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Rural Health
Resources by Topic: Telehealth

Active vs Traditional Methods of Recruiting Children for a Clinical Trial in Rural Primary Care Clinics: A Cluster-Randomized Clinical Trial
Discusses the effectiveness of active recruitment versus traditional recruitment for enrolling rural youth with overweight or obesity in a group behavioral telehealth intervention. Compares the use of direct engagement with pediatric patients at a clinic against the posting of flyers at a clinic and utilizing social media and press releases, with recruiting beginning in February 2020.
Author(s): Paul M. Darden II, Ann M. Davis, Jeannette Y. Lee, et al.
Citation: JAMA Network Open, 5(11), e2244040
Date: 11/2022
Type: Document
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Geospatial Analysis of Access to Health Care and Internet Services in the US
Study examining access to healthcare and internet services based on 2015-2019 American Community Survey data. Discusses implementations of findings for telemedicine expansion and the need for improved internet access to address rural-urban health disparities.
Author(s): Emefah C. Loccoh, Amanda Nguyen, Gaeun Kim, Haider J. Warraich
Citation: JAMA Network Open, 5(11), e2243792
Date: 11/2022
Type: Document
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A Scoping Review of Applications of the Consolidated Framework for Implementation Research (CFIR) to Telehealth Service Implementation Initiatives
A scoping review of the literature examining the application of the Consolidated Framework for Implementation Research (CFIR) relating to telehealth implementation initiatives. Searches 5 academic databases from 2010 to 2021 to review 64 peer-reviewed articles discussing CFIR and telehealth implementation initiatives. Includes articles that discuss telehealth implementation in rural and tribal areas.
Author(s): Pavani Rangachari, Swapandeep S. Mushiana, Krista Herbert
Citation: BMC Health Services Research, 22, 1450
Date: 11/2022
Type: Document
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Improving the Oral Health of Rural Veterans
Report explores rural veterans' access to oral healthcare. Compares the oral health of rural and urban veterans, highlights barriers to oral healthcare in rural areas, and makes recommendations for expanding access to oral healthcare.
Author(s): Annaliese Cothron, Hayam Megally, Don Clermont
Date: 11/2022
Type: Document
Sponsoring organization: CareQuest Institute for Oral Health
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State Medicaid Telehealth Policies Before and During the COVID-19 Public Health Emergency: 2022 Update
Examines state Medicaid telehealth coverage, policies, and utilization before and after the COVID-19 public health emergency (PHE). Describes the types of Medicaid services that were allowed to be delivered by telehealth and the types of telehealth modality covered before the PHE, in May 2020, and in January 2022. Outlines the status of state Medicaid telehealth flexibilities based on state executive orders and Medicaid agency guidance. Builds on a July 2021 analysis of state Medicaid telehealth coverage, policies, and utilization before and after the COVID-19 PHE.
Author(s): Jacquelyn Rudich, Ann B. Conmy, Rose C. Chum, et al
Date: 11/2022
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Bridging the Digital Divide: Advancing Telehealth Equity
Describes the rise in telehealth use in Massachusetts since the onset of the COVID-19 pandemic and disparities in use across populations. Summarizes the access, quality, and experience factors associated with telehealth from the perspective of patients, providers, and community leaders. Identifies barriers and factors that promoted telehealth use. Offers recommendations for health plans to advance telehealth equity by addressing the root causes of the digital divide, promoting digital inclusion, removing structural and financial barriers to telehealth access, and supporting higher quality and more inclusive care delivery.
Date: 11/2022
Type: Document
Sponsoring organizations: Department of Population Medicine at Harvard Medical School, Harvard Pilgrim Health Care Institute, Massachusetts Association of Health Plans, Massachusetts Health Quality Partners
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Virtual Communication Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
Provides information for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) regarding billing and payment for virtual communication services as established in the 2019 Physician Fee Schedule Final Rule.
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Technical Report of The Maryland Telehealth Study
Presents the results of a study examining the quality and cost of telehealth following its expansion during the COVID-19 pandemic, as well as impact on access to healthcare, alignment with other models of care, and provider and patient satisfaction with a focus on policy impacts in Maryland. Includes findings of a literature review, consumer interviews, behavioral healthcare organization focus groups, and a provider survey.
Date: 10/2022
Type: Document
Sponsoring organizations: NORC at the University of Chicago, The Maryland Health Care Commission
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Teledentistry Trends in the United States During the COVID-19 Pandemic
Reviews the use of teledentistry during and following the COVID-19 pandemic in California, Maine, Pennsylvania, and Wisconsin, and examines reimbursement issues and supports needed to enhance dental care in a post-COVID-19 world. Mentions rural throughout.
Author(s): Miranda Werts, Prashanta Patel, Elizabeth Mertz
Date: 10/2022
Type: Document
Sponsoring organization: Oral Health Workforce Research Center
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Use of and Retention on Video, Telephone, and In-Person Buprenorphine Treatment for Opioid Use Disorder During the COVID-19 Pandemic
Examines modality of treatment delivery for patients with opioid use disorder (OUD) and how various modalities are associated with 90-day patient retention. Analyzes 17,182 Veterans Health Administration (VHA) patients who received buprenorphine for OUD treatment from March 2020 to March 2021 by video, telephone, in-person care, or a combination of the modalities. Includes data broken down by age, sex, race/ethnicity, VHA eligibility, housing status, substance use, mental health, comorbidities, and rurality, including urban, large rural, small/isolated rural, and unknown location.
Author(s): Madeline C. Frost, Lan Zhang, H. Myra Kim, Lewei (Allison) Lin
Citation: JAMA Network Open, 5(10), e2236298
Date: 10/2022
Type: Document
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