Rural Health
Resources by Topic: Specialty care
Instability Continues to Threaten Rural Health Safety Net: Reduced Reimbursements, Dwindling Access to Care and Deteriorating Population Health Status
Examines factors contributing to the instability of the rural healthcare safety net, including policy-related reimbursement cuts and changes to payer mixes. Presents data on rural hospitals that have stopped offering obstetrics and chemotherapy services. Explores aspects of rural population health and social drivers of health as they relate to rural healthcare delivery challenges.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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Examines factors contributing to the instability of the rural healthcare safety net, including policy-related reimbursement cuts and changes to payer mixes. Presents data on rural hospitals that have stopped offering obstetrics and chemotherapy services. Explores aspects of rural population health and social drivers of health as they relate to rural healthcare delivery challenges.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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Peer-Assisted Telemedicine Hepatitis-C Treatment for People Who Use Drugs in Rural Communities: A Mixed Methods Study
Examines the Oregon HOPE TeleHCV study, which provided peer-facilitated telemedicine hepatitis C virus (HCV) treatment for people who use drugs (PWUD) in rural Oregon. Utilizes survey and interview data provided by patients and clinicians to identify effective strategies for building trust and reducing barriers to treatment at the systems, clinical, and peer levels.
Author(s): Kim Hoffman, Gillian Leichtling, Sarah Shin, et al.
Citation: Addiction Science & Clinical Practice, 20, 10
Date: 02/2025
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Examines the Oregon HOPE TeleHCV study, which provided peer-facilitated telemedicine hepatitis C virus (HCV) treatment for people who use drugs (PWUD) in rural Oregon. Utilizes survey and interview data provided by patients and clinicians to identify effective strategies for building trust and reducing barriers to treatment at the systems, clinical, and peer levels.
Author(s): Kim Hoffman, Gillian Leichtling, Sarah Shin, et al.
Citation: Addiction Science & Clinical Practice, 20, 10
Date: 02/2025
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Genetic Services in Appalachia Conference Series
Identifies facilitators and barriers to genetics care provision and access in rural and underserved Appalachian communities, utilizing survey and feedback data of 137 participants in the Genetic Services in Appalachia webinar series. Discusses rural service delivery models, effects of genetic counseling access on rural health disparities, and more.
Author(s): Kimberly M. Kelly, Trupti Dhumal, Virginia G. Scott, et al.
Citation: American Journal of Medical Genetics - Part A, 197(5), e63990
Date: 01/2025
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Identifies facilitators and barriers to genetics care provision and access in rural and underserved Appalachian communities, utilizing survey and feedback data of 137 participants in the Genetic Services in Appalachia webinar series. Discusses rural service delivery models, effects of genetic counseling access on rural health disparities, and more.
Author(s): Kimberly M. Kelly, Trupti Dhumal, Virginia G. Scott, et al.
Citation: American Journal of Medical Genetics - Part A, 197(5), e63990
Date: 01/2025
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A Consultation Model for Intellectual and Developmental Disability Care
Analyzes the impact of a consultation model within an Intellectual and Developmental Disabilities (IDD) clinic in North Carolina. Examines 2017-2023 data of IDD patients and includes breakdowns of patient demographics, clinical needs, administrative characteristics, and estimated travel distance/time to clinic. Discusses the consultation model and its potential to serve rural and geographically dispersed patients.
Author(s): Rebecca T. Putnam, Phillip M. Hughes, Chelsea C. Atkins, C. Micha Belden
Citation: The Journal of the American Board of Family Medicine, 38(1), 180-187
Date: 01/2025
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Analyzes the impact of a consultation model within an Intellectual and Developmental Disabilities (IDD) clinic in North Carolina. Examines 2017-2023 data of IDD patients and includes breakdowns of patient demographics, clinical needs, administrative characteristics, and estimated travel distance/time to clinic. Discusses the consultation model and its potential to serve rural and geographically dispersed patients.
Author(s): Rebecca T. Putnam, Phillip M. Hughes, Chelsea C. Atkins, C. Micha Belden
Citation: The Journal of the American Board of Family Medicine, 38(1), 180-187
Date: 01/2025
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Impact of a Diabetic Retinal Exam Screening Program on Quality Measure Gaps at a Family Medicine Practice
Examines access to diabetic retinal exams and the impact of their availability on quality measures at a rural family medicine center in southwestern Pennsylvania. Includes data on diabetic retinal screenings and associated factors related to exam access.
Author(s): Michael Hair, Alexandra Tardugno, Alyssa Greenaway, Chelse Wisenor, Autumn Stewart-Lynch
Citation: Journal of the American Pharmacists Association, 65(1)
Date: 01/2025
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Examines access to diabetic retinal exams and the impact of their availability on quality measures at a rural family medicine center in southwestern Pennsylvania. Includes data on diabetic retinal screenings and associated factors related to exam access.
Author(s): Michael Hair, Alexandra Tardugno, Alyssa Greenaway, Chelse Wisenor, Autumn Stewart-Lynch
Citation: Journal of the American Pharmacists Association, 65(1)
Date: 01/2025
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Improving Rural Healthcare by Creating Academic- and Nonacademic-Rural Hospital Partnerships Based on Community Health Needs Assessments and Technological Needs
Explores the effect of creating partnerships between rural and urban healthcare systems to bolster economic and technological resiliency in struggling rural hospitals. Highlights the way partnerships with academic and nonacademic urban hospitals can help rural hospitals facilitate workforce recruitment and retention, access specialty care, and improve technological access, among other factors.
Author(s): Suhas Babu, James N. Weinstein, Juan M. Lavista Ferres, William B. Weeks
Citation: Journal of Rural Health, 41(1), e12927
Date: 01/2025
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Explores the effect of creating partnerships between rural and urban healthcare systems to bolster economic and technological resiliency in struggling rural hospitals. Highlights the way partnerships with academic and nonacademic urban hospitals can help rural hospitals facilitate workforce recruitment and retention, access specialty care, and improve technological access, among other factors.
Author(s): Suhas Babu, James N. Weinstein, Juan M. Lavista Ferres, William B. Weeks
Citation: Journal of Rural Health, 41(1), e12927
Date: 01/2025
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A Perinatal Psychiatry Access Program to Address Rural and Medically Underserved Populations Using Telemedicine
Examines the Moms IMPACTT (Improving Access to Perinatal Mental Health and Substance Use Disorder Care Through Telehealth and Tele-mentoring) program in South Carolina, which aims to address perinatal mental health and substance use issues through healthcare partnerships and telemedicine. Provides details and impact of the program, including outreach and engagement with rural and underserved communities.
Author(s): Courtney King, Marie Hayes, Lizmarie Maldonado, et al.
Citation: BMC Women's Health, 25, 30
Date: 01/2025
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Examines the Moms IMPACTT (Improving Access to Perinatal Mental Health and Substance Use Disorder Care Through Telehealth and Tele-mentoring) program in South Carolina, which aims to address perinatal mental health and substance use issues through healthcare partnerships and telemedicine. Provides details and impact of the program, including outreach and engagement with rural and underserved communities.
Author(s): Courtney King, Marie Hayes, Lizmarie Maldonado, et al.
Citation: BMC Women's Health, 25, 30
Date: 01/2025
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Understanding the Impact and Costs Associated with Medical Device Shortages During the COVID-19 Pandemic on Providers, Health Systems, Patients, and Manufacturers
Analyzes the U.S. medical device shortage during the COVID-19 pandemic and provides a related literature review, key stakeholder interviews, and data synthesis. Includes information on type of medical device shortages, strategies to manage shortages, and more, with a focus on shortages in nursing homes and rural hospitals.
Author(s): Linda Thai, Trinidad Beleche, Oluwarantimi Adetunji
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Analyzes the U.S. medical device shortage during the COVID-19 pandemic and provides a related literature review, key stakeholder interviews, and data synthesis. Includes information on type of medical device shortages, strategies to manage shortages, and more, with a focus on shortages in nursing homes and rural hospitals.
Author(s): Linda Thai, Trinidad Beleche, Oluwarantimi Adetunji
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Behavioral Health Diagnosis, Service Utilization, and Spending Among Older Adult Medicare Beneficiaries: A Chartbook
Examines the prevalence of behavioral health (BH) conditions among older adults. Utilizes 2017-2019 Medicare claims and administrative data to examine BH diagnoses, BH service utilization, cost of services, and more. Includes data breakdowns according to diagnosis, substance use, rates of diagnoses and service utilization, service type, rurality, and additional demographic factors.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the prevalence of behavioral health (BH) conditions among older adults. Utilizes 2017-2019 Medicare claims and administrative data to examine BH diagnoses, BH service utilization, cost of services, and more. Includes data breakdowns according to diagnosis, substance use, rates of diagnoses and service utilization, service type, rurality, and additional demographic factors.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Financial Stress Associated with Oncology Clinical Trial Participation
Examines accessibility issues and financial stress of 112 patients participating in an oncology clinical trial between 2018 and 2024. Includes demographic information, cancer type, miles traveled, and financial burden of participants, as well as commentary on access issues for those in rural areas.
Author(s): Allison Kolbe, Trinidad Beleche
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines accessibility issues and financial stress of 112 patients participating in an oncology clinical trial between 2018 and 2024. Includes demographic information, cancer type, miles traveled, and financial burden of participants, as well as commentary on access issues for those in rural areas.
Author(s): Allison Kolbe, Trinidad Beleche
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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