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Rural Public Health Agencies – Resources

Selected recent or important resources focusing on Rural Public Health Agencies.

Rural Local Health Department Partnership in Healthcare Associated Infections (HAI), Antimicrobial Resistance (AMR) and Antimicrobial Stewardship (AMS): Exploratory Survey Report
Provides results from an exploratory survey to identify and evaluate rural, frontier, and small local health departments (LHDs) engaged in Healthcare Associated Infections (HAI), Antimicrobial Resistance (AMR) and Antimicrobial Stewardship (AMS) initiatives. Presents results from a March 2022 survey related to staff training and competency; barriers to engaging in HAI, AMR, and AMS initiatives; and collaborations used when engaging in initiatives.
Additional links: Infographic
Author(s): Sarah D. Matthews, Sandra Ruzycki
Date: 04/2022
Type: Document
Sponsoring organizations: Health Communications Consultants, Inc., National Association of County and City Health Officials
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Public Health's Role in Telehealth
A podcast that discusses how telehealth became more accessible during COVID-19 and how this may impact public healthcare delivery long-term. Focuses on how the future of telehealth impacts under-resourced communities, including rural.
Date: 04/2022
Type: Audio
Sponsoring organization: Association of State and Territorial Health Officials
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Rural Public Health: Improving the Health and Well-being of Rural Populations
Policy position paper focused on public health activities in rural areas and the rural public health infrastructure. Offers policy recommendations that could improve rural public health outcomes.
Author(s): Brady Beecham, Vicki Brooks, Alanti McGill
Date: 02/2022
Type: Document
Sponsoring organization: National Rural Health Association
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Guidance on PFAS Exposure, Testing, and Clinical Follow-Up
Report examining the effects of perfluoroalkyl and polyfluoroalkyl substances (PFAS), which are common in well water in rural areas and have been linked to adverse health effects including cancer, thyroid dysfunction, changes in cholesterol, and reductions in birth weight. Recommends that the Centers for Disease Control and Prevention and public health departments support clinicians in communities where PFAS contamination has been identified, by creating educational materials on PFAS exposure, potential health effects, the limitations of testing, and the benefits and harms of testing.
Additional links: Read Online
Author(s): Board on Population Health and Public Health Practice
Date: 2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Rural Public Health and Health Care: A Scan of Field Practice and Trends
Offers a historical overview of rural healthcare and rural public health theories and practice methods and describes newer theories, such as value-based care, personalized medicine, social determinants of health, and health in all policies. Outlines trends in public health and healthcare, including community engagement, evidence-based decision making, and delivery integration, discussing rural implications of these trends.
Date: 09/2021
Type: Document
Sponsoring organization: Aspen Institute
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Medicaid and Housing Partnerships: A Resource for Local Health Departments
Explores how local health departments (LHDs) in rural areas can utilize Medicaid managed care levers to address homelessness and housing security issues. Summarizes results from a gap analysis and readiness assessment which identified key opportunities to help prepare three LHDs in rural North Carolina counties for the transition to Medicaid-managed care. Identifies action steps for these counties to strengthen housing supports that can also inform similar initiatives in other states.
Author(s): Matthew Ralls, Kathy Moses, Rob Houston
Date: 07/2021
Type: Document
Sponsoring organization: Center for Health Care Strategies
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A Roadmap to Develop Sharing Initiatives in Public Health
A guidebook to help local and county governments learn how they might share public health services regionally for more effective and efficient operations. The guide is based on a national public health learning community that includes rural public health organizations.
Date: 04/2021
Type: Document
Sponsoring organization: Public Health Accreditation Board Center for Innovation
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An Emergent Network for the Diffusion of Innovations Among Local Health Departments at the Onset of the COVID-19 Pandemic
Study examining communication networks among 329 local health departments as a way to assess the impacts of communication networks on community health innovation. Analyzes data from surveys of local health department leadership, comparing responses from leaders in urban and rural areas. Discusses the sharing of information about new public health initiatives, policies, and evidence-based practices.
Author(s): Minwoong Chung, Debra Dekker, Chelsea Gridley-Smith, James W. Dearing
Citation: Preventing Chronic Disease, 18, 200536
Date: 03/2021
Type: Document
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Capacity of Rural Counties to Address an HIV or Hepatitis C Outbreak
Examines data from 20 states potentially at risk of a human immunodeficiency virus (HIV) or hepatitis C virus (HCV) outbreak to determine which services local health departments (LHDs) provide to help identify or address HIV or HCV. Examples of relevant services include HIV testing, substance use services, and infectious disease surveillance, among others. Includes rural/urban differences in LHD services and staff, LHD partnerships and collaboration, and demographic characteristics of at-risk counties.
Author(s): Jennifer Lenardson, Jaclyn Janis, Amanda Burgess, Karen Pearson, Martha Elbaum
Date: 02/2021
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Dialogue About the Workforce for Population Health Improvement: Proceedings of a Workshop
Presentations from a workshop facilitating a population health perspective among public health and healthcare leaders and professionals; framing the work of personnel such as community health workers, health navigators, and peer-to-peer chronic disease management educators within the context of population health; and leveraging the competencies of public- and private-sector workforces that are working to include a well-being orientation in their activities.
Author(s): Roundtable on Population Health Improvement
Date: 2021
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 4/19/2024