Objective: Postoperative hand therapy is important for recovery and enhanced functional outcomes following hand surgery. Access to this essential care is limited in Alabama, however, particularly for vulnerable populations in rural areas where public transportation is scarce. These challenges are further amplified for patients who are unable to drive due…
Objectives: Although healthcare disparities between rural and urban populations are documented, access to pulmonary subspecialty care in rural regions is not well characterized. This study aimed to quantify rural-urban disparities in access to pulmonology, pulmonary critical care medicine (PCCM), and sleep medicine physicians in Georgia. Methods: The Georgia Composite Medical…
Objectives: Rural Hawai‘i faces a shortage of physicians specializing in women’s health. Improving clinician collaboration and access to the scientific literature are potential strategies for improving physician retention in this community. In 2021, a monthly women’s health journal club was established for local clinicians and trainees on Hawai‘i Island. Although…
Without rural hospitals, many patients may not have access to essential services, or even any health care. Rural hospitals provide a community hub for local access to primary care and emergency services, as well as a bridge to specialized care outside the community. The goal of this review was to…
Objectives: This study assessed providers’ present practices and perceived needs in Appalachian Kentucky to identify the standard of care and implementation of expert recommendations for managing pediatric obesity.Methods: Questionnaire data were gathered from 28 providers at a pediatric obesity continuing medical education workshop in eastern Kentucky. We assessed current practices,…
Objectives: In traditionally underserved communities, faith-based interventions have been shown to be effective for health promotion. Religious leaders—generally the major partner in such interventions—however, are seldom are consulted about community health priorities and health promotion preferences. These insights are critical to ensure productive partnerships, effective programming, and sustainability. Methods: Mixed-methods…
Objectives: This study compared the number of children enrolled in Medicaid in rural and urban areas of South Carolina with an overweight/obesity diagnosis and the mean rates of office visits with overweight/obesity diagnosed. Methods: Medicaid claims data from 2012 for children in three South Carolina counties, categorized as urban, rural…
Objectives: The southern region of the United States, particularly central and southern Appalachia, has long been identified as an area of health inequities. An updated and more complete understanding of the association among the leading risk factors for such health inequities allows researchers, clinicians, and policymakers to focus their efforts…
Objectives: To characterize migration patterns among people diagnosed as having and who died of acquired immunodeficiency syndrome (AIDS) from 1993 to 2007 because migrating to a new community can disrupt human immunodeficiency virus/AIDS care delivery and patients’ adherence to care and affect migrants’ social services and healthcare needs. Methods: Florida…
Background: This study explored factors related to practitioner-based complementary and alternative medicine (CAM) usage among primary care clinic patients in rural West Texas areas, including physicians’ awareness of their patients’ CAM use. Methods: A convenience sample was drawn from nine clinics that served low-income populations. Surveys were distributed to patients…
Background and Objectives:Use of health services in rural communities has not been well studied. We explored how black and white children used health services in a rural Mississippi community. Methods:Data were prospectively collected for 396 children attending a private practice to determine if race was associated with the use of…
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