Identifying rural health care needs using community conversations
Abstract
ABSTRACT: Context: Community input can lead to better‐defined goals in an organization. With this in mind, the Center for Rural Health at the University of North Dakota School of Medicine and Health Sciences embarked on a series of 13 meetings with representatives of organizations serving rural communities, including 5 Native American reservations. Purpose: To give a detailed description of the steps involved in planning, and the outcomes and lessons learned from the meetings. Organizations will be able to use this information when incorporating community involvement as part of their planning process. Project: Each meeting included a presentation of the Center for Rural Health efforts throughout the state and a discussion in which residents were asked about health care barriers they have encountered and how the Center for Rural Health could align its efforts to assist communities. Conclusions: The conversations from these meetings have provided a wealth of information about barriers to providing quality health care facing rural and Native American residents. The Center for Rural Health has incorporated this information into its strategic planning process and has formed several work groups to address issues raised. Community conversations allow organizations to better determine priorities that will be valid and realistic to the communities they serve.
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Barriers to receiving substance abuse treatment among American Indians/Alaska Natives living in urban areas or on reservations include low insurance coverage, limited access to transportation, and discomfort in the Westernized healthcare system.
“Barriers to receiving substance abuse treatment among AI/ANs living in urban areas or on reservations include low insurance coverage, limited access to transportation, and “discomfort” in the Westernized healthcare system (Gone and Trimble, 2012, Katz, 2004; Moulton et al., 2007; Call et al., 2006).”
From National trends in pharmaceutical opioid related overdose deaths compared to other substance related overdose deaths: 1999-2009. (2013) · cites this paper as Moulton et al., 2007
Cites
Strategies for setting a national research agenda that is responsive to community needs.
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Discussion Suppers as a Means for Community Engagement
Faust, L. A., Blanchard, L. W., Breyfogle, D. A., et al. (2005) · The Journal of Rural Health · doi:10.1111/j.1748-0361.2005.tb00068.x · Cited by 1 · see citing works
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Calcaterra, S., Glanz, J., & Binswanger, I. A. (2013) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2012.11.018 · Cited by 330 · see citing works
- Authors
- Moulton, P. L., Miller, M. E., Offutt, S. M., & Gibbens, B. P.
- Affiliations
- University of North Dakota (US)
- Corresponding author
- Moulton, Patricia L.
- Venue
- The Journal of Rural Health
- Publisher
- Wiley
- Published
- 2007-01
- Volume
- 23
- Issue
- 1
- Pages
- 92-96
- ISSN
- 0890-765X (ISSN-L)
- 1748-0361
- OpenAlex
- W2118435708
- Cited by
- 23
- References
- 2
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 1 · 2021: 1 · 2020: 3 · 2019: 1 · 2014: 5 · 2013: 4 · 2012: 1
- FWCI
- 2.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Rural Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Health Sciences › Health Professions › Emergency Medical Services › Global Health Workforce Issues
- Social Sciences › Education › Education in Rural Contexts
- Keywords
- community participation, community dialogue, barriers to care, Indian reservations, strategic planning, organizational planning, health care access
- MeSH terms
- Adult, Community-Institutional Relations, Community Participation, Group Processes, Health Priorities, Health Services Accessibility, Health Services, Indigenous, Humans, Indians, North American, Medically Underserved Area, Middle Aged, North Dakota, Rural Health, Schools, Medical, Community Health Planning, Rural Health Services, Needs Assessment
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