Rural Health
Resources by Topic: Service delivery models
Diabetes Self-Management Education Programs in Nonmetropolitan Counties — United States, 2016
Examines the availability of diabetes self-management education (DSME) programs in nonmetropolitan counties. Includes data on related characteristics for nonmetro counties with and without DSME programs, including diabetes incidence and prevalence, income, educational attainment, and other demographic information.
Author(s): Stephanie A. Rutledge, Svetlana Masalovich, Rachel J. Blacher, Magon M. Saunders
Citation: MMWR Surveillance Summaries, 66(10), 1-6
Date: 04/2017
Sponsoring organization: Centers for Disease Control and Prevention
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Examines the availability of diabetes self-management education (DSME) programs in nonmetropolitan counties. Includes data on related characteristics for nonmetro counties with and without DSME programs, including diabetes incidence and prevalence, income, educational attainment, and other demographic information.
Author(s): Stephanie A. Rutledge, Svetlana Masalovich, Rachel J. Blacher, Magon M. Saunders
Citation: MMWR Surveillance Summaries, 66(10), 1-6
Date: 04/2017
Sponsoring organization: Centers for Disease Control and Prevention
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Health Care: Telehealth and Remote Patient Monitoring Use in Medicare and Selected Federal Programs
Examines factors affecting the provision of telehealth and remote patient monitoring (RPM) in Medicare and emerging payment and delivery models that could affect its future use. Analyzes data collected through review of agency documents and regulations, and interviews with officials representing 9 general and medical specialty associations familiar with telehealth. Includes state Medicaid reimbursement examples. Rural-specific implications are discussed throughout.
Additional links: Full Report
Date: 04/2017
Sponsoring organization: Government Accountability Office
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Examines factors affecting the provision of telehealth and remote patient monitoring (RPM) in Medicare and emerging payment and delivery models that could affect its future use. Analyzes data collected through review of agency documents and regulations, and interviews with officials representing 9 general and medical specialty associations familiar with telehealth. Includes state Medicaid reimbursement examples. Rural-specific implications are discussed throughout.
Additional links: Full Report
Date: 04/2017
Sponsoring organization: Government Accountability Office
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The Sky's the Limit: Potential of Drone Usage in Rural Healthcare
Reports on how drones could be used in rural areas to address health-related concerns such as search and rescue, mosquito spraying, and delivery of supplies. Describes the July 2015 medical outreach event in rural Virginia where a drone was used to deliver prescription medicine.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 04/2017
Sponsoring organization: Rural Health Information Hub
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Reports on how drones could be used in rural areas to address health-related concerns such as search and rescue, mosquito spraying, and delivery of supplies. Describes the July 2015 medical outreach event in rural Virginia where a drone was used to deliver prescription medicine.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 04/2017
Sponsoring organization: Rural Health Information Hub
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The Association of Health Literacy and Blood Pressure Reduction in a Cohort of Patients with Hypertension: The Heart Healthy Lenoir Trial
Analyzes the impact of a multi-level quality improvement (QI) intervention, the Heart Healthy Lenoir (HHL) Study, with a focus on health literacy to improve systolic blood pressure (SBP) control in patients being treated in rural primary clinics of Eastern North Carolina. Discusses the components of the health literacy practice and patient level activities of the QI intervention. Offers a detailed table identifying the change in SBP by literacy level.
Author(s): Jacqueline R. Halladay, Katrina E. Donahue, Crystal W. Cené, et al.
Citation: Patient Education and Counseling, 100(3), 542-549
Date: 03/2017
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Analyzes the impact of a multi-level quality improvement (QI) intervention, the Heart Healthy Lenoir (HHL) Study, with a focus on health literacy to improve systolic blood pressure (SBP) control in patients being treated in rural primary clinics of Eastern North Carolina. Discusses the components of the health literacy practice and patient level activities of the QI intervention. Offers a detailed table identifying the change in SBP by literacy level.
Author(s): Jacqueline R. Halladay, Katrina E. Donahue, Crystal W. Cené, et al.
Citation: Patient Education and Counseling, 100(3), 542-549
Date: 03/2017
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Establishing Successful Patient-Centered Medical Homes in Rural Hawai'i: Three Strategies to Consider
Provides recommendations for effectively developing Patient-Centered Medical Homes (PCMHs) based on phone interviews with healthcare providers on Hawaii's islands and data from the state Area Health Education Center (AHEC). Includes strategies specific to improving care in rural Hawaii.
Author(s): Melissa Nelson Scriber, Kasey Kehoe
Citation: Hawai'i Journal of Medicine and Public Health, 76(3 Suppl 1), 18-23
Date: 03/2017
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Provides recommendations for effectively developing Patient-Centered Medical Homes (PCMHs) based on phone interviews with healthcare providers on Hawaii's islands and data from the state Area Health Education Center (AHEC). Includes strategies specific to improving care in rural Hawaii.
Author(s): Melissa Nelson Scriber, Kasey Kehoe
Citation: Hawai'i Journal of Medicine and Public Health, 76(3 Suppl 1), 18-23
Date: 03/2017
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Using Telemedicine to Increase Access, Improve Care in Rural Communities
Examines Avera Health, an integrated delivery system based in Sioux Falls, South Dakota, to highlight how telehealth can be used to improve access in rural areas. Avera offers "eEmergency" telehealth services to more than 130 rural hospitals and "ePharmacy" services to roughly 75 rural hospitals, and other telehealth services. Discusses Avera's expansion into other areas where provider recruitment may be difficult, including prisons, schools, and long-term care facilities.
Author(s): Sarah Klein, Martha Hostetter
Citation: Transforming Care: Reporting on Health System Improvement
Date: 03/2017
Sponsoring organization: Commonwealth Fund
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Examines Avera Health, an integrated delivery system based in Sioux Falls, South Dakota, to highlight how telehealth can be used to improve access in rural areas. Avera offers "eEmergency" telehealth services to more than 130 rural hospitals and "ePharmacy" services to roughly 75 rural hospitals, and other telehealth services. Discusses Avera's expansion into other areas where provider recruitment may be difficult, including prisons, schools, and long-term care facilities.
Author(s): Sarah Klein, Martha Hostetter
Citation: Transforming Care: Reporting on Health System Improvement
Date: 03/2017
Sponsoring organization: Commonwealth Fund
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Promoting Colorectal Cancer Screening Through a New Model of Delivering Rural Primary Care in the USA: A Qualitative Study
Results of a study conducted in Nebraska, to explore ways in which colorectal cancer screening can be promoted by rural primary care clinics participating in an Accountable Care Organization. Features statistics including participants' sex, job, and breakdowns by three levels of rurality.
Author(s): Jungyoon Kim, Lufei Young, Sarbinaz Bekmuratova, et al.
Citation: Rural and Remote Health, 17(1), 4187
Date: 03/2017
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Results of a study conducted in Nebraska, to explore ways in which colorectal cancer screening can be promoted by rural primary care clinics participating in an Accountable Care Organization. Features statistics including participants' sex, job, and breakdowns by three levels of rurality.
Author(s): Jungyoon Kim, Lufei Young, Sarbinaz Bekmuratova, et al.
Citation: Rural and Remote Health, 17(1), 4187
Date: 03/2017
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Anticipating Economic Returns of Rural Telehealth
Discusses the quantifiable and nonquantifiable benefits of utilizing telehealth services in rural areas across the U.S. Provides tables showing estimated savings on travel expenses, lost wages, and hospital costs by state. Outlines some of the challenges facing telehealth and makes recommendations for future improvements. Links to a video showing the author presenting portions of the paper at a Foundation for Rural Service event.
Additional links: Video Presentation
Author(s): Rick Schadelbauer
Date: 03/2017
Sponsoring organization: NTCA: The Rural Broadband Association
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Discusses the quantifiable and nonquantifiable benefits of utilizing telehealth services in rural areas across the U.S. Provides tables showing estimated savings on travel expenses, lost wages, and hospital costs by state. Outlines some of the challenges facing telehealth and makes recommendations for future improvements. Links to a video showing the author presenting portions of the paper at a Foundation for Rural Service event.
Additional links: Video Presentation
Author(s): Rick Schadelbauer
Date: 03/2017
Sponsoring organization: NTCA: The Rural Broadband Association
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Differences in Health Care, Family, and Community Factors Associated with Mental, Behavioral, and Developmental Disorders Among Children Aged 2–8 Years in Rural and Urban Areas — United States, 2011–2012
Provides rural and urban data on a variety of health-related factors for children 2-8 years of age with and without mental, behavioral, and developmental disorders. Topics addressed include demographics, health insurance coverage, having a medical home, parental mental health, family financial difficulties, and community factors.
Author(s): Lara R. Robinson, Joseph R. Holbrook, Rebecca H. Bitsko, et al.
Citation: MMWR Surveillance Summaries, 66(8), 1-11
Date: 03/2017
Sponsoring organization: Centers for Disease Control and Prevention
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Provides rural and urban data on a variety of health-related factors for children 2-8 years of age with and without mental, behavioral, and developmental disorders. Topics addressed include demographics, health insurance coverage, having a medical home, parental mental health, family financial difficulties, and community factors.
Author(s): Lara R. Robinson, Joseph R. Holbrook, Rebecca H. Bitsko, et al.
Citation: MMWR Surveillance Summaries, 66(8), 1-11
Date: 03/2017
Sponsoring organization: Centers for Disease Control and Prevention
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Emerging Strategies to Ensure Access to Health Care Services: Indian Health Services Strategy
Outlines federal policy solutions and facility-level strategies to improve care coordination between Indian Health Service (IHS) facilities and other healthcare providers.
Date: 03/2017
Sponsoring organization: American Hospital Association
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Outlines federal policy solutions and facility-level strategies to improve care coordination between Indian Health Service (IHS) facilities and other healthcare providers.
Date: 03/2017
Sponsoring organization: American Hospital Association
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