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Rural Health
Resources by Topic: Service delivery models

Provider-to-Provider Telemedicine for Sepsis Is Used Less Frequently in Communities with High Social Vulnerability
Examines the relationship between provider-to-provider emergency department-based telehealth consultation (tele-ED) and the prevalence of sepsis in counties with elevated social vulnerability index (SVI) scores. Analyzes 2016-2019 data from 1191 patients treated in rural, Midwestern EDs, with breakdowns according to patient, provider, hospital, and county characteristics. Discusses the relationship between SVI scores and tele-ED use.
Author(s): Kevin J. Tu, J. Priyanka Vakkalanka, Uche E. Okoro, et al.
Citation: Journal of Rural Health, 41(1), e12861
Date: 2025
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South Dakota Department of Health 2024 Annual Report
Describes activities and accomplishments of the South Dakota Department of Health in 2024. Includes sections on public health preparedness and response, rural health, emergency medical services, health information technology, family and community health, and licensure and accreditation.
Date: 12/2024
Sponsoring organization: South Dakota Department of Health
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Healthcare Stakeholder Perceptions of Broadband and Telehealth Influences in Telehealth Broadband Pilot Program Communities
Summarizes findings from interviews with healthcare stakeholders in Alaska, Michigan, Texas, and West Virginia communities served by the Telehealth Broadband Pilot (TBP) Program. Describes influences on clinic, providers and healthcare staff, and TBP Program community and patient broadband and telehealth utilization.
Author(s): Cari A. Bogulski, M. Kathryn Allison, Hannah C. McCoy, Rosario Silva, Hari Eswaran
Date: 12/2024
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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An Evaluation of the Telehealth Broadband Pilot Program (2021–2024)
Provides an overview of the Telehealth Broadband Pilot (TBP) Program, which aimed to address gaps in broadband service that limited access to telehealth services in rural and underserved communities in Alaska, Michigan, Texas, and West Virginia. Details the development and implementation of devices that measured broadband data in the communities over time and the results of those devices. Summarizes discussions with TBP Program staff regarding the implementation and effectiveness of the program, as well as interviews with healthcare stakeholders, consumers, and technical assistance providers in TBP Program communities. Offers factors for consideration in the development of future programs to measure broadband implementation in rural communities and improve user experience. Includes summary reports by state.
Date: 12/2024
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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Consumer Perceptions of Broadband and Telehealth Across Telehealth Broadband Pilot Program Counties
Presents findings from interviews with consumers in Alaska, Michigan, Texas, and West Virginia communities served by the Telehealth Broadband Pilot Program. Describes facilitators and barriers to home broadband and telehealth adoption identified in the interviews.
Author(s): Cari A. Bogulski, Rosario Silva, Hannah C. McCoy, M. Kathryn Allison, Hari Eswaran
Date: 12/2024
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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Bridging the Gap: A Policy Framework for Sustainable Community Paramedicine in Rural America
Policy brief regarding the need for a national policy for non-physician licensed healthcare providers to be reimbursed for community paramedicine services. Discusses the role of community paramedicine in expanding access to care in rural areas and describes four community paramedicine models. Offers policy recommendations related to recognizing, supporting, and reimbursing community paramedicine programs.
Author(s): Katie Gorndt, Kimberly Haverly, Tom Syverson
Date: 12/2024
Sponsoring organization: National Rural Health Association
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Braiding Research Approaches to Understand Home Visiting in Indigenous Communities
Provides a scoping review, research questions, and feedback from practitioners regarding Indigenous home visiting programs and Indigenous methodologies in home visiting research. Includes suggestions for research methodologies that incorporate cultural awareness and relationships in Indigenous communities.
Author(s): Natalie Moyer, Chelsea Wesner, Michelle Sarche, et al.
Date: 12/2024
Sponsoring organizations: Administration for Children and Families, The Center for Indigenous Research Collaboration and Learning for Home Visiting
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Texas Statewide Behavioral Health Strategic Plan: Progress Report, Fiscal Year 2024
Reports on the implementation of evidence-based and promising behavioral health practices in Texas. Includes discussion of practices focused on rural and Border populations.
Date: 12/2024
Sponsoring organization: Texas Statewide Behavioral Health Coordinating Council
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Medicaid Behavioral Health Providers Delivering Most Behavioral Health Services via Telehealth Before and During the COVID-19 Pandemic Issue Brief
Examines the extent to which Medicaid behavioral health providers shifted their practices to mostly telebehavioral health services during the COVID-19 pandemic through December 2021. Explores differences between specialty and non-specialty behavioral health providers, providers serving enrollees with mental health conditions versus substance use disorders, and rural and urban providers.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Select Committee on Advancing Rural and Small Town Health Care Final Report - To the General Assembly of Virginia
Recommendations for improvement in healthcare in rural Virginia, based on information from meetings with providers and citizens in rural areas. Areas of focus are health workforce, maternal health, dental care, obesity, telehealth, and transportation.
Date: 12/2024
Sponsoring organizations: Commonwealth of Virginia, House Select Committee on Advancing Rural and Small Town Health Care
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