How Low Can They Go? Rural Hospitals Weigh Keeping Obstetric Units When Births Decline

KFF Health News Original

Many small hospitals have shuttered their labor and delivery units as births decline. For those who resist the trend, some studies suggest that hospitals with low deliveries are more likely to see complications for patients. Doctors and public health experts say there is no magic number to determine when it is best to close an obstetrics unit.

What Will It Take to Boost Vaccinations? The Scene From Kentucky’s Back Roads

KFF Health News Original

With Kentucky in the grip of a covid surge, public health workers are taking their vaccination campaign house to house and church to church, trying to outmaneuver the fantastical tales spread on social media and everyday hurdles of hardship and isolation.

Delta Cutting ‘Like a Buzzsaw’ Through Oregon-California Border Counties

KFF Health News Original

Zoom in on states with overall good vaccination rates and you see a checkerboard effect, with rural areas far lagging urban zones. That’s allowed the pandemic to rage in places like Jackson County, Oregon, overwhelming hospitals.

To Stoke Rural Vaccination Rates, Trusted Farmers Are Asked to Spread Word

KFF Health News Original

Rural health experts are calling on trusted agricultural leaders — like farmers and ranchers — to use their understanding of science and nudge vaccine-hesitant neighbors to roll up their sleeves for a covid shot. But some farmers say they doubt they can change anyone’s mind.

In Rural America, Twisting Arms to Take a Covid Vaccine First Takes Trust

KFF Health News Original

In communities across the country, the Cooperative Extension System, the same organization that supports 4-H clubs nationally, is tapping its roots in rural communities to promote vaccines. But its approach to getting people vaccinated in many communities, including Cairo, Illinois, must be nuanced.

California’s Highest Covid Infection Rates Shift to Rural Counties

KFF Health News Original

As vaccination rates rise across the state, the overall numbers of covid cases and deaths have plunged. But health officials are still reporting nearly 1,000 new cases and more than two dozen deaths a day. So, where does covid continue to simmer in California? And why?

With Roots in Civil Rights, Community Health Centers Push for Equity in the Pandemic

KFF Health News Original

Community health centers were born in the 1960s to reach low-income communities. But some rural health experts say federally qualified health centers were a missing piece in achieving early equity in the vaccine rollout.

In Appalachia and the Mississippi Delta, Millions Face Long Drives to Stroke Care

KFF Health News Original

Across Appalachia and the Mississippi Delta, where death rates from stroke are above the national average, routing patients from rural areas to the right level of care can be an intricate jigsaw puzzle. The closest hospital might not offer the full scope of stroke treatments, but hospitals with more advanced care could be hours away.

En los Apalaches y el delta del Mississippi, millones deben viajar lejos para recibir atención por accidentes cerebrovasculares

KFF Health News Original

A lo largo de los Apalaches y del delta del Mississippi, donde las tasas de muertes por ataques cerebrales está por encima del promedio nacional, dirigir a los pacientes de áreas rurales al nivel adecuado de atención puede ser un rompecabezas intrincado. El hospital más cercano puede no ofrecer un espectro completo de tratamientos, y los centros de atención de avanzada pueden estar a horas de distancia.