Rural Health
Resources by Topic: Telehealth
Enhancing Rural Access to Medications for Opioid Use Disorder: Policy Brief and Recommendations to the Secretary
Provides an overview of issues related to opioid use disorder (OUD) in rural areas. Discusses access to medication for opioid use disorder (MOUD), MOUD workforce, telehealth to support access to MOUD, and Medicaid 1115 demonstrations that address OUD. Offers policy recommendations related to regulatory barriers, reimbursement flexibility, workforce, and service site expansion to increase access to MOUD in rural areas.
Date: 01/2025
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of issues related to opioid use disorder (OUD) in rural areas. Discusses access to medication for opioid use disorder (MOUD), MOUD workforce, telehealth to support access to MOUD, and Medicaid 1115 demonstrations that address OUD. Offers policy recommendations related to regulatory barriers, reimbursement flexibility, workforce, and service site expansion to increase access to MOUD in rural areas.
Date: 01/2025
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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An Examination of the Implementation and Effectiveness of the Telehealth Broadband Pilot Program in the United States
Provides a brief overview of the Telehealth Broadband Pilot (TBP) Program, which aimed to address gaps in broadband service that limited access to telehealth services in rural and underserved communities in Alaska, Michigan, Texas, and West Virginia. Describes the development and implementation of pods that measured broadband data in the communities over time. Summarizes discussions with TBP Program staff regarding the implementation and effectiveness of the program. Includes factors for consideration in the development of future programs to measure broadband in rural communities.
Date: 01/2025
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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Provides a brief overview of the Telehealth Broadband Pilot (TBP) Program, which aimed to address gaps in broadband service that limited access to telehealth services in rural and underserved communities in Alaska, Michigan, Texas, and West Virginia. Describes the development and implementation of pods that measured broadband data in the communities over time. Summarizes discussions with TBP Program staff regarding the implementation and effectiveness of the program. Includes factors for consideration in the development of future programs to measure broadband in rural communities.
Date: 01/2025
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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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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Emergency Triage, Treat, and Transport (ET3) Model: Final Evaluation Report
Presents quantitative and qualitative results from the evaluation of the Emergency Triage, Treat, and Transport (ET3) Model, a voluntary model that allowed ambulance care teams to use alternate models of emergency healthcare to improve quality and lower care costs. Describes the characteristics of ET3 participants, the extent to which ET3 interventions successfully prevented emergency department (ED) visits, and how average Medicare Parts A and B spending for patients that received ET3 interventions compared to patients who had low acuity ED visits. Discusses challenges and barriers to delivering ET3 interventions. Includes rural references throughout.
Additional links: Findings at a Glance, Technical Appendix
Date: 01/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Presents quantitative and qualitative results from the evaluation of the Emergency Triage, Treat, and Transport (ET3) Model, a voluntary model that allowed ambulance care teams to use alternate models of emergency healthcare to improve quality and lower care costs. Describes the characteristics of ET3 participants, the extent to which ET3 interventions successfully prevented emergency department (ED) visits, and how average Medicare Parts A and B spending for patients that received ET3 interventions compared to patients who had low acuity ED visits. Discusses challenges and barriers to delivering ET3 interventions. Includes rural references throughout.
Additional links: Findings at a Glance, Technical Appendix
Date: 01/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Target Door-to-Needle Time in Acute Stroke Treatment via Telemedicine Versus In-Person Evaluation in a Rural Setting of the Midwest: A Retrospective Cohort Study
Examines door-to-needle time (DTN) among 239 patients who received thrombolytic treatment within a rural, Midwestern stroke network. Compares telemedicine and in-person treatment delivery, with data on patient safety, short-term outcomes, and DTN by provider type.
Author(s): Andrea Loggini, Jonatan Hornik, Jessie Henson, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(1), 108141
Date: 01/2025
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Examines door-to-needle time (DTN) among 239 patients who received thrombolytic treatment within a rural, Midwestern stroke network. Compares telemedicine and in-person treatment delivery, with data on patient safety, short-term outcomes, and DTN by provider type.
Author(s): Andrea Loggini, Jonatan Hornik, Jessie Henson, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(1), 108141
Date: 01/2025
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Community Health Center Patients, Financing, and Services
Describes health center patient characteristics, services, patient experiences, and financing changes between 2019 and 2023. Presents data on health centers in rural communities throughout.
Author(s): Akash Pillai, Bradley Corallo, Jennifer Tolbert
Date: 01/2025
Sponsoring organization: KFF
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Describes health center patient characteristics, services, patient experiences, and financing changes between 2019 and 2023. Presents data on health centers in rural communities throughout.
Author(s): Akash Pillai, Bradley Corallo, Jennifer Tolbert
Date: 01/2025
Sponsoring organization: KFF
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Variables Influencing Telemedicine Utilization via Telephone Appointments among Rural Patients
Examines patient telemedicine preferences at a rural outpatient clinic in California. Examines 2021 survey feedback from 153 patients related to themes such as patient-physician rapport, quality, accessibility, availability, cost, and more.
Author(s): Eliseo García, Benjamin C. Vincent, Shivani Thakur, et al.
Citation: BMC Health Services Research, 25, 1
Date: 01/2025
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Examines patient telemedicine preferences at a rural outpatient clinic in California. Examines 2021 survey feedback from 153 patients related to themes such as patient-physician rapport, quality, accessibility, availability, cost, and more.
Author(s): Eliseo García, Benjamin C. Vincent, Shivani Thakur, et al.
Citation: BMC Health Services Research, 25, 1
Date: 01/2025
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Social Vulnerability, Lower Broadband Internet Access, and Rurality Associated with Lower Telemedicine Use in U.S. Counties
Examines how patient characteristics and broadband access are to telemedicine use across the United States. Analyzes data from a random sample of telemedicine sessions held on the Doxy.me platform in 2022. Compares data by patients' urban and rural status, as well as high, medium, and low broadband access at the county level.
Author(s): Mollie R. Cummins, Bob Wong, Neng Wan, et al.
Citation: JAMIA Open, 8(4), ooaf056
Date: 2025
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Examines how patient characteristics and broadband access are to telemedicine use across the United States. Analyzes data from a random sample of telemedicine sessions held on the Doxy.me platform in 2022. Compares data by patients' urban and rural status, as well as high, medium, and low broadband access at the county level.
Author(s): Mollie R. Cummins, Bob Wong, Neng Wan, et al.
Citation: JAMIA Open, 8(4), ooaf056
Date: 2025
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"Voice of Concern" for Rural Veterans With PTSD: Care Managers' Role Engaging Rural Veterans in Evidence-Based Therapies via Telemedicine
Conducted phone interviews with 43 veterans to identify satisfaction with care managers offering trauma-focused psychotherapies through telehealth. Discusses barriers to care and 3 ways CMs were most helpful to veteran patients.
Author(s): Valentina V. Petrova, Carol Simons, Suparna Rajan, et al.
Citation: Psychological Trauma: Theory, Research, Practice, and Policy, 17(8), 1771-1779
Date: 2025
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Conducted phone interviews with 43 veterans to identify satisfaction with care managers offering trauma-focused psychotherapies through telehealth. Discusses barriers to care and 3 ways CMs were most helpful to veteran patients.
Author(s): Valentina V. Petrova, Carol Simons, Suparna Rajan, et al.
Citation: Psychological Trauma: Theory, Research, Practice, and Policy, 17(8), 1771-1779
Date: 2025
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Challenges and Strategies to Improve Access to Oral Health Care in Rural America
Provides an overview of barriers to oral health in rural areas, and discusses strategies to increase access to oral health care and improve rural public health outcomes. Covers topics including dental insurance, service delivery models, oral health workforce, the role of oral health professionals in addressing opioid and tobacco use, and water fluoridation.
Author(s): Liang Hong, Shillpa Naavaal, Sohini Dhar, Siddardha Chandrupatla
Date: 2025
Sponsoring organization: American Association of Public Health Dentistry (AAPHD)
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Provides an overview of barriers to oral health in rural areas, and discusses strategies to increase access to oral health care and improve rural public health outcomes. Covers topics including dental insurance, service delivery models, oral health workforce, the role of oral health professionals in addressing opioid and tobacco use, and water fluoridation.
Author(s): Liang Hong, Shillpa Naavaal, Sohini Dhar, Siddardha Chandrupatla
Date: 2025
Sponsoring organization: American Association of Public Health Dentistry (AAPHD)
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