PA’RRIBA Blog & Briefs

Health Coverage and Access to Care in the United States-Mexico Border Region: Implications of the Affordable Care Act (ACA)




A multifactorial approach is necessary to improve health outcomes and reduce health disparities for populations living in the US-Mexico border region. Key factors include building on health insurance coverage gains, enhancing the rural health workforce and infrastructure, and assuring accessible, cost effective, culturally and linguistically appropriate health services for a growing border population.


University of Arizona Teams up with Produce Growers in Northern Mexico to Help Migrant Farmworkers

Oct 4, 2016 Comments: 0 Topics: Public Health , Migrant Farm Workers , Mexico



  • The Los Angeles Times released a large expose on the conditions of farm workers on large corporate farms in Northern Mexico. The travesties named included: inadequate living conditions, company stores that create indentured servitude to pay off debts and accusations of child labor. Overall, the article calls on changes made by the corporate farms exposed but also, the American corporations that contract with those growers.
  • Recent strikes during spring harvest amongst produce farms in Baja California has drawn even more attention on the alleged abuses of agribusiness farm workers.
  • These workers are only marginally protected by national labor and housing laws; this collaboration creates a unique opportunity for mixed scientific methods to improve the health of this population.


Arizona Trauma Program Managers’ Efforts Underway



Photo Credit: Matt Eckhoff, Program Director of Community Integrated Paramedicine for the Rio Rico Medical & Fire District

The Arizona Trauma Program Managers Workgroup continues to meet face-to-face quarterly focused on enhancing performance improvement strategies. Scheduled for August 19, 2016 is the next scheduled workshop being hosted by Flagstaff Medical Center. Also, a statewide Trauma Program Manager Listserve continues to be very active with over 100 members.


AZ Center for Rural Health, Preparing for Round 3 ACA Open Enrollment




“Of those eligible for a tax credit to help individuals buy a health plan on Arizona’s Marketplace in the last cycle, 38% participated – and lower in Arizona’s rural, Latino, American Indian, disabled and special populations,” said Dr. Daniel Derksen, the Director of the Center for Rural Health at the University of Arizona, and the project’s principal investigator.


Lean Forward: Easing the ICD-10 October Implementation for Rural Arizona Health Providers

Mar 24, 2015 Comments: 0 Topics: International Classification of Diseases , ICD-10 , WHO , HIPPA , Training


Photo Credit: Jill Bullock

By Jill Bullock, Alyssa Padilla and Dan Derksen

What is ICD-10? In October of 2015, all physicians, hospitals, and health plans will begin using ICD-10 (International Classification of Diseases), an upgrade from ICD-9 used in the U.S. for 30 years. The World Health Organization (WHO) adopted ICD-10 in 1990, used by other countries for many years.  ICD-10 will be used to classify disease, report illnesses, monitor morbidity and mortality, and importantly - to provide better individual and population health data to continuously improve and inform clinical treatment.  


Introducing…our new strategic plan

Jun 13, 2013 Comments: 0 Topics: Strategic Plan , Center for Rural Health

The Center for Rural Health recently completed the strategic planning process and we are pleased to announce a new strategic plan to guide our organization over the next 3-5 years. Before I get to specifics of our new plan, I’d like to share how we got to this point.


A big day for Telemedicine in Arizona

May 31, 2013 Comments: 0 Topics: Arizona Telemedicine Program , Policy , Senate Bill 1353

An important vehicle for providing healthcare services to individuals in the rural setting is telemedicine. Telemedicine uses telecommunications technology with healthcare providers and specialist consults to providers and patients who are located in areas that do not have that level of service available.


And the winner is...

May 23, 2013 Comments: 0 Topics: Center for Rural Health , NRHA , Award

Our Center recently received some exciting news as we have been named the Outstanding Rural Health Organization for 2013 by the National Rural Health Association (NRHA). We are greatly humbled to join the other organizations and individuals which will be recognized by the NRHA at their annual conference next week in Louisville, Kentucky.


Guest Blog: Community Paramedicine to Support Community Wellness in Southern Arizona

May 15, 2013 Comments: 0 Topics: Rio Rico , Paramedics , Community , Santa Cruz County , Guest Blogger

Nestled within Arizona’s Santa Cruz County and only about 10 miles from the US-Mexico border, Rio Rico is a community with a diverse identity much like many of Arizona’s rural towns. Les Caid is the Fire Chief of the Rio Rico Fire District which is charged with providing fire and emergency medical services to the approximately 20,000 members of the District’s community. Caid has observed the toll that growing rates of chronic illnesses and poor access to health care can have on the population he serves.


Guest Blog: Bear Down, Rural Arizona!

May 6, 2013 Comments: 0 Topics: Visiting Scholar , Arizona , Community

I have heard and seen the slogan “Bear Down” multiple times over the course of my time in Tucson.  Most commonly associated with Wildcat athletics, I did a little digging to find the origin of this simple, but strong phrase. 


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