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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Disparities in the Use of In-Person and Telehealth Primary Care Among High- and Low-Risk Medicare Beneficiaries During COVID-19
Study examining telehealth and in-person primary care for low-risk and high-risk Medicare beneficiaries, assessing telehealth's ability to compensate for fewer in-person clinical visits due to the COVID-19 pandemic. Describes rural and urban differences in health risk and telehealth utilization. Analyzes data from Medicare beneficiaries from an Accountable Care Organization (ACO) in Wisconsin.
Author(s): Ying Jessica Cao, Dandi Chen, Yao Liu, Maureen Smith
Citation: Journal of Patient Experience, 8, 1-10
Date: 12/2021
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Evidence Map: Implementation Factors Influencing the Transition from Emergency to Outpatient Care Settings
Summarizes available research on interventions to improve transitions from emergency department to outpatient care settings across health systems and identifies key findings. Discusses common intervention barriers, including rural residence and transportation, and facilitators.
Additional links: Supplemental Materials
Author(s): Karli Kondo, Johanna Anderson, Sarah Young, Rachel Ward
Date: 12/2021
Sponsoring organization: VA Health Systems Research, Office of Research & Development
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COVID-19: Selected States Modified Meal Provision and Other Older Americans Act Services to Prioritize Safety
Examines how four states utilized COVID-19 funding and regulatory flexibilities to address challenges to serving older adults during the COVID-19 pandemic. Identifies strategies states and localities used to meet nutrition and other needs of older adults. Includes perspectives from rural localities and service providers.
Additional links: Full Report
Date: 12/2021
Sponsoring organization: Government Accountability Office
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Reaching People with HIV (PWH) in Rural United States
Infographic describing challenges related to HIV screening and care in rural areas. Highlights strategies to address barriers to care, including telehealth HIV care delivery, investing in transportation initiatives, and minimizing stigma and denial.
Date: 12/2021
Sponsoring organization: AIDS Education and Training Centers National Coordinating Resource Center
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Understanding the "Tool-ish-ness" of Telehealth: Q&A with Dr. Jonathan Neufeld
An interview with clinical psychologist and program director for the Great Plains Telehealth Resource & Assistance Center, Dr. Jonathan Neufeld. Discusses the role of telehealth in healthcare delivery. Describes how telecommunications tools can be used by providers to bring quality care to rural areas.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 12/2021
Sponsoring organization: Rural Health Information Hub
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Medicare Telemedicine Snapshot
Presents data on telemedicine utilization by Medicare beneficiaries from March 1, 2020 to February 28, 2021, including pre- and post-pandemic rates of accessing telehealth services, trends in e-visits and virtual check-ins, geographic breakdowns including rural and urban residence, and beneficiary characteristics. Uses data from Medicare Fee-for-Service (FFS) claims, Medicare Advantage (MA) encounters, and Medicare enrollment.
Date: 12/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Assessment of Patient Preferences for Telehealth in Post-COVID-19 Pandemic Health Care
Results of a study to ascertain patient preferences for video visits after the ongoing COVID-19 public health emergency, and to identify perceptions of the value of video visits and the role of out-of-pocket costs in changing patient preferences. Features demographic statistics for survey participants, including breakdowns by residence in communities with populations of less than 50,000 or greater than 50,000.
Author(s): Zachary S. Predmore, Elizabeth Roth, Joshua Breslau, et al.
Citation: JAMA Network Open, 4(12)
Date: 12/2021
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Medicare Beneficiaries' Use of Telehealth in 2020: Trends by Beneficiary Characteristics and Location
Report examining telehealth visits by Medicare beneficiaries in 2020 that compares urban and rural residence and breaks down data by visit location, race/ethnicity, visit specialty, and by state, with comparisons to 2019 data. Data drawn from Medicare FFS Part B outpatient and carrier claims submitted between January and December 2020 and the same period in 2019.
Date: 12/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Oklahoma State University Center for Health Sciences Rural Medical Education Sites and TeleHealth Network Sites
Provides a map identifying rural clinical rotation sites, telehealth network sites, and other clinical and graduate medical education sites affiliated with Oklahoma State University.
Date: 12/2021
Sponsoring organization: Oklahoma State University Center for Rural Health
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A Randomized Controlled Trial of Self-Management for People with Epilepsy and a History of Negative Health Events (SMART) Targeting Rural and Underserved People with Epilepsy: A Methodologic Report
Discusses a study design that plans to examine the effectiveness of a remotely delivered, 12-week self-management program (SMART) for rural people living with epilepsy (PLWE). Focuses on implementing the intervention in the rural Midwest and providing feedback on SMART, recruitment and retention, and intervention delivery.
Author(s): Gena R. Ghearing, Farren Briggs, Kristin Cassidy, et al.
Citation: Trials, 22, 821
Date: 11/2021
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