Rural Health
Resources by Topic: Service delivery models
Veterans Health: VA Should Improve Its Monitoring of Severe Maternal Complications and Mental Health Screenings
Examines Veterans Administration (VA) data on deaths and severe maternal morbidity among pregnant and postpartum veterans from fiscal year 2011 through 2020. Explores actions the VA has taken to monitor maternal health outcomes among pregnant and postpartum veterans and the extent to which the VA facilitates mental health screenings for these veterans. Offers recommendations to the VA regarding monitoring trends in severe maternal morbidity by veteran characteristics and maternity care coordinators' screening of veterans for mental health conditions. Includes rural references throughout.
Additional links: Full Report
Date: 01/2024
Sponsoring organization: Government Accountability Office
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Examines Veterans Administration (VA) data on deaths and severe maternal morbidity among pregnant and postpartum veterans from fiscal year 2011 through 2020. Explores actions the VA has taken to monitor maternal health outcomes among pregnant and postpartum veterans and the extent to which the VA facilitates mental health screenings for these veterans. Offers recommendations to the VA regarding monitoring trends in severe maternal morbidity by veteran characteristics and maternity care coordinators' screening of veterans for mental health conditions. Includes rural references throughout.
Additional links: Full Report
Date: 01/2024
Sponsoring organization: Government Accountability Office
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Evaluation of the Next Generation Accountable Care Organization (NGACO) Model: Final Report
Sixth and final evaluation report on the Next Generation Accountable Care Organization (NGACO) Model. Summarizes findings from across all six performance years (2016-2021) and explores how participating entities responded to the model and how they did or did not achieve model goals. Presents information on cumulative model-wide impacts on Medicare spending, utilization, and quality of care; variations in model outcomes by organization characteristics; spending patterns of beneficiaries served by NGACOs; population health strategies and pathways to reduced spending; lessons learned; and more. The appendices include data on community and beneficiary characteristics, including rurality.
Additional links: Findings at a Glance, Technical Appendices
Date: 01/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Sixth and final evaluation report on the Next Generation Accountable Care Organization (NGACO) Model. Summarizes findings from across all six performance years (2016-2021) and explores how participating entities responded to the model and how they did or did not achieve model goals. Presents information on cumulative model-wide impacts on Medicare spending, utilization, and quality of care; variations in model outcomes by organization characteristics; spending patterns of beneficiaries served by NGACOs; population health strategies and pathways to reduced spending; lessons learned; and more. The appendices include data on community and beneficiary characteristics, including rurality.
Additional links: Findings at a Glance, Technical Appendices
Date: 01/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Full Committee Oversight Hearing: "Rural Access: Is VA Meeting All Veterans Where They Live?"
The House Committee on Veterans' Affairs full committee oversight hearing discusses rural veteran's access to healthcare through the VA. Features a discussion of the VA's role as both a healthcare provider and a payer via its Community Care Program. Highlights technological challenges related to telehealth, such as lack of broadband connections and technological literacy of older veterans. Presents testimony from the VA, the Government Accountability Office, the Navajo Nation, and veteran advocacy groups, among others.
Additional links: Witnesses' Testimonies
Date: 01/2024
Sponsoring organization: House Committee on Veterans' Affairs
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The House Committee on Veterans' Affairs full committee oversight hearing discusses rural veteran's access to healthcare through the VA. Features a discussion of the VA's role as both a healthcare provider and a payer via its Community Care Program. Highlights technological challenges related to telehealth, such as lack of broadband connections and technological literacy of older veterans. Presents testimony from the VA, the Government Accountability Office, the Navajo Nation, and veteran advocacy groups, among others.
Additional links: Witnesses' Testimonies
Date: 01/2024
Sponsoring organization: House Committee on Veterans' Affairs
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Frontline Presence, Building Trust, Emergency Preparedness, and Lessons Learned: Q&A with Dr. Tim Putnam
An interview with Tim Putnam sharing rural health leadership insights from his experiences as a rural hospital CEO, a member of a White House task force, and in an academic healthcare policy position.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2024
Sponsoring organization: Rural Health Information Hub
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An interview with Tim Putnam sharing rural health leadership insights from his experiences as a rural hospital CEO, a member of a White House task force, and in an academic healthcare policy position.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2024
Sponsoring organization: Rural Health Information Hub
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Validation of Remote Anthropometric Measurements in a Rural Randomized Pediatric Clinical Trial in Primary Care Settings
Evaluates the effectiveness of remote assessment of height and weight for rural children, providing comparisons of remote and in-person measurements of 33 caregiver-child pairs. Provides measurement data, assesses measurement reliability, and identifies factors associated with measurement discrepancies. Describes the significance of findings in context of obesity treatment.
Author(s): E Zhang, Ann M. Davis, Elizabeth Yakes Jiminez, et al.
Citation: Scientific Reports, 14, 411
Date: 01/2024
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Evaluates the effectiveness of remote assessment of height and weight for rural children, providing comparisons of remote and in-person measurements of 33 caregiver-child pairs. Provides measurement data, assesses measurement reliability, and identifies factors associated with measurement discrepancies. Describes the significance of findings in context of obesity treatment.
Author(s): E Zhang, Ann M. Davis, Elizabeth Yakes Jiminez, et al.
Citation: Scientific Reports, 14, 411
Date: 01/2024
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Telehealth Expansion, Internet Speed, and Primary Care Access Before and During COVID-19
Analyzes changes in primary care telehealth access among 172,387 Wisconsin Medicaid beneficiaries before and during the COVID-19 public health emergency. Assesses change in access over time by demographic characteristics, rural-urban dwelling, access to high speed internet, and health status.
Author(s): Alyssa Shell Tilhou, Arjun Jain, Thomas DeLeire
Citation: JAMA Network Open, 7(1), e2347686
Date: 01/2024
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Analyzes changes in primary care telehealth access among 172,387 Wisconsin Medicaid beneficiaries before and during the COVID-19 public health emergency. Assesses change in access over time by demographic characteristics, rural-urban dwelling, access to high speed internet, and health status.
Author(s): Alyssa Shell Tilhou, Arjun Jain, Thomas DeLeire
Citation: JAMA Network Open, 7(1), e2347686
Date: 01/2024
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Telemedicine Use and Decrements to Type 2 Diabetes and Hypertension Care During the COVID-19 Pandemic
Examines type 2 diabetes and/or hypertension quality of care as associated with telemedicine use during the COVID-19 pre-pandemic (March 13, 2019 to December 31, 2019) and pandemic (March 13, 2020 to December 31, 2020) periods. Examines variables such as HbA1c monitoring and control, blood pressure monitoring and control, and telemedicine use. Presents data according to patient demographic characteristics, including metropolitan, micropolitan, small town, or rural residence.
Author(s): Hector P. Rodriguez, Elizabeth Ciemins, Karl Rubio, et al.
Citation: BMC Digital Health, 2, 2
Date: 01/2024
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Examines type 2 diabetes and/or hypertension quality of care as associated with telemedicine use during the COVID-19 pre-pandemic (March 13, 2019 to December 31, 2019) and pandemic (March 13, 2020 to December 31, 2020) periods. Examines variables such as HbA1c monitoring and control, blood pressure monitoring and control, and telemedicine use. Presents data according to patient demographic characteristics, including metropolitan, micropolitan, small town, or rural residence.
Author(s): Hector P. Rodriguez, Elizabeth Ciemins, Karl Rubio, et al.
Citation: BMC Digital Health, 2, 2
Date: 01/2024
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Supportive Care Needs of Adults Living with a Peripherally Inserted Central Catheter (PICC) at Home: A Qualitative Content Analysis
Examines the challenges and supportive care needs of adults living at home with a peripherally inserted central catheter (PICC). Describes interview feedback from 15 participants focused on issues such as daily management of PICCs, physical and emotional impacts, and health literacy and supports. Includes information specific to adults living with PICCs in rural areas.
Author(s): Rebecca Sharp, Qunyan Xu, Robyn Pumpa, et al.
Citation: BMC Nursing, 23, 4
Date: 01/2024
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Examines the challenges and supportive care needs of adults living at home with a peripherally inserted central catheter (PICC). Describes interview feedback from 15 participants focused on issues such as daily management of PICCs, physical and emotional impacts, and health literacy and supports. Includes information specific to adults living with PICCs in rural areas.
Author(s): Rebecca Sharp, Qunyan Xu, Robyn Pumpa, et al.
Citation: BMC Nursing, 23, 4
Date: 01/2024
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Implementation of a Mobile Health Clinic Framework for Hepatitis C Virus Screening and Treatment: A Descriptive Study
Examines the effectiveness of utilizing mobile health clinics (MHC) for Hepatitis C Virus (HCV) treatment in underserved areas. Analyzes HCV screening and treatment rates of an MHC program initiated by Clemson Rural Health in South Carolina and discusses the impact of MHCs to provide healthcare access in rural and underserved areas.
Author(s): Lior Rennert, Kerry A. Howard, Caitlin M. Kickham, et al.
Citation: The Lancet Regional Health - Americas, 29
Date: 01/2024
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Examines the effectiveness of utilizing mobile health clinics (MHC) for Hepatitis C Virus (HCV) treatment in underserved areas. Analyzes HCV screening and treatment rates of an MHC program initiated by Clemson Rural Health in South Carolina and discusses the impact of MHCs to provide healthcare access in rural and underserved areas.
Author(s): Lior Rennert, Kerry A. Howard, Caitlin M. Kickham, et al.
Citation: The Lancet Regional Health - Americas, 29
Date: 01/2024
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Practice Perspectives on Care Coordination in Rural Settings
Analyzes perspectives on care coordination models in rural areas that integrate social services with healthcare. Examines interview feedback from 16 healthcare informants in rural Missouri regarding integration of social determinant of health (SDOH) services into their practices, such as transportation, mental health, housing, food access, and dental care.
Author(s): Julie M. Kapp, Beau Underwood, Kristi Ressel, Kathleen Quinn
Citation: Professional Case Management, 29(1), 4-12
Date: 01/2024
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Analyzes perspectives on care coordination models in rural areas that integrate social services with healthcare. Examines interview feedback from 16 healthcare informants in rural Missouri regarding integration of social determinant of health (SDOH) services into their practices, such as transportation, mental health, housing, food access, and dental care.
Author(s): Julie M. Kapp, Beau Underwood, Kristi Ressel, Kathleen Quinn
Citation: Professional Case Management, 29(1), 4-12
Date: 01/2024
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