Rural Health
Resources by Topic: Service delivery models
Rural Perspectives on Digital Health in Cardiovascular Care: Qualitative Study of Interviews With Rural and Rural-Serving Primary Care Providers and Cardiologists
Explores the perspectives of 17 rural and rural-serving healthcare providers in Alaska, Idaho, and Washington, on the use of digital health to deliver rural cardiovascular care. Discusses five factors that influence adoption outlined by the Diffusion of Innovations (DOI) theory: relative advantage, compatibility, complexity, trialability, and observability. Identifies themes that emerged from semi-structured interviews with these providers, including advantages and disadvantages of using digital health in their practice.
Author(s): Signe Burchim, Susan Miller, Kristin Beima-Sofie, et al.
Citation: Journal of Medical Internet Research, 27, e77234
Date: 11/2025
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Explores the perspectives of 17 rural and rural-serving healthcare providers in Alaska, Idaho, and Washington, on the use of digital health to deliver rural cardiovascular care. Discusses five factors that influence adoption outlined by the Diffusion of Innovations (DOI) theory: relative advantage, compatibility, complexity, trialability, and observability. Identifies themes that emerged from semi-structured interviews with these providers, including advantages and disadvantages of using digital health in their practice.
Author(s): Signe Burchim, Susan Miller, Kristin Beima-Sofie, et al.
Citation: Journal of Medical Internet Research, 27, e77234
Date: 11/2025
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Referrals and Utilization of Diabetes Self-Management Education and Support (DSMES) among Patients with Type 1 and Type 2 Diabetes at a Regional Medical Center in Kentucky
Analyzes demographic and clinical factors associated with diabetes self-management education and support (DSMES) among patients. Utilizes electronic health records of 10,587 diabetes patients receiving care at a regional medical center in Kentucky to examine DSMES attendance and referrals according to patient demographics, insurance type, clinical variables, and rural versus urban location.
Author(s): Omer Atac, George C. Bryant, William B. Burrows, et al.
Citation: BMC Public Health, 25, 3880
Date: 11/2025
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Analyzes demographic and clinical factors associated with diabetes self-management education and support (DSMES) among patients. Utilizes electronic health records of 10,587 diabetes patients receiving care at a regional medical center in Kentucky to examine DSMES attendance and referrals according to patient demographics, insurance type, clinical variables, and rural versus urban location.
Author(s): Omer Atac, George C. Bryant, William B. Burrows, et al.
Citation: BMC Public Health, 25, 3880
Date: 11/2025
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MedPAC Payment Basics
Series of briefs providing an of Medicare payment systems. Covers payments systems including Accountable Care Organizations (ACO), Critical Access Hospitals (CAH), Federally Qualified Health Centers and Rural Health Clinics, hospital acute inpatient services, and more.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Series of briefs providing an of Medicare payment systems. Covers payments systems including Accountable Care Organizations (ACO), Critical Access Hospitals (CAH), Federally Qualified Health Centers and Rural Health Clinics, hospital acute inpatient services, and more.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Accountable Care Organizations Payment Systems
Provides an overview of Medicare's Accountable Care Organization (ACO) programs. Discusses the payment mechanics of ACOs, including the maximum shared savings and losses of Medicare Shared Savings Program ACOs by track and level.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Provides an overview of Medicare's Accountable Care Organization (ACO) programs. Discusses the payment mechanics of ACOs, including the maximum shared savings and losses of Medicare Shared Savings Program ACOs by track and level.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Report to the Secretary of Health and Human Services: Reducing Barriers to Participation in Population-Based Total Cost of Care (PB-TCOC) Models and Supporting Primary and Specialty Care Transformation
Summarizes findings from the Physician-Focused Payment Model Technical Advisory Committee's (PTAC) review of information on reducing barriers to participation in alternative payment models (APMs). Discusses key issues relating to reducing barriers to participation in APMs and value-based care transformation, areas where additional research is needed, and potential next steps.
Date: 10/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Summarizes findings from the Physician-Focused Payment Model Technical Advisory Committee's (PTAC) review of information on reducing barriers to participation in alternative payment models (APMs). Discusses key issues relating to reducing barriers to participation in APMs and value-based care transformation, areas where additional research is needed, and potential next steps.
Date: 10/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Targeted Nursing Interventions for Improving Stroke Care and Outcomes in the Rural Setting: A Scientific Statement From the American Heart Association
Discusses opportunities and continuing challenges in the use of service delivery models and technological innovations to support accessible and high-quality nurse-delivered stroke care in rural settings. Covers topics including telemedicine, artificial intelligence, nursing workforce education, data use, and more.
Author(s): Renee Colsch, Wendy Dusenbury, Michelle Camicia, et al.
Citation: Stroke, 57(1), e45-e57
Date: 10/2025
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Discusses opportunities and continuing challenges in the use of service delivery models and technological innovations to support accessible and high-quality nurse-delivered stroke care in rural settings. Covers topics including telemedicine, artificial intelligence, nursing workforce education, data use, and more.
Author(s): Renee Colsch, Wendy Dusenbury, Michelle Camicia, et al.
Citation: Stroke, 57(1), e45-e57
Date: 10/2025
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Rural Women Choose Self-Sampling over a Pelvic Exam for Cervical Cancer Screening: A Mixed-Method Study
Examines factors related to cervical cancer screening methods in an underserved, rural population in Michigan. Utilizes mixed methods to analyze demographics, barriers, and perspectives related to self-sampling screenings.
Author(s): Timothy C Guetterman, Alexandra Vinson, Matthew Stack, et al.
Citation: Cancer Causes Control, 36(12), 2023-2037
Date: 10/2025
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Examines factors related to cervical cancer screening methods in an underserved, rural population in Michigan. Utilizes mixed methods to analyze demographics, barriers, and perspectives related to self-sampling screenings.
Author(s): Timothy C Guetterman, Alexandra Vinson, Matthew Stack, et al.
Citation: Cancer Causes Control, 36(12), 2023-2037
Date: 10/2025
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The Unspoken Struggles from Mental Health Stigma in a Rural Community: A Qualitative Exploration of Clubhouse Members' Lived Experiences
Explores the efficacy of the clubhouse model at overcoming stigma around mental health conditions and receiving mental healthcare in rural communities. Bases findings on semi-structured interviews with participants and staff of the Clubhouse in Wyoming. Details the Clubhouse's efforts to address stigma and overcome mental health prejudices.
Author(s): Ruth Korankye, Gloria Oladeji, Lauren Gilbert
Citation: International Journal of Environmental Research and Public Health, 22(11), 1626
Date: 10/2025
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Explores the efficacy of the clubhouse model at overcoming stigma around mental health conditions and receiving mental healthcare in rural communities. Bases findings on semi-structured interviews with participants and staff of the Clubhouse in Wyoming. Details the Clubhouse's efforts to address stigma and overcome mental health prejudices.
Author(s): Ruth Korankye, Gloria Oladeji, Lauren Gilbert
Citation: International Journal of Environmental Research and Public Health, 22(11), 1626
Date: 10/2025
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Advancing Diagnostic Excellence in Rural Areas: A Workshop
Recording of a workshop exploring potential improvements in diagnosis in rural areas of the United States. Topics discussed include the state of diagnosis in rural areas, access to diagnosis and diagnosis-related health disparities, applications of new technologies and innovations, healthcare workforce training, education, and support, and other aspects of service delivery innovation in rural areas. A video transcript is accessible through video control bar. Meeting materials are available for download below the video player, including workshop agenda, presentation slides, and public briefing materials.
Date: 10/2025
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Recording of a workshop exploring potential improvements in diagnosis in rural areas of the United States. Topics discussed include the state of diagnosis in rural areas, access to diagnosis and diagnosis-related health disparities, applications of new technologies and innovations, healthcare workforce training, education, and support, and other aspects of service delivery innovation in rural areas. A video transcript is accessible through video control bar. Meeting materials are available for download below the video player, including workshop agenda, presentation slides, and public briefing materials.
Date: 10/2025
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Positive Outliers: How Some Rural Communities Maintain Access to Labor and Delivery Services
Explores healthcare providers' approaches to ensuring maternal care access in rural Texas, Oklahoma, Alabama, and Mississippi. Provides case studies on the role of rural hospitals and clinics in providing labor and delivery services, discusses financial and logistical challenges faced by providers, and details funding, policy, and service delivery strategies supporting continued access.
Author(s): Sarah Klein, Molly Castle Work
Date: 10/2025
Sponsoring organizations: Bassett Research Institute, Commonwealth Fund
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Explores healthcare providers' approaches to ensuring maternal care access in rural Texas, Oklahoma, Alabama, and Mississippi. Provides case studies on the role of rural hospitals and clinics in providing labor and delivery services, discusses financial and logistical challenges faced by providers, and details funding, policy, and service delivery strategies supporting continued access.
Author(s): Sarah Klein, Molly Castle Work
Date: 10/2025
Sponsoring organizations: Bassett Research Institute, Commonwealth Fund
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