Rural Health
Resources by Topic: Service delivery models
Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Final Evaluation Report
Describes the results of the Centers for Medicare & Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model, a five-year randomized trial that aimed to reduce the incidence of first-time heart attacks and strokes among Medicare beneficiaries. Covers participant characteristics, including rural or urban status and organization type; changes in cardiovascular disease risk scores; effects of the model on healthcare utilization; intermediate- and long-term impacts on beneficiaries; and the contribution of these findings to the broader literature on cardiovascular disease prevention and value-based care.
Additional links: Findings at a Glance
Date: 08/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica, RAND Corporation
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Describes the results of the Centers for Medicare & Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model, a five-year randomized trial that aimed to reduce the incidence of first-time heart attacks and strokes among Medicare beneficiaries. Covers participant characteristics, including rural or urban status and organization type; changes in cardiovascular disease risk scores; effects of the model on healthcare utilization; intermediate- and long-term impacts on beneficiaries; and the contribution of these findings to the broader literature on cardiovascular disease prevention and value-based care.
Additional links: Findings at a Glance
Date: 08/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica, RAND Corporation
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Telehealth Use and Perceptions among Prostate Cancer Survivors
Examines the perceptions of telehealth among prostate cancer survivors and considers its perceived usefulness during the COVID-19 pandemic. Analyzes survey data from 487 prostate cancer survivors according to age, race, education, income, rural-urban residence, and time of survey.
Author(s): Luke W. Chen, Deborah S. Usinger, Aaron J. Katz
Citation: Cancer Medicine, 12(16), 17308-17312
Date: 08/2023
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Examines the perceptions of telehealth among prostate cancer survivors and considers its perceived usefulness during the COVID-19 pandemic. Analyzes survey data from 487 prostate cancer survivors according to age, race, education, income, rural-urban residence, and time of survey.
Author(s): Luke W. Chen, Deborah S. Usinger, Aaron J. Katz
Citation: Cancer Medicine, 12(16), 17308-17312
Date: 08/2023
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Association Between Insurer Connectivity in Appalachian Population Health Networks and Preventable Hospitalizations: Evidence from Kentucky
Examines insurer connectivity in community networks across regions in Kentucky, and the association between connectivity and the probability of experiencing a preventable hospitalization. Features statistics with breakdowns by urban, rural non-Appalachian, and Appalachian locations.
Author(s): Rachel Hogg-Graham, Kelsey R. Gatton, Rick Ingram, Glen P. Mays
Citation: Journal of Appalachian Health, 5(2), 15-31
Date: 08/2023
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Examines insurer connectivity in community networks across regions in Kentucky, and the association between connectivity and the probability of experiencing a preventable hospitalization. Features statistics with breakdowns by urban, rural non-Appalachian, and Appalachian locations.
Author(s): Rachel Hogg-Graham, Kelsey R. Gatton, Rick Ingram, Glen P. Mays
Citation: Journal of Appalachian Health, 5(2), 15-31
Date: 08/2023
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DRCHSD Spotlight: Urgent & Primary Care of Clarksdale in Clarksdale, Mississippi
Discusses how Urgent and Primary Care of Clarksdale in Clarksdale, Mississippi, and community partners constructed a community garden to improve patient and community access to healthy food. Describes how clinic staff used Delta Region Community Health Systems Development Program resources to increase access to care through telehealth, including using technology to provide healthcare services to people incarcerated at the Coahoma County Detention Facility.
Date: 08/2023
Sponsoring organization: National Rural Health Resource Center
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Discusses how Urgent and Primary Care of Clarksdale in Clarksdale, Mississippi, and community partners constructed a community garden to improve patient and community access to healthy food. Describes how clinic staff used Delta Region Community Health Systems Development Program resources to increase access to care through telehealth, including using technology to provide healthcare services to people incarcerated at the Coahoma County Detention Facility.
Date: 08/2023
Sponsoring organization: National Rural Health Resource Center
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Use of Real Time Clinical Video Telehealth to Home by Primary Care Providers Within the Veterans Health Administration During the First Wave of the COVID-19 Pandemic: Variability Across VA Stations and with Time
Describes the extent to which Clinical Video Telehealth to Home (VT2H) was used for primary care licensed independent practitioner visits (PCLIPVs) across the Veterans Health Administration (VA) during the first 18 months of the COVID pandemic. Explores how VT2H use varied over time and by VA station characteristics, including rurality.
Author(s): Dennis H. Sullivan, Linda M. Sawyer, Bonnie D. Dawson, et al.
Citation: JAMIA Open, 6(3)
Date: 08/2023
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Describes the extent to which Clinical Video Telehealth to Home (VT2H) was used for primary care licensed independent practitioner visits (PCLIPVs) across the Veterans Health Administration (VA) during the first 18 months of the COVID pandemic. Explores how VT2H use varied over time and by VA station characteristics, including rurality.
Author(s): Dennis H. Sullivan, Linda M. Sawyer, Bonnie D. Dawson, et al.
Citation: JAMIA Open, 6(3)
Date: 08/2023
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Emergency Department Interventions for Opioid Use Disorder: Overview of the Landscape, Key Components, and Analysis of Five Case Studies
Provides an overview of the evidence base for emergency department (ED)-based programs to address and treat opioid use disorders (OUD). Describes factors that motivated the development of these programs, how they are structured and financed, and barriers and facilitators to ED-based OUD treatment. Features case studies of five ED-based programs, including Marshall Medical Center in rural California.
Date: 08/2023
Sponsoring organizations: Brandeis University, HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of the evidence base for emergency department (ED)-based programs to address and treat opioid use disorders (OUD). Describes factors that motivated the development of these programs, how they are structured and financed, and barriers and facilitators to ED-based OUD treatment. Features case studies of five ED-based programs, including Marshall Medical Center in rural California.
Date: 08/2023
Sponsoring organizations: Brandeis University, HHS Office of the Assistant Secretary for Planning and Evaluation
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SAMHSA Strategic Plan 2023-2026
Details the Substance Abuse and Mental Health Services Administration's framework and funding priorities for 2023-2026. Discusses priorities such as strengthening the behavioral health workforce, suicide prevention, and behavioral health integration, among other issues. Highlights behavioral health equity measures that address rural communities.
Date: 08/2023
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Details the Substance Abuse and Mental Health Services Administration's framework and funding priorities for 2023-2026. Discusses priorities such as strengthening the behavioral health workforce, suicide prevention, and behavioral health integration, among other issues. Highlights behavioral health equity measures that address rural communities.
Date: 08/2023
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Use of Medication for Opioid Use Disorder Among Adults With Past-Year Opioid Use Disorder in the US, 2021
Evaluated 47,291 adults using the 2021 National Survey on Drug Use and Health to determine whether rates of medication for opioid use disorder (MOUD) use changed following implementation of COVID-19 pandemic policies intended to increase availability. Discusses sex, age, race and ethnicity, telehealth, and metro versus nonmetro residence.
Author(s): Christopher M. Jones, Beth Han, Grant T. Baldwin, Emily B. Einstein, Wilson M. Compton
Citation: JAMA Network Open, 6(8)
Date: 08/2023
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Evaluated 47,291 adults using the 2021 National Survey on Drug Use and Health to determine whether rates of medication for opioid use disorder (MOUD) use changed following implementation of COVID-19 pandemic policies intended to increase availability. Discusses sex, age, race and ethnicity, telehealth, and metro versus nonmetro residence.
Author(s): Christopher M. Jones, Beth Han, Grant T. Baldwin, Emily B. Einstein, Wilson M. Compton
Citation: JAMA Network Open, 6(8)
Date: 08/2023
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Dual Barriers: Examining Digital Access and Travel Burdens to Hospital Maternity Care Access in the United States, 2020
Analyzes the relationship between drive time to hospital maternity units and access to digital/telehealth care in mitigating travel burden. Utilizes 2020 American Hospital Association Annual Survey data with information broken down by rural versus urban location, race/ethnicity, socioeconomic status, and broadband and digital device access.
Author(s): Peiyin Hung, Marion Granger, Nansi Boghossian, et al.
Citation: The Milbank Quarterly, 101(4), 1327-1347
Date: 08/2023
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Analyzes the relationship between drive time to hospital maternity units and access to digital/telehealth care in mitigating travel burden. Utilizes 2020 American Hospital Association Annual Survey data with information broken down by rural versus urban location, race/ethnicity, socioeconomic status, and broadband and digital device access.
Author(s): Peiyin Hung, Marion Granger, Nansi Boghossian, et al.
Citation: The Milbank Quarterly, 101(4), 1327-1347
Date: 08/2023
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RPHWTN Grantees Help Rural Healthcare Facilities Keep Local Talent
Highlights the Federal Office of Rural Health Policy's Rural Public Health Workforce Training Network and its focus on expanding workforce capacity in rural and tribal areas. Features a career ladder program in Missouri, a respiratory therapy training program in Texas, and a health IT training program in Virginia.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 08/2023
Sponsoring organization: Rural Health Information Hub
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Highlights the Federal Office of Rural Health Policy's Rural Public Health Workforce Training Network and its focus on expanding workforce capacity in rural and tribal areas. Features a career ladder program in Missouri, a respiratory therapy training program in Texas, and a health IT training program in Virginia.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 08/2023
Sponsoring organization: Rural Health Information Hub
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