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Rural Health
Resources by Topic: Service delivery models

Second Evaluation Report: Next Generation Accountable Care Organization Model Evaluation
Reports on the impact of the Next Generation Accountable Care Organization model in 2016 and 2017, with information on the full sample of 46 participating NGACOs. Provides information on the models' impact on gross and net Medicare spending. The appendices include data on community characteristics, including rurality.
Additional links: Findings at a Glance, Technical Appendices
Date: 01/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Telehealth: An Opportunity for State and Territorial Health Agencies to Improve Access to Needed Health Services
Reports results from a 2019 telehealth capacity survey of state and territorial health agencies. Identifies strategies these agencies can take to advance state use of telehealth related to infrastructure, collaboration, and policy.
Author(s): Alexandra Kearly, Janet Oputa, Paris Harper-Hardy
Citation: Journal of Public Health Management and Practice, 26(1), 86-90
Date: 2020
Type: Document
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Introducing the Rural Suicide Prevention Toolkit
Webinar recording discusses the Rural Suicide Prevention Toolkit developed by NORC Walsh Center for Rural National Center for Health Statistics. Provides an overview of the toolkit and highlights evidence-based models for preventing suicide in rural communities.
Additional links: Audio Recording, PowerPoint Handout, Webinar Transcript
Date: 12/2019
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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The Value Initiative Members in Action: Dartmouth-Hitchcock Medical Center - Lebanon, N.H
Describes how the Dartmouth-Hitchcock Medical Center partners with rural and community hospitals to provide telehealth specialty care services across northern New England through the Dartmouth-Hitchcock Connected Care program. Discusses clinical outcomes and patient satisfaction with the telehealth programs. Examines how telehealth services impact staffing and services offered in small and rural hospitals.
Date: 12/2019
Type: Document
Sponsoring organization: American Hospital Association
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Issue Brief: Integrated Behavioral Health is High-value Care
Highlights the advantages of behavioral health integration. Addresses costs and healthcare outcomes and presents several models for integration in healthcare settings.
Date: 12/2019
Type: Document
Sponsoring organization: American Hospital Association
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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 Americans, Hispanics, Korean and Chinese Americans, 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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Demand for Broadband in Rural Areas: Implications for Universal Access
Reports on the characteristics of demand for fixed broadband among households and small businesses in rural areas and how they affect private sector infrastructure investments. Discusses the role of schools and libraries as providers of broadband service and training to rural residents, and how broadband enabled services, such as telemedicine, may encourage rural households and small businesses to adopt the technology. Highlights federal programs and policies that may increase or impede broadband demand, and offers options for the U.S. Congress to consider as it addresses rural broadband demand.
Date: 12/2019
Type: Document
Sponsoring organization: Congressional Research Service
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Opioid-Related Hospitalization and Its Association With Chronic Diseases: Findings From the National Inpatient Sample, 2011-2015
Results of a study examining whether opioid-related hospitalization is associated with cancer, stroke, obesity, asthma, liver or spinal disease, and arthritis. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Janani Rajbhandari-Thapa, Donglan Zhang, Heather M. Padilla, Sae Rom Chung
Citation: Preventing Chronic Disease, 16
Date: 11/2019
Type: Document
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Geographic Disparities Associated with Travel to Medical Care and Attendance in Programs to Prevent/Manage Chronic Illness Among Middle-Aged and Older Adults in Texas
Examines the relationship of rural and urban middle-aged and older adults with one or more chronic conditions who travel long distances to receive medical care, and their utilization of programs focused on prevention and chronic disease management. Participants from 9 counties in central Texas responded to health assessment surveys regarding their number of doctor's visits within the previous year, distance to receive medical care, residential status, and other personal characteristics.
Author(s): Matthew L. Smith, Samuel D. Towne Jr., Caroline D Bergeron, et al.
Citation: Rural and Remote Health,19(4), 5147
Date: 11/2019
Type: Document
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Telemedicine in Sexual and Reproductive Health
Overview of telemedicine use in sexual and reproductive healthcare by patients, and by providers in metropolitan and non-metropolitan areas. Reviews the potential of telemedicine to increase access particularly in rural areas, identifies the range of reproductive health services facilitated by telemedicine, and covers Medicaid reimbursement, insurance coverage, and investment costs.
Author(s): Gabriela Weigel, Brittni Frederiksen, Usha Ranji, Alina Salganicoff
Date: 11/2019
Type: Document
Sponsoring organization: Kaiser Family Foundation
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