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Rural Health
Resources by Topic: Telehealth

Rural Behavioral Health: Telehealth Challenges and Opportunities
Reviews the barriers to mental and substance use disorder treatment and services in rural communities. Presents ways telehealth can address these barriers and discusses the challenges in implementing telehealth services in rural areas. Addresses differences in state policies for telemedicine coverage through private insurance.
Citation: SAMHSA In Brief, 9(2)
Date: 2016
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Telestroke Centers as an Option for Addressing Geographical Disparities in Access to Stroke Care in South Carolina, 2013
Research brief on the benefits of telestroke centers in rural and remote areas of South Carolina to improve outcomes. Includes a discussion of the impact of limited primary stroke center access and suggestions for policymakers.
Author(s): Marsha Samson, Tushar Trivedi, Khosrow Heidari
Citation: Preventing Chronic Disease, 12
Date: 12/2015
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The Feasibility and Acceptability of Administering a Telemedicine Objective Structured Clinical Exam as a Solution for Providing Equivalent Education to Remote and Rural Learners
Describes implementation of a pilot program to effectively and efficiently assess distance medical students' clinical skills in rural areas.
Author(s): Ryan T. Palmer, Frances E. Biagioli, Jasminka Mujcic, et al.
Citation: Rural and Remote Health, 15(4), 3399
Date: 12/2015
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Systematic Review of Palliative Care in the Rural Setting
Synthesizes the results of an extensive search of the medical literature focused on the developments in palliative care for patients living in rural areas in the U.S. and internationally to determine where gaps in the research may occur. Suggests promising approaches including telehealth, community-academic partnerships, and training for rural healthcare providers.
Author(s): Marie A. Bakitas, Ronit Elk, Meka Astin, et al.
Citation: Cancer Control, 22(4), 450-464
Date: 10/2015
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Telephone-Delivered Cognitive Behavioral Therapy and Telephone-Delivered Nondirective Supportive Therapy for Rural Older Adults With Generalized Anxiety Disorder: A Randomized Clinical Trial
Analyzes therapy provided over the phone and its impact on symptoms of anxiety and depression among aging populations in rural areas that lack mental health services.
Author(s): Gretchen A. Brenes, Suzanne C. Danhauer, Mary F. Lyles, Patricia E. Hogan, Michael E. Miller
Citation: JAMA Psychiatry, 72(10), 1012-1020
Date: 08/2015
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Telepsychiatry for Neurocognitive Testing in Older Rural Latino Adults
Examines two methods of neurocognitive assessments, telepsychiatry and in-person, using the same Spanish-language battery for testing to determine whether they are comparable among Spanish-speaking older adults in a rural setting. Includes telepsychiatry and in-person assessment data by education, acculturation, health literacy, depression, and a mini mental state exam.
Author(s): Ipsit V. Vahia, Bernardo Ng, Alvaro Camacho, et al.
Citation: American Journal of Geriatric Psychiatry, 23(7), 666-670
Date: 07/2015
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Benefits of Early Versus Delayed Palliative Care to Informal Family Caregivers of Patients With Advanced Cancer: Outcomes From the ENABLE III Randomized Controlled Trial
Examines the effects of introducing early palliative care intervention in rural settings for family caregivers (CGs) of patients with advanced-stage cancer by comparing the ENABLE (Educate, Nurture, Advise Before Life Ends) model of early palliative care with the customary cancer care. Addresses the CGs needs and how meeting these needs would support problem solving, decision-making, and advance care planning.
Author(s): J. Nicholas Dionne-Odom, Andres Azuero, Kathleen D. Lyons, et al.
Citation: Journal of Clinical Oncology, 33(13), 1446-1452
Date: 05/2015
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Early Versus Delayed Initiation of Concurrent Palliative Oncology Care: Patient Outcomes in the ENABLE III Randomized Controlled Trial
Examines the effects of early versus delayed palliative care, the ENABLE (Educate, Nurture, Advise, Before Life Ends) model. ENABLE has shown to be an effective telehealth model particularly for patients with advanced stages of cancer and family caregivers in rural areas. Patient outcomes reported focused on quality of life, symptoms, temperament, survival rate, and hospital and clinical care use.
Author(s): Marie A. Bakitas, Tor D. Tosteson, Zhigang Li, et al.
Citation: Journal of Clinical Oncology, 33(13), 1438-1445
Date: 05/2015
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Cost Effectiveness of On-site versus Off-site Depression Collaborative Care in Rural Federally Qualified Health Centers
Highlights a study on the cost-effectiveness of on-site versus a telehealth-based collaborative care when treating depression in a rural Federally Qualified Health Center (FQHC). Considers variable, fixed, inpatient, and outpatient costs, among others.
Author(s): Jeffrey M. Pyne, John C. Fortney, Sip Mouden, et al.
Citation: Psychiatric Services, 66(5), 491-499
Date: 05/2015
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Program Evaluation of Remote Heart Failure Monitoring: Healthcare Utilization Analysis in a Rural Regional Medical Center
Evaluates patients enrolled in Care Beyond Walls and Wires (CBWW) with a matched cohort comparison group. CBWW is a remote wireless monitoring program using broadband internet connected devices to facilitate patient and care team co-management for heart failure in a rural, Native American patient population in Arizona. Includes data for the number of hospitalizations, hospitalization days, and the hospital charges by the 3 cumulative day categories pre- and post-intervention.
Author(s): William T. Riley, Pamela Keberlein, Gigi Sorenson, et al.
Citation: Telemedicine Journal and e-Health, 21(3), 157-162
Date: 03/2015
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