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Rural Health
Resources by Topic: Service delivery models

User Engagement Associated with Web-Intervention Features to Attain Clinically Meaningful Weight Loss and Weight Maintenance in Rural Women
Discusses messaging and tracking features within web-based weight loss interventions and their efficacy in achieving clinically meaningful short-term and longer-term weight loss in 201 women living in rural Nebraska. Explores the web-based intervention's potential as a telemedicine option in rural areas.
Author(s): Patricia A. Hageman, Joseph E. Mroz, Michael A. Yoerger, Carol H. Pullen
Citation: Journal of Obesity, 2019
Date: 03/2019
Type: Document
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Evaluating Breast Cancer Care Coordination at a Rural National Cancer Institute Comprehensive Cancer Center Using Network Analysis and Geospatial Methods
Examines geographic access data for breast cancer patients served by a National Cancer Institute Comprehensive Cancer Center in New England. Discusses cancer care coordination, physician networks, and care network density (the amount of patient sharing among providers in a care network) to evaluate healthcare quality and outcomes.
Author(s): Erika L. Moen, Nirav S. Kapadia, A. James O'Malley, Tracy Onega
Citation: Cancer Epidemiology, Biomarkers and Prevention, 28(3), 455-461
Date: 03/2019
Type: Document
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Redesigning Care: A How-to Guide for Hospitals and Health Systems Seeking to Implement, Strengthen and Sustain Telebehavioral Health
Describes strategies and actions for hospitals and health systems that want to start, strengthen, and sustain telebehavioral health programs. Details six elements for successful telebehavioral health implementation: leadership commitment; organizational policies and clinical workflows; staff education and training; patient, family, and caregiver engagement; measurement; and community partnerships. Provides tools and resources for each element of success.
Date: 03/2019
Type: Document
Sponsoring organizations: American Hospital Association, National Quality Forum
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Using Implementation Facilitation to Implement Primary Care Mental Health Integration via Clinical Video Telehealth in Rural Clinics: Protocol for a Hybrid Type 2 Cluster Randomized Stepped-wedge Design
Presents a study on the effectiveness of telehealth in mental health integration in rural Veterans Health Administration clinics. Outlines implementation timeline and discusses the results of the implementation.
Author(s): Richard R. Owen, Eva N. Woodward, Karen L. Drummond, et al.
Citation: Implementation Science, 14, 33
Date: 03/2019
Type: Document
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Geographic and Social Factors Associated with Chronic Disease Self-Management Program Participation: Going the "Extra-Mile" for Disease Prevention
Analyzes geographic and social factors related to Chronic Disease Self-Management Program (CDSMP) and Diabetes Self-Management Program (DSMP) participants in rural and urban areas of Illinois. Compares rural and urban statistics describing CDSMP and DSMP participants by race, education, weekly physical activity, program enrollment, sessions attended, and more.
Author(s): Julie Bobitt, Liliana Aguayo, Laura Payne, Taylor Jansen, Andiara Schwingel
Citation: Preventing Chronic Disease, 16
Date: 03/2019
Type: Document
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Assessing Disparities in Pneumococcal Vaccine Service Delivery in the Rural Fee-for-Service Medicare Population
Slides from a March 2019 National Vaccine Program Office (NVAC) meeting discussing pneumococcal vaccine service disparities in rural Medicare fee-for-service populations based on data from 2012 to 2015. Includes data describing rural and urban vaccination services by provider type. Examines community pharmacies as a potential vaccine service provider.
Author(s): Jeffery Talbert, Patricia R. Freeman
Date: 03/2019
Type: Presentation Slides
Sponsoring organization: Rural and Underserved Health Research Center
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VA and Indian Health Service: Actions Needed to Strengthen Oversight and Coordination of Health Care for American Indian and Alaska Native Veterans
Report discusses the relationship between the Department of Veterans Affairs (VA) and the Indian Health Service (IHS) with regard to providing care to American Indian and Alaska Native veterans. Details the cooperative agreement between the two entities and the ways their efforts could be improved.
Additional links: Full Report
Date: 03/2019
Type: Document
Sponsoring organization: Government Accountability Office
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North Dakota Tests Innovative Health IT Approaches to Improve Hypertension Identification and Control in Workplaces
Highlights a hypertension identification and control project in North Dakota. The program expanded blood pressure screening access to rural and tribal communities; leveraged health information technology; and included partnerships with local health departments, emergency medical services, health systems, and health insurance companies. Summarizes the program's strategies and activities, results, lessons learned, and recommendations.
Date: 03/2019
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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The Availability of Medication-Assisted Treatment for Opioid Addiction in Pennsylvania
Report details the availability of medication-assisted treatment (MAT) for opioid addiction throughout the state of Pennsylvania. Compares rural and urban counties and highlights MAT delivery methods to rural areas.
Additional links: Executive Summary
Author(s): Harry D. Holt, Matin Katirai, Whitney Katirai
Date: 03/2019
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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STOP Playbook: How Health Plans Are Tackling the Opioid Crisis
Offers strategies used by health plans to address opioid misuse through the Safe, Transparent Opioid Prescribing (STOP) Initiative, which focuses on improving prescribing patterns and practices. Includes strategies and examples for increasing substance abuse treatment access in rural areas. Summarizes the health insurance impacts of the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities legislation.
Date: 03/2019
Type: Document
Sponsoring organization: AHIP
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