Rural Health
Resources by Topic: Service delivery models
Hearing on Enhancing Access to Care at Home in Rural and Underserved Communities
Recording of a March 12, 2024, House Committee on Ways and Means hearing regarding opportunities and challenges to enhance access to care in patients' homes and modernizing care in rural and underserved communities, with a focus on telehealth and health information technology. Features testimony from two rural patients and representatives from Intermountain Health; Cadence, a company with expertise in chronic care management through remote physiologic monitoring; and Harvard Medical School and Beth Israel Deaconess Medical Center.
Additional links: Ateev Mehrotra, Harvard Medical School and Beth Israel Deaconess Medical Center - Testimony, Bell Maddux, Home Dialysis Patient - Testimony, Chris Altchek, Cadence - Testimony, Nathan Starr, Intermountain Health - Testimony, Roy Underhill, Hospital at Home Patient - Testimony
Date: 03/2024
Sponsoring organization: House Ways and Means Committee
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Recording of a March 12, 2024, House Committee on Ways and Means hearing regarding opportunities and challenges to enhance access to care in patients' homes and modernizing care in rural and underserved communities, with a focus on telehealth and health information technology. Features testimony from two rural patients and representatives from Intermountain Health; Cadence, a company with expertise in chronic care management through remote physiologic monitoring; and Harvard Medical School and Beth Israel Deaconess Medical Center.
Additional links: Ateev Mehrotra, Harvard Medical School and Beth Israel Deaconess Medical Center - Testimony, Bell Maddux, Home Dialysis Patient - Testimony, Chris Altchek, Cadence - Testimony, Nathan Starr, Intermountain Health - Testimony, Roy Underhill, Hospital at Home Patient - Testimony
Date: 03/2024
Sponsoring organization: House Ways and Means Committee
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Use of In-Network Insurance Benefits Is Critical for Improving Retention in Telehealth-Based Buprenorphine Treatment
Evaluated 3,842 patients in an opioid use disorder (OUD) telehealth company to identify associations in insurance status and treatment program retention. Patient characteristic data includes breakdown by urbanicity, demographic characteristics, buprenorphine status, and more.
Author(s): Arthur Robin Williams, Christopher Row, Lexie Minarik, et al.
Citation: Health Affairs Scholar, 2(3)
Date: 03/2024
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Evaluated 3,842 patients in an opioid use disorder (OUD) telehealth company to identify associations in insurance status and treatment program retention. Patient characteristic data includes breakdown by urbanicity, demographic characteristics, buprenorphine status, and more.
Author(s): Arthur Robin Williams, Christopher Row, Lexie Minarik, et al.
Citation: Health Affairs Scholar, 2(3)
Date: 03/2024
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Office for the Advancement of Telehealth (OAT) 2020-2024 Telehealth Network Grant Program (TNGP) Performance Improvement and Measurement System (PIMS): Summary Report for Program Year 3 (September 1, 2022 - August 31, 2023)
Summarizes findings from the first three years of the 2020-2024 Telehealth Network Grant Program (TNGP), which aims to promote tele-emergency services by enhancing telehealth networks to deliver 24-hour emergency department (ED) consultation services via telehealth to rural providers without emergency care specialists. Presents data on grantee network characteristics, the number of originating and distant sites, specialty areas, averted transfers, ED and hospital readmissions, other uses of the telehealth network, and more.
Date: 02/2024
Sponsoring organizations: Georgia Health Policy Center, Office for the Advancement of Telehealth
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Summarizes findings from the first three years of the 2020-2024 Telehealth Network Grant Program (TNGP), which aims to promote tele-emergency services by enhancing telehealth networks to deliver 24-hour emergency department (ED) consultation services via telehealth to rural providers without emergency care specialists. Presents data on grantee network characteristics, the number of originating and distant sites, specialty areas, averted transfers, ED and hospital readmissions, other uses of the telehealth network, and more.
Date: 02/2024
Sponsoring organizations: Georgia Health Policy Center, Office for the Advancement of Telehealth
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Design and Impact of a Novel Rural Hospital Alliance
Provides an overview of the University of Arkansas for Medical Science's participation in the Arkansas Rural Health Partnership (ARHP), a southern Arkansas collaborative hospital network. Discusses AHRP program development for clinical network development, workforce recruitment and education, telemedicine, and community outreach initiatives. Highlights the use of partnerships and collaborations to improve hospital operations and health service availability in rural areas throughout.
Author(s): Kristie Hadden, Mellie Boagni, Jon Parham, Cam Patterson, Stephanie Gardner
Citation: Southern Medical Journal, 117(2), 67-71
Date: 02/2024
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Provides an overview of the University of Arkansas for Medical Science's participation in the Arkansas Rural Health Partnership (ARHP), a southern Arkansas collaborative hospital network. Discusses AHRP program development for clinical network development, workforce recruitment and education, telemedicine, and community outreach initiatives. Highlights the use of partnerships and collaborations to improve hospital operations and health service availability in rural areas throughout.
Author(s): Kristie Hadden, Mellie Boagni, Jon Parham, Cam Patterson, Stephanie Gardner
Citation: Southern Medical Journal, 117(2), 67-71
Date: 02/2024
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The Agency for Healthcare Research and Quality's Investments in Primary Care Research for 2021 and 2022
Provides an overview of the Agency for Healthcare Research and Quality's (AHRQ) primary care research investments in 2021 and 2022. Highlights rural grants, research programs, and care delivery models throughout.
Additional links: AHRQ's Recent Investments in Primary Care Research: At-a-Glance
Author(s): Jessie Gerteis, Ellen Childs, Bill Villalba, et al.
Date: 02/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides an overview of the Agency for Healthcare Research and Quality's (AHRQ) primary care research investments in 2021 and 2022. Highlights rural grants, research programs, and care delivery models throughout.
Additional links: AHRQ's Recent Investments in Primary Care Research: At-a-Glance
Author(s): Jessie Gerteis, Ellen Childs, Bill Villalba, et al.
Date: 02/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Advancing Equity in Challenging Times: A Qualitative Study of Telehealth Expansion And Changing Patient–Provider Relationships In Primary Care Settings During the COVID-19 Pandemic
Examines the expansion of telehealth services during the COVID-19 pandemic and potential access issues related to technical and workforce barriers. Analyzes interview data from primary healthcare providers to explore challenges such as reduced team-based care coordination, technological difficulties, loss of nonverbal communication, and equity issues for vulnerable groups, including those in rural areas.
Author(s): Monisa Aijaz, Valerie A Lewis, Genevra F Murray
Citation: Digital Health, 10
Date: 02/2024
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Examines the expansion of telehealth services during the COVID-19 pandemic and potential access issues related to technical and workforce barriers. Analyzes interview data from primary healthcare providers to explore challenges such as reduced team-based care coordination, technological difficulties, loss of nonverbal communication, and equity issues for vulnerable groups, including those in rural areas.
Author(s): Monisa Aijaz, Valerie A Lewis, Genevra F Murray
Citation: Digital Health, 10
Date: 02/2024
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Helping Families Through Upheaval: How Home Visiting Programs Supported Families' Economic Well-Being During the COVID-19 Pandemic
Examines how early childhood home visiting programs continued to support families during the COVID-19 pandemic. Utilizes interviews and existing literature of 9 programs to understand economic struggles, housing, transportation, medical care and health insurance, employment, and more. Provides reflections on the challenges experienced in underserved communities, including rural.
Author(s): Sarah Avellar, Jill Filene, Megan Hague Angus, Anna Beckham, Patrice Cachat
Date: 02/2024
Sponsoring organization: Administration for Children and Families
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Examines how early childhood home visiting programs continued to support families during the COVID-19 pandemic. Utilizes interviews and existing literature of 9 programs to understand economic struggles, housing, transportation, medical care and health insurance, employment, and more. Provides reflections on the challenges experienced in underserved communities, including rural.
Author(s): Sarah Avellar, Jill Filene, Megan Hague Angus, Anna Beckham, Patrice Cachat
Date: 02/2024
Sponsoring organization: Administration for Children and Families
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Telemedicine vs Telephone Consultations and Medication Prescribing Errors Among Referring Physicians: A Cluster Randomized Crossover Trial
Compared 696 acutely ill children in 15 community and rural California emergency departments receiving telephone or video consultations to determine differences in physician-related medication errors. Discusses the impact of telehealth on healthcare quality and remote acute care.
Author(s): James P. Marcin, Monica K. Lieng, Jamie Mouzoon, et al.
Citation: JAMA Network Open, 7(2)
Date: 02/2024
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Compared 696 acutely ill children in 15 community and rural California emergency departments receiving telephone or video consultations to determine differences in physician-related medication errors. Discusses the impact of telehealth on healthcare quality and remote acute care.
Author(s): James P. Marcin, Monica K. Lieng, Jamie Mouzoon, et al.
Citation: JAMA Network Open, 7(2)
Date: 02/2024
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Behavioral Health Services Outcomes That Matter Most to Caregivers of Children, Youth, and Young Adults with Mental Health Needs
Used focus groups that included rural caregivers of children with behavioral health needs to identify behavioral health service outcomes valued by caregivers. Discusses access to care, service delivery, provider communication, caregiver training, stigma, caregiver wellness, and more. Discusses rural issues throughout.
Author(s): Genevieve Graaf, Katherine Kitchens, Millie Sweeney, Kathleen C. Thomas
Citation: International Journal of Environmental Research and Public Health, 21(2), 172
Date: 02/2024
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Used focus groups that included rural caregivers of children with behavioral health needs to identify behavioral health service outcomes valued by caregivers. Discusses access to care, service delivery, provider communication, caregiver training, stigma, caregiver wellness, and more. Discusses rural issues throughout.
Author(s): Genevieve Graaf, Katherine Kitchens, Millie Sweeney, Kathleen C. Thomas
Citation: International Journal of Environmental Research and Public Health, 21(2), 172
Date: 02/2024
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Advancing Oral Health Equity in Texas: A Community-Driven Approach
Report offering priority areas for increasing oral health equity in Texas. Discusses oral healthcare access, workforce, and integrating oral and medical healthcare. Discusses rural throughout.
Date: 02/2024
Sponsoring organization: Texas Health Institute
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Report offering priority areas for increasing oral health equity in Texas. Discusses oral healthcare access, workforce, and integrating oral and medical healthcare. Discusses rural throughout.
Date: 02/2024
Sponsoring organization: Texas Health Institute
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