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Rural Health
Resources by Topic: Telehealth

Telehealth: Use in Medicare and Medicaid
Discusses the extent to which telehealth is used by Medicare and Medicaid, the factors affecting the use of telehealth in Medicare, and how emerging payment and delivery models could affect future telehealth use. Includes rural-specific information throughout with particular attention paid to the role of rural healthcare facilities as originating sites.
Additional links: Full Report
Date: 07/2017
Sponsoring organization: Government Accountability Office
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Promising Practice: Advisory Group in Washington State Works to Bring Palliative Care to Rural Patients
Describes the Palliative Care Rural Health Integration Advisory Team (PC-RHIAT) initiated by the Washington State Office of Rural Health (WA SORH), which aims to bring palliative care to rural patients through the use of telehealth and community engagement. The WA SORH facilitates this process by bringing experts in palliative care, rural health and telehealth, together with hospitals, clinics, and community team members to develop an action plan based in the rural community and within their healthcare organizations.
Author(s): Beth Blevins
Date: 06/2017
Sponsoring organization: National Organization of State Offices of Rural Health
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Telehealth Delivery of the Diabetes Prevention Program to Rural Communities
Analyzes a rural telehealth diabetes prevention program (DPP) and compares it to an on-site DPP to determine if differences exist between the programs in monitoring diet and physical activity as well as weight loss in DPP participants.
Author(s): Liane M. Vadheim, Katherine Patch, Sarah M. Brokaw, et al.
Citation: Translational Behavioral Medicine, 7(2), 286-291
Date: 06/2017
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Rural and Urban/Suburban Families' Use of a Web-Based Mental Health Intervention
Analyzes data from a web-based mental health intervention program serving adolescents and caregivers in disaster-affected areas of Missouri and Alabama, comparing rural and urban/suburban rates of accessing and completing web-based mental healthcare modules. Describes historic disparities in mental healthcare among rural communities, noting changes to access and engagement due to increased internet technology use among rural youth and adults. Discusses the potential of web-based healthcare interventions, including telehealth, to expand mental health services in rural areas.
Author(s): Brian Bunnell, Tatiana Davidson, Daniel Dewey, Matthew Price, Kenneth J. Ruggiero
Citation: Telemedicine Journal and E-Health, 23(5), 390-396
Date: 05/2017
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Evidence Roadmap: Telehealth and Health Care Access for Rural Populations
Lists systematic reviews, research studies, grey literature, and ongoing research related to telehealth and rural healthcare access.
Date: 05/2017
Sponsoring organization: AcademyHealth
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Track: A Randomized Controlled Trial of a Digital Health Obesity Treatment Intervention for Medically Vulnerable Primary Care Patients
Examines the effectiveness of Track, a digital health intervention, to provide obesity treatment to low-income, racial/ethnic minority adults with obesity and related comorbidities in rural North Carolina. Includes baseline characteristic data, such as gender, race/ethnicity, education, smoking status, and diagnosis.
Author(s): Perry Foley, Dori Steinberg, Erica Levine, et al.
Citation: Contemporary Clinical Trials, 48, 12-20
Date: 05/2017
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American Telemedicine Association: Telestroke Guidelines
Details guidelines for telestroke services to assist providers with the assessment, diagnosis, management, and/or remote consultative support for patients showing signs and symptoms of a stroke using real time videoconferencing technology.
Author(s): Bart M. Demaerschalk, Jill Berg, Brian W. Chong, et al.
Citation: Telemedicine Journal and e-Health, 23(5), 376-389
Date: 05/2017
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Substance Use in Rural Central Appalachia: Current Status and Treatment Considerations
Examines the factors in rural Central Appalachia that influence substance misuse and the treatments, strategies, and interventions to curb drug misuse and improve treatment outcomes. Discusses how the combination of poverty, work-related distress, lack of healthcare coverage, and the shortage of qualified providers of substance use treatments affect the need for a multifaceted policy approach in the region.
Author(s): Lara Moody, Emily Satterwhite, Warren K. Bickel
Citation: Rural Mental Health, 41(2), 123-135
Date: 04/2017
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Health Care: Telehealth and Remote Patient Monitoring Use in Medicare and Selected Federal Programs
Examines factors affecting the provision of telehealth and remote patient monitoring (RPM) in Medicare and emerging payment and delivery models that could affect its future use. Analyzes data collected through review of agency documents and regulations, and interviews with officials representing 9 general and medical specialty associations familiar with telehealth. Includes state Medicaid reimbursement examples. Rural-specific implications are discussed throughout.
Additional links: Full Report
Date: 04/2017
Sponsoring organization: Government Accountability Office
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Using Telemedicine to Increase Access, Improve Care in Rural Communities
Examines Avera Health, an integrated delivery system based in Sioux Falls, South Dakota, to highlight how telehealth can be used to improve access in rural areas. Avera offers "eEmergency" telehealth services to more than 130 rural hospitals and "ePharmacy" services to roughly 75 rural hospitals, and other telehealth services. Discusses Avera's expansion into other areas where provider recruitment may be difficult, including prisons, schools, and long-term care facilities.
Author(s): Sarah Klein, Martha Hostetter
Citation: Transforming Care: Reporting on Health System Improvement
Date: 03/2017
Sponsoring organization: Commonwealth Fund
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