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.  


Guest Blog: The Five C's of Rural Arizona

Jan 9, 2013 Comments: 0 Topics: Guest Blogger , Safford

Visiting Scholar, Celia Culley, reflects on her recent visit with the community based rural health programs in the rural town of Safford, Arizona in Graham County.


Rural Graduate Medical Education: Challenges and Solutions

Jan 9, 2013 Comments: 0 Topics: Education , Research , Workforce , Affordable Care Act

While there is almost universal acceptance of the need for more graduate medical education opportunities in primary care and in rural settings, formidable barriers face those wishing to establish new programs. A new article in Health Affairs describes the failure of federal initiatives to create more of these programs.


Guest Blog: Addressing Obesity in Rural Communities

Dec 12, 2012 Comments: 0 Topics: Obesity , Rural Assistance Center , Toolkit , Guest Blogger

A new Rural Obesity Prevention tool kit developed by the Rural Assistance Center addresses many of the unique characteristics of obesity in rural communities, and strengths that can be utilized to address the issue.


The Verdict Is In: It’s a Federally-Run Health Insurance Exchange for Arizona

Nov 29, 2012 Comments: 0 Topics: Health Insurance Exchange , Affordable Care Act , Arizona , Brewer

Arizona Governor Jan Brewer has announced that the state of Arizona will default to a federal health insurance exchange.


Personal Health Records: The Real Fiscal Cliff?

Nov 27, 2012 Comments: 0 Topics: EHR , Study , Utilization , CMS , Kaiser Permanente

Across the country, in both rural and urban settings, there is considerable interest and activity in the implementation of electronic health records (EHRs). EHRs are often discussed as a means to reducing patient utilization and costs by providing patients with online access to health information and physicians. However, a new study in JAMA casts doubts on those assumptions.


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