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New Documents Identified in the Past 30 Days:

Graduate Medical Education That Meets the Nation's Health Needs
Author(s): Committee on the Governance and Financing of Graduate Medical Education
Sponsoring organization: Institute of Medicine
Reviews the current system supporting graduate medical education (GME) and discusses how it supports or creates barriers to the development of the physician workforce the nation needs. A section on geographic maldistribution on pages 43-44 discusses the rural physician workforce. The report also discusses GME issues related to rural health facilities, including Table 3-8 (p. 83), with data on rural hospital GME.
Date: 07 / 2014

Persistent Poverty Dynamics: Understanding Poverty Trends Over 50 Years
Author(s): Kathleen Miller, Bruce Weber
Sponsoring organization: Rural Policy Research Institute
Reports on high-poverty counties, with a poverty rate of 20% or more, based on data from the 2007-2011 American Community Survey, compared to 1970, 1980, 1990 and 2000 Census data. Includes comparison of rural (micropolitan and noncore) counties and metropolitan counties. Identifies counties with persistent and intermittent high poverty, as well as newly high poverty counties.
Date: 07 / 2014

Colorectal Cancer Outcome Inequalities: Association Between Population Density, Race, and Socioeconomic Status
Author(s): TL Fitzgerald, CS Lea, J Brinkley, EE Zervos
Studies the influence of population density on colorectal cancer outcomes. Reports that patients in rural and large metropolitan counties are more likely to present with advanced colorectal cancer and have a diminished survival rate.
Journal citation: Rural and Remote Health
Date: 07 / 2014

2013 Graduate Medical Exit Survey Report: Indiana University School of Medicine
Author(s): Komal Kochhar, Bryce Beunte, Peter Nalin, Michelle Howenstine, Sharmin Bruen
Sponsoring organization: Indiana University School of Medicine
Documents graduates' choice of practice location and their training to serve in rural and underserved populations. Includes numerous tables which indicate the number of graduates who received this type of training, along with self-rated competency levels in how capable they feel in providing care for these populations.
Date: 07 / 2014

Extreme Nursing: a Qualitative Assessment of Nurse Retention in a Remote Setting
Author(s): M.G. deValpine
A qualitative study with three purposes: to ensure the unique stories of bush Alaska nurses are preserved; to foster a strong bush nursing tradition; and to inform recruitment, hiring, and retention practices in remote settings.
Journal citation: Rural and Remote Health Volume 14 Issue 2859
Date: 07 / 2014

Wireless Substitution: Early Release of Estimates From the National Health Interview Survey, July – December 2013
Author(s): Stephen J. Blumberg, Julian V. Luke
Sponsoring organization: National Center for Health Statistics
Provides data on households that rely on wireless telephones rather than landlines. Indicates trends by providing figures for 6-month periods from July 2010 to December 2013. Includes data for non-metropolitan compared to metropolitan areas. Telephone surveys conducted using only landline numbers could be biased if the wireless-only population differs in relevant ways from the landline population.
Date: 07 / 2014

Home Health Care Agency Availability in Rural Counties (Key Facts)
Sponsoring organization: South Carolina Rural Health Research Center
Describes the status of home healthcare service delivery in the rural United States. Reports that as of 2008, most U.S. counties had access to home health services, but rural counties were more likely to be served by only a single agency.
Date: 07 / 2014

How Does Medicaid Expansion Affect Insurance Coverage of Rural Populations?
Author(s): Kristie Thompson, Brystana Kaufman, Mark Holmes
Sponsoring organization: North Carolina Rural Health Research and Policy Analysis Center
Examines how states’ decisions on Medicaid expansion are impacting rural areas in the United States. Used population estimates, current status of state expansion, and state-level insurance estimates to answer two primary questions including how is Medicaid expansion affecting rural populations and how would it differ if every state were to expand Medicaid.
Date: 07 / 2014

Facilitating the Formation of Accountable Care Organizations in Rural Areas
Author(s): Jure Baloh, Xi Zhu, Tom Vaughn, A. Clinton MacKinney, Keith J. Mueller, Fred Ullrich, Matthew Nattinger
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Presents characteristics contributing to the formation of four accountable care organizations (ACOs) that serve rural Medicare beneficiaries and discusses implications for policies that facilitate rural ACO formation. Three of the ACOs in this study operate in both rural and metropolitan areas, and one operates exclusively in a rural area.
Date: 07 / 2014

Rural Residents Who Are Hospitalized in Rural and Urban Hospitals: United States, 2010
Author(s): Margaret Jean Hall, Maria F. Owings
Sponsoring organization: National Center for Health Statistics
NCHS data brief focused on hospitalized rural residents, with a comparison of those treated at rural versus urban hospitals. Includes data on patients' age, payment source (Medicare, Medicaid, private insurance), number of procedures, and discharge status. Based on data from the 2010 National Hospital Discharge Survey.
Date: 07 / 2014

Comparisons of Cancer Incidence and Mortality for Rural vs. Urban Pennsylvania Counties, Rural Appalachian Counties, and Rural U.S. Counties
Author(s): Steven Godin, Samuel Lesko, Eugene Lengerich, David Rheinheimer, Gary Fromert, Pragati Jain
Sponsoring organization: Center for Rural Pennsylvania
The authors report that overall cancer incidence in men and women in rural Pennsylvania was significantly higher when compared to other rural counties throughout the United States. Specific cancers on which to focus prevention efforts include colorectal cancer and urinary bladder cancer for both genders. Gender specific cancers that need screening efforts include prostate cancer for men, and breast cancer for women.
Date: 07 / 2014

For the Record: Mary Wakefield
Sponsoring organization: National Conference of State Legislatures
Presents an interview with Mary Wakefield, Administrator of the Health Resources and Services Administration, who discusses the shortage of health care providers. Highlights strategies and programs including the National Health Service Corp who recruits and retains primary care providers to work in underserved communities by offering scholarships or loan repayments for their medical educational costs, the Maternal and Child Health Block Grant, State Offices of Rural Health and Primary Care Offices, shortage designation and scholarship and loan forgiveness programs, and the Rural Recruitment and Retention Network, which links clinicians looking to practice in rural areas with rural clinical sites in need of providers.
Journal citation: State Legislatures Magazine Volume 40 Issue 6 Pages: 20-21
Date: 06 / 2014

Behavioral Health Data Exchange Consortium: ONC State Health Policy Consortium Project
Discusses pilot programs for behavioral health data exchange between states. State laws that provide privacy protections have created challenges for sharing behavioral health information electronically. Reports that New Mexico completed an intrastate pilot test of the transfer of information between two clinics (one behavioral health and the other primary care) in a rural setting.
Date: 06 / 2014

MedPAC Data Book: Health Care Spending and the Medicare Program, 2014
Sponsoring organization: Medicare Payment Advisory Commission
Provides data, including some rural-specific statistics, on various aspects of the Medicare program. Covers beneficiary demographics, quality and access, national health care spending, and data for specific provider settings. Includes sections on Medicare Advantage, and prescription drugs, including Part D.
Date: 06 / 2014

Changes in Areas With Concentrated Poverty: 2000 to 2010
Author(s): Alemayehu Bishaw
Sponsoring organization: U.S. Census Bureau
Compares Census 2000 poverty estimates with those based on the 2008–2012 5-year American Community Survey (ACS), referred to throughout the report as the 2010 estimates. Includes data on poverty rates for non-metropolitan, suburban, and central city metropolitan areas in Tables 2a and 2b and Figure 7. Reports that non-metropolitan areas had the largest increase in the proportion of people living in poverty areas between 2000 and 2010. Also includes county-level poverty maps for 2000 and 2010, Figures 5 and 6.
Date: 06 / 2014

Expanding the Dental Team: Increasing Access to Care in Public Settings
Sponsoring organization: Pew Charitable Trusts
Looks at three examples of midlevel dental providers working to expand care to underserved populations. Highlights three practices in Minnesota, California, and Alaska, the latter deploying dental health aide therapists to distant rural locations.
Date: 06 / 2014

Working with Dental Therapists - Dental Health Aide Bobby Curtis
Sponsoring organization: Pew Charitable Trusts
Presents a 2 minute video with Bobby Curtis, a dental health aide therapist in rural Alaska, who describes his work with patients and how he interacts with his supervising dentist.
Date: 06 / 2014

Primary Care Physicians: Rural and Urban Disparities in Missouri
Author(s): M. Becker, L. Jackson
Sponsoring organization: Missouri Hospital Association
Discusses how rural counties in Missouri have been losing physicians over the past three years. Covers Missouri's rural poverty rate, the aging rural population, and older physicians in rural Missouri. These issues result in an increased demand for care, a primary care shortage, and an aging workforce which are creating challenges for Missouri's health care system.
Date: 06 / 2014

Home Health Care Agency Availability in Rural Counties (Final Report)
Author(s): Janice C. Probst, Samuel Towne, Jordan Mitchell, Kevin J. Bennett, Robert Chen
Sponsoring organization: South Carolina Rural Health Research Center
Examines home healthcare across the United States and in rural counties including home health care agency availability and quality of services provided. Reports that counties at risk for limited service availability were almost entirely rural. Of the 34 counties lacking a home health agency, 30 were rural. Of the 120 counties served by a single agency, 118 were rural.
Date: 06 / 2014

Source Book: Rural Health Network Development Grant Program, 2011-2014
Sponsoring organization: Health Resources and Services Administration
Describes 20 initiatives funded under the Rural Health Network Development Grant Program in the 2011-2014 funding cycle. Programs address healthcare access, quality, and delivery systems through the development of formal networks, alliances, coalitions, and partnerships. Includes information on program services, community characteristics, outcomes, challenges addressed, partners involved, program sustainability, and implications for other communities.
Date: 2014

Pennsylvania DataGram: Teen Pregnancy Rates by County
Sponsoring organization: Center for Rural Pennsylvania
Shows the teen pregnancy rates by county in Pennsylvania from 2009 to 2011. Reports the rural and urban teen pregnancy rates from 1999 to 2011.
Date: 2014

Progress and Challenges with the Implementation and Use of Electronic Health Records among Critical Access Hospitals
Author(s): Meghan Hufstader Gabriel, Michael F. Furukawa, Emily B. Jones, Jennifer King, Leila K. Samy
Sponsoring organization: Office of the National Coordinator for Health Information Technology
Provides an analysis of the adoption of health information technology and electronic health records by critical access hospitals.
Date: 09 / 2013

Community Paramedicine & the Changing Face of EMS
Author(s): Nora Vanni
Presents an interview with David Johnson, a community paramedic in Minnesota. Discusses the role of community paramedics, in both rural and urban areas, whose effort is designed to reach underserved populations with both primary care resources and improved prehospital care.
Date: 08 / 2013

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Funding for this project was supported by Grant Number U56RH05539 from the Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services. The contents of this website are solely the responsibility of the authors and do not necessarily represent the official views of the funder.