A recent study out of Washington State University revealed how chronic depression impacts the lives of rural mothers and their children. Mothers with chronic depression experience more physical health issues, while also distrusting the health professionals who would treat them. They also struggle to manage their children’s health, often exacerbated by the lack of childcare options and loss of employment. Dr. Yoshie Sano, the lead author of the study, explains that “there’s a huge stigma around mental health, especially in rural areas.” When rural mothers are depressed, their family and community are also affected. It is essential to support the physical and mental health of rural mothers.
Projected Effects of New Hospital Price Transparency Rules
A recent Health Affairs blog detailed the short-term consequences of the hospital price transparency rule, which requires hospitals to disclose standard prices for procedures. The blog asserts that the rule may have severe repercussions for reimbursement rates for rural hospitals who are already battling insufficient reimbursement. The transparency rules take away the hospital’s negotiating power with private payers, who often pay a higher price to recover losses from public programs. As a result, rural hospitals may continue to lose revenue. Forty-seven percent of rural hospitals already operate in negative margins, prior to the implementation of the hospital price transparency rule. The final rule is expected to go into effect on January 1, 2021.
Healthy People 2020 Progress for Leading Causes of Death in Rural and Urban America: A Chartbook
This study from the Southwest Rural Health Research Center examines rural versus urban differences in how the U.S. is meeting the Healthy People 2020 mortality objectives for many of the leading causes of death. Overall, the findings indicate rural America is lagging behind urban America in achieving these objectives. Furthermore, key findings indicate men have been less likely than women to achieve these objectives, the rural South has seen less progress than other regions, and suicide mortality has increased across all levels of rurality.
Congressional Research Service on HRSA Maternal Health Programs
The Congressional Research Service provides objective policy and legal analysis to committees and members of the U.S. House and Senate. For this report, researchers provide an overview of five maternal health programs administered by the Health Resources and Services Administration (HRSA), including the Rural Maternity and Obstetrics Management Strategies (RMOMS) Program, a pilot program that aims to improve access to services in rural areas.
Hospital Utilization for Non-Traumatic Dental Conditions in Oregon from 2013 to 2015
Access to oral health benefits is a state by state issue – either the coverage is uneven or totally lacking – and can result in costly trips to the hospital for non-traumatic dental conditions. The DentaQuest Partnership took an in-depth look into Emergency Department (ED) visits specifically in Oregon for non-traumatic dental conditions, and found a need for multi-level solutions, such as teledentistry, to decrease ED utilization across the state. Read the study here.
The Burden of Out-of-Pocket Expenditures for Dental Care on Medicare-Enrolled Elderly and Disabled
The DentaQuest Partnership’s latest report is a continuation of compelling research about how out-of-pocket spending on health care presents challenges for patients on fixed incomes. The report findings show that Medicare recipients pay for at least 75% of dental costs out-of-pocket, contributing to financial strain and poor oral health. Read the report.
Depressed, Rural Moms Face Greater Health Challenges—and so Do Their Kids
The report summarizes research that found rural, low-income mothers with chronic depression were likely to experience more health problems and face challenges in dealing with their children’s behavioral problems. Discusses how physician distrust and stigma keep rural mothers from seeking mental health treatment.
Source: Washington State University
Working to Advance the Health of Rural Americans: An Update from the ABFM
This new report covers existing disparities between the health of rural and urban Americans, describes research from the American Board of Family Medicine (ABFM) on the role of Family Physicians (FPs) in improving rural healthcare delivery. Includes proposed solutions from the ABFM to maintain the presence of FPs in rural areas.
Source: Annals of Family Medicine
Article Links Teeth Brushing with Reduced Diabetes Risk
A new Korean national health database suggests frequent brushing may be a factor for decreasing the risk of new-onset diabetes. The presence of periodontal disease and increased number of missing teeth may be associated with decreased risk of occurrence of new on-set diabetes.
Report Explores Teledentistry in Rural Areas
A new report published in the National Conference of State Legislatures found that rural Americans are more likely to experience tooth decay than their urban counterparts. The report explores teledentistry as a solution to addressing the disparity and discusses states that have already introduced legislation to establish teledentistry and expand access to oral health services.