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The Rural Monitor
Articles by Topic: Access

Staving Off One's Mortality: Rural Kidney Health and Its Disparities

June 15, 2022
For the 240,000 rural Americans with complete kidney failure, it's likely that very few knew they even had kidney disease. According to the Centers for Disease Control and Prevention, kidney disease is usually silent; 90% of people with kidney disease don't know they have it. With research pointing to the high costs of kidney disease for pediatric and adult patients alike — mostly covered by Medicare — experts and researchers discuss rural disparities around access to disease-stabilizing treatment and to renal replacement therapies.

A New Era of Health Literacy? Expanded Definitions, Digital Influences, and Rural Inequities

February 2, 2022
The priority for rural population health is access, including access to health information needed to make personal health decisions. Two of the nation's health literacy experts join a federal agency official to review current rural challenges of accessing health information that is clear and usable. Along with an exploration of digital health literacy, recently expanded definitions of health literacy are discussed.

Understanding the “Tool-ish-ness” of Telehealth: Q&A with Dr. Jonathan Neufeld

December 8, 2021
Clinical psychologist and program director for the Great Plains Telehealth Resource & Assistance Center, Dr. Jonathan Neufeld, clarifies telehealth as an "enabler" of healthcare delivery. Emphasizing that telehealth is only a set of telecommunication tools, he details how the unique use and flexibility of these tools by skilled providers can bring quality care and impact rural health equity.

Technical Assistance Helps Community #SilencetheShameTN

November 24, 2021
When Henry County Medical Center (HCMC) and the community of Paris, Tennessee, wanted to combat behavioral and mental health challenges in their community, they used the technical assistance and resources provided by the Delta Region Community Health Systems Development (DRCHSD) program to address their needs.

Out of the Shadows: Reducing the Rural Impact of Epilepsy

October 20, 2021
A common health condition, epilepsy impacts rural populations in many ways, including the ability to drive. Medical and public health experts join an advocacy organization to review the condition's impact and outline rural management approaches — including seizure first aid.

Keeping the Doors Open: Vulnerable Rural Hospitals Benefit from Federally Funded Technical Assistance

September 1, 2021
It's a crisis: rural hospital closures. Helping at-risk hospitals thrive in order to continue to serve their communities, Texas A&M's Center for Optimizing Rural Health (CORH) offers technical assistance through a federally funded program for vulnerable hospitals. The CORH team and an Oklahoma program participant share specifics on just how the program's assistance can help keep doors open.

Understanding the Rural Swing Bed: More than Just a Reimbursement Policy

August 11, 2021
"Swing bed" is that oft-heard phrase describing not a physical hospital bed, but post-acute care for the rural patient who is well enough to leave the acute care hospital but not well enough to be safe at home. In this 2-part story, experts and hospital administrators review the swing bed program's historical implementation and provide stories and examples of the value this over 40-year-old healthcare delivery and reimbursement model brings to patients, to the hospitals providing their care, and ultimately to rural communities.

History of the Swing Bed: A Look Through the Rural Rearview Mirror

August 11, 2021
The healthcare delivery model known as the swing bed program has allowed rural and Critical Access Hospitals to serve patients by keeping them in their rural communities for post-acute care. Reviewing the history of this program, experts describe early implementation and key program elements that have sustained its success for over 40 years.