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Rural Health
Resources by Topic: Mobile and episodic healthcare delivery

Mobile Units and Your RHC - Is It a Good Fit?
Recording of a February 21, 2024, webinar reviewing current regulations and guidance regarding Rural Health Clinic (RHC) mobile units. Explores operational considerations regarding whether a mobile unit is a good fit for an RHC. Profiles the experiences of Baptist Health opening a mobile RHC unit in rural Kentucky. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 02/2024
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Implementation of a Mobile Health Clinic Framework for Hepatitis C Virus Screening and Treatment: A Descriptive Study
Examines the effectiveness of utilizing mobile health clinics (MHC) for Hepatitis C Virus (HCV) treatment in underserved areas. Analyzes HCV screening and treatment rates of an MHC program initiated by Clemson Rural Health in South Carolina and discusses the impact of MHCs to provide healthcare access in rural and underserved areas.
Author(s): Lior Rennert, Kerry A. Howard, Caitlin M. Kickham, et al.
Citation: The Lancet Regional Health - Americas, 29
Date: 01/2024
Type: Document
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Breast Cancer Disparity and Outcomes in Underserved Women
Provides an overview of breast cancer disparities experienced by underserved and vulnerable women. Discusses racial and ethnic groups, gender minority population, and rural population, and highlights the significance of social determinants of health. Describes strategies to mitigate disparities and improve access, including education and engagement, community health workers, mobile mammography, and care coordination.
Author(s): B Bersu Ozcan, Ba┼čak E. Dogan, Ann R. Mootz, et al.
Citation: RadioGraphics, 44(1), 230090
Date: 12/2023
Type: Document
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VA Health Care: Actions Needed to Improve Information Reported on Mobile Medical Units
Describes how the Department of Veterans Affairs (VA) utilizes mobile medical units to provide primary and specialty medical care to veterans in communities with veteran populations too small to support local facilities and in areas with limited access to specialty care, including rural areas. Examines VA's annual reports to Congress between 2018 and 2023 about mobile medical units' operations and performance. Offers recommendations to the VA to improve the reliability of the data and contextual information reported to Congress on mobile medical units.
Additional links: Full Report
Date: 12/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Nursing Students Bring Free Care to Rural Virginia with Student-Run Mobile Health Clinic
Features Old Dominion University's mobile health clinic, which provides healthcare services in rural southeastern Virginia while providing clinical opportunities to nursing students.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 11/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Helping Older Adults Age Well in Rural America
Provides an overview of strategies that mitigate challenges related to aging in rural communities. Provides data on healthcare access in rural areas and presents successful models that focus on transportation, social services, and alternative care models, such as paramedicine and hybrid care.
Author(s): Martha Hostetter, Sarah Klein
Date: 11/2023
Type: Document
Sponsoring organization: Commonwealth Fund
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Bringing the Doctor to the Patients: Cardiology Outreach to Rural Areas
Analyzed 30 year cardiologist rural outreach travel data from Iowa to determine factors impacting outreach decision-making and the impact on rural access to cardiology care. Discusses cardiologist distribution, predicted impacts of reduction in workforce, and policy measures to increase access to care, particularly for the most at risk rural outreach sites.
Author(s): J. Jason Bell, Sanghak Lee, Thomas Gruca
Citation: Journal of Marketing, 88(1)
Date: 10/2023
Type: Document
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Addressing the Opioid Crisis: A Look at the Evolving Landscape of Federal OUD Treatment Policies
Provides an overview of five federal policies that impacted the provision of opioid use disorder (OUD) treatments during the COVID-19 pandemic. Covers regulations related to buprenorphine medication, methadone dispensing programs, overdose prevention and reversal methods, and leveraging Medicaid for pre- and post-release from prison OUD treatment services. Discusses how state laws may limit federal efforts.
Author(s): Heather Saunders, Nirmita Panchal
Date: 07/2023
Type: Document
Sponsoring organization: KFF
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Assessing the Effectiveness of Policies to Improve Access to Primary Care for Underserved Populations: Case Study Analysis: Kanawha County, West Virginia
Case study of policy initiatives to increase access to primary care, focusing on Kanawha County, West Virginia. Discusses workforce shortages, healthcare access, structural barriers to primary care, healthcare affordability, and more.
Author(s): Maanasa Kona, Jalisa Clark, Emma Walsh-Alker, Megan Houston
Date: 06/2023
Type: Document
Sponsoring organization: Milbank Memorial Fund
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2023 National Survey on MIH-CP Programs
Results of a February 2023 survey of approximately 400 emergency medical services (EMS) agencies nationwide that have launched mobile integrated healthcare and community paramedicine (MIH-CP) programs. Features statistics on nontraditional services offered, and programs by demographic region served, with breakdowns by 3 levels of population density.
Date: 05/2023
Type: Document
Sponsoring organization: National Association of Emergency Medical Technicians
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