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Rural Health
Resources by Topic: Service delivery models

Telemedicine: Has the Time Really Finally Arrived?
Explores one provider's observations on the utility of telemedicine in a variety of settings over time in light of COVID-19. Discusses efforts to increase the mobile nature of telehealth services for both the provider and patient. Encourages rural and small town healthcare providers to log all telemedicine encounters.
Author(s): William J. Crump
Citation: Journal of Rural Health, 37(1), 156-157
Date: 01/2021
Type: Document
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Using Telehealth as a Tool for Rural Hospitals in the COVID-19 Pandemic Response
Explores strategies for implementing telehealth services at rural hospitals in response to COVID-19. Discusses how telehealth can be utilized to expand rural hospital capacity, meet the needs of low acuity or recently discharged patients, and limit transfers to tertiary locations.
Author(s): Jeydith Gutierrez, Ethan Kuperman, Peter J. Kaboli
Citation: Journal of Rural Health, 37(1), 161-164
Date: 01/2021
Type: Document
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A Primary Care Response to COVID‐19 for Patients with an Opioid Use Disorder
Discusses the challenges of treating patients with opioid use disorder (OUD) during the COVID-19 pandemic. Highlights decisions made by primary care physicians regarding harm reduction related to COVID-19 that may have detrimental effects for OUD patient.
Author(s): Courtenay Gilmore Wilson, Melinda Ramage, E. Blake Fagan
Citation: Journal of Rural Health, 37(1), 169-171
Date: 01/2021
Type: Document
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Telehealth Policies Impacting Federally Qualified Health Centers in Face of COVID‐19
Provides an overview of changes to federal, California Medicaid, and private insurer telehealth policies in response to COVID-19. Discusses opportunities and limitations Federally Qualified Health Centers and Rural Health Clinics may face in expanding telehealth services. Offers recommendations for removing barriers for providers in rural and underserved areas.
Author(s): Miku Sodhi
Citation: Journal of Rural Health, 37(1), 158-160
Date: 01/2021
Type: Document
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Flattening the Curve by Getting Ahead of It: How the VA Healthcare System Is Leveraging Telehealth to Provide Continued Access to Care for Rural Veterans
Describes the Veterans Health Administration's efforts to use telehealth to provide behavioral health services to rural veterans affected by the COVID-19 pandemic.
Author(s): Ursula S. Myers, Anna Birks, Anouk L. Grubaugh, R. Neal Axon
Citation: Journal of Rural Health, 37(1), 194-196
Date: 01/2021
Type: Document
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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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