Rural Health
Resources by Topic: Service delivery models
Telemedicine Access and Utilization among Adult Medicaid Beneficiaries with Behavioral and Musculoskeletal Health Conditions
Examines access to care and telemedicine use by adult Medicaid beneficiaries with behavioral health and musculoskeletal conditions in North Carolina based on state Medicaid claims data from March 2019 to March 2021. Covers changes in rates of telemedicine use before and during the COVID-19 pandemic, and offers rural and urban data on telemedicine use in addition to other characteristics in the appendix tables.
Date: 01/2022
Sponsoring organization: Margolis Center for Health Policy
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Examines access to care and telemedicine use by adult Medicaid beneficiaries with behavioral health and musculoskeletal conditions in North Carolina based on state Medicaid claims data from March 2019 to March 2021. Covers changes in rates of telemedicine use before and during the COVID-19 pandemic, and offers rural and urban data on telemedicine use in addition to other characteristics in the appendix tables.
Date: 01/2022
Sponsoring organization: Margolis Center for Health Policy
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Telemedicine Access and Utilization among Pediatric Medicaid Beneficiaries with Behavioral Health and Musculoskeletal Conditions
Data brief examining access to care and telemedicine use by pediatric Medicaid beneficiaries with behavioral health and musculoskeletal conditions in North Carolina based on state Medicaid claims data from March 2019-March 2021. Covers changes in rates of telemedicine use before and during the COVID-19 pandemic, and offers rural and urban data on telemedicine use in the appendix tables.
Date: 01/2022
Sponsoring organization: Margolis Center for Health Policy
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Data brief examining access to care and telemedicine use by pediatric Medicaid beneficiaries with behavioral health and musculoskeletal conditions in North Carolina based on state Medicaid claims data from March 2019-March 2021. Covers changes in rates of telemedicine use before and during the COVID-19 pandemic, and offers rural and urban data on telemedicine use in the appendix tables.
Date: 01/2022
Sponsoring organization: Margolis Center for Health Policy
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Prenatal Telemedicine During COVID-19: Patterns of Use and Barriers to Access
Study examining patient experiences with prenatal telemedicine based on a survey of 164 pregnant patients at a rural New England medical center. Covers barriers to accessing care, internet access, remote surveillance tools, and engagement with providers.
Author(s): Allie Morgan, Daisy Goodman, Julia Vinagolu-Baur, Ilana Cass
Citation: JAMIA Open, 5(1)
Date: 01/2022
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Study examining patient experiences with prenatal telemedicine based on a survey of 164 pregnant patients at a rural New England medical center. Covers barriers to accessing care, internet access, remote surveillance tools, and engagement with providers.
Author(s): Allie Morgan, Daisy Goodman, Julia Vinagolu-Baur, Ilana Cass
Citation: JAMIA Open, 5(1)
Date: 01/2022
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Use of a Research as Intervention Approach to Explore Telebehavioral Health Services During the COVID-19 Pandemic in Southeastern Idaho
Study examining telebehavioral health provision in southeastern Idaho, covering COVID-19 and the expansion of telebehavioral health in the region. Discusses provider experiences based on interviews and reflective activities involving 7 primary care and behavioral health providers.
Author(s): Diana C. Schow, Ann Thomson, Wilson T. Trusty, Laurel Buchi-Fotre
Citation: Journal of Primary Care and Community Health, 13
Date: 01/2022
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Study examining telebehavioral health provision in southeastern Idaho, covering COVID-19 and the expansion of telebehavioral health in the region. Discusses provider experiences based on interviews and reflective activities involving 7 primary care and behavioral health providers.
Author(s): Diana C. Schow, Ann Thomson, Wilson T. Trusty, Laurel Buchi-Fotre
Citation: Journal of Primary Care and Community Health, 13
Date: 01/2022
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The Effectiveness of Policies to Improve Primary Care Access for Underserved Populations: An Assessment of the Literature
Review of research literature to assess whether policy initiatives targeting primary care access for rural and underserved populations has been effective in reducing healthcare disparities. Initiatives considered include availability, accessibility, accommodation, affordability, and acceptability.
Additional links: Fact Sheet: Alleviating Structural Barriers to Obtaining Primary Care Services, Fact Sheet: Bringing Outpatient Clinics into Communities, Fact Sheet: Ensuring Comfort and Communication in the Delivery of Primary Care Services, Fact Sheet: Increasing the Availability of Primary Care Clinicians, Fact Sheet: Removing Financial Barriers to Primary Care
Author(s): Maanasa Kona, Megan Houston, Nia Gooding
Date: 01/2022
Sponsoring organization: Milbank Memorial Fund
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Review of research literature to assess whether policy initiatives targeting primary care access for rural and underserved populations has been effective in reducing healthcare disparities. Initiatives considered include availability, accessibility, accommodation, affordability, and acceptability.
Additional links: Fact Sheet: Alleviating Structural Barriers to Obtaining Primary Care Services, Fact Sheet: Bringing Outpatient Clinics into Communities, Fact Sheet: Ensuring Comfort and Communication in the Delivery of Primary Care Services, Fact Sheet: Increasing the Availability of Primary Care Clinicians, Fact Sheet: Removing Financial Barriers to Primary Care
Author(s): Maanasa Kona, Megan Houston, Nia Gooding
Date: 01/2022
Sponsoring organization: Milbank Memorial Fund
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Integrating SUD and OB/GYN Care: Policy Challenges and Opportunities Final Report
Describes opportunities to integrate obstetrics and gynecology (OB/GYN) and substance use disorder (SUD) care to address treatment opportunities and reduce the impacts of SUD on mothers, children, and healthcare spending. Provides a review of literature on the effectiveness of integrated OB/GYN and SUD models, a scan of integrated models. Summarizes selected findings from subject matter experts on incentives for integrated OB/GYN and SUD models, as well as state and federal policy options to encourage the expansion of integrated OB/GYN and SUD care. Includes rural references throughout.
Author(s): Julie Seibert, Erin Dobbins, Elysha Theis, et al.
Date: 01/2022
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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Describes opportunities to integrate obstetrics and gynecology (OB/GYN) and substance use disorder (SUD) care to address treatment opportunities and reduce the impacts of SUD on mothers, children, and healthcare spending. Provides a review of literature on the effectiveness of integrated OB/GYN and SUD models, a scan of integrated models. Summarizes selected findings from subject matter experts on incentives for integrated OB/GYN and SUD models, as well as state and federal policy options to encourage the expansion of integrated OB/GYN and SUD care. Includes rural references throughout.
Author(s): Julie Seibert, Erin Dobbins, Elysha Theis, et al.
Date: 01/2022
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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Critical Access Hospital Financial and Operational Best Practices
Webinar recording that discusses rural hospital operations, with a focus on Critical Access Hospitals (CAHs). Covers inpatient services, emergency services, quality improvement, managing revenue cycle, and other financial topics. Transcript is available in the video description.
Date: 01/2022
Sponsoring organizations: Oklahoma Office of Rural Health, Stroudwater Associates
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Webinar recording that discusses rural hospital operations, with a focus on Critical Access Hospitals (CAHs). Covers inpatient services, emergency services, quality improvement, managing revenue cycle, and other financial topics. Transcript is available in the video description.
Date: 01/2022
Sponsoring organizations: Oklahoma Office of Rural Health, Stroudwater Associates
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Access Granted: Rural Broadband Options, Obstacles, and Solutions
Report describing the importance of broadband access for rural education, healthcare, economic development, equality, and climate impact. Discusses connectivity options and barriers to expanding broadband infrastructure, and examines consumer, community, and policy actions to reduce barriers and expand access.
Author(s): Molly Malone
Date: 01/2022
Sponsoring organization: Center for Rural Affairs
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Report describing the importance of broadband access for rural education, healthcare, economic development, equality, and climate impact. Discusses connectivity options and barriers to expanding broadband infrastructure, and examines consumer, community, and policy actions to reduce barriers and expand access.
Author(s): Molly Malone
Date: 01/2022
Sponsoring organization: Center for Rural Affairs
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Sustainment Stories: A Qualitative Analysis of Barriers to Sustainment of the National Rural Transitions of Care Nurse Program
Explores a study evaluating the VA's Transitions Nurse Program (TNP) and its efficacy in rural areas. Details some of the program's early outcomes, barriers, and perceptions.
Author(s): Mary Ava Nunnery, Heather Gilmartin, Michaela McCarthy, et al.
Citation: BMC Health Services Research, 22, 119
Date: 01/2022
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Explores a study evaluating the VA's Transitions Nurse Program (TNP) and its efficacy in rural areas. Details some of the program's early outcomes, barriers, and perceptions.
Author(s): Mary Ava Nunnery, Heather Gilmartin, Michaela McCarthy, et al.
Citation: BMC Health Services Research, 22, 119
Date: 01/2022
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Changes in Access to Medication Treatment during COVID-19 Telehealth Expansion and Disparities in Telehealth Use for Medicare Beneficiaries with Opioid Use Disorder
Discusses policies that allow access to medication for opioid use disorder (MOUD) via telehealth before and during the COVID-19 pandemic. Examines outpatient telehealth use and MOUD treatment among Medicare beneficiaries by dual eligibility status, rurality, and presence of comorbid health conditions between April-December 2020.
Date: 01/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Discusses policies that allow access to medication for opioid use disorder (MOUD) via telehealth before and during the COVID-19 pandemic. Examines outpatient telehealth use and MOUD treatment among Medicare beneficiaries by dual eligibility status, rurality, and presence of comorbid health conditions between April-December 2020.
Date: 01/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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