Rural Health
Resources by Topic: Access
Community Health Access and Rural Transformation (CHART) Model Frequently Asked Questions
Provides answers to frequently asked questions regarding the Community Health Access and Rural Transformation (CHART) Model. Details the CHART Community Transformation Track, including the application process; eligibility; overlap with the ACO Transformation Track and other Center for Medicare and Medicaid Innovation (CMMI) models; operational flexibilities; payment, adjustments, and repayment; and payer participation.
Date: 10/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides answers to frequently asked questions regarding the Community Health Access and Rural Transformation (CHART) Model. Details the CHART Community Transformation Track, including the application process; eligibility; overlap with the ACO Transformation Track and other Center for Medicare and Medicaid Innovation (CMMI) models; operational flexibilities; payment, adjustments, and repayment; and payer participation.
Date: 10/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Prevalence and Characteristics of Telehealth Utilization in the United States
Results of a survey of 2555 people conducted between February-April 2019 to estimate the use of different forms of telehealth and reasons for nonuse. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Shira H. Fischer, Kristin N. Ray, Ateev Mehrotra, Erika Litvin Bloom, Lori Uscher-Pines
Citation: JAMA Network Open, 3(10)
Date: 10/2020
Type: Document
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Results of a survey of 2555 people conducted between February-April 2019 to estimate the use of different forms of telehealth and reasons for nonuse. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Shira H. Fischer, Kristin N. Ray, Ateev Mehrotra, Erika Litvin Bloom, Lori Uscher-Pines
Citation: JAMA Network Open, 3(10)
Date: 10/2020
Type: Document
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Assessment of Changes in Rural and Urban Primary Care Workforce in the United States From 2009 to 2017
Results of a study comparing the primary care workforce and its growth between urban and rural counties or county-equivalents from 2009-2017. Features county-level maps showing the distribution of primary care physicians and non-physician clinicians, and statistics with breakdowns by provider type and rural or urban location.
Author(s): Donglan Zhang, Heejung Son, Ye Shen
Citation: JAMA Network Open, 3(10)
Date: 10/2020
Type: Document
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Results of a study comparing the primary care workforce and its growth between urban and rural counties or county-equivalents from 2009-2017. Features county-level maps showing the distribution of primary care physicians and non-physician clinicians, and statistics with breakdowns by provider type and rural or urban location.
Author(s): Donglan Zhang, Heejung Son, Ye Shen
Citation: JAMA Network Open, 3(10)
Date: 10/2020
Type: Document
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The American Opioid Epidemic in Special Populations: Five Examples
Report on the disproportionate impacts of the opioid crisis on certain populations, including those involved with the criminal justice system, rural populations, veterans, young adults, and individuals who inject drugs. Offers statistical data for each group and discussion of opioid use disorder and mortality, barriers to treatment, promising strategies to address treatment issues, and research and policy priorities. Section on rural populations offers data on drug overdose deaths, rates of opioid prescription, and the association between economic distress and opioid-involved deaths.
Author(s): Carlos Blanco, Mir M. Ali, Aaron Beswick, et al.
Date: 10/2020
Type: Document
Sponsoring organization: National Academy of Medicine
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Report on the disproportionate impacts of the opioid crisis on certain populations, including those involved with the criminal justice system, rural populations, veterans, young adults, and individuals who inject drugs. Offers statistical data for each group and discussion of opioid use disorder and mortality, barriers to treatment, promising strategies to address treatment issues, and research and policy priorities. Section on rural populations offers data on drug overdose deaths, rates of opioid prescription, and the association between economic distress and opioid-involved deaths.
Author(s): Carlos Blanco, Mir M. Ali, Aaron Beswick, et al.
Date: 10/2020
Type: Document
Sponsoring organization: National Academy of Medicine
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The Evolving Landscape of National Telehealth Policies during a Public Health Emergency: Responsiveness to Rural Needs
Provides an overview of the telehealth policy landscape and the impact of the COVID-19 pandemic on telehealth utilization. Compares policy recommendations from the Bipartisan Policy Center's Rural Health Task Force to COVID-19-related policy changes. Includes considerations for additional telehealth policy changes.
Author(s): Keith J. Mueller, Hannah Rochford, Andrew F. Coburn, et al.
Date: 10/2020
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Provides an overview of the telehealth policy landscape and the impact of the COVID-19 pandemic on telehealth utilization. Compares policy recommendations from the Bipartisan Policy Center's Rural Health Task Force to COVID-19-related policy changes. Includes considerations for additional telehealth policy changes.
Author(s): Keith J. Mueller, Hannah Rochford, Andrew F. Coburn, et al.
Date: 10/2020
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Telebehavioral Health: An Effective Alternative to In-Person Care
Issue brief discussing telehealth treatment modalities based on a 2019 review of clinical outcomes related to telebehavioral health. Covers three state-level approaches: the Portland Veterans Affairs Medical Center Rural Telemental Health Program (VA RTMH), which serves rural Oregon veterans, and Medicaid policies in Texas and Massachusetts. Addresses telebehavioral health policy details, implementation, and considerations for states looking to develop new telebehavioral health policies during the COVID-19 pandemic.
Author(s): Brittany Lazur, Lily Sobolik, Valerie King
Date: 10/2020
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Issue brief discussing telehealth treatment modalities based on a 2019 review of clinical outcomes related to telebehavioral health. Covers three state-level approaches: the Portland Veterans Affairs Medical Center Rural Telemental Health Program (VA RTMH), which serves rural Oregon veterans, and Medicaid policies in Texas and Massachusetts. Addresses telebehavioral health policy details, implementation, and considerations for states looking to develop new telebehavioral health policies during the COVID-19 pandemic.
Author(s): Brittany Lazur, Lily Sobolik, Valerie King
Date: 10/2020
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Rural America's Senior Citizens: Considerations for Transportation, Healthcare Access, Connectedness, Nutrition and Economics
Policy paper providing an overview of rural older adults. Examines the challenges rural older adults face in accessing healthcare. Discusses how transportation, social isolation, nutrition, and economics impact the health outcomes of this population.
Author(s): Tasha Brown, Kay Miller Temple, Josie Rudolphi
Date: 10/2020
Type: Document
Sponsoring organization: National Rural Health Association
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Policy paper providing an overview of rural older adults. Examines the challenges rural older adults face in accessing healthcare. Discusses how transportation, social isolation, nutrition, and economics impact the health outcomes of this population.
Author(s): Tasha Brown, Kay Miller Temple, Josie Rudolphi
Date: 10/2020
Type: Document
Sponsoring organization: National Rural Health Association
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Overview of Rural Child Health
Policy position paper presenting an overview rural child health and factors influencing health disparities in rural children. Highlights disparities in mortality, physical health, preventive health, and oral health. Includes policy recommendations to address these disparities.
Author(s): Peiyin Hung, Matthew Workman, Kim Mohan
Date: 10/2020
Type: Document
Sponsoring organization: National Rural Health Association
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Policy position paper presenting an overview rural child health and factors influencing health disparities in rural children. Highlights disparities in mortality, physical health, preventive health, and oral health. Includes policy recommendations to address these disparities.
Author(s): Peiyin Hung, Matthew Workman, Kim Mohan
Date: 10/2020
Type: Document
Sponsoring organization: National Rural Health Association
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Rural/Urban Differences in Children's Health
Examines differences in child health conditions by rural and urban residency. Explores differences in mental and behavioral health, weight status and physical activity, adverse childhood experiences, and access to healthcare.
Date: 10/2020
Type: Document
Sponsoring organization: Maternal and Child Health Bureau
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Examines differences in child health conditions by rural and urban residency. Explores differences in mental and behavioral health, weight status and physical activity, adverse childhood experiences, and access to healthcare.
Date: 10/2020
Type: Document
Sponsoring organization: Maternal and Child Health Bureau
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The Impact of Coronavirus on Households in Rural America
Reports on the experiences of rural households during the COVID-19 pandemic. Discusses impacts on finances, employment, healthcare, housing, food, and child care. Concerns related to healthcare include access to care during the pandemic, concerns for those with special health issues such as chronic conditions, and use of telehealth.
Date: 10/2020
Type: Document
Sponsoring organizations: Harvard T.H. Chan School of Public Health, National Public Radio, Robert Wood Johnson Foundation
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Reports on the experiences of rural households during the COVID-19 pandemic. Discusses impacts on finances, employment, healthcare, housing, food, and child care. Concerns related to healthcare include access to care during the pandemic, concerns for those with special health issues such as chronic conditions, and use of telehealth.
Date: 10/2020
Type: Document
Sponsoring organizations: Harvard T.H. Chan School of Public Health, National Public Radio, Robert Wood Johnson Foundation
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