Rural Health
Resources by Topic: Service delivery models
A Chartbook on the Characteristics and Needs of Frontier Critical Access Hospitals
Summarizes findings from a 2025 national survey of executives from 117 Critical Access Hospitals (CAHs) in frontier counties. Includes data on the distribution and characteristics of frontier CAHs. Identifies themes related to financial and operational challenges, service availability, and access to care in frontier settings.
Author(s): John A. Gale, Rebecca Stearns, Zachariah Croll, Jayne Foley
Date: 04/2026
Sponsoring organization: Flex Monitoring Team
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Summarizes findings from a 2025 national survey of executives from 117 Critical Access Hospitals (CAHs) in frontier counties. Includes data on the distribution and characteristics of frontier CAHs. Identifies themes related to financial and operational challenges, service availability, and access to care in frontier settings.
Author(s): John A. Gale, Rebecca Stearns, Zachariah Croll, Jayne Foley
Date: 04/2026
Sponsoring organization: Flex Monitoring Team
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Racial and Ethnic Disparities in Access to Acute Stroke Capabilities in California: Association with Rurality and Telestroke Access
Examines disparities in presentation to emergency departments (EDs) with or without acute stroke capability among patients with acute stroke by race and ethnicity, and variations in these associations by patient rurality and ED telestroke status, using 2021 NEDI-California and NEDI-USA survey data.
Author(s): Kori S. Zachrison, Renee Y. Hsia, Krislyn M. Boggs, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 35(4), 108607
Date: 04/2026
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Examines disparities in presentation to emergency departments (EDs) with or without acute stroke capability among patients with acute stroke by race and ethnicity, and variations in these associations by patient rurality and ED telestroke status, using 2021 NEDI-California and NEDI-USA survey data.
Author(s): Kori S. Zachrison, Renee Y. Hsia, Krislyn M. Boggs, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 35(4), 108607
Date: 04/2026
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Telehealth Resource Center Skills Matrix
Outlines the technical assistance and subject matter expertise of the 14 federally funded Telehealth Resource Centers in specific telehealth topics, clinical specialties, and areas of telehealth implementation.
Date: 04/2026
Sponsoring organization: National Consortium of Telehealth Resource Centers
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Outlines the technical assistance and subject matter expertise of the 14 federally funded Telehealth Resource Centers in specific telehealth topics, clinical specialties, and areas of telehealth implementation.
Date: 04/2026
Sponsoring organization: National Consortium of Telehealth Resource Centers
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What to Know About Medicare Coverage of Telehealth
Discusses telehealth use by Medicare patients before, during, and after declaration of the COVID-19 public health emergency. Notes temporary telehealth provisions set to expire December 31, 2027, telehealth provisions made permanent, and trends in use since 2020. Includes rural and urban comparisons of telehealth use since 2020. Discusses payment models for Medicare and Medicare Advantage, current policies related to telehealth, program integrity, and the cost of coverage through Medicare.
Author(s): Alex Cottrill, Juliette Cubanski, Tricia Neuman
Date: 03/2026
Sponsoring organization: KFF
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Discusses telehealth use by Medicare patients before, during, and after declaration of the COVID-19 public health emergency. Notes temporary telehealth provisions set to expire December 31, 2027, telehealth provisions made permanent, and trends in use since 2020. Includes rural and urban comparisons of telehealth use since 2020. Discusses payment models for Medicare and Medicare Advantage, current policies related to telehealth, program integrity, and the cost of coverage through Medicare.
Author(s): Alex Cottrill, Juliette Cubanski, Tricia Neuman
Date: 03/2026
Sponsoring organization: KFF
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HEARTLAND Protocol: A Tiered Clinical Implementation Toolkit for Primary Care-Led Heart Failure Management in Rural and Resource-Limited Settings
Presents a study on the efficacy of the HEARTLAND (Heart failure Evidence-based Access in Rural Treatment, Linking Advanced Network Delivery) protocol at managing heart failure (HF) in rural and low-resourced healthcare settings. Highlights the protocol's structure and the process by which it evaluates patient HF risk, establishes monitoring, and ensures continuity of care.
Author(s): Vicky Muller Ferreira
Citation: Cureus, 18(3), e104817
Date: 03/2026
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Presents a study on the efficacy of the HEARTLAND (Heart failure Evidence-based Access in Rural Treatment, Linking Advanced Network Delivery) protocol at managing heart failure (HF) in rural and low-resourced healthcare settings. Highlights the protocol's structure and the process by which it evaluates patient HF risk, establishes monitoring, and ensures continuity of care.
Author(s): Vicky Muller Ferreira
Citation: Cureus, 18(3), e104817
Date: 03/2026
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Dental Therapy in the United States as a Public Health Imperative: Perspectives from the Front Lines
Presents a study aiming to describe the role dental therapists play in expanding oral healthcare and provide evidence highlighting the safety and effectiveness of dental therapy for communities lacking access to traditional dental care. Details how dental therapists have been used in tribal and rural communities.
Author(s): Kari Ann Kuntzelman, Andrea Jordan, Elizabeth Branca, et al.
Citation: Journal of Public Health Dentistry, 86(S1), 72-75
Date: 03/2026
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Presents a study aiming to describe the role dental therapists play in expanding oral healthcare and provide evidence highlighting the safety and effectiveness of dental therapy for communities lacking access to traditional dental care. Details how dental therapists have been used in tribal and rural communities.
Author(s): Kari Ann Kuntzelman, Andrea Jordan, Elizabeth Branca, et al.
Citation: Journal of Public Health Dentistry, 86(S1), 72-75
Date: 03/2026
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Expanding Oral Health Access and Equity: The Impact of Federally Qualified Health Centers
Presents a literature review aiming to understand the role of Federally Qualified Health Centers (FQHCs) in providing access to oral healthcare. Highlights different delivery methods, such as telehealth, oral health integration, and school-based and mobile health center programs. Discusses access barriers, such as rurality, among other factors.
Author(s): Irene Hilton, Candace L. H. Owen, Rachel Johnston, et al.
Citation: Journal of Public Health Dentistry, 86(S1), 48-53
Date: 03/2026
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Presents a literature review aiming to understand the role of Federally Qualified Health Centers (FQHCs) in providing access to oral healthcare. Highlights different delivery methods, such as telehealth, oral health integration, and school-based and mobile health center programs. Discusses access barriers, such as rurality, among other factors.
Author(s): Irene Hilton, Candace L. H. Owen, Rachel Johnston, et al.
Citation: Journal of Public Health Dentistry, 86(S1), 48-53
Date: 03/2026
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Home Visiting Partnerships Serving Native Families: An Extension of the Multi-Site Implementation Study of Tribal Home Visiting (MUSE)
Discusses the Multi-Site Study of State-Tribal Collaboration (MUSE-STC) that examines collaboration between State Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program awardees and organizations within tribal communities that provide home visiting services. Analyzes facilitators and barriers of collaborative partnerships and how they impact tribal home visiting services, including those in rural areas.
Author(s): Melina Salvador, William Voinot-Baron, Erin Geary, Nancy Whitesell, Kate Lyon
Date: 03/2026
Sponsoring organization: Administration for Children and Families
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Discusses the Multi-Site Study of State-Tribal Collaboration (MUSE-STC) that examines collaboration between State Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program awardees and organizations within tribal communities that provide home visiting services. Analyzes facilitators and barriers of collaborative partnerships and how they impact tribal home visiting services, including those in rural areas.
Author(s): Melina Salvador, William Voinot-Baron, Erin Geary, Nancy Whitesell, Kate Lyon
Date: 03/2026
Sponsoring organization: Administration for Children and Families
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Telehealth Uptake and Rural-Urban and Racial/Ethnic Disparities in Postpartum Care Access Among Medicaid Beneficiaries in South Carolina, 2018–2022
Compares how postpartum care attendance and timeliness varied by race and ethnicity, rural or urban dwelling, and exposure to the COVID-19 pandemic, and how these associations varied by level of telehealth uptake, using 2019-2022 South Carolina Medicaid claims and enrollment data.
Author(s): Anirban Chatterjee, Xuzhuo Zhao, Jihong Liu, et al.
Citation: Medical Care, 64(5), 298-309
Date: 03/2026
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Compares how postpartum care attendance and timeliness varied by race and ethnicity, rural or urban dwelling, and exposure to the COVID-19 pandemic, and how these associations varied by level of telehealth uptake, using 2019-2022 South Carolina Medicaid claims and enrollment data.
Author(s): Anirban Chatterjee, Xuzhuo Zhao, Jihong Liu, et al.
Citation: Medical Care, 64(5), 298-309
Date: 03/2026
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Strengthening the Rural Health Workforce
Discusses legislation passed by state legislatures to address rural healthcare workforce challenges. Describes policies related to measuring the health workforce, encouraging rural practice, enhancing access to specialty care, and retaining rural healthcare professionals.
Author(s): Kelsie George
Date: 03/2026
Sponsoring organization: National Conference of State Legislatures
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Discusses legislation passed by state legislatures to address rural healthcare workforce challenges. Describes policies related to measuring the health workforce, encouraging rural practice, enhancing access to specialty care, and retaining rural healthcare professionals.
Author(s): Kelsie George
Date: 03/2026
Sponsoring organization: National Conference of State Legislatures
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