Rural Health
Resources by Topic: Service delivery models
Transforming Rural Health Care Through Medicaid Innovation: Tip Sheet Series
Informational tip sheets discussing the use of Medicaid innovations to assist states in creating their Rural Health Transformation (RHT) Program applications. Covers issues such as behavioral health, school-based services, integrated care access, community health workers, community paramedicine, specialty care, and healthcare technology. Provides examples, strategies, Medicaid policy information, and resources.
Additional links: Improving Access to Integrated Care for Dually Eligible Individuals in Rural Areas, Leveraging Community Health Workers to Address Rural Health Care Needs, Leveraging Community Paramedicine to Address Rural Health Needs, Leveraging Peers and Lay Counselors to Address Behavioral Health Care Workforce Shortages in Rural Areas, Using Project ECHO to Deliver Specialty Care in Rural Areas, Using School-Based Services to Improve Access to Preventive Health Care for Children in Rural Areas, Using Tech-Enabled Solutions to Improve Care Quality and Access in Rural Areas
Author(s): Molly Knowles, Nancy Archibald, Karla Silverman, Lauren Scannelli Jacobs
Date: 10/2025
Sponsoring organization: Center for Health Care Strategies
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Informational tip sheets discussing the use of Medicaid innovations to assist states in creating their Rural Health Transformation (RHT) Program applications. Covers issues such as behavioral health, school-based services, integrated care access, community health workers, community paramedicine, specialty care, and healthcare technology. Provides examples, strategies, Medicaid policy information, and resources.
Additional links: Improving Access to Integrated Care for Dually Eligible Individuals in Rural Areas, Leveraging Community Health Workers to Address Rural Health Care Needs, Leveraging Community Paramedicine to Address Rural Health Needs, Leveraging Peers and Lay Counselors to Address Behavioral Health Care Workforce Shortages in Rural Areas, Using Project ECHO to Deliver Specialty Care in Rural Areas, Using School-Based Services to Improve Access to Preventive Health Care for Children in Rural Areas, Using Tech-Enabled Solutions to Improve Care Quality and Access in Rural Areas
Author(s): Molly Knowles, Nancy Archibald, Karla Silverman, Lauren Scannelli Jacobs
Date: 10/2025
Sponsoring organization: Center for Health Care Strategies
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Technological Innovation in Rural Health and Human Services Spaces, with Dan Shane
An episode of the Exploring Rural Health podcast featuring Dan Shane, Associate Professor with the RUPRI Center for Rural Health Policy Analysis. Focuses on opportunities for applying technological advances in rural health and human services, potential challenges, and future avenues of development.
Date: 10/2025
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Dan Shane, Associate Professor with the RUPRI Center for Rural Health Policy Analysis. Focuses on opportunities for applying technological advances in rural health and human services, potential challenges, and future avenues of development.
Date: 10/2025
Sponsoring organization: Rural Health Information Hub
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Tenecteplase in Practice: A Rural Tele-Stroke Network's Experience
Compares care outcomes of Alteplase and Tenecteplase as thrombolytic agents for acute ischemic stroke in rural populations. Utilizes data of 1,644 patients who received treatment through the Medical University of South Carolina (MUSC) Telestroke Network.
Author(s): Alexander Vorobyev, Marina Buciuc, Kevin Jacks, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(10), 108416
Date: 10/2025
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Compares care outcomes of Alteplase and Tenecteplase as thrombolytic agents for acute ischemic stroke in rural populations. Utilizes data of 1,644 patients who received treatment through the Medical University of South Carolina (MUSC) Telestroke Network.
Author(s): Alexander Vorobyev, Marina Buciuc, Kevin Jacks, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(10), 108416
Date: 10/2025
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Implementing a Mobile Clinic for Opioid Use Disorder Treatment in an Urban and Rural Context
Highlights a study on the efficacy of the mobile clinic model at providing opioid use disorder (OUD) treatment in rural and urban areas. Compares and evaluates mobile OUD treatment programs in Pittsburgh, PA and rural Robeson County, NC. Evaluates programs on the basis of community engagement, cost, and partnerships with local pharmacies, among other measures.
Author(s): Orrin D. Ware, Divya Venkat, Robyn Jordan, et al.
Citation: Substance Use & Addiction Journal, 46(4), 799–805
Date: 10/2025
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Highlights a study on the efficacy of the mobile clinic model at providing opioid use disorder (OUD) treatment in rural and urban areas. Compares and evaluates mobile OUD treatment programs in Pittsburgh, PA and rural Robeson County, NC. Evaluates programs on the basis of community engagement, cost, and partnerships with local pharmacies, among other measures.
Author(s): Orrin D. Ware, Divya Venkat, Robyn Jordan, et al.
Citation: Substance Use & Addiction Journal, 46(4), 799–805
Date: 10/2025
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The Family Engagement Toolkit: Guidance for Early Childhood Home Visiting Programs on Improving Outreach, Recruitment, and Retention
Presents The Family Engagement Toolkit, a set of resources focused on improving engagement with early childhood home visiting programs. Provides tools for program evaluation, goal setting, and prioritizing community and family needs. Includes suggestions specific to rural communities.
Author(s): Rebecca Kleinman, Annie Buonaspina, Emily Rosen, et al.
Date: 09/2025
Sponsoring organization: Administration for Children and Families
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Presents The Family Engagement Toolkit, a set of resources focused on improving engagement with early childhood home visiting programs. Provides tools for program evaluation, goal setting, and prioritizing community and family needs. Includes suggestions specific to rural communities.
Author(s): Rebecca Kleinman, Annie Buonaspina, Emily Rosen, et al.
Date: 09/2025
Sponsoring organization: Administration for Children and Families
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Beyond the Clinic Walls: Exploring the Potential of Mobile Health
Explores the use mobile health services to increase access to care and highlights opportunities to close evidence gaps. Summarizes the research on mobile health delivery in primary, specialty, and emergency care. Discusses rural concerns including for breast cancer screening, dentistry, acute stroke response, behavioral crisis interventions, and community paramedicine.
Additional links: Executive Summary
Author(s): Maanasa Kona, Julia Burleson, Leila Sullivan
Date: 09/2025
Sponsoring organizations: Center on Health Insurance Reforms, Georgetown University McCourt School of Public Policy
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Explores the use mobile health services to increase access to care and highlights opportunities to close evidence gaps. Summarizes the research on mobile health delivery in primary, specialty, and emergency care. Discusses rural concerns including for breast cancer screening, dentistry, acute stroke response, behavioral crisis interventions, and community paramedicine.
Additional links: Executive Summary
Author(s): Maanasa Kona, Julia Burleson, Leila Sullivan
Date: 09/2025
Sponsoring organizations: Center on Health Insurance Reforms, Georgetown University McCourt School of Public Policy
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Community Health Centers and Rural Health: Essential Access, Enduring Challenges
Discusses the role community health centers (CHCs) play in delivering primary care in rural areas. Describes the challenges rural CHCs face and strategies to stabilize and strengthen these facilities. Includes data on the rural CHC workforce and the percentage of all CHC patients served by a rural CHC by state. Compares healthcare quality, the percent of medical and mental health visits that were virtual, and the percent of patients with select chronic conditions by rural and urban location.
Date: 09/2025
Sponsoring organizations: National Association of Community Health Centers, WWAMI Rural Health Research Center
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Discusses the role community health centers (CHCs) play in delivering primary care in rural areas. Describes the challenges rural CHCs face and strategies to stabilize and strengthen these facilities. Includes data on the rural CHC workforce and the percentage of all CHC patients served by a rural CHC by state. Compares healthcare quality, the percent of medical and mental health visits that were virtual, and the percent of patients with select chronic conditions by rural and urban location.
Date: 09/2025
Sponsoring organizations: National Association of Community Health Centers, WWAMI Rural Health Research Center
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Study Team Perspectives on a Multisite Randomized Clinical Trial with Underserved Rural Populations: A Mixed Methods Feasibility Analysis
Surveys clinical trial study staff on barriers and facilitators of conducting the iAmHealthy Intervention, a mobile health-based clinical trial focused on addressing obesity among rural families and children. Discusses participant recruitment, engagement, and retention, best practices for communicating study procedures and expectations, experiences working with rural populations, and more.
Author(s): Kristina L. Foster, Sarah Sanders, Christi A. Madden, et al.
Citation: PLoS One, 20(9), e0333229
Date: 09/2025
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Surveys clinical trial study staff on barriers and facilitators of conducting the iAmHealthy Intervention, a mobile health-based clinical trial focused on addressing obesity among rural families and children. Discusses participant recruitment, engagement, and retention, best practices for communicating study procedures and expectations, experiences working with rural populations, and more.
Author(s): Kristina L. Foster, Sarah Sanders, Christi A. Madden, et al.
Citation: PLoS One, 20(9), e0333229
Date: 09/2025
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Creation of a Telehealth Addiction Consultation Service at a Rural Hospital: A Case Study
Details the implementation and evaluation of the Community Addiction Consult (CAC) service, which facilitated medications for opioid use disorder (MOUD) treatment and provided other supports for hospital-based addiction care via telehealth consultations by community, non-hospital clinicians in rural Massachusetts. Highlights the significance of the CAC model as a support for improving access to hospital-based substance use disorder treatment in rural areas.
Author(s): Rachel Katz, Tiarra Fisher, Talia Singer-Clark, et al.
Citation: Addiction Science & Clinical Practice, 20, 76
Date: 09/2025
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Details the implementation and evaluation of the Community Addiction Consult (CAC) service, which facilitated medications for opioid use disorder (MOUD) treatment and provided other supports for hospital-based addiction care via telehealth consultations by community, non-hospital clinicians in rural Massachusetts. Highlights the significance of the CAC model as a support for improving access to hospital-based substance use disorder treatment in rural areas.
Author(s): Rachel Katz, Tiarra Fisher, Talia Singer-Clark, et al.
Citation: Addiction Science & Clinical Practice, 20, 76
Date: 09/2025
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Stuck in the Middle: Internet Insecurity in Rural America
Reports on internet insecurity and internet use among 2,600 rural households in Michigan and Colorado, with additional data and discussion of factors influencing rural internet access throughout the United States.
Date: 09/2025
Sponsoring organization: Connected Nation
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Reports on internet insecurity and internet use among 2,600 rural households in Michigan and Colorado, with additional data and discussion of factors influencing rural internet access throughout the United States.
Date: 09/2025
Sponsoring organization: Connected Nation
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