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Rural Health Information Hub

California Resources

California County Fact Sheets: Treatment Gaps in Opioid-Agonist Medication Assisted Therapy (OA-MAT) and Estimates of How Many Additional Prescribers Are Needed
Presents county-level estimates of opioid use disorder rates and treatment needs in California. Features statistics including opioid overdose deaths, buprenorphine prescriptions, number of treatment programs, and estimates of buprenorphine-waivered prescribers.
Author(s): Lisa Clemans-Cope, Marni Epstein, Douglas A. Wissoker, Joshua Aarons
Date: 11/2019
Sponsoring organization: Urban Institute
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California's Midwives: How Scope of Practice Laws Impact Care
Compares the scope of practice, professional licensures, regulatory systems, and educational requirements for licensed midwives (LMs) and nurse-midwives (NMs) in California. Appendix provides per capita distribution data for midwives by county within the state.
Author(s): Connie Kwong, Margot Brooks, Kim Q. Dau, Joanne Spetz
Date: 10/2019
Sponsoring organization: Healthforce Center at UCSF
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Primary Care Clinician and Clinic Director Experiences of Professional Bias, Harassment, and Discrimination in an Underserved Agricultural Region of California
Results of interviews with 26 San Joaquin Valley clinicians and clinic directors from December 2017 to December 2018, to examine their experiences of isolation and harassment. Includes demographic statistics on participants.
Author(s): Michelle Ko, Armin Dorri
Citation: JAMA Network Open 2(10)
Date: 10/2019
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Serving Rural America: Health Insurance Providers at Work
Offers 5 case studies to showcase the ways in which health insurance providers are working to ensure access to high quality healthcare in rural areas. Examples feature 8 insurance providers in Maryland, Pennsylvania, California, and Oregon sharing different approaches to healthcare delivery, financing, and community engagement.
Date: 09/2019
Sponsoring organization: AHIP
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Impact of Rural and Urban Hospital Closures on Inpatient Mortality
Examines the impact of California's hospital closures from 1995-2011 on adjusted inpatient mortality for sepsis, stroke, asthma/chronic obstructive pulmonary disease, and acute myocardial infarction. Features statistics including the number of closures by year, patient demographics with breakdowns by urban or rural location, and differential impacts of rural and urban closures with breakdowns by condition.
Author(s): Kritee Gujral, Anirban Basu
Citation: NBER Working Paper Series, Working Paper 26182
Date: 08/2019
Sponsoring organization: National Bureau of Economic Research
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Accelerating Value-Based Payment in California's Federally Qualified Health Centers: Options for Medicaid Health Plans
Highlights examples of value-based payment (VBP) models for Federally Qualified Health Centers (FQHCs), including a rural Hawaii model and a Colorado model that incorporates rural FQHCs. Covers Accountable Care Organization (ACO) models, state-led Capitated Alternative Payment Models (APMs), state-led quality payment adjustments, and Medicaid shared savings ACO models. Addresses how FQHCs and health plans can overcome challenges when launching new VBP models and offers recommendations for California's health plans.
Author(s): Greg Howe, Tricia McGinnis, Rob Houston
Date: 08/2019
Sponsoring organization: Center for Health Care Strategies
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Department of Health Care Services: It Has Not Ensured That Medi-Cal Beneficiaries in Some Rural Counties Have Reasonable Access to Care
Findings from a study to determine whether rural beneficiaries of the Medi-Cal Regional Model health plan were given acceptable access to care and adequate quality of care after the state transitioned into managed care plans in 2013. Includes county-level map showing Medi-Cal Managed Care Models and statistics showing maximum distance required to access care, with breakdowns by provider type.
Author(s): Elaine M. Howle
Citation: California State Auditor Report 2018-122
Date: 08/2019
Sponsoring organization: Auditor of the State of California
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California American Indian/Alaska Native Maternal and Infant Health Status Report
Report details the maternal and infant vital statistics for American Indians and Alaska Natives in California. Highlights data pertaining to AI/AN infant and maternal health on the county-level and by demographic, such as age, marital status, and education.
Date: 06/2019
Sponsoring organization: California Department of Public Health
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Association Between Rural Residence and Nonfatal Suicidal Behavior Among California Adults: A Population-Based Study
Presents a study on nonfatal suicide behaviors, such as suicidal ideation, for 40,041 residents in rural and urban areas of California. Breaks down data by age, sex, and race, among other measures.
Author(s): Claire E. Margerison, Sidra Goldman-Mellor
Citation: Journal of Rural Health, 35(2), 262-269
Date: 03/2019
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Training Tomorrow's Physicians: Recommendations for Expanding Graduate Medical Education Funding in California
Provides recommendations and action steps for expanding graduate medical education (GME) in California, including in rural and underserved areas. Supports creating a centralized state planning organization to coordinate GME efforts and reviews potential GME funding sources from federal, state, and private sources. Highlights successful examples from other states.
Date: 02/2019
Sponsoring organization: California Health Care Foundation
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Additional resources are available. See a full list of California Resources.


Last Updated: 12/17/2025