Rural Health
Resources by Topic: Service delivery models
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 ELEVATE Maternal Health Center of Excellence: A Program to Reduce Maternal Morbidity From Substance Use Disorder in Utah
Presents a study detailing the efforts of the ELEVATE Maternal Health Center of Excellence to address mental health and substance use disorders (SUD) among pregnant and postpartum women in rural and American Indian and Alaska Native communities in Utah. Discusses the role mental health disorders and SUD play in contributing to maternal deaths and highlights the way ELEVATE interventions aim to improve care and reduce maternal mortality.
Author(s): Erin P. Johnson, Marcela C. Smid, Susanna R. Cohen, et al.
Citation: Substance Use & Addiction Journal, 47(1), 216-223
Date: 09/2025
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Presents a study detailing the efforts of the ELEVATE Maternal Health Center of Excellence to address mental health and substance use disorders (SUD) among pregnant and postpartum women in rural and American Indian and Alaska Native communities in Utah. Discusses the role mental health disorders and SUD play in contributing to maternal deaths and highlights the way ELEVATE interventions aim to improve care and reduce maternal mortality.
Author(s): Erin P. Johnson, Marcela C. Smid, Susanna R. Cohen, et al.
Citation: Substance Use & Addiction Journal, 47(1), 216-223
Date: 09/2025
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Transforming Care: The Impact of COVID-19 on Telehealth Adoption in U.S. Home Health Care Agencies
Surveys 474 home health agencies between November 2022 and March 2024 to identify telehealth use and the perceived impact of COVID-19 policies on telehealth adoption. Includes rural and urban comparisons of telehealth modalities utilized to discuss targeted policies to support rural adoption.
Author(s): U. Gayani E. Perera, Ashley M. Chastain, Andrew W. Dick, et al.
Citation: Telemedicine and e-Health, 31(12), 1503-1507
Date: 09/2025
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Surveys 474 home health agencies between November 2022 and March 2024 to identify telehealth use and the perceived impact of COVID-19 policies on telehealth adoption. Includes rural and urban comparisons of telehealth modalities utilized to discuss targeted policies to support rural adoption.
Author(s): U. Gayani E. Perera, Ashley M. Chastain, Andrew W. Dick, et al.
Citation: Telemedicine and e-Health, 31(12), 1503-1507
Date: 09/2025
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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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State Strategies for Strengthening Rural Health: Insights from NASHP's 2025 Annual Conference
Summarizes a session from the National Academy for State Health Policy (NASHP) 2025 Annual Conference regarding state strategies to improve access to care in rural communities. Highlights policies from North Dakota, Washington, and West Virginia related to workforce and capacity challenges, broadband and telehealth, behavioral health access points, and linking health and social care.
Date: 09/2025
Sponsoring organization: National Academy for State Health Policy
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Summarizes a session from the National Academy for State Health Policy (NASHP) 2025 Annual Conference regarding state strategies to improve access to care in rural communities. Highlights policies from North Dakota, Washington, and West Virginia related to workforce and capacity challenges, broadband and telehealth, behavioral health access points, and linking health and social care.
Date: 09/2025
Sponsoring organization: National Academy for State Health Policy
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