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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Leveraging Connected Care Strategies to Expand Rural Access to Healthcare
Recorded video that features a conversation focused on connected healthcare, healthcare access, and the digital divide in rural areas. Discusses the future of virtual care to improve access for rural communities and strategies to alleviate barriers to connected healthcare.
Author(s): Jared Antczak
Date: 10/2023
Sponsoring organization: Xtelligent Healthcare Media
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Use of Prenatal Telehealth in the First Year of the COVID-19 Pandemic
Examines the use of telehealth for prenatal appointments during the first year of the COVID-19 pandemic. Utilizes Pregnancy Risk Assessment Monitoring System (PRAMS) data to analyze 12,073 respondents who gave birth between June and December 2020, with data broken down according to insurance type, race/ethnicity, marital status, age, health conditions, and rurality.
Author(s): Rebecca A. Gourevitch, Amylee Anyoha, Mir M. Ali, Priscilla Novak
Citation: JAMA Network Open, 6(10)
Date: 10/2023
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Native Hawaiian Health Care Systems Program: Services, Funding, and Oversight
Provides an overview of the Native Hawaiian Health Care Systems Program, which is administered by the Health Resources and Services Administration (HRSA) and aims to improve access to services for Native Hawaiians living in Hawaii. Describes the provision of culturally sensitive services, the size and other characteristics of the programs, how Native Hawaiian Health Care Systems Program funds are awarded, and how HRSA oversees the program. Includes a snapshot of each of the five Native Hawaiian Health Care Systems.
Additional links: Full Report
Date: 10/2023
Sponsoring organization: Government Accountability Office
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Rural Health Policy for the Next Decade: Changes are Upon Us
Presentation slides that discuss the future of rural health policy, with a focus on the comprehensive community wealth approach, healthcare modalities and sites of care, and healthcare payment models, including Medicare Advantage.
Author(s): Keith J. Mueller
Date: 10/2023
Sponsoring organizations: Iowa College of Public Health, Rural Policy Research Institute
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Telehealth and the Future of Health Care Access in California
Fact sheet offering an overview of telehealth use in California in 2022. Discusses patterns of use by insurance status, age, income, race and ethnicity, language, and geography including rurality.
Additional links: Infographic
Author(s): Sean Tan
Date: 10/2023
Sponsoring organization: UCLA Center for Health Policy Research
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Recovering from a Cybersecurity Attack and Protecting the Future in Small, Rural Health Organizations
Discusses the impact cyber-attacks can have on rural healthcare facilities. Features two Critical Access Hospital leaders describing attacks at their organizations. Shares insights from an information technology compliance expert, including actions organizations can take to protect themselves.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 10/2023
Sponsoring organization: Rural Health Information Hub
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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: 10/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Changes in Healthcare Utilization Among Medicare Beneficiaries With Diabetes 2 Years Into the COVID-19 Pandemic
Examines changes in healthcare service use by people with diabetes over the course of the COVID-19 pandemic, utilizing 2018-2021 Medicare fee-for-service (FFS) beneficiary data. Includes rural versus urban comparisons of month-by-month and year-by-year changes in usage of telehealth and inpatient services.
Author(s): Xilin Zhou, Linda J. Andes, Deborah B. Rolka, Giuseppina Imperatore
Citation: AJPM Focus, 2(3), 100117
Date: 09/2023
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Sociodemographic Inequities in Telemedicine Use Among US Patients Initiating Treatment in Community Cancer Centers During the Ongoing COVID-19 Pandemic, 2020-2022
Evaluates demographic factors associated with use of telehealth within 90 days after starting cancer treatment during the COVID-19 pandemic, utilizing March 2020-March 2023 data of 36,993 cancer patients. Includes data on telehealth inequities by race and ethnicity, insurance, socioeconomic status, rurality, and more.
Author(s): Jenny S. Guadamuz, Xiaoliang Wang, Trevor J. Royce, Gregory S. Calip
Citation: JCO Oncology Practice, 19(12), 1206-1214
Date: 09/2023
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Telehealth Use and Access to Neurology Outpatient Clinical Services for Children: An Observational Cohort Study
Analyzes pediatric neurology appointment completion, cancellation, and no-show rates among telehealth users and telehealth non-users at a tertiary care children's hospital in North Carolina. Compares appointment outcomes before and during the first year of the COVID-19 pandemic, including rural versus urban demographic and outcome data.
Author(s): Savithri Nageswaran, Annette Grefe, Shyh-Huei Chen, Eric Kirkendall, Edward H. Ip
Citation: North Carolina Medical Journal, 85(1)
Date: 09/2023
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