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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Aging on the Farm: Emerging Issues 2020-2021 Evaluation Report
Highlights 4 projects related to aging on the farm. Includes project descriptions, results, and future plans. Project topics include telehealth occupational therapy, data gathering on farmer needs in order to safely age in place, dementia awareness and healthcare quality, and exercise promotion for farmers with Parkinson's disease.
Author(s): Erica Shuck, Devon Charlier
Date: 01/2023
Sponsoring organization: Upper Midwest Agricultural Safety and Health Center
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Farmworker Outreach Promising Practices: Lessons from the Field
Highlights ten different promising practices in farmworker outreach and discusses some of the lessons learned from each. Evaluates the ability of outreach programs to address the healthcare needs of the farmworkers served.
Date: 01/2023
Sponsoring organizations: Health Outreach Partners, National Center for Farmworker Health
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Pre-Pandemic Geographic Access to Hospital-Based Telehealth for Cancer Care in the United States
Explores the availability of telehealth and oncology services across geographic and sociodemographic domains before the start of the COVID-19 pandemic. Utilizes 2019 and 2020 data sources to examine hospital characteristics by telehealth and oncology services, with information on hospital ownership, number of hospital beds, Health Professional Shortage Area (HPSA) status, presence of Rural Health Clinic (RHC) co-located at hospital, and more. Includes availability of telehealth, oncology, and hospital services broken down by county; HPSA status; income, average age, and race/ethnicity of residents; ratio of population to primary care physicians; rural noncore, rural micropolitan, or urban status; and more.
Author(s): David I. Shalowitz, Peiyin Hung, Whitney E. Zahnd, Jan Eberth
Citation: PLoS One, 18(1)
Date: 01/2023
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COVID-19 Impacts on Primary Care Clinic Care Management Processes
Examines the relationship between COVID-19 primary care disruptions and worsened health outcomes for patients with chronic diseases. Analyzes 269 primary care clinics in Minnesota in 2017, 2019, and 2021 to observe changes in care management processes (CMPs). Presents rural versus urban clinic data related to CMPs reported on the Physician Practice Connections Readiness Survey (PPC-RS).
Author(s): Leif I. Solberg, Caroline S. Carlin, Kevin A. Peterson
Citation: The Annals of Family Medicine, 21(1), 40-45
Date: 01/2023
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Mobile Health and Wellness Project: A Binational Collaboration of Frontline Health Services to the Latino Population in the United States in Times of COVID-19
Highlights the activities and initial outcomes of the education and vaccination efforts provided by the Mobile Health and Wellness project focused on Latino, immigrant, and rural communities in the U.S. to prevent the spread of COVID-19. Preventive health services were offered to Latinx populations in areas with limited access to health services, and provided via mobile health vehicles operated by the US-Mexico Border Health Commission (Mexico Section) along with Alianza Americas, Latino Commission on AIDS, and the Centers for Disease Control and Prevention (CDC).
Author(s): Cecilia B. Rosales, Hilda Dávila Chávez, Michael A. Flynn, et al.
Citation: Frontiers in Public Health, 10
Date: 01/2023
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Care Coordination and Community Partnerships for Cancer Care in Critical Access Hospitals
Presents findings from a survey of 135 Critical Access Hospitals (CAHs) regarding care coordination practices for patients with cancer. Describes the types of care coordination services provided by CAHs and the staff that provide these services. Discusses partnerships between CAHs and community organizations regarding cancer initiatives.
Author(s): Megan Lahr, Xiomara Santana, Nathan Bean, Helen Parsons, Ira Moscovice
Date: 01/2023
Sponsoring organization: Flex Monitoring Team
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Strengthening Mental Health Care in Southwest Virginia
Policy brief exploring mental health access in Southwest Virginia and the benefits of integrated primary care. Includes a section on rural care accessibility and provides insights on how to strengthen the mental health care system.
Author(s): Sety Abooali
Date: 01/2023
Sponsoring organization: Virginia State Office of Rural Health
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Telemedicine Use and Quality of Opioid Use Disorder Treatment in the US During the COVID-19 Pandemic
Results of a study of 1,768 clinicians treating 11,801 patients with opioid use disorder (OUD), to examine the association between telemedicine adoption during the COVID-19 pandemic and indicators of OUD treatment quality. Explores medications for OUD (MOUD) prescribing and OUD-related clinical events, including drug overdose, inpatient detoxification, and rehabilitation center stay. Features statistics including patient and clinician characteristics, with breakdowns by metropolitan, micropolitan, small town, and rural location.
Author(s): Ruth Hailu, Ateev Mehrotra, Haiden A. Huskamp, Alisa B. Busch, Michael L. Barnett
Citation: JAMA Network Open, 6(1)
Date: 01/2023
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Telehealth and Licensure Policies Improving Healthcare Access for Rural Communities
Discusses expanding licensure across state lines so providers can provide telehealth services to a wider service area. Includes information on Medicaid and Medicare telehealth policies as well as state-level legislation focused on cross-state licensing.
Author(s): Ashley Cram
Date: 01/2023
Sponsoring organization: Association of State and Territorial Health Officials
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State Policies for Expanding Medicaid Coverage of Community Health Worker (CHW) Services
Discusses state Medicaid coverage policies regarding Community Health Workers (CHWs) in place as of July 1, 2022, and planned for fiscal year 2023. Covers CHW coverage initiatives implemented or planned through Medicaid state plan amendments, Section 1115 demonstration authority, and as part of a Center for Medicare and Medicaid Innovation (CMMI) model.
Date: 01/2023
Sponsoring organization: KFF
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