New Documents Identified in the Past 30 Days:

Pinch Hitting
Provides an overview of the role community paramedicine can play in meeting rural healthcare needs, with examples from several states. Highlights the pros and cons of this approach, describes how it's paid for, and identifies states that have taken legislative action on the issue.
Author(s): Michelle Ancell
Sponsoring organization: National Conference of State Legislatures
Location: State Legislatures, 22-25
Date: 09/2015
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Comparisons of Weight Change, Eating Habits and Physical Activity Between Women in Northern Sweden and Rural New York State - Results from a Longitudinal Study
Reports on a study that compares the change in weight over a 10 year period of women living in Northern Sweden and rural New York State. Identifies and compares the eating habits, the physical activities, and the vulnerability to the negative effects of unhealthy behaviors on both female population groups.
Author(s): Kristina Lindvall, Paul Jenkins, Melissa Scribani, et al.
Location: Nutrition Journal, 14, 88
Date: 08/2015
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Area Deprivation is Higher among Rural Counties — but Not All Rural Counties are Deprived
Examines the role of residence and community deprivation on potentially avoidable hospitalizations among children. Introduces the Area Deprivation Index, applies the index to counties across the United States, and analyzes rates of potentially avoidable hospitalizations by urban and rural across 9 states. (Part 1 of a 2-part series.)
Author(s): Nathan Hale, Janice Probst, Ashley Robertson
Sponsoring organization: South Carolina Rural Health Research Center
Date: 08/2015
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Competition Among Medicare’s Private Health Plans: Does It Really Exist?
Measures rates of competition among private Medicare Advantage (MA) plans across the country and across rural/urban geographies.
Author(s): Brian Biles, Giselle Casillas, Stuart Guterman
Sponsoring organization: Commonwealth Fund
Date: 08/2015
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Grandparent Caregiving Among Rural African Americans in a Community in the American South: Challenges to Health and Wellbeing
Findings from an interview-based qualitative study analyzing grandparent caregiving among low-income, African American grandmothers in rural Georgia, and discusses the challenges to their health associated with child caregiving.
Author(s): Emmanuel Clottey, Alison Scott, Moya Alfonso
Location: Rural and Remote Health, 15, 3313
Date: 08/2015
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2014 National Healthcare Quality and Disparities Report: Chartbook on Rural Health Care
A summary of trends in healthcare quality and disparities for rural populations. Includes quality measures for rural populations addressing patient safety, person-centered care, effective treatment, healthy living, and access. Part of a series of publications related to the National Healthcare Quality and Disparities Report.
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 08/2015
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Having a Rural Impact on Poverty and Child Abuse: Hope and Care for the Future
Discusses the effects of child abuse and neglect on rural children and families. Highlights the planned work of Rural Impact, a public-private collaboration led by the White House Rural Council, which will use a multi-generational approach to invest in low-income families and communities.
Author(s): Kathleen Belanger
Sponsoring organization: Rural Assistance Center
Location: Rural Monitor
Date: 08/2015
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The Alaska State Plan for Senior Services FY 2016 – FY 2019
Provides an analysis of a statewide initiative to identify the issues and needs of seniors in rural and urban Alaska to guide the development of senior health and human services in the state. Discusses the demographics and needs assessment activities of this population. Identifies specific goals, objectives, and performance measures developed by the State Plan for Senior Services Advisory Committee for the years 2016–2019.
Sponsoring organization: Alaska Department of Health and Social Services
Date: 08/2015
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Availability, Price, and Quality of Fruits and Vegetables in 12 Rural Montana Counties, 2014
Assesses consumer food environment in 17 rural and 3 urban Montana grocery stores using Nutrition Environment Measures Survey for Stores (NEMS-S) to determine availability of quality, fresh food in rural areas.
Author(s): Carmen Byker Shanks, Selena Ahmed, Teresa Smith, et al.
Location: Preventing Chronic Disease, 12
Date: 08/2015
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The Intersection of Residence and Area Deprivation: The Case of Hospitalizations from Ambulatory Care Sensitive Conditions among Children
Analyzes the role of residence and community deprivation on potentially avoidable hospitalizations among children. Examines rates of potentially avoidable hospitalizations by geography across 9 states and discusses policy and research implications of the findings. (Part 2 of a 2-part series.)
Author(s): Nathan Hale, Janice Probst, Ashley Robertson
Sponsoring organization: South Carolina Rural Health Research Center
Date: 08/2015
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Prostate Cancer Screening Among American Indians and Alaska Natives: The Health and Retirement Survey, 1996-2008
Examines self-reported screening rates among American Indian/Alaska Native men ages 50-75 at 5 points over a 12-year period, and compares these rates to those of African American men and white men in the same age group. Includes statistics with breakdowns by race/ethnicity and number of screenings during the duration of the study.
Author(s): R. Turner Goins, Marc B. Schure, Carolyn Noonan, Dedra Buchwald
Location: Preventing Chronic Disease, 12
Date: 08/2015
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Telephone-Delivered Cognitive Behavioral Therapy and Telephone-Delivered Nondirective Supportive Therapy for Rural Older Adults With Generalized Anxiety Disorder
Analyzes therapy provided over the phone and its impact on symptoms of anxiety and depression among aging populations in rural areas that lack mental health services.
Author(s): Gretchen Brenes, Suzanne Danhauer, Mary Lyles, Patricia Hogan, Michael Miller
Location: JAMA Psychiatry
Date: 08/2015
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Prehospital Emergency Medical Services Personnel in Rural Areas: Results from a Survey in Nine States
Results of a 2008 Centers for Disease Control survey comparing patterns of supply and demand in rural and urban areas for prehospital emergency response personnel and examining involvement of medical directors and availability of medical consultation. Includes statistics on organizations, personnel, and types of medical emergencies, with breakdowns by four population density categories.
Author(s): D.G. Patterson, S.M. Skillman, M.A. Fordyce
Sponsoring organization: WWAMI Rural Health Research Center
Date: 08/2015
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Medicare Program; FY 2015 Hospice Wage Index and Payment Rate Update; Hospice Quality Reporting Requirements and Process and Appeals for Part D Payment for Drugs for Beneficiaries Enrolled in Hospice; Final Rule
Presents the final rule set forth for the hospice wage index for fiscal year 2016, effective October 1, 2015.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 08/2015
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Do Rural and Urban Women Experience Differing Rates of Maternal Rehospitalizations?
Compares rural and urban differences in maternal hospital readmission rates for women who delivered with minor assistance and for women who delivered by cesarean section, using data from the 2011 California Healthcare Cost and Utilization Project.
Author(s): Wei-Chen Lee, Charles Phillips, Robert Ohsfeldt
Location: Rural and Remote Health, 15, 3335
Date: 08/2015
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Active Transportation Surveillance - United States, 1999-2012
Reports on walking and biking as a form of transportation for commuting to work or for other purposes. Discusses active transportation as a means to get health-enhancing physical activity. Includes demographic information on those who walk and bike. See Tables 3 and 4 for information by level of urbanicity, with the category of "town and country" being the least urbanized.
Author(s): Geoffrey P. Whitfield, Prabasaj Paul, Arthur M. Wendel
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 64(SS07),1-17
Date: 08/2015
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Realizing the Promise of Telehealth for Children with Special Health Care Needs
Describes how telehealth can improve access for children with special healthcare needs in California, particularly those living in rural areas. Provides an overview of California's telehealth policies, and describes how telehealth is being used in the state to meet the needs of this population.
Author(s): Jacob Vigil, Jenny Kattlove, Rebecca Litman, James Marcin, Christine Calour, Mei Wa Kwong
Sponsoring organization: Children's Partnership
Date: 08/2015
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Statement by Sunny Goggles, Director of the White Buffalo Recovery Center in Wyoming, Committee on Indian Affairs, U.S. Senate
Testimony from the Director of the White Buffalo Recovery Center in Wyoming presented at a July 29th, 2015 Committee on Indian Affairs hearing concerning true costs of alcohol and drug abuse in native communities. Focuses on the rate of unnatural deaths on reservations due to substance abuse and the costs associated with the loss of human life.
Author(s): Sunny Goggles
Sponsoring organization: Senate Committee on Indian Affairs
Date: 07/2015
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Higher Education and Workforce Development in Tribal Communities and the Role of Tribal HPOG
Discusses barriers to education and employment for American Indians and Alaska Natives (AI/ANs). Provides data on AI/AN representation in healthcare professions and describes health career educational opportunities and programs. Describes training and employment outcomes of the Tribal Health Profession Opportunity Grants (HPOG) program.
Author(s): Michael Meit, Katherine Meyer, Tess Gilbert, Jennie Alfaro, Sara Levintow, Carol Hafford, Alana Knudson, Aleena Hernandez, Theresa Carino
Sponsoring organization: Administration for Children and Families
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 of Federally Qualified Health Centers (FQHCs) into advanced primary care practices (APCPs) that provide comprehensive patient-centered healthcare for Medicare beneficiaries. Examines the processes and challenges involved in 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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Affordable Care Act & Medicaid Reform in Wisconsin: Enrollment and Coverage Trends Chartpack
Overview of the impact of federal health reform and Medicaid reform on Wisconsin residents. Provides data on health insurance coverage and costs, including comparative information for rural, suburban, and urban areas. Also provides county-level data.
Author(s): University of Wisconsin Population Health Institute
Date: 07/2015
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Converging Forces, Emerging Opportunities
Presentation slides discuss converging regulatory and payment forces improving rural healthcare quality through a transition from volume- to value-based care. Describes emerging opportunities from this transition including payment, care delivery, and governance redesign to improve quality outcomes. Highlights strategies on how a health system can best position itself for the transition.
Author(s): Jennifer P. Lundblad
Sponsoring organization: Stratis Health
Date: 07/2015
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Adjuvant Therapy Use Among Appalachian Breast Cancer Survivors
Explores adjuvant hormone therapy behaviors in a four-state region of Appalachia. Evaluates the influences on adherence to the therapy, especially issues of access to cancer care resources in rural areas of the region.
Author(s): Xi Tan, Vincent Marshall, Roger Anderson, Joseph Donohue, Fabian Camacho, Rajesh Balkrishnan
Sponsoring organization: National Cancer Institute
Location: Medicine, 94(26), e1071
Date: 06/2015
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Food for Every Child: The Need for Healthy Food Financing in Alabama
Outlines the extent and implications of food deserts within rural and urban Alabama and outlines a solution by financing the construction of grocery stores in underserved areas.
Author(s): Brian Lang, Julia Koprak, David Treering
Sponsoring organization: The Food Trust
Date: 02/2015
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Financially Fragile Rural Hospitals: Mergers and Closures
Highlights a national trend of financial stress on rural hospitals that have led to facility and service closures and mergers in recent years. Discusses the causes of the financial stress, including the implementation of the Affordable Care Act, the lack of Medicaid expansion in some states, and operational challenges in transitioning to value-based care.
Author(s): Mark Holmes
Location: North Carolina Medical Journal, 76(1), 37-40
Date: 02/2015
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The Effect of Surgery on the Profitability of Rural Hospitals
Researches the effect of surgery on the profitability of rural hospitals through analysis of market data from 2000 to 2008.
Author(s): Saleema Karim, George Holmes, George Pink
Location: The Journal of Health Care Finance
Date: 02/2015
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Investing in Population Health
Profile of a pilot project underway in rural New Mexico focused on population health for Medicaid recipients. Offers communities three levels of patient services and payment. Uses community health workers to address the social determinants of health.
Sponsoring organization: Rural Health System Analysis and Technical Assistance
Date: 2015
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Behind at the Starting Line: Poverty Among Hispanic Infants
Discusses the economic conditions of the Hispanic/Latino population in rural and urban areas with a focus on the infant population, the prevalence of poverty, and the risks associated with children born into poverty.
Author(s): Daniel T. Lichter, Scott R. Sanders, Kenneth M. Johnson
Sponsoring organization: Carsey School of Public Policy
Date: 2015
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Missouri’s Physician Assistant Workforce - 2015
An overview of the physician assistant (PA) workforce in Missouri. Includes county-level data on the geographic distribution of PAs, as well as a comparison of PA-to-population ratios for rural and urban counties. Also includes comparative wage data for rural and urban PAs in the state.
Sponsoring organization: Missouri Office of Primary Care and Rural Health
Date: 2015
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Disparities in Obesity Among Rural and Urban Residents in a Health Disparate Region
Reports on a community-based study to measure and compare the current levels of obesity and associated lifestyle behaviors of physical activity and diets of fruits and vegetables among rural and urban residents in south central Virginia and north central North Carolina.
Author(s): Jennie L Hill, Wen You, Jamie M Zoellner
Location: BMC Public Health, 2014(14), 1051
Date: 10/2014
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