journal
MENU ▼
Read by QxMD icon Read
search

Journal of Rural Health

journal
https://www.readbyqxmd.com/read/28333367/community-paramedicine-applied-in-a-rural-community
#1
Kevin J Bennett, Matt W Yuen, Melinda A Merrell
RESEARCH OBJECTIVE: Abbeville County Emergency Management Services (ACEMS) began a community paramedicine (CP) program to utilize trained paramedics to serve patients who frequently use the emergency department (ED) and have 1 or more of the following diagnoses: hypertension, diabetes, chronic heart failure, asthma, and chronic obstructive pulmonary disease. The objective of this study was to determine if the CP program reduced ED visits in Abbeville while improving patient outcomes. DESIGN: A pre/posttest with a comparison group study design was used to evaluate the CP program...
March 23, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28318119/rural-hospital-employment-of-physicians-and-use-of-cesareans-and-nonindicated-labor-induction
#2
Shailendra Prasad, Peiyin Hung, Carrie Henning-Smith, Michelle Casey, Katy Kozhimannil
OBJECTIVE: Workforce issues constrain obstetric care services in rural US hospitals, and one strategy hospitals use is to employ physicians to provide obstetric care. However, little is known about the relationship between hospital employment of maternity care physicians and use of obstetric care procedures in rural hospitals. We examined the association between obstetric physician employment and use of cesareans and nonindicated labor induction. STUDY DESIGN: We conducted a cross-sectional analysis of a telephone survey of all 306 rural hospitals providing obstetric care in 9 states from November 2013 to March 2014 and linked the survey data (N = 263, 86% response rate) to all-payer childbirth data on maternity care utilization from 2013 Statewide Inpatient Database (SID) hospital discharge data...
March 20, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28318061/educating-physicians-for-rural-america-validating-successes-and-identifying-remaining-challenges-with-the-rural-medical-scholars-program
#3
John R Wheat, James D Leeper, Shannon Murphy, John E Brandon, James R Jackson
PURPOSE: To evaluate the Rural Medical Scholars (RMS) Program's effectiveness to produce rural physicians for Alabama. METHODS: A nonrandomized intervention study compared RMS (1997-2002) with control groups in usual medical education (1991-2002) at the University of Alabama School of Medicine's main and regional campuses. Participants were RMS and others admitted to regular medical education, and the intervention was the RMS Program. Measures assessed the percentage of graduates practicing in rural areas...
March 20, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28295614/body-mass-index-and-rural-status-on-self-reported-health-in-older-adults-2004-2013-medicare-expenditure-panel-survey
#4
John A Batsis, Karen L Whiteman, Matthew C Lohman, Emily A Scherer, Stephen J Bartels
PURPOSE: To ascertain whether rural status impacts self-reported health and whether the effect of rural status on self-reported health differs by obesity status. METHODS: We identified 22,307 subjects aged ≥60 from the Medical Expenditure Panel Survey 2004-2013. Body mass index (BMI) was categorized as underweight, normal, overweight, or obese. Physical and mental component scores of the Short Form-12 assessed self-reported health status. Rural/urban status was defined using metropolitan statistical area...
March 15, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28295611/variation-in-networks-and-forms-of-support-for-care-seeking-across-the-hiv-care-continuum-in-the-rural-southeastern-united-states
#5
Miranda Hill, Amber Huff, Neale Chumbler
PURPOSE: In spite of progress in understanding the importance of social support for health outcomes in Persons Living with HIV (PLWH), more remains to be known about mechanisms of support most beneficial at each stage of HIV treatment. In this study, we use a qualitative analytic approach to investigate the forms and sources of social support deemed most integral to the diagnosis, care engagement, and medication adherence behaviors of a diverse sample of PLWH in a mostly rural health district in the Southeastern United States...
March 14, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28295584/rural-urban-differences-in-access-to-preventive-health-care-among-publicly-insured-minnesotans
#6
John Loftus, Elizabeth M Allen, Kathleen Thiede Call, Susan A Everson-Rose
PURPOSE: Reduced access to care and barriers have been shown in rural populations and in publicly insured populations. Barriers limiting health care access in publicly insured populations living in rural areas are not understood. This study investigates rural-urban differences in system-, provider-, and individual-level barriers and access to preventive care among adults and children enrolled in a public insurance program in Minnesota. METHODS: This was a secondary analysis of a 2008 statewide, cross-sectional survey of publicly insured adults and children (n = 4,388) investigating barriers associated with low utilization of preventive care...
March 14, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28114726/medicaid-expansion-under-the-affordable-care-act-and-insurance-coverage-in-rural-and-urban-areas
#7
Aparna Soni, Michael Hendryx, Kosali Simon
PURPOSE: To analyze the differential rural-urban impacts of the Affordable Care Act Medicaid expansion on low-income childless adults' health insurance coverage. METHODS: Using data from the American Community Survey years 2011-2015, we conducted a difference-in-differences regression analysis to test for changes in the probability of low-income childless adults having insurance in states that expanded Medicaid versus states that did not expand, in rural versus urban areas...
January 23, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28112433/usual-care-for-rural-veterans-with-posttraumatic-stress-disorder
#8
Kathleen M Grubbs, John C Fortney, Tim Kimbrell, Jeffrey M Pyne, Teresa Hudson, Dean Robinson, William Mark Moore, Paul Custer, Ronald Schneider, Paula P Schnurr
PURPOSE: Community-Based Outpatient Clinics (CBOCs) provide primary-care-based mental health services to rural veterans who live long distances from Veterans Affairs (VA) hospitals. Characterizing the composition of usual care will highlight the need and potential strategies to improve access to and engagement in evidence-based psychotherapy for posttraumatic stress disorder (PTSD). METHOD: Veterans (N = 132) with PTSD recruited from 5 large- (5,000-10,000 patients) and 6 medium-sized (1,500-4,999) CBOCs were enrolled in the usual care arm of a randomized control trial for a PTSD collaborative care study...
January 23, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28102909/the-effects-of-hospital-characteristics-on-delays-in-breast-cancer-diagnosis-in-appalachian-communities-a-population-based-study
#9
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
#10
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
#11
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
#12
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
#13
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/28052514/advancing-the-field-of-rural-health-research-moving-beyond-simply-documenting-rural-vs-urban-differences
#14
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
#15
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
#16
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/27865018/how-would-rural-hospitals-be-affected-by-loss-of-the-affordable-care-act-s-medicare-low-volume-hospital-adjustment
#17
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
#18
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/27717002/impact-of-travel-distance-and-urban-rural-status-on-the-multidisciplinary-management-of-rectal-cancer
#19
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
#20
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
journal
journal
29111
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"