{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T02:00:17Z","timestamp":1780624817942,"version":"3.54.1"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"8-9","license":[{"start":{"date-parts":[[2019,4,17]],"date-time":"2019-04-17T00:00:00Z","timestamp":1555459200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000016","name":"Department of Health and Human Services","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006438","name":"Assistant Secretary for Health","doi-asserted-by":"crossref","award":["#1 CPIMP171144-01-00"],"award-info":[{"award-number":["#1 CPIMP171144-01-00"]}],"id":[{"id":"10.13039\/100006438","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Rural public health system leaders struggle to access and use data for understanding local health inequities and to effectively allocate scarce resources to populations in need. This study sought to determine these rural public health system leaders\u2019 data access, capacity, and training needs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>We conducted qualitative interviews across Alaska, Idaho, Oregon, and Washington with individuals expected to use population data for analysis or decision-making in rural communities. We used content analysis to identify themes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>We identified 2 broad themes: (1) challenges in accessing or using data to monitor and address health disparities and (2) needs for training in data use to address health inequities. Participants faced challenges accessing or using data to address rural disparities due to (a) limited availability or access to data, (b) data quality issues, (c) limited staff with expertise and resources for analyzing data, and (d) the diversity within rural jurisdictions. Participants also expressed opportunities for filling capacity gaps through training\u2014particularly for displaying and communicating data.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Rural public health system leaders expressed data challenges, many of which can be aided by informatics solutions. These include interoperable, accessible, and usable tools that help capture, access, analyze, and display data to support health equity efforts in rural communities.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Informatics has the potential to address some of the daunting data-related challenges faced by rural public health system leaders working to enhance health equity. Future research should focus on developing informatics solutions to support data access and use in rural communities.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocz037","type":"journal-article","created":{"date-parts":[[2019,3,9]],"date-time":"2019-03-09T12:09:13Z","timestamp":1552133353000},"page":"825-834","source":"Crossref","is-referenced-by-count":39,"title":["Data, capacity-building, and training needs to address rural health inequities in the Northwest United States: a qualitative study"],"prefix":"10.1093","volume":"26","author":[{"given":"Betty","family":"Bekemeier","sequence":"first","affiliation":[{"name":"Department of Psychosocial & Community Health, University of Washington School of Nursing, Seattle, Washington, USA"},{"name":"Northwest Center for Public Health Practice, University of Washington,Seattle, Washington, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seungeun","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Psychosocial & Community Health, University of Washington School of Nursing, Seattle, Washington, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uba","family":"Backonja","sequence":"additional","affiliation":[{"name":"Nursing & Healthcare Leadership, University of Washington, Tacoma, Washington, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"India","family":"Ornelas","sequence":"additional","affiliation":[{"name":"Department of Health Services, University of Washington School of Public Health, Seattle, Washington, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne M","family":"Turner","sequence":"additional","affiliation":[{"name":"Northwest Center for Public Health Practice, University of Washington,Seattle, Washington, USA"},{"name":"Department of Health Services, University of Washington School of Public Health, Seattle, Washington, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,4,17]]},"reference":[{"issue":"1","key":"2020110613063464300_ocz037-B1","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1146\/annurev-publhealth-031914-122755","article-title":"The double disparity facing rural local health departments","volume":"37","author":"Harris","year":"2016","journal-title":"Annu Rev Public Health"},{"issue":"4","key":"2020110613063464300_ocz037-B2","first-page":"2804.","article-title":"How good are routinely collected primary healthcare data for evaluating the effectiveness of health service provision in a remote Aboriginal community?","volume":"15","author":"Davis","year":"2015","journal-title":"Rural Remote Health"},{"key":"2020110613063464300_ocz037-B3","author":"Centers for Disease Control and Prevention","year":"2017"},{"key":"2020110613063464300_ocz037-B4","first-page":"1","author":"Washington State Hospital Association","year":"2012"},{"key":"2020110613063464300_ocz037-B5","author":"Matrix Global Advisors","year":"2015"},{"issue":"2","key":"2020110613063464300_ocz037-B6","doi-asserted-by":"crossref","first-page":"e52","DOI":"10.2105\/AJPH.2013.301709","article-title":"Understanding the rural-urban differences in nonmedical prescription opioid use and abuse in the United States","volume":"104","author":"Keyes","year":"2014","journal-title":"Am J Public Health"},{"key":"2020110613063464300_ocz037-B7","first-page":"57","author":"Crenshaw","year":"1989"},{"key":"2020110613063464300_ocz037-B8","volume-title":"The National Intimate Partner and Sexual Violence Survey (NISVS): 2010 Summary Report","author":"Black","year":"2011"},{"key":"2020110613063464300_ocz037-B9","first-page":"64.","article-title":"Local health department epidemiologic capacity: a stratified cross-sectional assessment describing the quantity, education, training, and perceived competencies of epidemiologic staff","volume":"1","author":"O'Keefe","year":"2013","journal-title":"Front Public Health"},{"issue":"33","key":"2020110613063464300_ocz037-B10","doi-asserted-by":"crossref","first-page":"935","DOI":"10.15585\/mmwr.mm6733a5","article-title":"Assessment of epidemiology capacity in state health departments\u2014United States, 2017","volume":"67","author":"Arrazola","year":"2018","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2020110613063464300_ocz037-B11","first-page":"66471","article-title":"Methodogy of designation of frontier and remote areas","volume":"77","author":"Health Resources and Services Administration","year":"2012","journal-title":". 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