Rural Health
Resources by Topic: Service delivery models
Video Telehealth Expands Care for Veterans with Multiple Sclerosis
Features a report on promising practices in providing access to care for rural veterans with multiple sclerosis (MS) via video-based telehealth. Details the traditional barriers to care for MS patients in rural areas and how the video telehealth model can help patients overcome them.
Date: 02/2021
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Features a report on promising practices in providing access to care for rural veterans with multiple sclerosis (MS) via video-based telehealth. Details the traditional barriers to care for MS patients in rural areas and how the video telehealth model can help patients overcome them.
Date: 02/2021
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Primary Care in the United States: A Chartbook of Facts and Statistics
Examines aspects of primary care in the United States, including facts and figures on patient contact with primary care, frequency and range of conditions seen in primary care, care coordination, scope of practice, payment models, and preventive care visit utilization. Features statistics on percentage of primary care physicians by geography, with breakdowns by urban, large rural, small rural, and isolated rural location.
Author(s): Brian Antono, Andrew Bazemore, Irene Dankwa-Mullan, et al.
Date: 02/2021
Sponsoring organization: Robert Graham Center
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Examines aspects of primary care in the United States, including facts and figures on patient contact with primary care, frequency and range of conditions seen in primary care, care coordination, scope of practice, payment models, and preventive care visit utilization. Features statistics on percentage of primary care physicians by geography, with breakdowns by urban, large rural, small rural, and isolated rural location.
Author(s): Brian Antono, Andrew Bazemore, Irene Dankwa-Mullan, et al.
Date: 02/2021
Sponsoring organization: Robert Graham Center
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Pennsylvania Mental Health Services for Victims of Sexual Assault and Rape: A Staff Study
Examines existing laws and services in Pennsylvania and offers recommendations to ensure that sexual assault victims receive quality, trauma-informed medical care. Includes recommendations to promote a certified sexual assault nurse examiner (SANE) program, increase the use of telehealth, and provide for a designation for hospitals, based on their ability to provide comprehensive sexual assault services. Features a section comparing availability of certified SANE nurses in rural and urban areas.
Author(s): Yvonne Llewellyn Hursh, Allison N. Kobzowicz, Grant Rosul, Wendy L. Baker
Date: 02/2021
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Examines existing laws and services in Pennsylvania and offers recommendations to ensure that sexual assault victims receive quality, trauma-informed medical care. Includes recommendations to promote a certified sexual assault nurse examiner (SANE) program, increase the use of telehealth, and provide for a designation for hospitals, based on their ability to provide comprehensive sexual assault services. Features a section comparing availability of certified SANE nurses in rural and urban areas.
Author(s): Yvonne Llewellyn Hursh, Allison N. Kobzowicz, Grant Rosul, Wendy L. Baker
Date: 02/2021
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Integrating Family and Friend Support, Information Technology, and Diabetes Education in Community-Centric Diabetes Self-Management
Study examining the impacts of community support on diabetes self-management in a rural island community in Hawaii based on a pilot program with 7 participants over a 9 month period. Describes the challenges of implementing diabetes self-management education programs in rural areas, access to dietitians and endocrinologists, and the potential for telehealth and health information technology to facilitate diabetes self-management.
Author(s): Christina Higa, Elizabeth J. Davidson, Joanne R. Loos
Citation: Journal of the American Medical Informatics Association, 28(2), 261-275
Date: 02/2021
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Study examining the impacts of community support on diabetes self-management in a rural island community in Hawaii based on a pilot program with 7 participants over a 9 month period. Describes the challenges of implementing diabetes self-management education programs in rural areas, access to dietitians and endocrinologists, and the potential for telehealth and health information technology to facilitate diabetes self-management.
Author(s): Christina Higa, Elizabeth J. Davidson, Joanne R. Loos
Citation: Journal of the American Medical Informatics Association, 28(2), 261-275
Date: 02/2021
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Society of Behavioral Medicine Statement on COVID-19 and Rural Health
Highlights the position of the Society of Behavioral Medicine on rural health disparities as they relate to the COVID-19 pandemic. Addresses shortages in rural health research, healthcare infrastructure, and other systemic disparities. Makes both short- and long-term recommendations to policymakers.
Author(s): Pamela Behrman, Marian L Fitzgibbon, Akilah Dulin, et al.
Citation: Translational Behavioral Medicine, 11(2), 625-630
Date: 02/2021
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Highlights the position of the Society of Behavioral Medicine on rural health disparities as they relate to the COVID-19 pandemic. Addresses shortages in rural health research, healthcare infrastructure, and other systemic disparities. Makes both short- and long-term recommendations to policymakers.
Author(s): Pamela Behrman, Marian L Fitzgibbon, Akilah Dulin, et al.
Citation: Translational Behavioral Medicine, 11(2), 625-630
Date: 02/2021
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Opioid and Substance Use Strategies for Critical Access Hospitals
Recording of a February 26, 2021, webinar discussing the role of Critical Access Hospitals (CAHs) in addressing opioid and substance use disorders (O/SUDs) in local systems of care. Provides a framework to support CAH opioid and substance use initiatives. Highlights examples of O/SUD activities taken by CAHs and offers lessons learned.
Additional links: Presentation Slides
Date: 02/2021
Sponsoring organization: Flex Monitoring Team
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Recording of a February 26, 2021, webinar discussing the role of Critical Access Hospitals (CAHs) in addressing opioid and substance use disorders (O/SUDs) in local systems of care. Provides a framework to support CAH opioid and substance use initiatives. Highlights examples of O/SUD activities taken by CAHs and offers lessons learned.
Additional links: Presentation Slides
Date: 02/2021
Sponsoring organization: Flex Monitoring Team
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Broadband Today: Rural America's Critical Connection
Report discussing the importance of broadband to connecting rural communities, including its role in rural businesses, telehealth access, education, and agriculture. Addresses the impacts of COVID-19 on remote work, telehealth delivery, and changes to business and consumer activity, and explores future steps for broadband funding and adoption in rural areas.
Date: 02/2021
Sponsoring organization: Foundation for Rural Service
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Report discussing the importance of broadband to connecting rural communities, including its role in rural businesses, telehealth access, education, and agriculture. Addresses the impacts of COVID-19 on remote work, telehealth delivery, and changes to business and consumer activity, and explores future steps for broadband funding and adoption in rural areas.
Date: 02/2021
Sponsoring organization: Foundation for Rural Service
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High-Functioning Rural Medicare ACOs – A Qualitative Review
Describes the success factors common to high-performing Accountable Care Organizations (ACOs) based in rural areas of New York, Maine, Missouri and Arkansas, and New Hampshire. Examines these organizations' governance, ACO history, operations, finances, population health, and lessons learned.
Author(s): Thomas Vaughn, Keith Mueller, Clinton MacKinney
Date: 02/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes the success factors common to high-performing Accountable Care Organizations (ACOs) based in rural areas of New York, Maine, Missouri and Arkansas, and New Hampshire. Examines these organizations' governance, ACO history, operations, finances, population health, and lessons learned.
Author(s): Thomas Vaughn, Keith Mueller, Clinton MacKinney
Date: 02/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Meeting the Challenge of Caring for Persons Living with Dementia and Their Care Partners and Caregivers: A Way Forward
Examines the existing evidence on care interventions, services, and supports for people with dementia and their caregivers. Discusses gaps in the current evidence base and opportunities for future research. Describes interventions that can be implemented in a variety of settings to continue to expand the evidence base. Includes rural references and considerations throughout.
Additional links: Read Online
Date: 02/2021
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Examines the existing evidence on care interventions, services, and supports for people with dementia and their caregivers. Discusses gaps in the current evidence base and opportunities for future research. Describes interventions that can be implemented in a variety of settings to continue to expand the evidence base. Includes rural references and considerations throughout.
Additional links: Read Online
Date: 02/2021
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Trends in Use of Telehealth Among Health Centers During the COVID-19 Pandemic — United States, June 26–November 6, 2020
Describes trends in telehealth visits at Health Resources and Services Administration (HRSA)–funded health centers over a 20-week period during the COVID-19 pandemic. Includes data on telehealth visits and COVID-19 case levels for urban compared to rural health centers. Discusses barriers to telehealth in rural areas.
Author(s): Hanna B. Demeke, Sharifa Merali, Suzanne Marks, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(7), 240-244
Date: 02/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Describes trends in telehealth visits at Health Resources and Services Administration (HRSA)–funded health centers over a 20-week period during the COVID-19 pandemic. Includes data on telehealth visits and COVID-19 case levels for urban compared to rural health centers. Discusses barriers to telehealth in rural areas.
Author(s): Hanna B. Demeke, Sharifa Merali, Suzanne Marks, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(7), 240-244
Date: 02/2021
Sponsoring organization: Centers for Disease Control and Prevention
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