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Rural Health
Resources by Topic: Service delivery models

Dialogue About the Workforce for Population Health Improvement: Proceedings of a Workshop
Presentations from a workshop facilitating a population health perspective among public health and healthcare leaders and professionals; framing the work of personnel such as community health workers, health navigators, and peer-to-peer chronic disease management educators within the context of population health; and leveraging the competencies of public- and private-sector workforces that are working to include a well-being orientation in their activities.
Author(s): Roundtable on Population Health Improvement
Date: 2021
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Rural Michigan Farmers' Health Concerns and Experiences: A Focus Group Study
Interviewed 14 members of the Michigan Farm Bureau in 2019 to explore their healthcare system experiences. Overall themes discussed include formal healthcare, well-being and health supports, health insurance, and virtual healthcare. Data show basic demographics of participants in addition to their access to internet, cell phones, and virtual healthcare.
Author(s): Nathan Wright, Marylee Scherdt, Michelle L. Aebersold, et al.
Citation: Journal of Primary Care & Community Health, 12(2021)
Date: 2021
Type: Document
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Comparing Three Ways to Offer a Weight Management Program to Patients Living in Rural Areas: The RE-POWER Study
Presents the results of a study in 36 rural primary care practices, including Rural Health Clinics and Federally Qualified Health Clinics, comparing Medicare Fee for Service behavioral therapy for obesity delivered to individual clients in clinics with an in-clinic group visit delivered by clinical providers; and phone-based group visits delivered by a centralized provider. Participants included 1,407 adults from rural areas over a 24 month period with the goal to identify the most effective therapy for rural settings.
Author(s): Christie A. Befort, Jeffrey J. VanWormer, Cyrus DeSouza, et al.
Date: 2021
Type: Document
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Virtual Care QUERI Program: Improve Access to Care for Rural Veterans
Presents information on the VA's Virtual Care QUERI Program, which provides mental healthcare for rural veterans via telehealth services at home or through community-based outpatient clinics (CBOCs). Highlights program information, implementation strategies, and potential impacts.
Date: 2021
Type: Document
Sponsoring organizations: U.S. Department of Veterans Affairs, Veterans Health Administration
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A Demonstration Project: Assessing the Significance and Impact of Utilizing a Novel Telemedicine Application in the Delivery of Community Based Palliative Care in a Rural Seriously Ill Population
Describes a project that evaluated the integration of virtual pharmacy into a palliative care telehealth model in rural western North Carolina. Addresses the feasibility, usability, and acceptability of using a virtual pharmacist, the common drug-drug interactions in that setting, recommendations from a virtual pharmacist related to medication management, and patient-reported outcomes.
Author(s): Janet H. Bull
Date: 2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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2016-2020 South Dakota Primary Care Needs Assessment
Findings of a comprehensive analysis and needs assessment of South Dakota counties and their potential areas of need in primary healthcare. Includes sections on tribal populations, Medicaid, telehealth, Health Professional Shortage Areas, Rural Health Clinics, Critical Access Hospitals, behavioral health, substance abuse, and educational opportunities for the primary care workforce. Features county-by-county statistics for various health indicators.
Date: 2021
Type: Document
Sponsoring organization: South Dakota Office of Rural Health
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2021 Long-Term Support Services Telehealth Results Summary
Presents findings of a review of telehealth needs and challenges among long-term services and supports (LTSS) staff in Hawaii based on telephone interviews. Offers policy recommendations to support LTSS providers and family caregivers and highlights provider experiences before and during the COVID-19 public health emergency. Discusses use of telehealth technology, barriers to using telehealth, and desired support among nursing homes, care homes, home health agents, hospice providers, family caregivers, and rehabilitation service providers.
Date: 2021
Type: Document
Sponsoring organization: Pacific Basin Telehealth Resource Center
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Mississippi Delta Town Makes Way for Hope—and Better Health
Describes efforts to revitalize the rural Delta community of Drew, Mississippi, a recipient of the 2020-2021 Robert Wood Johnson Foundation Culture of Health prize. Discusses the work of community organizations to address persistent poverty, create safe housing, improve public spaces, and increase access to healthcare through mobile clinics.
Date: 2021
Type: Document
Sponsoring organization: Robert Wood Johnson Foundation
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Treating a Public Health Crisis for Rural Moms – A Comparative Analysis of Four Rural States Addressing Maternal Opioid Misuse with Medicaid Innovation Models
Discusses how four states - Colorado, Indiana, Maine, and Missouri - have used the Maternal Opioid Misuse (MOM) model to address maternal opioid use disorders among rural Medicaid beneficiaries. Compares different approaches taken by each state, including benefit eligibility, health insurance payers and health systems partnerships, and telehealth utilization.
Author(s): Jason Semprini
Citation: Online Journal of Rural Research & Policy, 16(2)
Date: 2021
Type: Document
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Kansas Primary Care Needs Assessment
Reports the results of a statewide needs assessment conducted in 2021 that focuses on the primary care needs of rural and underserved populations in Kansas. Includes discussion on provider shortages, access issues related to quality preventive and primary care services, telehealth services, and more. Shares maps providing county-level data on Primary Care, Dental, and Mental Health Professional Shortage Areas (HPSAs).
Date: 2021
Type: Document
Sponsoring organization: Kansas Office of Primary Care & Rural Health
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