Rural Health
Resources by Topic: Access
States Reported Multiple Challenges with Using Telehealth to Provide Behavioral Health Services to Medicaid Enrollees
Summarizes results of a January-February 2020 survey of State Medicaid Directors in 37 states that provide behavioral health services via telehealth through managed care organizations. Describes challenges with using telehealth to serve Medicaid enrollees, including provider and enrollee training, internet connectivity, privacy, and technology costs. Offers recommendations for the Centers of Medicare and Medicaid Services (CMS) to help states address these challenges.
Date: 09/2021
Sponsoring organization: Office of Inspector General (HHS)
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Summarizes results of a January-February 2020 survey of State Medicaid Directors in 37 states that provide behavioral health services via telehealth through managed care organizations. Describes challenges with using telehealth to serve Medicaid enrollees, including provider and enrollee training, internet connectivity, privacy, and technology costs. Offers recommendations for the Centers of Medicare and Medicaid Services (CMS) to help states address these challenges.
Date: 09/2021
Sponsoring organization: Office of Inspector General (HHS)
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Geographic Access to Health Care for Rural Medicare Beneficiaries: A National Study
Policy brief exploring rural and urban healthcare, geographic access to providers, and types of providers seen by Medicare beneficiaries based on Medicare administrative data from 2014. Charts offer rural and urban comparisons of characteristics of beneficiaries, number of visits by region, number of visits by race/ethnicity, visits by provider type, and travel distance and time.
Author(s): Eric H. Larson, C. Holly A. Andrilla, Lisa A. Garberson, David V. Evans
Date: 09/2021
Sponsoring organization: WWAMI Rural Health Research Center
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Policy brief exploring rural and urban healthcare, geographic access to providers, and types of providers seen by Medicare beneficiaries based on Medicare administrative data from 2014. Charts offer rural and urban comparisons of characteristics of beneficiaries, number of visits by region, number of visits by race/ethnicity, visits by provider type, and travel distance and time.
Author(s): Eric H. Larson, C. Holly A. Andrilla, Lisa A. Garberson, David V. Evans
Date: 09/2021
Sponsoring organization: WWAMI Rural Health Research Center
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Keeping the Doors Open: Vulnerable Rural Hospitals Benefit from Federally Funded Technical Assistance
Features the work of Texas A&M's Center for Optimizing Rural Health (CORH), which provides technical assistance through a federally funded program for vulnerable hospitals. Highlights the experiences of a participating Oklahoma hospital.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 09/2021
Sponsoring organization: Rural Health Information Hub
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Features the work of Texas A&M's Center for Optimizing Rural Health (CORH), which provides technical assistance through a federally funded program for vulnerable hospitals. Highlights the experiences of a participating Oklahoma hospital.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 09/2021
Sponsoring organization: Rural Health Information Hub
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Overview of Barriers and Facilitators in COVID-19 Vaccine Outreach
Provides an overview of lessons learned from infectious disease outbreaks about barriers to vaccine uptake. Describes examples of promising and innovative COVID-19 vaccination outreach strategies, including strategies to build vaccine confidence in rural communities. Identifies best practices that could be used to inform outreach in areas with low vaccination rates. Highlights online tools and resources to assist with the design of vaccine outreach programs.
Author(s): Aldren Gonzales, Euny C. Lee, Violanda Grigorescu, et al.
Date: 09/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of lessons learned from infectious disease outbreaks about barriers to vaccine uptake. Describes examples of promising and innovative COVID-19 vaccination outreach strategies, including strategies to build vaccine confidence in rural communities. Identifies best practices that could be used to inform outreach in areas with low vaccination rates. Highlights online tools and resources to assist with the design of vaccine outreach programs.
Author(s): Aldren Gonzales, Euny C. Lee, Violanda Grigorescu, et al.
Date: 09/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Telephone Veteran Peer Coaching for Mental Health Treatment Engagement among Rural Veterans: The Importance of Secondary Outcomes and Qualitative Data in a Randomized Controlled Trial
Presents a study of telephone motivational coaching for veterans receiving primary care in rural VA clinics in Northern California and Louisiana. Compares 272 veterans who screened positive for mental health problems, examining impacts of veteran peer motivational coaching on depression, quality of life, posttraumatic stress disorder, and self-care. Discusses barriers to mental healthcare for rural veterans.
Author(s): Karen H. Seal, Jeffrey M. Pyne, Jennifer K. Manuel, et al.
Citation: Journal of Rural Health, 37(4), 788-800
Date: 09/2021
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Presents a study of telephone motivational coaching for veterans receiving primary care in rural VA clinics in Northern California and Louisiana. Compares 272 veterans who screened positive for mental health problems, examining impacts of veteran peer motivational coaching on depression, quality of life, posttraumatic stress disorder, and self-care. Discusses barriers to mental healthcare for rural veterans.
Author(s): Karen H. Seal, Jeffrey M. Pyne, Jennifer K. Manuel, et al.
Citation: Journal of Rural Health, 37(4), 788-800
Date: 09/2021
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Determining Patient Needs to Enhance Exercise Program Implementation and Uptake in Rural Settings for Women after a Cancer Diagnosis
Identifies barriers and facilitators of physical activity programs for rural female cancer survivors, utilizing data from focus group discussions among 19 cancer survivors and 11 interventionists. Includes discussion of participant and facilitator knowledge, program cost, support, cancer-specific exercise and physical outcome concerns, and more. Identifies differences in perspective between participant and facilitator groups.
Author(s): Jessica L. Adams, Michelle Y. Martin, Maria Pisu, et al.
Citation: Supportive Care in Cancer, 29(8), 4641-4649
Date: 08/2021
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Identifies barriers and facilitators of physical activity programs for rural female cancer survivors, utilizing data from focus group discussions among 19 cancer survivors and 11 interventionists. Includes discussion of participant and facilitator knowledge, program cost, support, cancer-specific exercise and physical outcome concerns, and more. Identifies differences in perspective between participant and facilitator groups.
Author(s): Jessica L. Adams, Michelle Y. Martin, Maria Pisu, et al.
Citation: Supportive Care in Cancer, 29(8), 4641-4649
Date: 08/2021
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Assessing the Impact of COVID-19 on Low-Income Households and Communities in North Carolina
Discusses impacts of the COVID-19 pandemic on efforts to combat poverty and promote self-sufficiency in low-income communities across North Carolina. Presents excerpts from interviews with community leaders, and identifies takeaways related to the pandemic's impact on individuals, organizational strategies, partnerships and collaboration, and public health. Highlights rural communities and Black North Carolinians throughout, and covers topics including vaccination, internet access, mental health, and more. Provides recommendations for community action agencies.
Author(s): James H. Johnson Jr., Jeanne Milliken Bonds, Allan M. Parnell
Date: 08/2021
Sponsoring organizations: North Carolina Community Action Association, Urban Investment Strategies Center
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Discusses impacts of the COVID-19 pandemic on efforts to combat poverty and promote self-sufficiency in low-income communities across North Carolina. Presents excerpts from interviews with community leaders, and identifies takeaways related to the pandemic's impact on individuals, organizational strategies, partnerships and collaboration, and public health. Highlights rural communities and Black North Carolinians throughout, and covers topics including vaccination, internet access, mental health, and more. Provides recommendations for community action agencies.
Author(s): James H. Johnson Jr., Jeanne Milliken Bonds, Allan M. Parnell
Date: 08/2021
Sponsoring organizations: North Carolina Community Action Association, Urban Investment Strategies Center
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Improving Behavioral Health Services for Individuals with SMI in Rural and Remote Communities
Discusses behavioral health workforce shortages in rural and remote areas and the effect this has on healthcare access for people with serious mental illness (SMI). Highlights strategies for reducing barriers to access and improve workforce retention. Provides examples of programs to improve access in various states.
Date: 08/2021
Sponsoring organizations: American Psychiatric Association, SMI Adviser, Substance Abuse and Mental Health Services Administration
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Discusses behavioral health workforce shortages in rural and remote areas and the effect this has on healthcare access for people with serious mental illness (SMI). Highlights strategies for reducing barriers to access and improve workforce retention. Provides examples of programs to improve access in various states.
Date: 08/2021
Sponsoring organizations: American Psychiatric Association, SMI Adviser, Substance Abuse and Mental Health Services Administration
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Whole-Person Care for People Experiencing Homelessness and Opioid Use Disorder: A Toolkit
Provides information on whole-person care for housing stability and opioid use disorder (OUD), offering an overview of factors impacting homelessness and OUD, recovery models, and best practices to reduce stigma and develop trauma-informed care.
Additional links: Webinar: Whole-Person Care for People Experiencing Homelessness and Opioid Use Disorder
Date: 08/2021
Sponsoring organizations: Homeless and Housing Resource Center, Substance Abuse and Mental Health Services Administration
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Provides information on whole-person care for housing stability and opioid use disorder (OUD), offering an overview of factors impacting homelessness and OUD, recovery models, and best practices to reduce stigma and develop trauma-informed care.
Additional links: Webinar: Whole-Person Care for People Experiencing Homelessness and Opioid Use Disorder
Date: 08/2021
Sponsoring organizations: Homeless and Housing Resource Center, Substance Abuse and Mental Health Services Administration
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Telehealth Visit Use Among U.S. Adults
Slide deck presenting survey data on telehealth use, breaking down results by rural/non-rural location, age, insurance coverage, and ethnicity. Addresses telehealth visit purposes, patient satisfaction, and barriers to telehealth access.
Author(s): Jazmyne Sutton
Date: 08/2021
Sponsoring organizations: Bipartisan Policy Center, SSRS
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Slide deck presenting survey data on telehealth use, breaking down results by rural/non-rural location, age, insurance coverage, and ethnicity. Addresses telehealth visit purposes, patient satisfaction, and barriers to telehealth access.
Author(s): Jazmyne Sutton
Date: 08/2021
Sponsoring organizations: Bipartisan Policy Center, SSRS
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