Rural Health
Resources by Topic: Service delivery models
An Examination of Geographic Access to Outpatient Stroke Rehabilitation Services in Tennessee, a Stroke Belt State
Presents data on travel time and distance to Tennessee stroke rehabilitation facilities, with comparisons of rural and urban counties as well as counties with low, medium, or high stroke prevalence. Describes care access challenges faced by rural stroke patients, including barriers related to transportation and telerehabilitation.
Author(s): Phoebe M. Tran, Cenjing Zhu, William T. Harris II, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 33(1), 107472
Date: 11/2023
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Presents data on travel time and distance to Tennessee stroke rehabilitation facilities, with comparisons of rural and urban counties as well as counties with low, medium, or high stroke prevalence. Describes care access challenges faced by rural stroke patients, including barriers related to transportation and telerehabilitation.
Author(s): Phoebe M. Tran, Cenjing Zhu, William T. Harris II, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 33(1), 107472
Date: 11/2023
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Clinician Perceptions of Barriers and Facilitators for Delivering Early Integrated Palliative Care via Telehealth
Presents results from a survey on barriers, facilitators, and benefits of telehealth use for early integrated palliative care (EIPC). Survey participants were 48 clinicians providing palliative care services to patients with advanced lung cancer. Discusses clinician attitudes, logistical and organizational influences, and patient characteristics affecting access. Highlights barriers experienced by rural patients.
Author(s): Katrina Grace Sadang, Joely A. Centracchio, Yael Turk, et al.
Citation: Cancers, 15(22), 5340
Date: 11/2023
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Presents results from a survey on barriers, facilitators, and benefits of telehealth use for early integrated palliative care (EIPC). Survey participants were 48 clinicians providing palliative care services to patients with advanced lung cancer. Discusses clinician attitudes, logistical and organizational influences, and patient characteristics affecting access. Highlights barriers experienced by rural patients.
Author(s): Katrina Grace Sadang, Joely A. Centracchio, Yael Turk, et al.
Citation: Cancers, 15(22), 5340
Date: 11/2023
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Scaling up Overdose Education and Naloxone Distribution in Kentucky: Adoption and Reach Achieved Through a "Hub with Many Spokes" Model
Examines a hub-and-spoke model for overdose education and naloxone distribution (OEND) in Kentucky. Discusses the efficacy of a university-based naloxone dispensing unit and the related adopting organizations to provide technical assistance, education, and no-cost naloxone. Analyzes rural versus urban OEND and the impact of rurality on OEND.
Author(s): Hannah K. Knudsen, Patricia R. Freeman, Douglas R. Oyler, Carrie B. Oser, Sharon L. Walsh
Citation: Addiction Science & Clinical Practice, 18(72)
Date: 11/2023
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Examines a hub-and-spoke model for overdose education and naloxone distribution (OEND) in Kentucky. Discusses the efficacy of a university-based naloxone dispensing unit and the related adopting organizations to provide technical assistance, education, and no-cost naloxone. Analyzes rural versus urban OEND and the impact of rurality on OEND.
Author(s): Hannah K. Knudsen, Patricia R. Freeman, Douglas R. Oyler, Carrie B. Oser, Sharon L. Walsh
Citation: Addiction Science & Clinical Practice, 18(72)
Date: 11/2023
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Nursing Students Bring Free Care to Rural Virginia with Student-Run Mobile Health Clinic
Features Old Dominion University's mobile health clinic, which provides healthcare services in rural southeastern Virginia while providing clinical opportunities to nursing students.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 11/2023
Sponsoring organization: Rural Health Information Hub
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Features Old Dominion University's mobile health clinic, which provides healthcare services in rural southeastern Virginia while providing clinical opportunities to nursing students.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 11/2023
Sponsoring organization: Rural Health Information Hub
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Still Searching: Meeting Oral Health Needs in Rural Settings
Report discusses oral health access in rural areas. Compares barriers to care in rural, suburban, and urban communities. Highlights teledentistry use and insurance rates, among other factors.
Author(s): Paige Martin, Morgan Santoro, Lisa J. Heaton, et al.
Date: 11/2023
Sponsoring organization: CareQuest Institute for Oral Health
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Report discusses oral health access in rural areas. Compares barriers to care in rural, suburban, and urban communities. Highlights teledentistry use and insurance rates, among other factors.
Author(s): Paige Martin, Morgan Santoro, Lisa J. Heaton, et al.
Date: 11/2023
Sponsoring organization: CareQuest Institute for Oral Health
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Study Protocol: Maintaining Preventive Care During Public Health Emergencies Through Effective Coordination
Presents a qualitative study protocol that examines screening rates at VA medical centers during COVID-19 to determine strategies that provide continued care during public health emergencies. Discusses selection of sites, which will be based on rurality, COVID-19 patient caseload, and performance related to cancer and mental health screenings. Highlights the importance of care coordination teams in regard to specialty care.
Author(s): Sylvia J. Hysong, Traber Davis Giardina, Jennifer Freytag, et al.
Citation: Implementation Science Communications, 4, 150
Date: 11/2023
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Presents a qualitative study protocol that examines screening rates at VA medical centers during COVID-19 to determine strategies that provide continued care during public health emergencies. Discusses selection of sites, which will be based on rurality, COVID-19 patient caseload, and performance related to cancer and mental health screenings. Highlights the importance of care coordination teams in regard to specialty care.
Author(s): Sylvia J. Hysong, Traber Davis Giardina, Jennifer Freytag, et al.
Citation: Implementation Science Communications, 4, 150
Date: 11/2023
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Understanding Rural-Urban Differences in Veterans' Internet Access Use, and Patient Preferences for Telemedicine
Report breaks down differences in internet access, use, and opinions about telehealth for rural and urban veterans. Bases findings on interviews with eligible veterans and highlights veterans' experiences with telehealth.
Date: 11/2023
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Report breaks down differences in internet access, use, and opinions about telehealth for rural and urban veterans. Bases findings on interviews with eligible veterans and highlights veterans' experiences with telehealth.
Date: 11/2023
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Final Rule for CY 2024 Physician Fee Schedule: Fact Sheet
Fact sheet covering Centers for Medicare & Medicaid Services (CMS) telehealth policy changes for 2024 as outlined in the final calendar year (CY) 2024 Physician Fee Schedule. Covers eligible services that can be delivered by telehealth, remote monitoring services, physician supervision, diabetes self-management training (DSMT), and more.
Date: 11/2023
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Fact sheet covering Centers for Medicare & Medicaid Services (CMS) telehealth policy changes for 2024 as outlined in the final calendar year (CY) 2024 Physician Fee Schedule. Covers eligible services that can be delivered by telehealth, remote monitoring services, physician supervision, diabetes self-management training (DSMT), and more.
Date: 11/2023
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Improving Behavioral Health Care in the Military Health System: Challenges, Promising Strategies, and Research Directions
Examines behavioral healthcare access for military service members. Discusses strategies for improving behavioral healthcare in the military health system, such as virtual care and quality control measures, with considerations for underserved populations.
Author(s): Kimberly A. Hepner, Carol P. Roth, Nabeel Qureshi, Jessica L. Sousa
Date: 11/2023
Sponsoring organization: RAND Corporation
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Examines behavioral healthcare access for military service members. Discusses strategies for improving behavioral healthcare in the military health system, such as virtual care and quality control measures, with considerations for underserved populations.
Author(s): Kimberly A. Hepner, Carol P. Roth, Nabeel Qureshi, Jessica L. Sousa
Date: 11/2023
Sponsoring organization: RAND Corporation
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Ensuring Medicare Beneficiary Access: A Path to Telehealth Permanency
Recording of a November 14, 2023, U.S. Senate Committee on Finance Subcommittee on Health Care hearing on the role of telehealth in improving access to care and the potential to make COVID-19 Medicare flexibilities permanent. Features testimony from Nicki Perisho, Principal Investigator and Program Director for the Northwest Regional Telehealth Resource Center, and Eric Wallace, Medical Director for the University of Alabama at Birmingham (UAB) Health System Telehealth Program.
Additional links: Eric Wallace, UAB Health System Telehealth Program - Testimony, Nicki Perisho, Northwest Regional Telehealth Resource Center - Testimony
Date: 11/2023
Sponsoring organization: Senate Committee on Finance, Subcommittee on Health Care
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Recording of a November 14, 2023, U.S. Senate Committee on Finance Subcommittee on Health Care hearing on the role of telehealth in improving access to care and the potential to make COVID-19 Medicare flexibilities permanent. Features testimony from Nicki Perisho, Principal Investigator and Program Director for the Northwest Regional Telehealth Resource Center, and Eric Wallace, Medical Director for the University of Alabama at Birmingham (UAB) Health System Telehealth Program.
Additional links: Eric Wallace, UAB Health System Telehealth Program - Testimony, Nicki Perisho, Northwest Regional Telehealth Resource Center - Testimony
Date: 11/2023
Sponsoring organization: Senate Committee on Finance, Subcommittee on Health Care
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