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.  


It’s the Most Wonderful Time of the Year...National Rural Health Week

Nov 8, 2012 Comments: 0 Topics: National Rural Health Week , Holiday , Policy , Event

Policy talks, a proclamation, webinars and photo contests: November 12-16th is National Rural Health Week and the Center for Rural Health is partnering with several state and national groups to make the week a special one.


Reflections on the Ajo Community Forum on Healthcare

Oct 10, 2012 Comments: 0 Topics: Community , Ajo , Forum

On October 9th, in partnership with the Children’s Action Alliance and our hosts, the Desert Senita Community Health Center, the CRH co-sponsored a community town hall type meeting on healthcare in Ajo, Arizona.


Overcoming the Challenges of Team-Based Healthcare

Oct 5, 2012 Comments: 0 Topics: Interprofessional , Teams , Care Delivery

Healthcare delivered in a collaborative environment consisting of interprofessional teams has gained widespread acceptance in recent years. In addition, there exists evidence that healthcare delivery is optimized in this type of environment. Yet, truly integrated team-based care remains far from the norm in today’s healthcare environment. Why is this?


Jobs, Jobs, Jobs! The Economic Benefits of Rural Healthcare

Oct 1, 2012 Comments: 0 Topics: Economy , Jobs , Rural Healthcare

While the focus of the provision of healthcare services in rural communities is on improving health-related outcomes (and rightly so), these services also have another tangible positive impact on these communities: economic benefits. A new report from the National Center for Rural Health Works quantifies this impact.


Leadership Training for Rural Health Professionals

Sep 25, 2012 Comments: 0 Topics: Management , Education , Administration , Certificate Program

Rural health professionals who are in, or aspire to, leadership and/or management positions may be challenged to find formalized health administration training to fit their lifestyles and schedules. For many individuals, going back to university full-time for two or more years for a Master’s degree is not feasible.


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