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Rural Health
Resources by Topic: Chronic disease management

Development and Implementation of a Community Paramedicine Program in Rural United States
Describes a community paramedicine care model developed in a rural Wisconsin Critical Access Hospital (CAH) and Primary Care Clinic. Presents data on 32 patients receiving treatment for chronic disease or other high-need medical condition. Discusses potential for community paramedicine models to decrease high utilization of healthcare services.
Author(s): Lucas A. Myers, Peter N. Carlson, Paul W. Krantz, et al.
Citation: Western Journal of Emergency Medicine, 21(5), 1227-1233
Date: 09/2020
Type: Document
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Roundtable Discussion: Examining the Role of Telehealth during COVID-19 and Beyond
Video recording of an August 6, 2020, discussion on telehealth policies and impacts in response to the COVID-19 pandemic and key considerations for the future of telehealth policy. Examines rural topics throughout, including access to broadband and using RHCs and FQHCs as originating site providers for telehealth services. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Date: 08/2020
Type: Video/Multimedia
Sponsoring organization: House Ways and Means Committee
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Pharmacist-Led Chronic Care Management for Medically Underserved Rural Populations in Florida During the COVID-19 Pandemic
Describes how ambulatory care pharmacists and student pharmacists are implementing telehealth during the COVID-19 pandemic to provide chronic care management to underserved, rural communities in Florida. Discusses implications for public health.
Author(s): Madison Como, Chenita White Carter, Margareth Larose-Pierre, et al.
Citation: Preventing Chronic Disease, 17:200265
Date: 07/2020
Type: Document
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The Influence of Telehealth for Better Health Across Communities
Describes the use of Extension for Community Healthcare Outcomes (ECHO), a videoconferencing peer learning application used by healthcare providers in predominantly rural areas of Missouri for the treatment of COVID-19–positive patients with chronic diseases such as diabetes, COPD, and hypertension. Discusses implications for public health and ways to optimize health system performance.
Author(s): Jane A. McElroy, Tamara M. Day, Mirna Becevic
Citation: Preventing Chronic Disease, 17
Date: 07/2020
Type: Document
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Pennsylvania Hospital Transitions HRSA-Funded Program to Online Services and Addresses COVID-19 Stress
Features Butler Memorial Hospital and how it adapted to the COVID-19 pandemic. Highlights the switch to online delivery for a chronic disease project funded by a HRSA Rural Health Care Services Outreach grant. Also describes initiatives to address healthcare workforce stress, help patients use tablets to visit with loved ones, and distribute healthy food to the community.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 07/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Heart Disease and Stroke Prevention Initiatives in Three USAPI Jurisdictions
Summarizes efforts in Guam, Palau, and the Commonwealth of the Northern Mariana Islands to improve cardiovascular health outcomes. Highlights strategies that can be applied to hypertension control programs and chronic disease prevention projects.
Date: 05/2020
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Concussion in Rural America: Experts Detail Injury and Recovery of Traumatic Brain Injury
Reports on concussions, or mild traumatic brain injuries (mTBI), in rural areas. Discusses the impact of these injuries, the role of support networks, TBI training for rural clinicians, rural TBI data, and management of mTBI in rural areas.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 04/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Small Healthcare Provider Quality Improvement: Sourcebook, 2016-2019
Detailed descriptions of 32 rural quality improvement initiatives funded through the Small Health Care Provider Quality Improvement grant program during the 2016-2019 grant period. Initiatives focused on enhancing chronic disease management, increasing patient and caregiver engagement, improving quality of care, and better health outcomes.
Date: 02/2020
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Improving the Care of Students with Diabetes in Rural Schools Utilizing an Online Diabetes Education Program for School Personnel
Analyzes the impact of Diabetes Care at School: Bridging the Gap, an online diabetes education program, to determine the knowledge and confidence of school personnel who provide care to students with diabetes in rural areas.
Author(s): Cassity Gutierrez
Citation: Rural and Remote Health, 20(1), 5596
Date: 02/2020
Type: Document
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Achieving Health Equity in Preventive Services: Evidence Summary
Summarizes research on achieving health equity in preventive services including screening, counseling, medication, and management for cancer, cardiovascular disease, and diabetes in adult patients by identifying the effects of impediments and barriers that create disparities, and the effectiveness of strategies and interventions to reduce them. Study reports barriers that resulted in or explained a disparity in preventive service, and the effectiveness of the clinician-patient relationship, health information technology, and health system intervention. Studies included African American, Hispanic, Korean and Chinese American, and rural and low-income patients.
Additional links: Full Report
Date: 12/2019
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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