New Documents Identified in the Past 30 Days:

Rural and Urban Differences in Choice of and Satisfaction with Medicare Part D Plans
Examines how drug plan selection experiences and satisfaction levels differ for rural and urban Medicare beneficiaries. Includes breakdowns by three locations types, considerations in choosing plans, and percentage of people who felt satisfied and confident in their coverage.
Author(s): Carrie Henning-Smith, Heidi O’Connor, Michelle Casey, Ira Moscovice
Sponsoring organization: University of Minnesota Rural Health Research Center
Date: 07/2015
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Hospital Policy Issues: Statement by Mark Miller, Medicare Payment Advisory Commission before Subcommittee on Health, Committee on Ways and Means, U.S. House of Representatives
Testimony from the Medicare Payment Advisory Commission’s executive director presented at a July 22nd, 2015 Ways and Means subcommittee hearing concerning Medicare hospital payment issues, rural health issues, and beneficiary access to care. Discusses Medicare’s rural hospital payment adjustments, how they impact access to care, and principles to consider in evaluating rural add-on payments. Also discusses MedPAC recommendations related to graduate medical education (GME), including some related to rural training.
Author(s): Mark Miller, Medicare Payment Advisory Commission
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
Date: 07/2015
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Differences in Part D Plans Offered to Rural and Urban Medicare Beneficiaries
Analyzes how Medicare Part D plan options differ for rural and urban residents in terms of premiums, deductibles, and copayments, as well as differences in plan options within more-densely and less-densely populated rural areas. Includes statistical breakdowns by three location types, number of available plans, average premiums, deductible amounts, and average co-pays.
Author(s): Heidi O’Connor, Carrie Henning-Smith, Michelle Casey, Ira Moscovice
Sponsoring organization: University of Minnesota Rural Health Research Center
Date: 07/2015
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2015: Rural Medicare Advantage Enrollment Update
Reports on the percentage of rural Medicare beneficiaries enrolled in Medicare Advantage (MA) plans and other prepaid enrollment plans. Compares national and rural MA enrollment, and variability by state.
Author(s): Chance Finegan, Fred Ullrich, Keith Mueller
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 07/2015
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Rural Enrollment in Health Insurance Marketplaces
Analyzes county-level Health Insurance Marketplace enrollment data for 2015 by geographic categories, population density, premium, and firm participation, comparing enrollment between rural and urban areas.
Author(s): Abigail Barker, Timothy McBride, Leah Kemper, Keith Mueller
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 07/2015
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Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign
Provides an analysis using various research methods regarding the implementation of health information technology (HIT) in ambulatory care settings to better understand the underlying associations between HIT and workflow processes. Study was conducted in 6 ambulatory care practices that included 5 primary care practices in rural locations.
Author(s): Kai Zheng, Elizabeth L. Ciemins, Holly J. Lanham, Curt Lindberg
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 07/2015
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Neonatal and Maternal Hospital Stays Related to Substance Use, 2006-2012
Examines newborn and maternal inpatient hospital stays associated with substance use, based on data from 38 states. Table 2 provides data by location of patient residence, for rural and urban locations.
Author(s): Kathryn R. Fingar, Carol Stocks, Audrey J. Weiss, Pamela L. Owens
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 07/2015
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Offering Chronic Disease Self-Management Education in Rural Areas
Identifies challenges rural areas face in implementing evidence-based chronic disease self-management education (CDSME). Recommends strategies and resources rural communities can use to implement CDSME programs. Includes examples of successful programs.
Sponsoring organization: National Council on Aging
Date: 07/2015
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What Do the Medicare and Medicaid Programs Mean to Rural Health?
On the 50th Anniversary of the Medicare and Medicaid programs, five rural health experts share their insights on the impact of these programs in rural America.
Author(s): Alan Morgan, Wayne Myers, Thomas Hoyer, Thomas Ricketts, Keith Mueller
Sponsoring organization: Rural Assistance Center
Location: Rural Monitor
Date: 07/2015
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The Role of Health Centers in Lowering Preventable Emergency Department Use
Discusses the effectiveness of health centers, including community and migrant health centers, providing high quality and timely primary care and reducing the use of emergency departments by patients who have limited access to healthcare, such as low-income, uninsured, and those residing in rural communities.
Sponsoring organization: National Association of Community Health Centers
Date: 07/2015
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Social Media Savvy
Reports on how rural healthcare facilities can use social media to connect with their communities. Describes the strengths and potential uses of different social media platforms. Includes examples and insights from a New Hampshire hospital and a Kansas physician who are using social media to reach patients.
Author(s): Kate Menzies
Sponsoring organization: Rural Assistance Center
Location: Rural Monitor
Date: 07/2015
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Analysis of Context Factors in Compulsory and Incentive Strategies for Improving Attraction and Retention of Health Workers in Rural and Remote Areas: A Systematic Review
Identifies and summarizes key factors policymakers should consider when designing and implementing interventions to address shortages of qualified health workers in underserved areas. Includes data from U.S.-based and international studies, and focuses on compulsory rural services programs and financial incentives.
Author(s): Xiaoyun Liu, Lixia Dou, Huan Zhang, Yang Sun, Beibei Yuan
Location: Human Resources for Health, 13
Date: 07/2015
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Assessing Child Obesity and Physical Activity in a Hard-to-Reach Population in California’s Central Valley, 2012-2013
Results of a family-centered program to reduce obesity among Latino children in two rural towns by promoting nutrition education and assessing the quantity and quality of children's physical activity levels. Includes data with breakdowns by weight classification, sex, and average length of time spent daily in moderate to vigorous activity.
Author(s): Sara E. Schaefer, Rosa Camacho-Gomez, Banefsheh Sadeghi, Lucia Kaiser, J. Bruce German, Adela de la Torre
Location: Preventing Chronic Disease, 12
Date: 07/2015
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Unequal Lives: The State of Black Women and Families in the Rural South
Analyzes the health and well-being of low-income black women in nine rural counties across Mississippi, Alabama, and Georgia, and identifies barriers to success and economic security, including poverty, low educational attainment, and inadequate access to public infrastructure, healthcare, and more. Includes statistics and demographics for each of the states and counties included in the study.
Author(s): Southern Rural Black Women's Initiative
Date: 07/2015
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Impact of Rurality on Maternal and Infant Health Indicators and Outcomes in Maine
Analyzes 2000-2010 data from the Pregnancy Risk Assessment Monitoring System to determine the impact of rurality on maternal and child health in Maine.
Author(s): David Harris, AbouEl-Makarim Aboueissa, Nancy Baugh, Cheryl Sarton
Location: Rural and Remote Health, 15, 3278
Date: 07/2015
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Dentists & Allied Dental Health Professionals: Demographics and Trends, 2014
Discusses the supply of the dental workforce, both general and specialty, in the State of Texas. Includes maps delineating counties that illustrate the dental workforce needs by metro, non-metro, border, and non-border counties, and by population per provider ratios.
Sponsoring organization: Texas Department of State Health Services
Date: 07/2015
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Qualified Health Plans & Health Centers: A Primer
Provides an overview of how a Federally Qualified Health Centers (FQHCs) can help health plans sold through the Health Insurance Marketplace meet the requirement of contracting with essential community providers (ECPs) or providers serving low-income or medically underserved populations.
Sponsoring organization: National Association of Community Health Centers
Date: 07/2015
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Understanding the Geography of Growth in Rural Child Poverty
Discusses variations in child poverty among rural counties, based on 2009-2013 American Community Survey data. Includes a map showing rural counties with high child poverty. Discusses family- and community-level factors impacting child poverty. A related Rural Child Poverty Chart Gallery is also available.
Author(s): David McGranahan
Sponsoring organization: USDA Economic Research Service
Location: Amber Waves
Date: 07/2015
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Rural Food and Physical Activity Assessment Using an Electronic Tablet-Based Application, New York, 2013-2014
Evaluates the effectiveness of a community assessment tool focused on the built environment and used to capture images such as sidewalks, walkable destinations, restaurants, and food stores, in an effort to identify barriers and facilitators to healthy eating and active living. Includes resident perspectives on community features and opportunities for improvement.
Author(s): Rebecca A. Seguin, Emily H. Morgan, Leah M. Connor, et al.
Location: Preventing Chronic Disease, 12
Date: 07/2015
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Granting Hope
Overview of Rural Philanthropy Days, a Colorado event for rural communities that brings together regional funders, local governments, business leaders, and local nonprofit organizations.
Author(s): Kate Menzies
Sponsoring organization: Rural Assistance Center
Location: Rural Monitor
Date: 07/2015
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Differences in Stroke Mortality Among Adults Aged 45 and Over: United States, 2010-2013
Provides data on stroke mortality among adults aged 45 and over by age, race/ethnicity, income, urban-rural residence, and residence inside or outside the Stroke Belt. Figure 4 shows stroke rates for metropolitan and non-metro counties.
Author(s): Deborah D. Ingram, Jessica A. Montresor-Lopez
Sponsoring organization: National Center for Health Statistics
Date: 07/2015
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What Works? Strategies to Improve Rural Health
A guide for rural community health improvement. Explains how to find strategies that are likely to be effective. Identifies interventions related to health behaviors, healthcare access and quality, social and economic factors, and the physical environment.
Author(s): University of Wisconsin Population Health Institute
Date: 07/2015
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Trends in Observed Adult Inpatient Mortality for High-Volume Conditions, 2002-2012
Provides data on adult inpatient mortality between 2002 and 2012 for four high-volume conditions: pneumonia, acute myocardial infarction, congestive heart failure (CHF), and stroke. Figure 4 and Table 4 provide information by location of patient residence, for rural, micropolitan, and metropolitan areas.
Author(s): Anika L. Hines, Kevin C. Heslin, H. Joanna Jiang, Rosanna Coffey
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 07/2015
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Statement by Tim Joslin, Community Regional Medical Centers before Subcommittee on Health, Committee on Ways and Means, U.S. House of Representatives
Testimony from the CEO of Community Regional Medical Centers based in California presented at a July 28th, 2015 Ways and Means subcommittee hearing concerning rural healthcare disparities created by Medicare regulations. Provides a brief overview of the economic, social, and health challenges facing the rural San Joaquin Valley population. Discusses the role of graduate medical education in addressing physician shortages for the region.
Author(s): Tim Joslin, Community Regional Medical Centers
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
Date: 07/2015
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Statement by Shannon Sorensen, Brown County Hospital before Subcommittee on Health, Committee on Ways and Means, U.S. House of Representatives
Testimony from the CEO of Brown County Hospital based in Nebraska presented at a July 28th, 2015 Ways and Means subcommittee hearing concerning rural healthcare disparities created by Medicare regulations. Discusses the impact of changes in regulation such as the 96 hour rule and two-midnight rule, physician supervision requirements, electronic health records and meaningful use, and the Recovery Audit Contractors program.
Author(s): Shannon Sorensen, Brown County Hospital
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
Date: 07/2015
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Statement by Carrie Saia, Holton Community Hospital before Subcommittee on Health, Committee on Ways and Means, U.S. House of Representatives
Testimony from the CEO of Holton Community Hospital based in Kansas presented at a July 28th, 2015 Ways and Means subcommittee hearing concerning rural healthcare disparities created by Medicare regulations. Discusses burdens related to Medicare policy on direct supervision of outpatient therapeutic services and the 96-hour average length of stay physician certification requirement for Critical Access Hospitals.
Author(s): Carrie Saia, Holton Community Hospital
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
Date: 07/2015
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Statement by Daniel Derksen, Director of Arizona Center for Rural Health before Subcommittee on Health, Committee on Ways and Means, U.S. House of Representatives
Testimony from the Director of Arizona Center for Rural Health presented at a July 28th, 2015 Ways and Means subcommittee hearing concerning rural healthcare disparities created by Medicare regulations. Highlights the importance of rural physician training programs and the need for graduate medical education reform, and discusses regulatory challenges such as the 96 hour rule and the two midnight rule for Critical Access Hospitals.
Author(s): Daniel Derksen, Director of Arizona Center for Rural Health
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
Date: 07/2015
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Rural-Urban Difference in Female Breast Cancer Diagnosis in Missouri
Analyzes and compares the effect of geographic distance and access to a mammography healthcare facility on late detection of breast cancer diagnosis in females residing in rural and urban Missouri.
Author(s): Faustine Williams, Stephen Jeanetta, David O'Brien, John Fresen
Location: Rural and Remote Health, 15(3063)
Date: 07/2015
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Evaluation of CMS's Federally Qualified Health Center (FQHC) Advanced Primary Care Practice (APCP) Demonstration
Reports on a 3 year demonstration project regarding the change within Federally Qualified Health Centers (FQHCs), rural and urban, into advanced primary care practices (APCPs) that provide comprehensive patient-centered healthcare for Medicare beneficiaries. Examines the processes and challenges enmeshed with this change and the effects of the APCP model on access, quality and cost of care delivered to Medicare and Medicaid patients. Includes a rural/urban comparison of findings and data.
Author(s): Katherine L. Kahn, Justin W. Timbie, Mark W. Friedberg, et al.
Sponsoring organization: RAND Corporation
Date: 07/2015
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Wisconsin Primary Care Physician Retirement
Provides data on Wisconsin's primary care physicians related to future retirement, including information on physicians by age. Offers retirement projections by rural and urban service area.
Sponsoring organization: Wisconsin Area Health Education Center System
Date: 06/2015
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2015
Provides an overview of Medicare spending in addition to data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural specific provider sites, as they relate to spending, access to care, and profit margins. Compares rural to urban throughout.
Sponsoring organization: Medicare Payment Advisory Commission
Date: 06/2015
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The Use of Telemedicine to Address Access and Physician Workforce Shortages
Policy statement discusses opportunities to use telemedicine technologies to address pediatric workforce shortages in rural and urban settings. Opportunities discussed include improving access to care, physician capacity, quality of care, and costs of care.
Author(s): James Marcin, Mary Rimsza, William Moskowitz, James Marcin, Ted Sigrest, Harold Simon
Sponsoring organization: American Academy of Pediatrics
Location: Pediatrics, 136(1)
Date: 06/2015
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Wisconsin Psychiatrists: Distribution, Demographics, Hours of Work, Projected Retirement
Provides data on the Wisconsin psychiatrist workforce. Includes information by rural/urban service area for all psychiatrists, child psychiatrists, population-to-provider ratios, and projected retirements.
Sponsoring organization: Wisconsin Area Health Education Center System
Date: 06/2015
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Funded! Now What?
Provides a step-by-step guide for section 330 grantees who have recently been funded. Covers governance, administration, recruitment, finance, clinical, operations, information technology, facilities management, and risk management.
Author(s): Henson, Ted
Sponsoring organization: National Association of Community Health Centers
Date: 06/2015
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Wisconsin Primary Care Physicians: Distribution, Demographics, Hours of Work, Population to Provider Ratios
Provides detailed information on the Wisconsin primary care physician workforce. Includes information for urban and rural service areas. Provides details on hours worked in different settings, population to primary care physician ratios, and medical school attended.
Sponsoring organization: Wisconsin Area Health Education Center System
Date: 06/2015
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Wisconsin Physicians: Distribution by Specialty, Demographics, Population to Provider Ratios, Retirement
Detailed data on Wisconsin's physicians by specialty for different health service areas and summarized by region and by urban/rural service area.
Sponsoring organization: Wisconsin Area Health Education Center System
Date: 06/2015
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Disparities in Individuals’ Access and Use of Health IT in 2013
Reports on patients' use of different types of health information technology as of 2013, prior to a federal push to expand patient access to and use of HIT. Includes data specific to rural patients' use of HIT, showing lower use compared to urban patients.
Author(s): Vaishali Patel, Wesley Barker, Erin Siminerio
Sponsoring organization: Office of the National Coordinator for Health Information Technology
Date: 06/2015
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Building and Maintaining an RTT: The Oldest and Newest
Discusses the long-established Spokane-Colville, Washington Rural Training Track (RTT) program and newly developed Hood River, Oregon program. Describes the longitudinal RTT curriculum. Provides recommendations for RTTs working with Federally Qualified Health Centers (FQHCs). Slides from a presentation at the RTT Collaborative annual meeting.
Author(s): Leslie Waters, Angela Ball, Robert Gobbo
Sponsoring organization: RTT Collaborative
Date: 05/2015
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American Indian and Alaska Native Veterans: 2013 American Community Survey
Compares American Indian and Alaska Native veterans with veterans of all other races in healthcare usage, public or private health insurance coverage, disability status, and service-connected disability status. Notes that statistics from this survey are estimates and differ from Veterans Administration figures, due to differences in definitions and limitations of survey data.
Sponsoring organization: U.S. Department of Veterans Affairs
Date: 05/2015
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Mobile Health and Patient Engagement in the Safety Net: A Survey of Community Health Centers and Clinics
Discusses the results of a survey of rural and urban community health clinics and other clinics to evaluate the use of cell phones by healthcare providers to engage patients in their healthcare. Highlights areas where the use of cell phones has shown to be successful in chronic disease management.
Author(s): Andrew Broderick, Farshid Haque
Sponsoring organization: Commonwealth Fund
Date: 05/2015
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A Scoping Review of the Association Between Rural Medical Education and Rural Practice Location
Describes the connection between medical education provided in rural areas and physicians' decisions to practice in rural locations following graduation. Examines data from U.S.-based and international studies, and includes results from rural and urban campuses of the same universities.
Author(s): Jane Farmer, Amanda Kenny, Carol McKinstry, Richard D Huysmans
Location: Human Resources for Health, 13
Date: 05/2015
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Improving Access to Noninstitutional Long-Term Care for American Indian Veterans
Describes program models to expand American Indian veterans’ access to home-based primary care (HBPC), which provides non-institutional long-term care to homebound veterans. Overview of emerging models of HBPC and co-management developed by Veterans Affairs Medical Centers in collaboration with tribes and Indian Health Service facilities. Also includes several models that expanded HBPC access for non-native as well as American Indian rural veterans.
Author(s): Betty Kramer, Beth Creekmur, Sarah Cote, Debra Saliba
Location: Journal of the American Geriatrics Society, 63(4), 789-796
Date: 04/2015
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Recruitment of Non-U.S. Citizen Physicians to Rural and Underserved Areas through Conrad State 30 J-1 Visa Waiver Programs
Collects and analyzes information from states to recognize national trends in waivers and recruitment of international medical graduates to provide care to rural and underserved areas.
Sponsoring organization: WWAMI Rural Health Research Center
Date: 04/2015
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Accountable Care Communities in Rural: Laying the Groundwork in Humboldt County, California
Describes how Accountable Care Communities (ACCs) employ a unified approach to improving the health of a population and reducing costs, by emphasizing preventive health and wellness efforts as well as promoting collaboration among community-based organizations, social services, and the local health care system. Examines the ways in which the ACC model may help rural communities face challenges associated with poorer health outcomes, transportation difficulties, and shortages of health care providers.
Author(s): Paula Weigel, Chance Finegan, Jocelyn Richgels, Kathleen Belanger, Mario Gutierrez, Keith Mueller
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
Date: 03/2015
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HIV Surveillance in Urban and Nonurban Areas through 2013
Displays in PowerPoint format HIV/AIDS epidemiological data through 2013 for urban and nonurban areas and populations of the U.S.
Sponsoring organization: Centers for Disease Control and Prevention
Date: 2015
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Many Eligible Children Don't Participate in School Nutrition Programs: Reauthorization Offers Opportunities to Improve
Reports on rates of participation in the National School Lunch Program and the School Breakfast Program, comparing rural, urban, and suburban eligible households. Discusses reauthorization of the Healthy, Hunger-Free Kids Act of 2010 as an opportunity to expand participation in these programs generally and particularly for rural eligible children.
Author(s): Jessica A. Carson
Sponsoring organization: Carsey School of Public Policy
Date: 2015
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Rates of SNAP Receipt Stabilize or Drop in All Regions for First Time Since Great Recession
Provides data on household receiving Supplemental Nutrition Assistance Program (SNAP) benefits in 2013. Includes information for rural, suburban, and urban locations, nationally and by region.
Author(s): Jessica A. Carson, Paul Anskat
Sponsoring organization: Carsey School of Public Policy
Date: 2015
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Oral Health in Michigan
An in-depth overview of oral health for the state. Describes the oral health status of Michigan residents, with information by broad region and by county. Discusses issues related to rural dental health access. Provides data on the dental health workforce, including county-level provider-to-population ratios for dentists and dental hygienists.
Author(s): Margaret Langelier, Simona Surdu
Sponsoring organization: Center for Health Workforce Studies
Date: 2015
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Missouri’s Dental Hygiene Workforce - 2015
An overview of the dental hygienist workforce in Missouri. Includes county-level data on the geographic distribution of hygienists, as well as a comparison of hygienist-to-population ratios for rural and urban counties.
Sponsoring organization: Missouri Office of Primary Care and Rural Health
Date: 2015
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Behavioral Health Equity Barometer: United States, 2014
Reports on differences in prevalence of behavioral health disorders, perceptions of risk, and access to treatment for different populations. Includes information for metropolitan and non-metropolitan residents, as well as by race/ethnicity, income level, and health insurance status.
Sponsoring organization: Substance Abuse and Mental Health Services Administration
Date: 2015
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2015 Kids Count Data Book: State Trends in Child Well-being
Provides national and state-by-state information on the conditions of America’s children and families. Includes data on overall child well-being and ranks states in four domains: economic well-being, education, health, and family and community.
Sponsoring organization: Annie E. Casey Foundation
Date: 2015
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Forging Rural Health Care Links
Discusses Avera eCARE, a South Dakota-based telehealth system providing comprehensive, round-the-clock, "virtual hospital" care in specialties such as infectious disease, behavioral health, oncology, pulmonology, cardiology, and pediatrics. Primarily serves Medicare-age patients in rural areas of eight Midwestern states.
Author(s): Donna Farris
Location: Health Progress, 96(1)
Date: 2015
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Rural Kentucky Gains More Access
Discusses comprehensive telehealth services available to medically underserved and economically disadvantaged Appalachian rural areas and provided by KentuckyOne Health, the state's largest health system. Addresses home telemonitoring and telepsychiatry, and their value to health care professionals and patients.
Author(s): Deborah Burton, F. Rose Rexroat
Location: Health Progress, 96(1)
Date: 2015
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