. Explores the history of efforts to address physician shortages in rural Appalachian Ohio and discusses challenges in developing and sustaining rural graduate medical education partnerships and experiences.
Date: 06/2024
Type: Document
Sponsoring organization: Accreditation Council for Graduate Medical Education
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The Evolution of Health System Planning and Implementation of Maternal Telehealth Services During the COVID-19 Pandemic
Analyzes the impact of telehealth to provide maternal healthcare services during the COVID-19 pandemic. Utilizes interview feedback from 15 health system leaders to discuss issues such as telehealth reimbursement, research, access, barriers, and integration. Includes commentary on telehealth use in rural areas.
Author(s): Monisa Aijaz, Burcu Bozkurt, Arrianna Marie Planey, et al.
Citation: Digital Health, 10
Date: 06/2024
Type: Document
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Reimagining Rural Health Equity: Understanding Disparities and Orienting Policy, Practice, and Research in Rural America
Commentary piece discussing public health disparities and disadvantage in rural areas. Proposes five principles for policy, research, and practice in support of health equity. Includes coverage of rural leadership and assets, rural characteristics, and the value of rural-specific interventions, among other topics.
Author(s): Anne N. Sosin, Elizabeth A. Carpenter-Song
Citation: Health Affairs, 43(6), 791-797
Date: 06/2024
Type: Document
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Rural Health Disparities in Skin Cancer Amplified Among Skin of Color
Analyzes how geography and the social determinants of health impact skin cancer disparities. Analyzes skin cancer history in rural versus urban populations, with data further broken down by gender, race, health plan, healthcare provider access, age, and income.
Author(s): Rachel R. Lin, Juwon Lee, Andrea D. Maderal, Scott A. Elman
Citation: Journal of Drugs in Dermatology, 23(6), 480-484
Date: 06/2024
Type: Document
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Facilitators and Barriers to Adopting or Expanding Medications for Opioid Use Disorder Provision in Rural Colorado Jails: a Qualitative Analysis
Reports findings of interviews with representatives of 7 rural Colorado jails on facilitators and barriers of medication for opioid use disorder (MOUD) adoption and expansion. Discusses factors including attitudes toward MOUD, collaborative partnerships, physical space, distance to services, provider availability, staff, and more.
Author(s): Heidi L. McNeely, Terri L. Schreiber, William L. Swann, Claudia R. Amura
Citation: Health and Justice, 12, 26
Date: 06/2024
Type: Document
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS and the Long-term Care Hospital PPS for FY 2025
Comments on a May 2, 2024, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Discusses proposals on rate-setting in both the inpatient prospective payment systems (IPPS) and LTCH PPS; the Transforming Episode Accountability Model (TEAM), including the definition of rural hospitals eligible to participate in a lower-risk track; new payments to small, independent hospitals that establish and maintain a 6-month buffer supply of essential medicines; updates to wage index values and policies; and updates to outlier reconciliation thresholds.
Date: 06/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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