Rural Health
Resources by Topic: Specialty care
Providing Employment Services to Individuals in Recovery: Lessons from Addiction Recovery Care
Explores a substance use disorder (SUD) recovery program in rural Appalachian Kentucky that pairs the residential clinic with employment services. Details the phases and strategies of the recovery program: stabilization, recovery and life skills, taking action, and job skills and education. Discusses the demographic profile of those in recovery and the impact of providing occupational training during treatment.
Author(s): Robin Koralek, Hannah Engle, Chelsea Jackson, Hannah Pico
Date: 05/2024
Type: Document
Sponsoring organization: Administration for Children and Families
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Explores a substance use disorder (SUD) recovery program in rural Appalachian Kentucky that pairs the residential clinic with employment services. Details the phases and strategies of the recovery program: stabilization, recovery and life skills, taking action, and job skills and education. Discusses the demographic profile of those in recovery and the impact of providing occupational training during treatment.
Author(s): Robin Koralek, Hannah Engle, Chelsea Jackson, Hannah Pico
Date: 05/2024
Type: Document
Sponsoring organization: Administration for Children and Families
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Rural Comprehensive Cancer Care: Qualitative Analysis of Current Challenges and Opportunities
Highlights a study aiming to understand the challenges in providing comprehensive cancer care in rural hospitals from the perspective of rural providers. Bases finding on interviews with 13 practitioners providing cancer care in rural hospitals in Iowa. Identifies strengths and barriers to providing cancer care in rural hospitals.
Author(s): Sydney Evans, Aaron T. Seaman, Erin C. Johnson, et al.
Citation: Journal of Rural Health
Date: 05/2024
Type: Document
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Highlights a study aiming to understand the challenges in providing comprehensive cancer care in rural hospitals from the perspective of rural providers. Bases finding on interviews with 13 practitioners providing cancer care in rural hospitals in Iowa. Identifies strengths and barriers to providing cancer care in rural hospitals.
Author(s): Sydney Evans, Aaron T. Seaman, Erin C. Johnson, et al.
Citation: Journal of Rural Health
Date: 05/2024
Type: Document
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Cancer Care Coordination in Rural Hawaii: A Focus Group Study
Presents results from focus group discussions about challenges and facilitators of coordinated care with 8 rural cancer patients receiving active treatment in Hawaii. Identifies themes related to access to care, insurance, travel, electronic patient portal use, and more.
Author(s): Shin Chang, Michelle Liu, Christa Braun-Inglis, Randall Holcombe, Izumi Okado
Citation: BMC Health Services Research, 24, 518
Date: 04/2024
Type: Document
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Presents results from focus group discussions about challenges and facilitators of coordinated care with 8 rural cancer patients receiving active treatment in Hawaii. Identifies themes related to access to care, insurance, travel, electronic patient portal use, and more.
Author(s): Shin Chang, Michelle Liu, Christa Braun-Inglis, Randall Holcombe, Izumi Okado
Citation: BMC Health Services Research, 24, 518
Date: 04/2024
Type: Document
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Disparities in Continuous Glucose Monitor Use Between Children With Type 1 Diabetes Living in Urban and Rural Areas
Examines the uptake of continuous glucose monitoring (CGM) technology in children with type 1 diabetes. Utilizes 2018-2021 electronic health record (EHR) data to observe CGM use according to patient sex, race/ethnicity, age, insurance type, and rurality. Discusses disparities among rural and urban populations.
Author(s): Daniel R. Tilden, Benjamin French, Karishma A. Datye, Sarah S. Jaser
Citation: Diabetes Care, 47(3), 346-352
Date: 03/2024
Type: Document
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Examines the uptake of continuous glucose monitoring (CGM) technology in children with type 1 diabetes. Utilizes 2018-2021 electronic health record (EHR) data to observe CGM use according to patient sex, race/ethnicity, age, insurance type, and rurality. Discusses disparities among rural and urban populations.
Author(s): Daniel R. Tilden, Benjamin French, Karishma A. Datye, Sarah S. Jaser
Citation: Diabetes Care, 47(3), 346-352
Date: 03/2024
Type: Document
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Prevent or Treat: Availability of Diabetes Self-Management Education and Dialysis in High Need Rural Counties
Discusses availability of diabetes self-management education (DSME) and dialysis to treat end stage kidney disease in rural areas. Features county-level maps showing estimated proportion of the adult population with diabetes, counties with at least one DSME program, and DSME availability and county diabetes prevalence. Includes statistics on relationship between DSME availability within a county and estimated percent of adults with diabetes by rurality, as of 2022.
Author(s): Janice C. Probst, Nicholas Yell, Gabriel Benavidez, et al.
Date: 03/2024
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Discusses availability of diabetes self-management education (DSME) and dialysis to treat end stage kidney disease in rural areas. Features county-level maps showing estimated proportion of the adult population with diabetes, counties with at least one DSME program, and DSME availability and county diabetes prevalence. Includes statistics on relationship between DSME availability within a county and estimated percent of adults with diabetes by rurality, as of 2022.
Author(s): Janice C. Probst, Nicholas Yell, Gabriel Benavidez, et al.
Date: 03/2024
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Hearing on Enhancing Access to Care at Home in Rural and Underserved Communities
Recording of a March 12, 2024, House Committee on Ways and Means hearing regarding opportunities and challenges to enhance access to care in patients' homes and modernizing care in rural and underserved communities, with a focus on telehealth and health information technology. Features testimony from two rural patients and representatives from Intermountain Health; Cadence, a company with expertise in chronic care management through remote physiologic monitoring; and Harvard Medical School and Beth Israel Deaconess Medical Center.
Additional links: Ateev Mehrotra, Harvard Medical School and Beth Israel Deaconess Medical Center - Testimony, Bell Maddux, Home Dialysis Patient - Testimony, Chris Altchek, Cadence - Testimony, Nathan Starr, Intermountain Health - Testimony, Roy Underhill, Hospital at Home Patient - Testimony
Date: 03/2024
Type: Video/Multimedia
Sponsoring organization: House Ways and Means Committee
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Recording of a March 12, 2024, House Committee on Ways and Means hearing regarding opportunities and challenges to enhance access to care in patients' homes and modernizing care in rural and underserved communities, with a focus on telehealth and health information technology. Features testimony from two rural patients and representatives from Intermountain Health; Cadence, a company with expertise in chronic care management through remote physiologic monitoring; and Harvard Medical School and Beth Israel Deaconess Medical Center.
Additional links: Ateev Mehrotra, Harvard Medical School and Beth Israel Deaconess Medical Center - Testimony, Bell Maddux, Home Dialysis Patient - Testimony, Chris Altchek, Cadence - Testimony, Nathan Starr, Intermountain Health - Testimony, Roy Underhill, Hospital at Home Patient - Testimony
Date: 03/2024
Type: Video/Multimedia
Sponsoring organization: House Ways and Means Committee
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Association Between a Network-Based Physician Linchpin Score and Cancer Patient Mortality: A Seer-Medicare Analysis
Presents a study on patient-sharing networks among multidisciplinary teams treating cancer patients and, specifically, the oncologists hold these networks together as "linchpins". Discusses these linchpin oncologists and evaluates the effect they have on cancer outcomes. Explores the affect this has on patients with a number of variables, including living in a rural area.
Author(s): Erika L Moen, Rachel O Schmidt, Tracy Onega, et al.
Citation: Journal of the National Cancer Institute, 116(2), 230-238
Date: 02/2024
Type: Document
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Presents a study on patient-sharing networks among multidisciplinary teams treating cancer patients and, specifically, the oncologists hold these networks together as "linchpins". Discusses these linchpin oncologists and evaluates the effect they have on cancer outcomes. Explores the affect this has on patients with a number of variables, including living in a rural area.
Author(s): Erika L Moen, Rachel O Schmidt, Tracy Onega, et al.
Citation: Journal of the National Cancer Institute, 116(2), 230-238
Date: 02/2024
Type: Document
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Office for the Advancement of Telehealth (OAT) 2020-2024 Telehealth Network Grant Program (TNGP) Performance Improvement and Measurement System (PIMS): Summary Report for Program Year 3 (September 1, 2022 - August 31, 2023)
Summarizes findings from the first three years of the 2020-2024 Telehealth Network Grant Program (TNGP), which aims to promote tele-emergency services by enhancing telehealth networks to deliver 24-hour emergency department (ED) consultation services via telehealth to rural providers without emergency care specialists. Presents data on grantee network characteristics, the number of originating and distant sites, specialty areas, averted transfers, ED and hospital readmissions, other uses of the telehealth network, and more.
Date: 02/2024
Type: Document
Sponsoring organizations: Georgia Health Policy Center, Office for the Advancement of Telehealth
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Summarizes findings from the first three years of the 2020-2024 Telehealth Network Grant Program (TNGP), which aims to promote tele-emergency services by enhancing telehealth networks to deliver 24-hour emergency department (ED) consultation services via telehealth to rural providers without emergency care specialists. Presents data on grantee network characteristics, the number of originating and distant sites, specialty areas, averted transfers, ED and hospital readmissions, other uses of the telehealth network, and more.
Date: 02/2024
Type: Document
Sponsoring organizations: Georgia Health Policy Center, Office for the Advancement of Telehealth
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Beneficiary and Clinician Perspectives on Medicare and Other Issues: Findings from 2023 Focus Groups in Select States
Summarizes findings from 24 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between May and July 2023, including three virtual focus groups of rural Medicare beneficiaries. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 02/2024
Type: Document
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
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Summarizes findings from 24 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between May and July 2023, including three virtual focus groups of rural Medicare beneficiaries. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 02/2024
Type: Document
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
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Pre-Rulemaking Measure Review Measures Under Consideration: 2023 Recommendations Report
Reviews the 42 pre-rulemaking quality measures the Battelle's Partnership for Quality Measurement (PQM) considered during the 2023-2024 Pre-Rulemaking Measure Review (PRMR) cycle. Discusses measures for clinician, hospital, and post-acute care/long-term care programs. Includes rural references and considerations throughout.
Date: 02/2024
Type: Document
Sponsoring organization: Partnership for Quality Measurement
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Reviews the 42 pre-rulemaking quality measures the Battelle's Partnership for Quality Measurement (PQM) considered during the 2023-2024 Pre-Rulemaking Measure Review (PRMR) cycle. Discusses measures for clinician, hospital, and post-acute care/long-term care programs. Includes rural references and considerations throughout.
Date: 02/2024
Type: Document
Sponsoring organization: Partnership for Quality Measurement
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