Rural Health
Resources by Topic: Service delivery models
Racial and Ethnic Disparities in Access to Acute Stroke Capabilities in California: Association with Rurality and Telestroke Access
Examines disparities in presentation to emergency departments (EDs) with or without acute stroke capability among patients with acute stroke by race and ethnicity, and variations in these associations by patient rurality and ED telestroke status, using 2021 NEDI-California and NEDI-USA survey data.
Author(s): Kori S. Zachrison, Renee Y. Hsia, Krislyn M. Boggs, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 35(4), 108607
Date: 04/2026
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Examines disparities in presentation to emergency departments (EDs) with or without acute stroke capability among patients with acute stroke by race and ethnicity, and variations in these associations by patient rurality and ED telestroke status, using 2021 NEDI-California and NEDI-USA survey data.
Author(s): Kori S. Zachrison, Renee Y. Hsia, Krislyn M. Boggs, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 35(4), 108607
Date: 04/2026
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Rural Health Transformation Program: State Focus on Maternal and Child Health
Describes maternal and child healthcare initiatives addressed in state Rural Health Transformation Program applications. Covers access to maternity care, the maternal health workforce, community-based behavioral health programs, technology-enabled strategies for maternal health, and more.
Author(s): Anoosha, Elliot Hill, Zack Gould
Date: 03/2026
Sponsoring organization: National Academy for State Health Policy
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Describes maternal and child healthcare initiatives addressed in state Rural Health Transformation Program applications. Covers access to maternity care, the maternal health workforce, community-based behavioral health programs, technology-enabled strategies for maternal health, and more.
Author(s): Anoosha, Elliot Hill, Zack Gould
Date: 03/2026
Sponsoring organization: National Academy for State Health Policy
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Advancing Technology Innovation through the Rural Health Transformation Program
Identifies common themes across Rural Health Transformation Program (RHTP) plans related to proposed health technology initiatives. Covers the information technology infrastructure, telehealth and remote patient monitoring, artificial intelligence, and catalyst funds and pilot programs.
Author(s): Daisy Kim, Maya Sandalow
Date: 03/2026
Sponsoring organization: Bipartisan Policy Center
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Identifies common themes across Rural Health Transformation Program (RHTP) plans related to proposed health technology initiatives. Covers the information technology infrastructure, telehealth and remote patient monitoring, artificial intelligence, and catalyst funds and pilot programs.
Author(s): Daisy Kim, Maya Sandalow
Date: 03/2026
Sponsoring organization: Bipartisan Policy Center
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Telehealth Resource Center Skills Matrix
Outlines the technical assistance and subject matter expertise of the 14 federally funded Telehealth Resource Centers in specific telehealth topics, clinical specialties, and areas of telehealth implementation.
Date: 03/2026
Sponsoring organization: National Consortium of Telehealth Resource Centers
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Outlines the technical assistance and subject matter expertise of the 14 federally funded Telehealth Resource Centers in specific telehealth topics, clinical specialties, and areas of telehealth implementation.
Date: 03/2026
Sponsoring organization: National Consortium of Telehealth Resource Centers
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Increasing Uptake of Diabetes Self-Management Education and Support (DSMES) in Rural Kentucky Primary Care Clinics: Findings From a Pilot Pragmatic Cluster-Randomized Trial
Provides findings from a quality improvement pilot study focused on increasing diabetes self-management education and support (DSMES) uptake via coaching and technical assistance in rural Kentucky primary care clinics.
Author(s): Mary E. Lacy, Jessica Elliott, Vance Drakeford, et al.
Citation: Journal of Primary Care & Community Health, 17
Date: 03/2026
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Provides findings from a quality improvement pilot study focused on increasing diabetes self-management education and support (DSMES) uptake via coaching and technical assistance in rural Kentucky primary care clinics.
Author(s): Mary E. Lacy, Jessica Elliott, Vance Drakeford, et al.
Citation: Journal of Primary Care & Community Health, 17
Date: 03/2026
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Barriers to Implementing a Pharmacist-Led COPD CARE Bundle in Rural Settings: A Qualitative Evaluation
Examines barriers to implementing the COPD Coordinated Access to Reduce Exacerbations (COPD CARE) program, a care bundle focused on improving chronic obstructive pulmonary disease care coordination among pharmacists, nurse care managers, and other pharmacy clinicians in the Veterans Affairs system. Describes themes from clinician interviews, including discussion of staffing challenges, limited referral availability, fragmentation of care, technological limitations, and more.
Author(s): Edward Christopher Portillo, Martha Maurer, Steven Do, et al.
Citation: BMJ Open Respiratory Research, 13, e003178
Date: 03/2026
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Examines barriers to implementing the COPD Coordinated Access to Reduce Exacerbations (COPD CARE) program, a care bundle focused on improving chronic obstructive pulmonary disease care coordination among pharmacists, nurse care managers, and other pharmacy clinicians in the Veterans Affairs system. Describes themes from clinician interviews, including discussion of staffing challenges, limited referral availability, fragmentation of care, technological limitations, and more.
Author(s): Edward Christopher Portillo, Martha Maurer, Steven Do, et al.
Citation: BMJ Open Respiratory Research, 13, e003178
Date: 03/2026
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Rural Health Transformation Program: State Focus on Behavioral Health
Describes behavioral healthcare initiatives addressed in state Rural Health Transformation Program applications. Covers behavioral health integration in primary care, the behavioral health crisis continuum, the behavioral health workforce, payment approaches, and technology investments.
Author(s): Laura Galbreath
Date: 03/2026
Sponsoring organization: National Academy for State Health Policy
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Describes behavioral healthcare initiatives addressed in state Rural Health Transformation Program applications. Covers behavioral health integration in primary care, the behavioral health crisis continuum, the behavioral health workforce, payment approaches, and technology investments.
Author(s): Laura Galbreath
Date: 03/2026
Sponsoring organization: National Academy for State Health Policy
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Mental Health Specialist Telemedicine Uptake and Patient Location
Analyzes 17,742 Medicare fee-for-service claims for mental health specialists between 2018 and 2023 to identify the proportion of telemedicine visits that are with rural, low-access-to-care, or other distant communities. Includes analysis of new and established patients. Discusses study findings as part of larger discussions regarding telehealth increasing access to healthcare for rural and other hard to reach populations.
Author(s): Jacob Jorem, Andrew D. Wilcock, Alisa B. Busch, Haiden A. Huskamp, Ateev Mehrotra
Citation: JAMA Network Open, 9(3)
Date: 03/2026
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Analyzes 17,742 Medicare fee-for-service claims for mental health specialists between 2018 and 2023 to identify the proportion of telemedicine visits that are with rural, low-access-to-care, or other distant communities. Includes analysis of new and established patients. Discusses study findings as part of larger discussions regarding telehealth increasing access to healthcare for rural and other hard to reach populations.
Author(s): Jacob Jorem, Andrew D. Wilcock, Alisa B. Busch, Haiden A. Huskamp, Ateev Mehrotra
Citation: JAMA Network Open, 9(3)
Date: 03/2026
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Expanding Behavioral Health Teams in Care Deserts With Community Health Workers and Peer Support Specialists
Report explores the role community health workers can play in expanding behavioral health access to rural areas and care deserts. Highlights how community health workers can support behavioral health access through outreach activities, serving as community liaisons, screening for behavioral health concerns, and providing community education, among other measures.
Date: 02/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report explores the role community health workers can play in expanding behavioral health access to rural areas and care deserts. Highlights how community health workers can support behavioral health access through outreach activities, serving as community liaisons, screening for behavioral health concerns, and providing community education, among other measures.
Date: 02/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Progress Towards Vitality: A Review of Maternal Health Financing Mechanisms in Georgia
Reports on maternal health financing in Georgia and outlines a variety of federal, state, local, and private sources of funding. Examines how funding and reimbursement influences maternal healthcare delivery, details program models, and presents recommendations for policymakers, funders, and providers. Discusses rural areas throughout.
Author(s): Elizabeth Murphy, Shalanda Henderson, Shannon Raines, Nannette Beckley, Meaghan Hunt
Date: 02/2026
Sponsoring organizations: Georgia Health Initiative, NORC at the University of Chicago
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Reports on maternal health financing in Georgia and outlines a variety of federal, state, local, and private sources of funding. Examines how funding and reimbursement influences maternal healthcare delivery, details program models, and presents recommendations for policymakers, funders, and providers. Discusses rural areas throughout.
Author(s): Elizabeth Murphy, Shalanda Henderson, Shannon Raines, Nannette Beckley, Meaghan Hunt
Date: 02/2026
Sponsoring organizations: Georgia Health Initiative, NORC at the University of Chicago
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