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Rural Health
Resources by Topic: Service delivery models

The Empirical Foundations of Telemedicine Interventions for Chronic Disease Management
Examines the impact telemedicine has on cost, quality, and rural access to healthcare, focusing on three chronic diseases: congestive heart failure, stroke, and Chronic Obstructive Pulmonary Disease (COPD).
Author(s): Rashid L. Bashshur, Gary W. Shannon, Brian R. Smith, et al.
Citation: Telemedicine Journal and e-Health, 20(9), 769-800
Date: 09/2014
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Effect of Tele-Emergency Services on Recruitment and Retention of US Rural Physicians
Analyzes the effects of telemedicine services on recruitment and retention of physicians to rural healthcare facilities.
Author(s): Andrew Potter, Keith Mueller, Clint MacKinney, Marcia Ward
Citation: Rural and Remote Health, 14(3), 2787
Date: 08/2014
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State Innovation Models (SIM) Initiative Evaluation: Model Design and Model Pre-Test Evaluation Report
Reports on the experiences of 19 states that received federal support to work on state health care innovation plans focused on developing innovative healthcare delivery and payment models. Discusses rural concerns in these states, as well as strategies to address rural healthcare needs. Some topics addressed include patient-centered medical homes, accountable care organizations, workforce, broadband access, electronic health record adoption, and telehealth.
Date: 07/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Integrated Care Management in Rural Communities
Reviews the opportunities and challenges reform initiatives under the Affordable Care Act present for rural communities. Assesses 4 types of organizational models for delivering integrated care management, including long-term services and support. Each model has different strengths and drawbacks, weighing for and against implementation in rural areas.
Author(s): Eileen Griffin, Andrew F. Coburn
Date: 05/2014
Sponsoring organization: Maine Rural Health Research Center
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Using GIS to Plan Specialty Health Services for Veterans: The Example of Acute Stroke Care
Examines access to stroke care for veterans who are age 65 and older and focuses on veterans' travel time to receive stroke care. Discusses improving access to care by building relationships with community partners and using telehealth equipment for stroke care.
Author(s): Diane C. Cowper Ripley, Eric R. Litt, Huanguang Jia, et al.
Citation: Journal of Geographic Information System, 6(3), 46463
Date: 05/2014
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Realizing Rural Care Coordination: Considerations and Action Steps for State Policy-Makers
Identifies action steps and policy considerations for coordinating care in rural areas based on the experiences of six states: Colorado, Alabama, New Mexico, Montana, Vermont, and North Carolina.
Author(s): Michael Stanek, Carrie Hanlon, Tess Shiras
Date: 03/2014
Sponsoring organization: Robert Wood Johnson Foundation
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Nonmydriatic Fundus Photography for Teleophthalmology Diabetic Retinopathy Screening in Rural and Urban Clinics
Examines the diagnostic value of telehealth for eye exams to screen for diabetic retinopathy in remote California tribal reservations compared to patients seen in person at an urban University of California Davis medical clinic. Includes data and statistics for urban versus rural and optic conditions present.
Author(s): Eric K. Chin, Bruna V. Ventura, Kai-Yin See, Joann Seibles, Susanna S. Park
Citation: Telemedicine Journal and e-Health, 20(2),102-108
Date: 02/2014
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The Evidence for Community Paramedicine in Rural Areas: State and Local Findings and the Role of the State Flex Program
Examines the role of the Flex program in supporting state Emergency Medical Services (EMS) in rural communities. Analyses the evidence base for community paramedicine in rural communities, the role of community paramedics in rural healthcare delivery systems, and the challenges faced by states in implementing community paramedicine programs.
Author(s): Karen Pearson, John Gale, George Shaler
Date: 02/2014
Sponsoring organization: Flex Monitoring Team
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The Future of the Frontier Extended Stay Clinic
Describes the Centers for Medicaid and Medicare Services (CMS) Frontier Extended Stay Clinic (FESC) demonstration project. Identifies the successes and challenges, and discusses the financial sustainability of the FESC model. Includes policy recommendations and lessons learned.
Author(s): Susan Wilger, Saskia Van Hecke
Date: 02/2014
Sponsoring organization: National Rural Health Association
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A Qualitative Study of Rural Primary Care Clinician Views on Remote Monitoring Technologies
Examines conclusions of a cross-sectional qualitative study based on interviews with primary care clinicians belonging to the Oregon Rural Practice-based Research Network (ORPRN) about the challenges of implementing remote monitoring technologies (RMT) as a means of increasing access and providing a more comprehensive level of care for older and/or less mobile patients in rural areas. Also discusses clinicians ability to use RMTs in coordination with the electronic health record (EHR) system.
Author(s): Melinda M. Davis, Jillian M. Currey, Sonya Howk, et al.
Citation: Journal of Rural Health, 30(1), 69-78
Date: 01/2014
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