Rural Health
Resources by Topic: Specialty care
Environmental Scan on Reducing Barriers to Participation in Population-Based Total Cost of Care (PB-TCOC) Models and Supporting Primary and Specialty Care Transformation
Presents results of an environmental scan on reducing barriers to participation in population-based total cost of care (PB-TCOC) models and supporting primary and specialty care transformation. Discusses identifying pathways for maximizing participation of different kinds of organizations in PB-TCOC models; an assessment of and approaches to reducing organization-level barriers; approaches to support primary and specialty care transformation; an assessment of factors that influence the ability of PB-TCOC models to be competitive; and a summary of relevant features in previously submitted Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references throughout.
Date: 05/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Presents results of an environmental scan on reducing barriers to participation in population-based total cost of care (PB-TCOC) models and supporting primary and specialty care transformation. Discusses identifying pathways for maximizing participation of different kinds of organizations in PB-TCOC models; an assessment of and approaches to reducing organization-level barriers; approaches to support primary and specialty care transformation; an assessment of factors that influence the ability of PB-TCOC models to be competitive; and a summary of relevant features in previously submitted Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references throughout.
Date: 05/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Social Determinants of Health and Variability in Treatment for Patients with Early-Stage Non-Small Cell Lung Cancer
Examines census tract-level social determinants of health (SDOH) and their impact on lung cancer treatment. Utilizes 2017-2022 Syapse Learning Health Network data to analyze patient social and demographic variables, housing burden, broadband internet access, primary care shortage areas, and rurality, as correlated with radiation therapy and/or surgery.
Author(s): Molly Scannell Bryan, Xiaohan Hu, Monika A. Izano, et al.
Citation: JNCI Cancer Spectrum, 9(2)
Date: 04/2025
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Examines census tract-level social determinants of health (SDOH) and their impact on lung cancer treatment. Utilizes 2017-2022 Syapse Learning Health Network data to analyze patient social and demographic variables, housing burden, broadband internet access, primary care shortage areas, and rurality, as correlated with radiation therapy and/or surgery.
Author(s): Molly Scannell Bryan, Xiaohan Hu, Monika A. Izano, et al.
Citation: JNCI Cancer Spectrum, 9(2)
Date: 04/2025
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Mapping Disparities in Access to Lecanemab in Georgia
Analyzes access to Alzheimer's disease (AD) treatments in Georgia. Analyzes location of and drive times to lecanemab infusion sites and amyloid positron emission tomography (PET) scan facilities across the state. Discusses issues of access in rural counties.
Author(s): Niying Li, Samruddhi Nandkumar Borate, Kai Zhang, et al.
Citation: Alzheimer's & Dementia: The Journal of the Alzheimer's Association, 21(4)
Date: 04/2025
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Analyzes access to Alzheimer's disease (AD) treatments in Georgia. Analyzes location of and drive times to lecanemab infusion sites and amyloid positron emission tomography (PET) scan facilities across the state. Discusses issues of access in rural counties.
Author(s): Niying Li, Samruddhi Nandkumar Borate, Kai Zhang, et al.
Citation: Alzheimer's & Dementia: The Journal of the Alzheimer's Association, 21(4)
Date: 04/2025
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Living With Chronic Myelogenous Leukemia in Rural Communities: Exploring Factors Related to Tyrosine Kinase Inhibitors Adherence With a Mixed Methods Approach
Presents a study on the use of tyrosine kinase inhibitor (TKI), which improves chronic myeloid leukemia (CML) outcomes, among rural CML patients. Bases findings on semi-structured interviews detailing side effects, perceived stress, and ability to self-manage chronic conditions, among other factors.
Author(s): Jingxi Sheng, Sue P. Heiney, Karen E. Wickersham, et al.
Citation: Journal of Rural Health, 41(2), e70028
Date: 04/2025
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Presents a study on the use of tyrosine kinase inhibitor (TKI), which improves chronic myeloid leukemia (CML) outcomes, among rural CML patients. Bases findings on semi-structured interviews detailing side effects, perceived stress, and ability to self-manage chronic conditions, among other factors.
Author(s): Jingxi Sheng, Sue P. Heiney, Karen E. Wickersham, et al.
Citation: Journal of Rural Health, 41(2), e70028
Date: 04/2025
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Medicare Beneficiary Receipt of Methadone by Drive Time to Opioid Treatment Programs
Examines availability of methadone at opioid treatment programs for Medicare beneficiaries who have been diagnosed with an opioid use disorder. Utilizes data from 640,706 Medicare beneficiaries and analyzes their respective drive time to a treatment facility as well as receipt of methadone treatment. Includes U.S. map showing locations of opioid treatment programs and rural versus urban comparisons of patient drive times.
Author(s): Jonathan Cantor, Helin G. Hernandez, Aaron Kofner, et al.
Citation: JAMA Network Open, 8(4)
Date: 04/2025
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Examines availability of methadone at opioid treatment programs for Medicare beneficiaries who have been diagnosed with an opioid use disorder. Utilizes data from 640,706 Medicare beneficiaries and analyzes their respective drive time to a treatment facility as well as receipt of methadone treatment. Includes U.S. map showing locations of opioid treatment programs and rural versus urban comparisons of patient drive times.
Author(s): Jonathan Cantor, Helin G. Hernandez, Aaron Kofner, et al.
Citation: JAMA Network Open, 8(4)
Date: 04/2025
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Barriers and Facilitators to Scaling up Medications for Opioid Use Disorder in Kentucky: Qualitative Perspectives of Treatment Organization Staff
Examines perspectives from substance use treatment program staff related to the barriers and facilitators of medications for opioid use disorder (MOUD) utilization. Provides qualitative feedback data from agency staff in Kentucky and discusses organizational, patient, and community factors that impact MOUD utilization. Includes perspectives from rural areas.
Author(s): Hannah K. Knudsen, Shaquita Andrews-Higgins, Sandra Back-Haddix, et al.
Citation: Substance Abuse Treatment, Prevention, and Policy, 20, 15
Date: 04/2025
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Examines perspectives from substance use treatment program staff related to the barriers and facilitators of medications for opioid use disorder (MOUD) utilization. Provides qualitative feedback data from agency staff in Kentucky and discusses organizational, patient, and community factors that impact MOUD utilization. Includes perspectives from rural areas.
Author(s): Hannah K. Knudsen, Shaquita Andrews-Higgins, Sandra Back-Haddix, et al.
Citation: Substance Abuse Treatment, Prevention, and Policy, 20, 15
Date: 04/2025
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Taking to the Skies: How a Doctor Cares for Patients in Rural Colorado
Discusses using air travel to help physicians reach remote areas in Colorado and patients who need critical medical care.
Date: 04/2025
Sponsoring organization: American Hospital Association
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Discusses using air travel to help physicians reach remote areas in Colorado and patients who need critical medical care.
Date: 04/2025
Sponsoring organization: American Hospital Association
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Texas Health Stephenville Enhances Respiratory Care in Erath County
Profiles Texas Health Harris Methodist Hospital Stephenville in rural Texas and their pulmonary rehabilitation services. Discusses the need for pulmonary healthcare access in rural areas.
Author(s): Chandra Caradine
Date: 04/2025
Sponsoring organization: Texas Health Resources
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Profiles Texas Health Harris Methodist Hospital Stephenville in rural Texas and their pulmonary rehabilitation services. Discusses the need for pulmonary healthcare access in rural areas.
Author(s): Chandra Caradine
Date: 04/2025
Sponsoring organization: Texas Health Resources
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Non-Health Care Costs Associated with Neonatal Intensive Care Unit Visitation
Summarizes household expenses associated with neonatal intensive care unit visitation including transportation, lost wages, lodging, childcare, and more. Includes metropolitan and non-metropolitan comparisons in Appendix Table 2.
Author(s): Rebecca A. Gourevitch, Evan Ellicott, Christina Kim, et al.
Citation: Health Affairs Scholar, 3(3)
Date: 03/2025
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Summarizes household expenses associated with neonatal intensive care unit visitation including transportation, lost wages, lodging, childcare, and more. Includes metropolitan and non-metropolitan comparisons in Appendix Table 2.
Author(s): Rebecca A. Gourevitch, Evan Ellicott, Christina Kim, et al.
Citation: Health Affairs Scholar, 3(3)
Date: 03/2025
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Enhancing Access to Nephrology Care: Telenephrology Dashboard Optimization via Human-Centered Design
Examines how the development of the Telenephrology Dashboard for veterans served by the Iowa City Veterans Affairs Health Care System (ICVAHCS) provides improved access to nephrology care and kidney specialists. Describes the methodology used to create and evaluate the dashboard as well as how telehealth tools can serve veterans in predominately rural areas.
Author(s): Melissa Swee, Bharat Kumar, M. Lee Sanders, et al.
Citation: BMC Nephrology, 26, 164
Date: 03/2025
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Examines how the development of the Telenephrology Dashboard for veterans served by the Iowa City Veterans Affairs Health Care System (ICVAHCS) provides improved access to nephrology care and kidney specialists. Describes the methodology used to create and evaluate the dashboard as well as how telehealth tools can serve veterans in predominately rural areas.
Author(s): Melissa Swee, Bharat Kumar, M. Lee Sanders, et al.
Citation: BMC Nephrology, 26, 164
Date: 03/2025
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