Rural Health
Resources by Topic: Mobile and episodic healthcare delivery
Mobile Health Clinics in a Rural Setting: A Cost Analysis and Time Motion Study of La Clínica in Oregon, United States
Evaluates provider time allocation and retrospective economic cost of nurse practitioner (NP) and community health worker (CHW) services through La Clínica, a Mobile Health Clinic (MHC) intervention in rural Oregon. Discusses populations served by La Clínica, including people experiencing homelessness, Native Americans, and migrant and seasonal farmworkers. Provides data on program costs and NP and CHW time use by task type and population subgroup.
Author(s): Abigail Higgins, Middy Tilghman, Tracy Kuo Lin
Citation: BMC Health Services Research, 25, 97
Date: 01/2025
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Evaluates provider time allocation and retrospective economic cost of nurse practitioner (NP) and community health worker (CHW) services through La Clínica, a Mobile Health Clinic (MHC) intervention in rural Oregon. Discusses populations served by La Clínica, including people experiencing homelessness, Native Americans, and migrant and seasonal farmworkers. Provides data on program costs and NP and CHW time use by task type and population subgroup.
Author(s): Abigail Higgins, Middy Tilghman, Tracy Kuo Lin
Citation: BMC Health Services Research, 25, 97
Date: 01/2025
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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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Challenges and Strategies to Improve Access to Oral Health Care in Rural America
Provides an overview of barriers to oral health in rural areas, and discusses strategies to increase access to oral health care and improve rural public health outcomes. Covers topics including dental insurance, service delivery models, oral health workforce, the role of oral health professionals in addressing opioid and tobacco use, and water fluoridation.
Author(s): Liang Hong, Shillpa Naavaal, Sohini Dhar, Siddardha Chandrupatla
Date: 2025
Sponsoring organization: American Association of Public Health Dentistry (AAPHD)
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Provides an overview of barriers to oral health in rural areas, and discusses strategies to increase access to oral health care and improve rural public health outcomes. Covers topics including dental insurance, service delivery models, oral health workforce, the role of oral health professionals in addressing opioid and tobacco use, and water fluoridation.
Author(s): Liang Hong, Shillpa Naavaal, Sohini Dhar, Siddardha Chandrupatla
Date: 2025
Sponsoring organization: American Association of Public Health Dentistry (AAPHD)
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Select Committee on Advancing Rural and Small Town Health Care Final Report - To the General Assembly of Virginia
Recommendations for improvement in healthcare in rural Virginia, based on information from meetings with providers and citizens in rural areas. Areas of focus are health workforce, maternal health, dental care, obesity, telehealth, and transportation.
Date: 12/2024
Sponsoring organizations: Commonwealth of Virginia, House Select Committee on Advancing Rural and Small Town Health Care
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Recommendations for improvement in healthcare in rural Virginia, based on information from meetings with providers and citizens in rural areas. Areas of focus are health workforce, maternal health, dental care, obesity, telehealth, and transportation.
Date: 12/2024
Sponsoring organizations: Commonwealth of Virginia, House Select Committee on Advancing Rural and Small Town Health Care
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Factors Associated with Utilization of Mobile Health Clinic Hepatitis C Virus Services among Medically Underserved Communities in South Carolina
Examines the use of mobile health clinics (MHCs) to deliver hepatitis C (HCV) screening and treatment in rural and underserved South Carolina communities. Provides data on the association of demographic and community factors, including rurality, with MHC utilization, HCV positivity rates, and MHC HCV treatment initiation.
Author(s): Kerry A. Howard, Fatih Gezer, Caitlin A. Moore, et al.
Citation: BMC Global and Public Health, 2, 84
Date: 12/2024
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Examines the use of mobile health clinics (MHCs) to deliver hepatitis C (HCV) screening and treatment in rural and underserved South Carolina communities. Provides data on the association of demographic and community factors, including rurality, with MHC utilization, HCV positivity rates, and MHC HCV treatment initiation.
Author(s): Kerry A. Howard, Fatih Gezer, Caitlin A. Moore, et al.
Citation: BMC Global and Public Health, 2, 84
Date: 12/2024
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Reach, Adoption, Implementation, and Sustainability of the Mobile Health for Migrant Health (mHealth-4-Mhealth) Program: Nebraska, 2022‒2023
Assesses a mobile COVID-19 screening and resource sharing program for rural migrant families in Nebraska. Discusses the program's attempt to overcome barriers to healthcare for rural residents and migrants in those rural communities.
Author(s): Russell J. McCulloh, Ellen Kerns, Chad Abresch, et al.
Citation: American Journal of Public Health, 114(11), 1212-1216
Date: 11/2024
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Assesses a mobile COVID-19 screening and resource sharing program for rural migrant families in Nebraska. Discusses the program's attempt to overcome barriers to healthcare for rural residents and migrants in those rural communities.
Author(s): Russell J. McCulloh, Ellen Kerns, Chad Abresch, et al.
Citation: American Journal of Public Health, 114(11), 1212-1216
Date: 11/2024
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Implementing a Mobile HPV Vaccination Program in South Carolina
Provides an overview of a mobile HPV vaccination outreach and engagement program focused on improving childhood vaccination in underserved communities in South Carolina. Provides data on vaccines administered, participant demographics, and program partnerships.
Date: 05/2024
Sponsoring organization: St. Jude Children's Research Hospital
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Provides an overview of a mobile HPV vaccination outreach and engagement program focused on improving childhood vaccination in underserved communities in South Carolina. Provides data on vaccines administered, participant demographics, and program partnerships.
Date: 05/2024
Sponsoring organization: St. Jude Children's Research Hospital
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Tribally-Led Mobile Outreach: Improving Access to Harm Reduction Services in One Rural Reservation Community
Presents a study on the efficacy of a tribally-run mobile outreach service to deliver opioid harm reduction information and services. Breaks down type of services offered, the organizational reach, and population served.
Author(s): Allyson Kelley, Kellie Webb, Katherine Hirchak, et al.
Citation: Frontiers in Public Health, 12, 1383729
Date: 05/2024
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Presents a study on the efficacy of a tribally-run mobile outreach service to deliver opioid harm reduction information and services. Breaks down type of services offered, the organizational reach, and population served.
Author(s): Allyson Kelley, Kellie Webb, Katherine Hirchak, et al.
Citation: Frontiers in Public Health, 12, 1383729
Date: 05/2024
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Report on Prevention of Out-Of-Network Ground Ambulance Emergency Service Balance Billing
Recommendations from the Ground Ambulance and Patient Billing Advisory Committee, convened between May and November, 2023, to protect consumers from balance billing and protect their access to emergency services. Features sections on rural ambulance services and community paramedicine.
Date: 03/2024
Sponsoring organization: Ground Ambulance and Patient Billing Advisory Committee
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Recommendations from the Ground Ambulance and Patient Billing Advisory Committee, convened between May and November, 2023, to protect consumers from balance billing and protect their access to emergency services. Features sections on rural ambulance services and community paramedicine.
Date: 03/2024
Sponsoring organization: Ground Ambulance and Patient Billing Advisory Committee
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Mobile Units and Your RHC - Is It a Good Fit?
Recording of a February 21, 2024, webinar reviewing 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
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a February 21, 2024, webinar reviewing 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
Sponsoring organization: National Association of Rural Health Clinics
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