Rural Health
Resources by Topic: Healthcare needs and services
Emergency Triage, Treat, and Transport (ET3) Model: Final Evaluation Report
Presents quantitative and qualitative results from the evaluation of the Emergency Triage, Treat, and Transport (ET3) Model, a voluntary model that allowed ambulance care teams to use alternate models of emergency healthcare to improve quality and lower care costs. Describes the characteristics of ET3 participants, the extent to which ET3 interventions successfully prevented emergency department (ED) visits, and how average Medicare Parts A and B spending for patients that received ET3 interventions compared to patients who had low acuity ED visits. Discusses challenges and barriers to delivering ET3 interventions. Includes rural references throughout.
Additional links: Findings at a Glance, Technical Appendix
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Presents quantitative and qualitative results from the evaluation of the Emergency Triage, Treat, and Transport (ET3) Model, a voluntary model that allowed ambulance care teams to use alternate models of emergency healthcare to improve quality and lower care costs. Describes the characteristics of ET3 participants, the extent to which ET3 interventions successfully prevented emergency department (ED) visits, and how average Medicare Parts A and B spending for patients that received ET3 interventions compared to patients who had low acuity ED visits. Discusses challenges and barriers to delivering ET3 interventions. Includes rural references throughout.
Additional links: Findings at a Glance, Technical Appendix
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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A Summary of State Innovation Models (SIM) Evaluation Results Across 17 States (2013-2020)
Summarizes evaluation results of the State Innovation Models (SIM), which examined the ability of 17 state governments to implement and test innovative value-based payment (VBP) healthcare models across multiple payers between 2013 and 2020. Presents findings regarding the implementation and impact of 29 delivery and payment models, including patient-centered medical homes, accountable care organizations, behavioral health integration, and more. Covers state contracting and consensus building, practice transformation, pediatric care, behavioral healthcare, beneficiary and provider perspectives, and more. Includes a section on payment model designs tailored to unique state needs, including rural populations, as well as rural references throughout.
Additional links: A Summary of State Innovation Models (SIM): Focus on State-Led Transformation - Findings at a Glance, Executive Summary, Findings at a Glance
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes evaluation results of the State Innovation Models (SIM), which examined the ability of 17 state governments to implement and test innovative value-based payment (VBP) healthcare models across multiple payers between 2013 and 2020. Presents findings regarding the implementation and impact of 29 delivery and payment models, including patient-centered medical homes, accountable care organizations, behavioral health integration, and more. Covers state contracting and consensus building, practice transformation, pediatric care, behavioral healthcare, beneficiary and provider perspectives, and more. Includes a section on payment model designs tailored to unique state needs, including rural populations, as well as rural references throughout.
Additional links: A Summary of State Innovation Models (SIM): Focus on State-Led Transformation - Findings at a Glance, Executive Summary, Findings at a Glance
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Enhancing Maternal Health Initiative
Describes accomplishments of the Health Resources and Services Administration's initiative to strengthen, expand, and accelerate work to address maternal mortality and maternal health disparities, especially in underserved areas. Mentions rural throughout.
Date: 01/2025
Sponsoring organization: Health Resources and Services Administration
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Describes accomplishments of the Health Resources and Services Administration's initiative to strengthen, expand, and accelerate work to address maternal mortality and maternal health disparities, especially in underserved areas. Mentions rural throughout.
Date: 01/2025
Sponsoring organization: Health Resources and Services Administration
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Patient Centered Medication Treatment for Opioid Use Disorder in Rural Vermont: A Qualitative Study
Examines patient perspectives on medications for opioid use disorder (MOUD) treatment in rural Vermont, utilizing interview data from 15 people who received care at Vermont Hub and Spoke clinics. Highlights patient perspectives on aspects of patient-centered care, and their influences on retention and engagement with treatment.
Author(s): Emily G. Hichborn, Owen B. Murray, Eilis I. Murphy, et al.
Citation: Addiction Science & Clinical Practice, 20, 3
Date: 01/2025
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Examines patient perspectives on medications for opioid use disorder (MOUD) treatment in rural Vermont, utilizing interview data from 15 people who received care at Vermont Hub and Spoke clinics. Highlights patient perspectives on aspects of patient-centered care, and their influences on retention and engagement with treatment.
Author(s): Emily G. Hichborn, Owen B. Murray, Eilis I. Murphy, et al.
Citation: Addiction Science & Clinical Practice, 20, 3
Date: 01/2025
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Combating Antimicrobial Resistance During the COVID-19 Pandemic: Perceived Risks and Protective Practices
Explores the range of factors that impacted efforts to combat antimicrobial resistance (AMR) during the COVID-19 pandemic. Presents findings from an analysis of published scholarly sources and lessons learned from urban and rural healthcare professionals involved in antimicrobial stewardship. Includes rural references and considerations throughout.
Author(s): Casey Sullivan, Cody R. Fisher, Laurin Grabowsky, et al.
Date: 01/2025
Sponsoring organizations: Eastern Research Group, Inc., HHS Office of the Assistant Secretary for Planning and Evaluation
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Explores the range of factors that impacted efforts to combat antimicrobial resistance (AMR) during the COVID-19 pandemic. Presents findings from an analysis of published scholarly sources and lessons learned from urban and rural healthcare professionals involved in antimicrobial stewardship. Includes rural references and considerations throughout.
Author(s): Casey Sullivan, Cody R. Fisher, Laurin Grabowsky, et al.
Date: 01/2025
Sponsoring organizations: Eastern Research Group, Inc., HHS Office of the Assistant Secretary for Planning and Evaluation
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Cannabis Use Characteristics and Associations with Problematic Use Outcomes, Quitting-Related Factors, and Mental Health among US Young Adults
Examines factors related to cannabis use via latent class analysis of survey data provided by 4,031 young adults. Includes data on frequency of use, problematic use, quitting, and mental health, with data breakdowns by rural, suburban/micropolitan, and urban dwelling.
Author(s): Carla J. Berg, Cassidy R. LoParco, Katelyn F. Romm, et al.
Citation: Substance Abuse Treatment, Prevention, and Policy, 20, 1
Date: 01/2025
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Examines factors related to cannabis use via latent class analysis of survey data provided by 4,031 young adults. Includes data on frequency of use, problematic use, quitting, and mental health, with data breakdowns by rural, suburban/micropolitan, and urban dwelling.
Author(s): Carla J. Berg, Cassidy R. LoParco, Katelyn F. Romm, et al.
Citation: Substance Abuse Treatment, Prevention, and Policy, 20, 1
Date: 01/2025
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Resources for Measuring Rurality in Research on Maternity Care
Explores how different measures of rurality influence research outcomes, with a focus on maternal health research. Describes multiple measures and definitions commonly employed to categorize rural populations. Discusses the implications of these definitions for research, public health interventions, and policy formulation.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Mary-Jane Adole, et al.
Date: 01/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Explores how different measures of rurality influence research outcomes, with a focus on maternal health research. Describes multiple measures and definitions commonly employed to categorize rural populations. Discusses the implications of these definitions for research, public health interventions, and policy formulation.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Mary-Jane Adole, et al.
Date: 01/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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The Association Between Neighborhood Social Vulnerability and Community-Based Rehabilitation after Stroke
Examines the relationship between the timely use of community-based rehabilitation after a stroke and the social determinants of health. Analyzes 6,843 adults enrolled in a post-acute stroke program in North Carolina, with breakdowns according to patient SVI and therapy visits within 90 days of stroke. Includes discussion of rurality as a factor related to access and timely use of care.
Author(s): Shuqi Zhang, Elizabeth R. Mormer, Anna M. Johnson, et al.
Citation: BMC Health Services Research, 25, 55
Date: 01/2025
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Examines the relationship between the timely use of community-based rehabilitation after a stroke and the social determinants of health. Analyzes 6,843 adults enrolled in a post-acute stroke program in North Carolina, with breakdowns according to patient SVI and therapy visits within 90 days of stroke. Includes discussion of rurality as a factor related to access and timely use of care.
Author(s): Shuqi Zhang, Elizabeth R. Mormer, Anna M. Johnson, et al.
Citation: BMC Health Services Research, 25, 55
Date: 01/2025
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Assessing the Feasibility of Creating a National Behavioral Health Workforce Database
Results of a project to determine the feasibility of developing a database of behavioral health providers and practices that offers up-to-date information to support research, policymaking, and public access. Identifies key elements, including demographics, licensure, education, and practice details. Includes information on databases focused on rural health.
Author(s): Frances Jiménez, Nicole Gauthreaux, Courtney Segal, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Results of a project to determine the feasibility of developing a database of behavioral health providers and practices that offers up-to-date information to support research, policymaking, and public access. Identifies key elements, including demographics, licensure, education, and practice details. Includes information on databases focused on rural health.
Author(s): Frances Jiménez, Nicole Gauthreaux, Courtney Segal, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Implementation of Mobile Medication Units: Findings from a Qualitative Study
Provides a brief overview of the development of policy regarding the approval of mobile medication units (MMUs) operated by opioid treatment programs (OTPs). Presents findings from an environmental scan and key informant interviews regarding MMU implementation. Discusses barriers to establishing, sustaining, and expanding MMU services. Describes opportunities to increase access to methadone in underserved communities. Includes rural references throughout.
Date: 01/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Provides a brief overview of the development of policy regarding the approval of mobile medication units (MMUs) operated by opioid treatment programs (OTPs). Presents findings from an environmental scan and key informant interviews regarding MMU implementation. Discusses barriers to establishing, sustaining, and expanding MMU services. Describes opportunities to increase access to methadone in underserved communities. Includes rural references throughout.
Date: 01/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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