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Journal of Rural Health

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https://www.readbyqxmd.com/read/28102909/the-effects-of-hospital-characteristics-on-delays-in-breast-cancer-diagnosis-in-appalachian-communities-a-population-based-study
#1
Christopher J Louis, Jonathan R Clark, Marianne M Hillemeier, Fabian Camacho, Nengliang Yao, Roger T Anderson
PURPOSE: Despite being generally accepted that delays in diagnosing breast cancer are of prognostic and psychological concern, the influence of hospital characteristics on such delays remains poorly understood, especially in rural and underserved areas. However, hospital characteristics have been tied to greater efficiency and warrant further investigation as they may have implications for breast cancer care in these areas. METHODS: Study data were derived from the Kentucky, North Carolina, Ohio, and Pennsylvania state central cancer registries (2006-2008)...
January 19, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28084667/task-sharing-approaches-to-improve-mental-health-care-in-rural-and-other-low-resource-settings-a-systematic-review
#2
Theresa J Hoeft, John C Fortney, Vikram Patel, Jürgen Unützer
PURPOSE: Rural areas persistently face a shortage of mental health specialists. Task shifting, or task sharing, is an approach in global mental health that may help address unmet mental health needs in rural and other low-resource areas. This review focuses on task-shifting approaches and highlights future directions for research in this area. METHODS: Systematic review on task sharing of mental health care in rural areas of high-income countries included: (1) PubMed, (2) gray literature for innovations not yet published in peer-reviewed journals, and (3) outreach to experts for additional articles...
January 13, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28075508/differences-in-access-to-and-use-of-electronic-personal-health-information-between-rural-and-urban-residents-in-the-united-states
#3
Alexandra J Greenberg, Danielle Haney, Kelly D Blake, Richard P Moser, Bradford W Hesse
PURPOSE: The increase in use of health information technologies (HIT) presents new opportunities for patient engagement and self-management. Patients in rural areas stand to benefit especially from increased access to health care tools and electronic communication with providers. We assessed the adoption of 4 HIT tools over time by rural or urban residency. METHODS: Analyses were conducted using data from 7 iterations of the National Cancer Institute's Health Information National Trends Survey (HINTS; 2003-2014)...
January 11, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28045200/quality-of-colonoscopy-performed-in-rural-practice-experience-from-the-clinical-outcomes-research-initiative-and-the-oregon-rural-practice-based-research-network
#4
Jennifer L Holub, Cynthia Morris, Lyle J Fagnan, Judith R Logan, LeAnn C Michaels, David A Lieberman
PURPOSE: Colon cancer screening is effective. To complete screening in 80% of individuals over age 50 years by 2018 will require adequate colonoscopy capacity throughout the country, including rural areas, where colonoscopy providers may have less specialized training. Our aim was to study the quality of colonoscopy in rural settings. METHODS: The Clinical Outcomes Research Initiative (CORI) and the Oregon Rural Practice-based Research Network (ORPRN) collaborated to recruit Oregon rural practices to submit colonoscopy reports to CORI's National Endoscopic Database (NED)...
January 3, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28045193/support-and-sabotage-a-qualitative-study-of-social-influences-on-health-behaviors-among-rural-adults
#5
Urshila Sriram, Emily H Morgan, Meredith L Graham, Sara C Folta, Rebecca A Seguin
PURPOSE: Social environments exert an important influence on health behaviors, yet evidence from rural-specific contexts is limited. This study explored how social relationships influence health-related behaviors among midlife and older rural adults at increased risk of chronic disease. METHODS: Seventeen focus groups were conducted with 125 sedentary, overweight/obese adults (aged 40-91 years) residing in "medically underserved" rural Montana towns in 2014. Groups were stratified by age (40-64 and ≥65) and gender...
January 3, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/27865018/how-would-rural-hospitals-be-affected-by-loss-of-the-affordable-care-act-s-medicare-low-volume-hospital-adjustment
#6
Rebecca Garr Whitaker, G Mark Holmes, George H Pink
PURPOSE: The low-volume hospital (LVH) payment adjustment established in the Patient Protection and Affordable Care Act (ACA) of 2010 is scheduled to sunset on October 1, 2017. The purpose of this analysis was: (1) to estimate the effect of the ACA LVH adjustment on qualifying hospitals' profitability margins; and (2) to examine hospital and market characteristics of the hospitals that would be most adversely affected by the loss of the ACA LVH adjustment. METHODS: 2004-2015 data from the Hospital Cost Report Information System, Hospital Market Service Area File and Nielsen-Claritas Pop-Facts file were used to estimate difference-in-difference regression models with hospital-level random effects in order to determine whether the ACA LVH adjustment improved qualifying rural hospitals' profitability margins...
November 16, 2016: Journal of Rural Health
https://www.readbyqxmd.com/read/27862285/does-travel-time-to-a-radiation-facility-impact-patient-decision-making-regarding-treatment-for-prostate-cancer-a-study-of-the-new-hampshire-state-cancer-registry
#7
Fady Ghali, Maria Celaya, Michael Laviolette, Johann Ingimarsson, Heather Carlos, Judy Rees, Elias Hyams
PURPOSE: We sought to determine whether further distance from a radiation center is associated with lower utilization of external beam radiation therapy (XRT). METHODS: We retrospectively identified patients with a new diagnosis of localized prostate cancer (CaP) within the New Hampshire State Cancer Registry from 2004 to 2011. Patients were categorized by age, D'Amico risk category, year of treatment, marital status, season of diagnosis, urban/rural residence, and driving time to the nearest radiation facility...
November 11, 2016: Journal of Rural Health
https://www.readbyqxmd.com/read/28052514/advancing-the-field-of-rural-health-research-moving-beyond-simply-documenting-rural-vs-urban-differences
#8
EDITORIAL
Tyrone F Borders
No abstract text is available yet for this article.
January 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/26879950/neonatal-abstinence-syndrome-in-west-virginia-substate-regions-2007-2013
#9
Meagan E Stabler, D Leann Long, Ilana R A Chertok, Peter R Giacobbi, Courtney Pilkerton, Laura R Lander
PURPOSE: The opioid epidemic is a public health threat with consequences affecting newborns. Neonatal Abstinence Syndrome (NAS) is a constellation of withdrawal symptoms resulting primarily from in utero opioid exposure. The purpose of this study was to examine NAS and drug-specific trends in West Virginia (WV), where rurality-related issues are largely present. METHODS: The 2007-2013 WV Health Care Authority, Uniform Billing Data were analyzed for 119,605 newborn admissions with 1,974 NAS diagnoses...
January 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/26769080/differences-in-women-s-use-of-medical-help-for-becoming-pregnant-by-the-level-of-urbanization-of-county-of-residence-in-georgia
#10
Helen B Chin, Michael R Kramer, Ann C Mertens, Jessica B Spencer, Penelope P Howards
PURPOSE: Our goal was to determine if there are differences by place of residence in visiting a doctor for help getting pregnant in a population-based study. METHODS: Using data from the Furthering Understanding of Cancer, Health, and Survivorship in Adult (FUCHSIA) Women's Study, a cohort study of fertility outcomes in reproductive-aged women in Georgia, we fit models to estimate the association between geographic type of residence and seeking help for becoming pregnant...
January 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/27717002/impact-of-travel-distance-and-urban-rural-status-on-the-multidisciplinary-management-of-rectal-cancer
#11
Jonathan M Loree, Khodadad R Javaheri, Shilo V Lefresne, Caroline H Speers, Jenny Y Ruan, Jennifer T Chang, Carl J Brown, Hagen F Kennecke, Robert A Olson, Winson Y Cheung
OBJECTIVES: Optimal treatment of rectal cancer (RC) requires multidisciplinary care. We examined whether distance to treatment center or community size impacts access to multimodality care and population-based outcomes in RC. METHODS: Patients diagnosed with stage II/III RC from 1999 to 2009 and treated at 1 of 6 regional cancer centers in British Columbia were reviewed. Distance to treatment center was determined for each patient. Communities were classified as rural, small, medium, and large population centers...
October 7, 2016: Journal of Rural Health
https://www.readbyqxmd.com/read/27701791/utilization-of-mental-health-services-by-veterans-living-in-rural-areas
#12
Judith Teich, Mir M Ali, Sean Lynch, Ryan Mutter
PURPOSE: There is concern that veterans living in rural areas may not be receiving the mental health (MH) treatment they need. This study uses recent national survey data to examine the utilization of MH treatment among military veterans with a MH condition living in rural areas, providing comparisons with estimates of veterans living in urban areas. METHODS: Multivariable logistic regression is utilized to examine differences in MH service use by urban/rural residence, controlling for other factors...
October 4, 2016: Journal of Rural Health
https://www.readbyqxmd.com/read/27677973/current-state-of-child-health-in-rural-america-how-context-shapes-children-s-health
#13
Janice C Probst, Judith C Barker, Alexandra Enders, Paula Gardiner
PURPOSE: Children's health is influenced by the context in which they live. We provide a descriptive essay on the status of children in rural America to highlight features of the rural environment that may affect health. DESCRIPTION: We compiled information concerning components of the rural environment that may contribute to health outcomes. Areas addressed include the economic characteristics, provider availability, uniquely rural health risks, health services use, and health outcomes among rural children...
September 28, 2016: Journal of Rural Health
https://www.readbyqxmd.com/read/27677870/rural-bypass-of-critical-access-hospitals-in-iowa-do-visiting-surgical-specialists-make-a-difference
#14
Paula A M Weigel, Fred Ullrich, Marcia M Ward
PURPOSE: Rural bypass for elective surgical procedures is a challenge for critical access hospitals, yet there are opportunities for rural hospitals to improve local retention of surgical candidates through alternative approaches to developing surgery lines of business. In this study we examine the effect of visiting surgical specialists on the odds of rural bypass. METHODS: Discharge data from the 2011 State Inpatient Databases and State Ambulatory Surgery Databases for Iowa were linked to outreach data from the Office of Statewide Clinical Education Programs and Iowa Physician Information System to model the effect of surgeon specialist supply on rural patients' decision to bypass rural critical access hospitals...
September 28, 2016: Journal of Rural Health
https://www.readbyqxmd.com/read/27650560/community-based-colorectal-cancer-screening-in-a-rural-population-who-returns-fecal-immunochemical-test-fit-kits
#15
Richard A Crosby, Lindsay Stratdman, Tom Collins, Robin Vanderpool
PURPOSE: To determine the return rate of community-delivered fecal immunochemical test (FIT) kits in a rural population and to identify significant predictors of returning kits. METHODS: Residents were recruited in 8 rural Kentucky counties to enroll in the study and receive an FIT kit. Of 345 recruited, 82.0% returned an FIT kit from the point of distribution. These participants were compared to the remainder relative to age, sex, marital status, having an annual income below $15,000, not graduating from high school, not having a regular health care provider, not having health care coverage, being a current smoker, indicating current overweight or obese status, and a scale measure of fatalism pertaining to colorectal cancer...
September 21, 2016: Journal of Rural Health
https://www.readbyqxmd.com/read/27620836/differences-in-selected-hiv-care-continuum-outcomes-among-people-residing-in-rural-urban-and-metropolitan-areas-28-us-jurisdictions
#16
John A Nelson, Anna Kinder, Anna Satcher Johnson, H Irene Hall, Xiaohong Hu, Donna Sweet, Alyssa Guido, Harold Katner, Jennifer Janelle, Maribel Gonzalez, Natalia Martínez Paz, Charlotte Ledonne, Jason Henry, Theresa Bramel, Jeanne Harris
PURPOSE: The HIV care continuum is used to monitor success in HIV diagnosis and treatment among persons living with HIV in the United States. Significant differences exist along the HIV care continuum between subpopulations of people living with HIV; however, differences that may exist between residents of rural and nonrural areas have not been reported. METHODS: We analyzed the Centers for Disease Control and Prevention's National HIV Surveillance System data on adults and adolescents (≥13 years) with HIV diagnosed in 28 jurisdictions with complete reporting of HIV-related lab results...
September 13, 2016: Journal of Rural Health
https://www.readbyqxmd.com/read/27606938/the-rural-pill-program-a-postdischarge-telepharmacy-intervention-for-rural-veterans
#17
Katherine E Rebello, Jeffrey Gosian, Marci Salow, Pamela Sweeney, James L Rudolph, Jane A Driver
PURPOSE: To evaluate the efficacy of the Rural Pharmacological Intervention in Late Life (PILL) program, a quality improvement initiative in which a Boston-based pharmacist provided postdischarge telepharmacy care to veterans from rural Maine. METHODS: Using an automated screening tool, we identified 100 veterans aged 65 and older who had an acute care admission to VA medical centers in Boston or Maine and were at risk of problems with medication management. The PILL pharmacist called patients the week after hospital discharge to reconcile medications, assess adherence, and identify potentially inappropriate drugs...
September 8, 2016: Journal of Rural Health
https://www.readbyqxmd.com/read/27602545/cancer-disparities-in-rural-appalachia-incidence-early-detection-and-survivorship
#18
Nengliang Yao, Héctor E Alcalá, Roger Anderson, Rajesh Balkrishnan
PURPOSE: To document cancer-related health disparities in Appalachia. METHODS: The current study investigated disparities in cancer incidence, mortality, and staging between rural Appalachians and those living outside of rural Appalachia. To accomplish this, mortality data for the United States from 1969 to 2011 were obtained from the National Center for Health Statistics (NCHS) using SEER(*) Stat. These data were used to compare trends in mortality between rural Appalachians, urban Appalachians, rural non-Appalachians, and urban non-Appalachians...
September 7, 2016: Journal of Rural Health
https://www.readbyqxmd.com/read/27641424/the-journal-of-rural-health-reviewers-july-2015-june-2016
#19
(no author information available yet)
No abstract text is available yet for this article.
September 2016: Journal of Rural Health
https://www.readbyqxmd.com/read/27627732/forging-new-paths-to-integrate-rural-veterans-care-nationwide
#20
Jennifer Lee, Gina Capra, Thomas Klobucar
No abstract text is available yet for this article.
September 2016: Journal of Rural Health
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