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Rural Health
Resources by Topic: Service delivery models

Clinician Perceptions of Barriers and Facilitators for Delivering Early Integrated Palliative Care via Telehealth
Presents results from a survey on barriers, facilitators, and benefits of telehealth use for early integrated palliative care (EIPC). Survey participants were 48 clinicians providing palliative care services to patients with advanced lung cancer. Discusses clinician attitudes, logistical and organizational influences, and patient characteristics affecting access. Highlights barriers experienced by elderly, rural, and under-resourced populations.
Author(s): Katrina Grace Sadang, Joely A. Centracchio, Yael Turk, et al.
Citation: Cancers, 15(22), 5340
Date: 11/2023
Type: Document
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Scaling up Overdose Education and Naloxone Distribution in Kentucky: Adoption and Reach Achieved Through a "Hub with Many Spokes" Model
Examines a hub-and-spoke model for overdose education and naloxone distribution (OEND) in Kentucky. Discusses the efficacy of a university-based naloxone dispensing unit and the related adopting organizations to provide technical assistance, education, and no-cost naloxone. Analyzes rural versus urban OEND and the impact of rurality on OEND.
Author(s): Hannah K. Knudsen, Patricia R. Freeman, Douglas R. Oyler, Carrie B. Oser, Sharon L. Walsh
Citation: Addiction Science & Clinical Practice, 18(72)
Date: 11/2023
Type: Document
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Nursing Students Bring Free Care to Rural Virginia with Student-Run Mobile Health Clinic
Features Old Dominion University's mobile health clinic, which provides healthcare services in rural southeastern Virginia while providing clinical opportunities to nursing students.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 11/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Still Searching: Meeting Oral Health Needs in Rural Settings
Report discusses oral health access in rural areas. Compares barriers to care in rural, suburban, and urban communities. Highlights teledentistry use and insurance rates, among other factors.
Author(s): Paige Martin, Morgan Santoro, Lisa J. Heaton, et al.
Date: 11/2023
Type: Document
Sponsoring organization: CareQuest Institute for Oral Health
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Study Protocol: Maintaining Preventive Care During Public Health Emergencies Through Effective Coordination
Presents a qualitative study protocol that examines screening rates at VA medical centers during COVID-19 to determine strategies that provide continued care during public health emergencies. Discusses selection of sites, which will be based on rurality, COVID-19 patient caseload, and performance related to cancer and mental health screenings. Highlights the importance of care coordination teams in regard to specialty care.
Author(s): Sylvia J. Hysong, Traber Davis Giardina, Jennifer Freytag, et al.
Citation: Implementation Science Communications, 4, 150
Date: 11/2023
Type: Document
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Understanding Rural-Urban Differences in Veterans' Internet Access Use, and Patient Preferences for Telemedicine
Report breaks down differences in internet access, use, and opinions about telehealth for rural and urban veterans. Bases findings on interviews with eligible veterans and highlights veterans' experiences with telehealth.
Date: 11/2023
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Community Care Hubs: A Promising Model for Health and Social Care Coordination
Examines the coordination of health and social needs by focusing on the community care hub model. Provides information on the types of organizations functioning as hubs as well as how the hubs operate, serve, and network within their communities. Includes case studies of hubs working within rural and underserved areas.
Author(s): Joshua Breslau, Petra W. Rasmussen, Nabeel Qureshi, Evan D. Peet
Date: 11/2023
Type: Document
Sponsoring organizations: Administration for Community Living, HHS Office of the Assistant Secretary for Planning and Evaluation
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Final Rule for CY 2024 Physician Fee Schedule: Fact Sheet
Fact sheet covering Centers for Medicare & Medicaid Services (CMS) telehealth policy changes for 2024 as outlined in the final calendar year (CY) 2024 Physician Fee Schedule. Covers eligible services that can be delivered by telehealth, remote monitoring services, physician supervision, diabetes self-management training (DSMT), and more.
Date: 11/2023
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Improving Behavioral Health Care in the Military Health System: Challenges, Promising Strategies, and Research Directions
Examines behavioral healthcare access for military service members. Discusses strategies for improving behavioral healthcare in the military health system, such as virtual care and quality control measures, with considerations for underserved populations.
Author(s): Kimberly A. Hepner, Carol P. Roth, Nabeel Qureshi, Jessica L. Sousa
Date: 11/2023
Type: Document
Sponsoring organization: RAND Corporation
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Advancing Health Equity in Rural, Tribal, and Geographically Isolated Communities: FY2023 Year in Review
Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2023 to advance health equity for people living in rural, tribal, and geographically isolated communities. Covers six priority focus areas: applying a community-informed geographic lens; increasing the collection and use of standardized data; strengthening and supporting healthcare professionals; optimizing medical and communication technology; expanding access to comprehensive healthcare coverage, benefits, and services and supports; and driving innovation and value-based care.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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