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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Office-Based Spirometry: Key to Diagnosing Rural COPD Patients
Describes the use of spirometry in the diagnosis of chronic obstructive pulmonary disease (COPD). Provides an overview of required equipment, staffing needs, and interpretation for rural offices interested in offering spirometry. Features a West Virginia Federally Qualified Health Center (FQHC) pulmonary rehabilitation program.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2019
Sponsoring organization: Rural Health Information Hub
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Diagnosing the Rural COPD Patient: Ask About Symptoms, Use Spirometry
Provides insights on the diagnosis of chronic obstructive pulmonary disease (COPD), discussing common symptom patterns associated with COPD, spirometry as the diagnostic test for the condition, and tools and resources for COPD patient care.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2019
Sponsoring organization: Rural Health Information Hub
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Intergovernmental Advisory Committee to the Federal Communications Commission Advisory Recommendation No: 2019-2 in the Matter of State, Local Tribal, and Territorial Regulatory and Other Barriers and Incentives to Telemedicine
Examines the technical infrastructure necessary for effective telemedicine delivery in state, territorial, tribal, and local (rural and urban) areas. Discusses the regulatory barriers including legislation, licensing, reimbursement, malpractice insurance, and privacy that obstruct its development and utilization, and offers recommendations addressing these barriers. Appendix A presents case studies of broadband and telehealth development in several states and territories.
Date: 11/2019
Sponsoring organizations: Federal Communications Commission, Intergovernmental Advisory Committee to the Federal Communications Commission
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Creating a Consortium to Combat the Opioid Epidemic in Ohio
Highlights a program formed to address the opioid crisis in five counties in Ohio. Discusses the use of the Federal Office of Rural Health Policy's Rural Communities Opioid Response Program (RCORP) to form a hub-and-spoke consortium of state, county, and community partners.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2019
Sponsoring organization: Rural Health Information Hub
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Promoting Maternal Health in Rural and Underserved Areas
Examines reasons for the rural obstetrical care crisis and discusses how public policy and technological innovation can improve healthcare quality and access in rural America. Includes sections on scope-of-practice restrictions and policy barriers to telemedicine's broad implementation.
Author(s): Darcy Nikol Bryan
Date: 10/2019
Sponsoring organization: Mercatus Center, George Mason University
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Drive Times to Opioid Treatment Programs in Urban and Rural Counties in 5 U.S. States
Examines the driving times to opioid treatment programs in urban and rural counties in Indiana, Kentucky, Ohio, Virginia, and West Virginia. Compares drive times to Federally Qualified Health Centers and dialysis centers as possible prescribing and treatment locations.
Author(s): Paul J. Joudrey, E. Jennifer Edelman, Emily A. Wang
Citation: JAMA, 322(13), 1310-1312
Date: 10/2019
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The Use of Telehealth in School-Based Health Centers
Describes the growth in number and location of the telehealth model of care in traditional school-based health centers (SBHCs), and highlights how telehealth complements the care given by onsite providers. Examines the characteristics of SBHCs' use of the telehealth model including SBHCs who exclusively use telehealth, and the characteristics of provider types, medical sponsorship, and schools and students with access to SBHCs. Discusses the implications of the exclusive use of telehealth services, and how traditional health services are expanding due to the use of telehealth.
Author(s): Hayley Love, Nirmita Panchal, John Schlitt, et al.
Citation: Global Pediatric Health, 6
Date: 10/2019
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Translational Science: Research with Results that Touch Rural Populations
Provides an overview of translational science and the role of the National Center for Advancing Translational Sciences (NCATS). Discusses how NCATS is working to ensure rural communities benefit from translated science. Features a New York telehealth program addressing Parkinson Disease that is helping rural patients.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2019
Sponsoring organization: Rural Health Information Hub
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Understanding Technical Assistance Needs for Delivering Telehealth Services in New York State
Discusses the use of telehealth services in New York State. Highlights the responses to a survey of providers regarding telehealth usage and technical assistance issues.
Date: 10/2019
Sponsoring organization: Center for Health Workforce Studies
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Rural First Responder Access to Mental Health Care: A National Crisis
Explores mental health challenges experienced by first responders and increased risk of suicide. Describes barriers to accessing adequate mental healthcare within the scope of their employment, especially in rural areas where services remain limited and stigma may be associated with the need for assistance.
Author(s): Jeffrey Hintz, Carrie Hintz
Date: 10/2019
Sponsoring organization: Journal of Emergency Medical Services
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