Online journal of rural research and policy最新文献

{"title":"Using text analysis to assess the mental health impacts of COVID-19 on rural healthcare providers","authors":"C. Beseler, Stacia McNeely","doi":"10.4148/1936-0487.1110","DOIUrl":"https://doi.org/10.4148/1936-0487.1110","url":null,"abstract":"The pandemic increased the stress levels of frontline healthcare providers in every country across the globe, and continues to do so. Health care providers in the rural regions of the U.S. were more vulnerable to the impact of COVID-19 due to the lack of resources and the population they serve. A qualitative study of 25 rural healthcare providers in a western U.S. state was conducted during 2020. In this report, Linguistic Inquiry and Word Count (LIWC) was used to compare the use of emotion and reward words in 12 providers interviewed before the onset of COVID-19 on March 11, 2020, to 13 interviews conducted after COVID-19 onset. Results indicated that providers used fewer positive emotion words after COVID-19 onset compared to before COVID. Negative emotion words also decreased. Words related to the rewarding aspects of their work increased after COVID-19, but differed among the pre- and post-COVID groups. Positive emotion words was more strongly related to rewards in the post-COVID group. Providers reported concerns about access to care for those unable to be treated for the increased depression, anxiety and suicide ideation related to the pandemic. The rural health care system needs policies directed at improving patient access to care and greater funding.","PeriodicalId":91938,"journal":{"name":"Online journal of rural research and policy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42047139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treating a Public Health Crisis for Rural Moms – A Comparative Analysis of Four Rural States Addressing Maternal Opioid Misuse with Medicaid Innovation Models","authors":"J. Semprini","doi":"10.4148/1936-0487.1109","DOIUrl":"https://doi.org/10.4148/1936-0487.1109","url":null,"abstract":"","PeriodicalId":91938,"journal":{"name":"Online journal of rural research and policy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44231367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mentee Perceptions of Public School Superintendent Mentorship in a Rural, Midwest State","authors":"E. Lehmann, D. Olson, Dan Leikvold, David De Jong, Kristine Reed","doi":"10.4148/1936-0487.1108","DOIUrl":"https://doi.org/10.4148/1936-0487.1108","url":null,"abstract":"","PeriodicalId":91938,"journal":{"name":"Online journal of rural research and policy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42055716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“You’re in apple land but you are a lemon:” Connection, Collaboration, and Division in Early ‘70s Indian Country","authors":"John Truden","doi":"10.4148/1936-0487.1102","DOIUrl":"https://doi.org/10.4148/1936-0487.1102","url":null,"abstract":"In the first years of the 1970s, Indian Country became paradoxically more interwoven and yet also more divided. Three case studies from Oklahoma’s Indigenous communities illustrate this transformation. Beginning in the mid-1960s, a boom in Indigenous media allowed Indigenous people to communicate far more quickly over once prohibitive distances. In western Oklahoma, Southern Cheyenne parents relied upon Navajo ideas to form their own indigenous controlled school in early 1973. As a result of these exchanges between previously removed people, new indigenous communities emerged along ideological lines rather than those of tribal citizenship or ethnic identity. A few months earlier, the National Indian Youth Council’s Oklahoma chapters, one such evolving ideological community out of many in the United States, successfully brought attention to and changed a key state policy affecting indigenous students in public schools. Even as Indigenous activists collaborated with new vigor, corresponding divisions emerged in existing Indigenous communities; Native people began to debate the meaning of the messages new communities popularized. The American Indian Movement attempted to hold its 1973 national convention at Pawnee, Oklahoma, only to find that Indigenous people in the region did not support the gathering as the movement’s leaders anticipated. Together, these three case studies present a portrait of a diverse, indigenous world that facilitated collaboration through Native media yet wrought with emerging ideological schisms.","PeriodicalId":91938,"journal":{"name":"Online journal of rural research and policy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45304580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expanding the Capacity of Rural Cancer Care With Teleoncology","authors":"J. Semprini","doi":"10.4148/1936-0487.1101","DOIUrl":"https://doi.org/10.4148/1936-0487.1101","url":null,"abstract":"Background: In the United States, 6 of the 25 leading causes of death stem from site-specific cancers, resulting in over 1.7 million deaths annually. Yet, this burden is not evenly distributed. While the incidence of cancer is significantly higher in urban areas, rural regions face higher rates of cancer mortality. Identifying the factors contributing rural cancer disparities can facilitate more effective and feasible policy solutions.’ Problem Definition: Rural Americans are geographically isolated from high-quality cancer services and face systemic barriers to NCI designated comprehensive cancer centers. Given this disparity, rural Americans have failed to fully realize the benefits of expanded federal investment in improved cancer care. Efforts to increase the supply of rural oncologists have yielded mixed results. Rather, this policy review identifies an opportunity to expand the capacity of America’s oncologists through provider-to-provider telehealth models. Methods: Federal and state statutes were scanned for telehealth legislation. CMS guidance relating to telehealth capacity building were also reviewed. The tabulated political venues and policy activity were reported by branch and level of government. Policy recommendations were then made by the focusing on states implementing provider-to-provider teleoncology models in rural regions. Policy Report: In 2016, Congress passed the Project ECHO Act which aimed to evaluate all provider-to-provider telehealth capacity building models. However, the 2019 Project ECHO Act, which aimed to build upon the initial pilot, failed to progress through the Senate. Most provider-to-provider teleoncology activity occurred at the state-level through Medicaid Waivers. Conclusion: Neighboring states can build upon the success of these innovative healthcare delivery models by expanding the diffusion of Medicaid waiver demonstrations which authorize reimbursement for provider-to-provider teleoncology in rural areas.","PeriodicalId":91938,"journal":{"name":"Online journal of rural research and policy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48333002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Teacher Attrition and Retention in Kansas: A Case Study of Geographically Rural States with Persistent Teacher Shortages","authors":"Tuan D. Nguyen","doi":"10.4148/1936-0487.1100","DOIUrl":"https://doi.org/10.4148/1936-0487.1100","url":null,"abstract":"Teacher attrition is a key contributor to teacher shortages in many states, particularly those with large geographically rural areas. Using seven waves of the School and Staffing Survey and Kansas as a case study, this study examines the teacher labor force from 1988 to 2012. Moreover, the study describes the teacher mobility patterns for Kansas from 2000 to 2012 and compares them against the national average, the Midwest states, and the Great Plains states. Furthermore, it examines whether younger teachers, teachers with graduate degrees, and STEM and special education teachers in Kansas are more or less likely to turn over. Lastly, the study examines how certain teacher and school characteristics are associated with teacher attrition for Kansas as a whole and for rural schools in particular. Implications for research and policy are discussed.","PeriodicalId":91938,"journal":{"name":"Online journal of rural research and policy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44184755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feeding Victory: 4-H, Extension, and the World War II Food Effort","authors":"K. Sundgren","doi":"10.4148/1936-0487.1098","DOIUrl":"https://doi.org/10.4148/1936-0487.1098","url":null,"abstract":"","PeriodicalId":91938,"journal":{"name":"Online journal of rural research and policy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41330769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food Insecurity and Assistance on Campus: A Survey of the Student Body","authors":"Michael Miller, G. Middendorf, Spencer D. Wood, Sonya Lutter, Scott Jones, Brian L. Lindshield","doi":"10.4148/1936-0487.1097","DOIUrl":"https://doi.org/10.4148/1936-0487.1097","url":null,"abstract":"According to recent studies, food insecurity affects from 34%-59% of college students. This will continue to be an issue as tuition increases and more low-income and first-generation students enter universities and colleges. Nearly 52% of college students live at, or near, the poverty level, compared to a national poverty rate of 14.5%. This leaves many undergraduate and graduate students with challenging decisions around meeting their basic housing, nutritional, and educational expenses. To assess food insecurity at Kansas State University (KSU), a random sample of undergraduate and graduate students was surveyed. Findings include a high rate of food insecurity (44.3%) among respondents. This measure was calculated by summing the affirmative responses to the USDA short-form food security questions in the survey. This means that during a 7-month period during the 2016 to 2017 academic year, 44.3% of respondents experienced at least two of the following: 1) didn’t have enough food to last and didn’t have money to buy more, 2) couldn’t afford to eat balanced meals, 3) cut the size of or skipped meals, 4) ate less than they felt they should because they didn’t have enough money, or, 5) were hungry and didn’t eat. This finding is consistent with other studies that report food insecurity rates between 34% and 59% at U.S. universities and community colleges. Fifty-seven percent of respondents were generally aware that food insecurity is a significant problem on college campuses. A majority of respondents (63%) reported that they knew students besides themselves who, currently or sometime during the academic year, had 1 This research was supported in part by USDA Multistate Research Project NC1196, “Food Systems, Health, and Well-Being: Understanding Complex Relationships and Dynamics of Change.” 2 problems with food insecurity or hunger. Yet food assistance (e.g., food pantries) and SNAP are seldom used and responses regarding the use of an on-campus food pantry were mixed. Despite this mixed response, over 2,000 students had used the campus food pantry within the one-year period between opening in 2017 to 2018 (Bishop 2018). Introduction Food insecurity occurs when a household reduces the quality, variety, or desirability of its diet. It can lead to disrupted eating patterns and reduced food intake (USDA ERS 2016). Before the recession in 2007, the rate of food insecurity in the U.S. was 11.1% (USDA ERS 2018). According to the latest available data, the food insecurity rate has not recovered to its prerecession level. An estimated 12.3% of households, or 15.8 million households (42 million individuals) “were food insecure at least some time during the year in 2016” (USDA ERS 2017). Many historically marginalized people in the U.S. live in so-called “food deserts” or areas with little to no available and accessible “healthy” food. Individuals residing in food deserts are more likely to be economically disadvantaged, have poorer nutrition, be exposed to","PeriodicalId":91938,"journal":{"name":"Online journal of rural research and policy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48017705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"State Level Revenue Analysis of the Market Facilitation Program","authors":"A. Giri, Sankalp Sharma, K. Lovercamp, Iuliia Tetteh, D. Dhakal, Rudra Baral","doi":"10.4148/1936-0487.1099","DOIUrl":"https://doi.org/10.4148/1936-0487.1099","url":null,"abstract":"To compensate the US producers affected by the “trade war” with China, the United States Department of Agriculture (USDA) offered direct payments to producers using 2018 production levels under the Market Facilitation Program (MFP). Results of the revenue efficiency analysis of the MFP payments show the average producers in 12 out of 14 major corn and soybean producing states were compensated such that their 2018 per acre revenue was more than their 2017 per acre revenue. Conversely, an average producer in those states that experienced drought was under-compensated, as their total per acre revenue after the MFP payment was less than their 2017 revenue. Use of the 2018 yield, instead of a three-year average, resulted in a net positive gain for most producers.","PeriodicalId":91938,"journal":{"name":"Online journal of rural research and policy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42174325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Defining Homelessness in the Rural United States","authors":"Amelia Yousey, Rhucha P Samudra","doi":"10.4148/1936-0487.1094","DOIUrl":"https://doi.org/10.4148/1936-0487.1094","url":null,"abstract":"Rural homelessness in the United States is an understudied phenomenon. Among those studies which do address the issue, there exists no uniform or consistent definition for rural homelessness. In this review of the literature, we look at rural homelessness and consolidate the literature into four main groups based on the definitions currently in use. We recommend a comprehensive definition for rural homelessness that looks at this phenomenon on a spectrum of needs, populations, and periodicity. We further recommend that current homeless count methodology be improved by using a more detailed survey of homeless situations, not only in the rural United States, but in urban areas as well.","PeriodicalId":91938,"journal":{"name":"Online journal of rural research and policy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70867582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}