Rural Health
Resources by Topic: Service delivery models
Caregiver Recruitment Strategies for Interventions Designed to Optimize Transitions from Hospital to Home: Lessons from a Randomized Trial
Compares in-person and virtual recruitment strategies for a video-based intervention for family caregivers (FCGs) to improve transitional palliative care for critically ill patients in rural Minnesota, Wisconsin, and Iowa. Includes data on effectiveness of each strategy and diversity of recruited FCGs.
Author(s): Allison M. Gustavson, Molly J. Horstman, et al.
Citation: Trials, 25, 454
Date: 07/2024
Type: Document
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Compares in-person and virtual recruitment strategies for a video-based intervention for family caregivers (FCGs) to improve transitional palliative care for critically ill patients in rural Minnesota, Wisconsin, and Iowa. Includes data on effectiveness of each strategy and diversity of recruited FCGs.
Author(s): Allison M. Gustavson, Molly J. Horstman, et al.
Citation: Trials, 25, 454
Date: 07/2024
Type: Document
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Disruptors, Essential Services, and Reflections on a Career in Rural Health, with John Supplitt
An episode of the Exploring Rural Health podcast featuring John Supplitt, Senior Director of Rural Health Services for the American Hospital Association. Focuses on the importance of maintaining rural essential services, along with insights from Supplitt's long career in rural health.
Date: 07/2024
Type: Audio
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring John Supplitt, Senior Director of Rural Health Services for the American Hospital Association. Focuses on the importance of maintaining rural essential services, along with insights from Supplitt's long career in rural health.
Date: 07/2024
Type: Audio
Sponsoring organization: Rural Health Information Hub
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Stroke Prevention and Management in Rural Georgia: Evaluating the Effectiveness of a Community Paramedicine Program
Evaluates the effectiveness of a community paramedicine service delivery model for improving stroke outcomes for high risk residents of 2 rural Georgia counties. Assesses hospital readmissions and mortality for 22 study participants compared to 621 nonparticipants. Discusses risk factors, telehealth, and pandemic related challenges.
Author(s): Brandon Calvert, Rana Bayakly, Teri Newsome
Citation: Journal of Public Health Management and Practice, 30, S32-S38
Date: 07/2024
Type: Document
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Evaluates the effectiveness of a community paramedicine service delivery model for improving stroke outcomes for high risk residents of 2 rural Georgia counties. Assesses hospital readmissions and mortality for 22 study participants compared to 621 nonparticipants. Discusses risk factors, telehealth, and pandemic related challenges.
Author(s): Brandon Calvert, Rana Bayakly, Teri Newsome
Citation: Journal of Public Health Management and Practice, 30, S32-S38
Date: 07/2024
Type: Document
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Can ERAS Help Reduce Health Disparities and Overcome Barriers to Equitable Surgical Care in Marginalized Communities?
Discusses the value of Enhanced Recovery after Surgery (ERAS) protocols in rural and marginalized communities. Identifies barriers to access and proposes strategies to increase equity. Highlights aspects of ERAS implementation including pediatrics, health literacy, communication with patients and among providers, telehealth, and more.
Author(s): Chirag Ram, Ruoying Li, Andrew D. Franklin, et al.
Citation: Journal of Pediatric Surgery Open, 7, 100141
Date: 07/2024
Type: Document
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Discusses the value of Enhanced Recovery after Surgery (ERAS) protocols in rural and marginalized communities. Identifies barriers to access and proposes strategies to increase equity. Highlights aspects of ERAS implementation including pediatrics, health literacy, communication with patients and among providers, telehealth, and more.
Author(s): Chirag Ram, Ruoying Li, Andrew D. Franklin, et al.
Citation: Journal of Pediatric Surgery Open, 7, 100141
Date: 07/2024
Type: Document
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Digital Navigation Toolkit
Provides links to resources to support digital health navigators, individuals who aid community members with connectivity, devices, and digital skills and facilitate access to healthcare.
Date: 07/2024
Type: Document
Sponsoring organization: National Consortium of Telehealth Resource Centers
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Provides links to resources to support digital health navigators, individuals who aid community members with connectivity, devices, and digital skills and facilitate access to healthcare.
Date: 07/2024
Type: Document
Sponsoring organization: National Consortium of Telehealth Resource Centers
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Tele-Mental Health Service: Unveiling the Disparity and Impact on Healthcare Access and Expenditures during the COVID-19 Pandemic in Mississippi
Results of a study evaluating use of tele-mental health (TMH) services among rural Mississippi patients, as well as the impact of TMH on all-cause and behavioral health-related healthcare resource utilization and medical expenditures between January 2020 and June 2023. Features statistics including demographics with breakdowns by rural and urban residence.
Author(s): Yunxi Zhang, Lincy S. Lal, Yueh-Yun Lin, et al.
Citation: International Journal of Environmental Research and Public Health, 21(7), 819
Date: 06/2024
Type: Document
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Results of a study evaluating use of tele-mental health (TMH) services among rural Mississippi patients, as well as the impact of TMH on all-cause and behavioral health-related healthcare resource utilization and medical expenditures between January 2020 and June 2023. Features statistics including demographics with breakdowns by rural and urban residence.
Author(s): Yunxi Zhang, Lincy S. Lal, Yueh-Yun Lin, et al.
Citation: International Journal of Environmental Research and Public Health, 21(7), 819
Date: 06/2024
Type: Document
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Telehealth Trends and Hypertension Management Among Rural and Medicaid Patients After COVID-19
This study examines trends in primary care utilization and hypertension management among adults who visited Dartmouth Health System in 2017-2018 and 2022. Compares changes in synchronous and asynchronous primary care utilization and effective control of elevated blood pressure by rurality and Medicaid enrollment before and during the COVID-19 pandemic through 2022.
Author(s): Matthew Mackwood, Oleksandra Pashchenko, Christopher Leggett, et al.
Citation: Telemedicine and e-Health, 30(6), e1677-e1688
Date: 06/2024
Type: Document
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This study examines trends in primary care utilization and hypertension management among adults who visited Dartmouth Health System in 2017-2018 and 2022. Compares changes in synchronous and asynchronous primary care utilization and effective control of elevated blood pressure by rurality and Medicaid enrollment before and during the COVID-19 pandemic through 2022.
Author(s): Matthew Mackwood, Oleksandra Pashchenko, Christopher Leggett, et al.
Citation: Telemedicine and e-Health, 30(6), e1677-e1688
Date: 06/2024
Type: Document
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Engagement Among Diverse Patient Backgrounds in a Remote Symptom Monitoring Program
Analyzes factors affecting engagement in a remote symptom monitoring (RSM) program among 1,998 patients who received treatment at Alabama cancer centers between May 2021 and May 2023. Includes data on likelihood of being approached for involvement in RSM and rates of program enrollment, adherence, and withdrawal. Factors considered include race (Black, White, or other), rural versus urban residence, and neighborhood disadvantage.
Author(s): Gabrielle B. Rocque, Nicole E. Caston, Keyonsis Hildreth, et al.
Citation: JCO Oncology Practice
Date: 06/2024
Type: Document
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Analyzes factors affecting engagement in a remote symptom monitoring (RSM) program among 1,998 patients who received treatment at Alabama cancer centers between May 2021 and May 2023. Includes data on likelihood of being approached for involvement in RSM and rates of program enrollment, adherence, and withdrawal. Factors considered include race (Black, White, or other), rural versus urban residence, and neighborhood disadvantage.
Author(s): Gabrielle B. Rocque, Nicole E. Caston, Keyonsis Hildreth, et al.
Citation: JCO Oncology Practice
Date: 06/2024
Type: Document
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Evaluation of the Vermont All-Payer Accountable Care Organization Model: 2018-2022 - Fourth Evaluation Report
Evaluates the first five performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes analyses of Medicare ACO subgroups and Medicaid spending, utilization, and quality of care trends. Outlines challenges and lessons learned.
Additional links: Findings at a Glance, Technical Appendices
Date: 06/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the first five performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes analyses of Medicare ACO subgroups and Medicaid spending, utilization, and quality of care trends. Outlines challenges and lessons learned.
Additional links: Findings at a Glance, Technical Appendices
Date: 06/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Health Subcommittee Hearing on Improving Value-Based Care for Patients and Providers
Recording of a June 26, 2024, House Committee on Ways and Means Subcommittee on Health hearing on the challenges and opportunities associated with delivering better health outcomes and Medicare savings through value-based care. Features testimony from Sarah Chouinard, Chief Medical Officer of Main Street Health, regarding value-based care delivery in rural areas.
Additional links: Sarah Chouinard, Main Street Health - Testimony
Date: 06/2024
Type: Video/Multimedia
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
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Recording of a June 26, 2024, House Committee on Ways and Means Subcommittee on Health hearing on the challenges and opportunities associated with delivering better health outcomes and Medicare savings through value-based care. Features testimony from Sarah Chouinard, Chief Medical Officer of Main Street Health, regarding value-based care delivery in rural areas.
Additional links: Sarah Chouinard, Main Street Health - Testimony
Date: 06/2024
Type: Video/Multimedia
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
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