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The Rural Monitor
Articles by Topic: Culture and cultural competency

Improving Care and Accessibility for Rural Patients with Disabilities

October 2, 2024
Rural people with disabilities face barriers to healthcare, such as transportation, inaccessible buildings, and providers' lack of experience or confidence treating this patient population. Experts, including a public health department in Montana and a disability and health program in New Hampshire, discuss these barriers and ways to improve accessibility and communication with patients with disabilities.

Rural Community Health Worker Programs: Proving Value and Finding Sustainability

July 24, 2024
For decades, community health workers (CHWs) provided their services outside usual healthcare reimbursement models. In recent years, with research supporting CHWs as professionals effectively assisting patients with navigating health-related social determinants, federal and private payers are exploring reimbursement mechanisms. Four rural healthcare organizations share both the impact and the continued sustainability challenges — and successes — of their CHW programs.

Doulas Provide Support for Maternal and Infant Health in Rural Communities

October 6, 2021
Three programs across rural America demonstrate how doulas improve birth outcomes by providing prenatal, labor, and postpartum support. A New Mexico program reaches American Indian, Hispanic, and other populations who lack nearby labor/delivery units; a Minnesota program works with moms experiencing incarceration; and a North Dakota program is training postpartum doulas who will care for families impacted by opioid use disorder and other substance use.