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Rural Health
Resources by Topic: Service delivery models

Target Door-to-Needle Time in Acute Stroke Treatment via Telemedicine Versus In-Person Evaluation in a Rural Setting of the Midwest: A Retrospective Cohort Study
Examines door-to-needle time (DTN) among 239 patients who received thrombolytic treatment within a rural, Midwestern stroke network. Compares telemedicine and in-person treatment delivery, with data on patient safety, short-term outcomes, and DTN by provider type.
Author(s): Andrea Loggini, Jonatan Hornik, Jessie Henson, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(1), 108141
Date: 01/2025
Type: Document
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Youth Mental Health and Substance Use Task Force: Redesigning the Health Care Delivery System to Better Meet the Needs of Youth
Presents policy recommendations from 50 experts and thought leaders regarding how to maximize the potential of the U.S. healthcare system to better serve youth with behavioral health needs. Covers the behavioral health workforce, transparency and compliance with existing screening and treatment requirements, promoting integrated primary care and behavioral health services in pediatric settings, the needs of youth with the highest acuity behavioral health needs, and strengthening crisis and stabilization systems. Includes rural references and considerations throughout.
Date: 01/2025
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Community Health Center Patients, Financing, and Services
Describes health center patient characteristics, services, patient experiences, and financing changes between 2019 and 2023. Presents data on health centers in rural communities throughout.
Author(s): Akash Pillai, Bradley Corallo, Jennifer Tolbert
Date: 01/2025
Type: Document
Sponsoring organization: KFF
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Variables Influencing Telemedicine Utilization via Telephone Appointments among Rural Patients
Examines patient telemedicine preferences at a rural outpatient clinic in California. Examines 2021 survey feedback from 153 patients related to themes such as patient-physician rapport, quality, accessibility, availability, cost, and more.
Author(s): Eliseo GarcĂ­a, Benjamin C. Vincent, Shivani Thakur, et al.
Citation: BMC Health Services Research, 25, 1
Date: 01/2025
Type: Document
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Telehealth FAQ Calendar Year 2025
Provides information on Medicare telehealth regulations and payment policy for calendar year 2025. Includes information on audio-only services, behavioral health services, direct supervision, and more.
Date: 2025
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Addressing Workforce Challenges Across the Behavioral Health Continuum of Care: Proceedings of a Workshop
Summary of presentations and discussions from a July 2024 public workshop to address workforce needs and challenges related to behavioral healthcare. Includes discussions of telepsychiatry collaborative care to improve rural access and capacity, and recruiting and retaining Native American healthcare providers in behavioral health settings.
Author(s): Board on Health Care Services
Date: 2025
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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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
Type: Document
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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
Type: Document
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
Type: Document
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
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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