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Rural Health
Resources by Topic: Service delivery models

Methodology for Evaluating Models of Telemental Health Delivery Against Population and Healthcare System Needs: Application to Telemental Healthcare for Rural Native Veterans
Presents a study on service delivery models to improve access to mental healthcare for rural American Indian and Alaska Native veterans. Highlights and evaluates potential telehealth and in-person models for increasing access.
Author(s): Jay H. Shore, Cynthia W. Goss, Nancy K. Dailey, Byron D. Bair
Citation: Telemedicine and e-Health, 25(7)
Date: 07/2019
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Geriatrician Roles and the Value of Geriatrics in an Evolving Healthcare System
Research report focusing on how geriatric roles are changing as healthcare systems and organizations reorganize care. Features information on ways telemedicine is used in geriatric care delivery in rural areas, including the TeleECHO (Extension for Community Health Outcomes) model.
Author(s): Timothy Bates, Aubri Kottek, Joanne Spetz
Date: 07/2019
Sponsoring organization: University of California San Francisco Health Workforce Research Center on Long-Term Care
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Integrating Oral and General Health Through Health Literacy Practices: Proceedings of a Workshop
Summary of panel discussions held December 6, 2018 in Washington, D.C. by the Roundtable on Health Literacy of the National Academies of Sciences, Engineering, and Medicine. Topics include health literacy, care integration, interventions for children, and development of a research agenda. Chapter 6 includes a discussion of provision of oral health services in urban versus rural settings.
Additional links: Read Online
Author(s): Board on Population Health and Public Health Practice
Date: 07/2019
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Department of Veterans Affairs (VA): A Primer on Telehealth
Addresses how the Veterans Health Administration (VA) is using telehealth to increase access to care for veterans. Provides an overview of VA telehealth programs and requirements, the impact of the VA MISSION Act, issues for Congress to consider, and rural veterans.
Date: 07/2019
Sponsoring organization: Congressional Research Service
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ACOs' Strategies for Transitioning to Value-Based Care: Lessons From the Medicare Shared Savings Program
Describes strategies used by successful Accountable Care Organizations (ACOs) to reduce spending and increase healthcare quality. Addresses social determinants of health, behavioral health, reducing hospitalizations, using technology to share information, and more. Two of the 20 ACOs included in the study served rural communities.
Date: 07/2019
Sponsoring organization: Office of Inspector General (HHS)
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A Multilayered Analysis of Telehealth: How This Emerging Venue of Care is Affecting the Healthcare Landscape
White paper exploring ways in which telehealth is affecting the healthcare landscape. Features statistics including non-hospital-based, discharge-related, and provider-to-provider telehealth claim lines as a percentage of all medical claim lines from 2014-2018, with breakdowns by rural or urban location.
Date: 07/2019
Sponsoring organization: FAIR Health
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Support and Services at Home (SASH) Evaluation: SASH Evaluation Findings, 2010-2016
Evaluates the Support and Services at Home (SASH) program in Vermont, which provides support services and care coordination for older adults and people with disabilities in conjunction with affordable housing. Addresses Medicaid and Medicare expenditures, medication management, property management, challenges, and lessons learned. Identifies the percent of rural SASH host properties and differences for rural areas.
Additional links: Highlights
Author(s): Amy Kandilov, Vincent Keyes, Noƫlle Siegfried, et al.
Date: 07/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Telehealth in Rural America
Policy brief focused on telehealth in the rural U.S. Addresses state and national policies related to insurance coverage of telehealth, infrastructure challenges such as broadband access, licensure issues, reimbursement, and other barriers to telehealth access.
Author(s): Windy Alonso, Elizabeth Crouch, Nicole Thorell
Date: 07/2019
Sponsoring organization: National Rural Health Association
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The Role of Primary Care in Improving Access to Medication-Assisted Treatment for Rural Medicaid Enrollees with Opioid Use Disorder
Examines the utilization of primary care among rural Medicaid enrollees in rural Pennsylvania diagnosed with an opioid use disorder (OUD). Describes the relationship between primary care utilization, distance to a medication-assisted treatment (MAT) prescriber, and MAT utilization.
Author(s): Evan S. Cole, Ellen DiDomenico, Gerald Cochran, et al.
Citation: Journal of General Internal Medicine, 34(6), 936-943
Date: 06/2019
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Extending Access to Care Across the Rural US South: Preliminary Results from the Alabama eHealth Programme
Describes Alabama eHealth, a community-based initiative of Medical Advocacy and Outreach (MAO) that provides telehealth services to rural residents living with HIV. Discusses staff interviews describing barriers and successes to implementing the program. Evaluates the effectiveness and sustainability of the program by tracking patient appointment completion rates, CD4 counts, and viral loads. Table 1 provides an overview of Alabama eHealth affiliates and their roles in providing telehealth services.
Author(s): Kriti Jain, Prashanth Bhat, Cathy Maulsby, et al.
Citation: Journal of Telemedicine and Telecare, 25(5): 301-309
Date: 06/2019
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