Rural Health
Resources by Topic: Service delivery models
Stakeholder Perspectives on a Telemedicine Referral and Coordination Model To Expand Medication Treatment for Opioid Use Disorder in Rural Primary Care Clinics
Examines acceptability of utilizing an external telemedicine (TM) vendor to improve access to medications for opioid use disorder (MOUD) in rural areas. Analyzes interview data from 7 rural primary care clinics and a TM-MOUD vendor to explore themes such as logistical barriers, stigma, privacy, and access. Includes demographic data on survey respondents as well as acceptability ratings.
Author(s): Allison J. Ober, Alex R. Dopp, Sarah E. Clingan, et al.
Citation: Journal of Substance Use and Addiction Treatment, 156, 209194
Date: 01/2024
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Examines acceptability of utilizing an external telemedicine (TM) vendor to improve access to medications for opioid use disorder (MOUD) in rural areas. Analyzes interview data from 7 rural primary care clinics and a TM-MOUD vendor to explore themes such as logistical barriers, stigma, privacy, and access. Includes demographic data on survey respondents as well as acceptability ratings.
Author(s): Allison J. Ober, Alex R. Dopp, Sarah E. Clingan, et al.
Citation: Journal of Substance Use and Addiction Treatment, 156, 209194
Date: 01/2024
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Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020)
Reports on Agency for Healthcare Research and Quality (AHRQ) primary care research and its impacts on care delivery from 1990 to 2020. Discusses healthcare quality, equity, care models, person-centered care, workforce, technology, and more. Highlights rural-focused programs and research.
Author(s): M. Rockwell, J. Holtrop, A. Eden, et al.
Date: 01/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Reports on Agency for Healthcare Research and Quality (AHRQ) primary care research and its impacts on care delivery from 1990 to 2020. Discusses healthcare quality, equity, care models, person-centered care, workforce, technology, and more. Highlights rural-focused programs and research.
Author(s): M. Rockwell, J. Holtrop, A. Eden, et al.
Date: 01/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Medicaid Coverage of Medications to Reverse Opioid Overdose and Treat Alcohol and Opioid Use Disorders
Report discusses access to medications for treating alcohol use disorder (AUD) and opioid use disorder (OUD) via Medicaid. Highlights policies and regulations that effect access and details Medicaid coverage in all 50 states, the District of Columbia, the U.S Virgin Islands, and Puerto Rico. Features a discussion about rural access.
Date: 01/2024
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report discusses access to medications for treating alcohol use disorder (AUD) and opioid use disorder (OUD) via Medicaid. Highlights policies and regulations that effect access and details Medicaid coverage in all 50 states, the District of Columbia, the U.S Virgin Islands, and Puerto Rico. Features a discussion about rural access.
Date: 01/2024
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Exploring Telemental Health Practice Before, During, and After the COVID-19 Pandemic
Presents a study on the use of telemedicine by mental health providers since the COVID-19 pandemic. Highlights the expansion of telemental health during the pandemic and how that expansion has continued in the aftermath. Breaks down data by patient and provider characteristics, as well as the rurality of providers and of the area served.
Author(s): Demi Zhu, Samantha R Paige, Henry Slone, et al.
Citation: Journal of Telemedicine and Telecare, 30(1), 72-78
Date: 01/2024
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Presents a study on the use of telemedicine by mental health providers since the COVID-19 pandemic. Highlights the expansion of telemental health during the pandemic and how that expansion has continued in the aftermath. Breaks down data by patient and provider characteristics, as well as the rurality of providers and of the area served.
Author(s): Demi Zhu, Samantha R Paige, Henry Slone, et al.
Citation: Journal of Telemedicine and Telecare, 30(1), 72-78
Date: 01/2024
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AHIP Value-Based Care Workgroup
Presentation slides from a January 23, 2024, presentation to the AHIP Value-Based Care Workgroup. Provides an overview of rural healthcare. Discusses rural-relevant engagement and rural value-based care and payment model design considerations. Highlights examples of rural providers successfully participating in value-based payment programs, including Medicare Shared Savings Programs and Accountable Care Organizations (ACOs).
Date: 01/2024
Sponsoring organization: Rural Health Value
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Presentation slides from a January 23, 2024, presentation to the AHIP Value-Based Care Workgroup. Provides an overview of rural healthcare. Discusses rural-relevant engagement and rural value-based care and payment model design considerations. Highlights examples of rural providers successfully participating in value-based payment programs, including Medicare Shared Savings Programs and Accountable Care Organizations (ACOs).
Date: 01/2024
Sponsoring organization: Rural Health Value
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Fortifying Community Health Centers: Fostering Community Resilience, Equitable Response, and Disaster Preparedness
Discusses the impact of community health centers, with a focus on the diverse patients they serve, the low-cost/high-quality healthcare, and the ability to serve patients with complex needs. Includes discussion on disaster response, care coordination, and policies, such as those related to telehealth, that affect community health center work.
Date: 01/2024
Sponsoring organizations: Association of Clinicians for the Underserved, Healthcare Ready
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Discusses the impact of community health centers, with a focus on the diverse patients they serve, the low-cost/high-quality healthcare, and the ability to serve patients with complex needs. Includes discussion on disaster response, care coordination, and policies, such as those related to telehealth, that affect community health center work.
Date: 01/2024
Sponsoring organizations: Association of Clinicians for the Underserved, Healthcare Ready
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A Federally Qualified Health Center and Certified Community Behavioral Health Clinic Partnership in Rural Missouri
Case study describing a medication for opioid use disorder (MOUD) program partnership between a Federally Qualified Health Center and a certified community behavioral health clinic in rural southwest Missouri. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers interested in a similar partnership.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Sponsoring organization: Center for Health Care Strategies
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Case study describing a medication for opioid use disorder (MOUD) program partnership between a Federally Qualified Health Center and a certified community behavioral health clinic in rural southwest Missouri. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers interested in a similar partnership.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Sponsoring organization: Center for Health Care Strategies
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Educational Intervention to Increase COVID-19 Vaccine Uptake in Rural Patients with Chronic Diseases: Lessons Learned from An Innovative Academic–Community Partnership
Results of a study using an educational intervention to increase vaccine knowledge and vaccine acceptance in rural patients with chronic diseases in West Virginia. Uses data from an academic–community partnership comprising researchers, practitioners, community organizations, community-engaged partners, and patient stakeholders.
Author(s): Ranjita Misra, Brenna Kirk, Samantha Shawley-Brzoska, et al.
Citation: International Journal of Environmental Research and Public Health, 21(1), 71
Date: 01/2024
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Results of a study using an educational intervention to increase vaccine knowledge and vaccine acceptance in rural patients with chronic diseases in West Virginia. Uses data from an academic–community partnership comprising researchers, practitioners, community organizations, community-engaged partners, and patient stakeholders.
Author(s): Ranjita Misra, Brenna Kirk, Samantha Shawley-Brzoska, et al.
Citation: International Journal of Environmental Research and Public Health, 21(1), 71
Date: 01/2024
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The Restoring Hope for Mental Health and Well-Being Act of 2022 (Division FF, Title I of P.L. 117-328, the Consolidated Appropriations Act, 2023): Section-by-Section Summary
Provides a section-by-section summary of the Restoring Hope for Mental Health and Well-Being Act, which was enacted as part of the Consolidated Appropriations Act, 2023 (P.L. 117-328) and reauthorized or amended specific federal programs related to mental health and substance use. Includes information on programs targeted to, or extending eligibility to, tribes and tribal organizations.
Date: 01/2024
Sponsoring organization: Congressional Research Service
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Provides a section-by-section summary of the Restoring Hope for Mental Health and Well-Being Act, which was enacted as part of the Consolidated Appropriations Act, 2023 (P.L. 117-328) and reauthorized or amended specific federal programs related to mental health and substance use. Includes information on programs targeted to, or extending eligibility to, tribes and tribal organizations.
Date: 01/2024
Sponsoring organization: Congressional Research Service
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Clinical Risk and Outpatient Therapy Utilization for COVID-19 in the Medicare Population
Evaluates COVID-19 treatment disparities among Medicare beneficiaries, with comparisons by age, race and ethnicity, Medicaid eligibility, nursing home use, telemedicine use, rural/urban status, and more. Utilizes Medicare Master Beneficiary Summary and Standard Analytic Claim files for the year 2022. Provides data on rates of COVID-19 therapy use, including medication, hospitalization, and outpatient treatment. Highlights undertreatment experienced by populations with high risk of severe infection.
Author(s): Andrew D. Wilcock, Stephen Kissler, Ateev Mehrotra
Citation: JAMA Health Forum, 5(1), e235044
Date: 01/2024
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Evaluates COVID-19 treatment disparities among Medicare beneficiaries, with comparisons by age, race and ethnicity, Medicaid eligibility, nursing home use, telemedicine use, rural/urban status, and more. Utilizes Medicare Master Beneficiary Summary and Standard Analytic Claim files for the year 2022. Provides data on rates of COVID-19 therapy use, including medication, hospitalization, and outpatient treatment. Highlights undertreatment experienced by populations with high risk of severe infection.
Author(s): Andrew D. Wilcock, Stephen Kissler, Ateev Mehrotra
Citation: JAMA Health Forum, 5(1), e235044
Date: 01/2024
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