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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Health Care's Role in Rural Economic Development: How Broadband Can Improve Health Outcomes
Policy brief exploring how lack of broadband infrastructure and adaptation in rural areas limits access to healthcare. Includes recommendations for policies and actions to improve the rural broadband infrastructure and promote telehealth.
Author(s): Jeremy Cannon
Date: 04/2023
Sponsoring organization: National Rural Health Association
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Better Together: Rural Hospital High-Value Networks
Examines how rural hospital high-value networks can create economies of scale and value-based care capacity in order to enter into value-based payment contracts.
Author(s): Clint MacKinney, Nate White, Brett Norell
Citation: Rural Monitor
Date: 04/2023
Sponsoring organization: Rural Health Information Hub
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Association Between Broadband Capacity and Telehealth Utilization Among Medicare Fee-for-Service Beneficiaries During the COVID-19 Pandemic
Evaluates the relationship between broadband access and telehealth utilization throughout the U.S. during the COVID-19 pandemic, from January through September 2020, by merging county-level data from 3,107 counties focused on broadband capacity, telehealth utilization by Medicare Fee-for-Service beneficiaries, rural-urban residence, and demographic characteristics.
Author(s): Ambrish A Pandit, Ruchira V Mahashabde, Clare C Brown, et al.
Citation: Journal of Telemedicine and Telecare, 2023
Date: 04/2023
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The Rural Behavioral Health Crisis Continuum: Considerations and Emerging State Strategies
Presents examples of state strategies for bolstering the rural behavioral health crisis care continuum at each level of care.
Author(s): Miriam Pearsall, Sandra Wilkniss
Date: 04/2023
Sponsoring organization: National Academy for State Health Policy
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Descriptive Study: The Novel "Full Spectrum People-With-Opioid-Use-Disorder Care Model"
Examines the implementation of a comprehensive care delivery model that provides access to harm reduction services for people with opioid use disorder (PWOUD). Analyzes 565 encounters with people utilizing medical and/or behavioral healthcare services in a rural New Mexico county. Provides demographic breakdown of encounters and data on the counties with highest overdose rates, along with discussion on how to provide harm reduction services to hard-to-reach populations.
Author(s): Richard Gadomski, Snehal Bhatt, Jessica Gross, et al.
Citation: Harm Reduction Journal, 20, 47
Date: 04/2023
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The End of the COVID-19 Public Health Emergency - Impact for RHCs
Recording of an April 5, 2023, webinar regarding how the end of the COVID-19 public health emergency (PHE) impacts regulatory waivers and flexibilities related to Rural Health Clinics (RHCs). Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Q&A Follow-Up, Transcript
Date: 04/2023
Sponsoring organization: National Association of Rural Health Clinics
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Telehealth and the Expiration of the COVID-19 Public Health Emergency, with Kathy Wibberly
An episode of the Exploring Rural Health podcast featuring Kathy Wibberly, Director of the Mid-Atlantic Telehealth Resource Center. Discusses the impact of the COVID-19 Public Health Emergency (PHE) on rural access to telehealth services and adjustments patients and providers can anticipate as the PHE comes to an end May 11, 2023.
Date: 04/2023
Sponsoring organization: Rural Health Information Hub
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The State Perspective on Rural Behavioral Health Crisis Services
Provides an overview of a 12-month State Policy Academy on Rural Mental Health Crisis Services to help five states - Montana, South Carolina, South Dakota, Texas, and Wisconsin - work to improve rural behavioral health crisis services. Summarizes lessons learned, successes, and next steps. Covers data-informed strategies, cross-state and stakeholder partnerships, financing and funding approaches, the behavioral health workforce, and telehealth.
Author(s): Miriam Pearsall, Sandra Wilkniss
Date: 04/2023
Sponsoring organization: National Academy for State Health Policy
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Inequitable Access to General and Behavioral Healthcare in the US During the COVID-19 Pandemic: A Role for Telehealth?
Examines general and behavioral healthcare access and disparities during the first year of the pandemic, using data from the 2019–2020 U.S. National Alcohol Survey and its COVID follow-up survey conducted January 30 to March 28, 2021. Explores the role of telehealth in providing an important bridge to healthcare for certain medically underserved groups during the pandemic. Features statistics with breakdowns by urban and rural location.
Author(s): Nina Mulia, Yu Ye, Thomas K. Greenfield, et al.
Citation: Preventive Medicine, 169
Date: 04/2023
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Barriers and Facilitators to HIV Care Engagement: Recommendations from People with HIV in Rural Arkansas
Interviewed 11 people with HIV in rural Arkansas to identify barriers and facilitators for HIV care. Discusses distance to care, transportation, stigma, telehealth, resilience, support networks, and more.
Author(s): Sara Alexandra Marshall, Jun Tao, Heather K. Horton, et al.
Citation: Journal of Rural Health, 39(2), 459-468
Date: 03/2023
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