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The Rural Monitor
Articles by Topic: Service delivery models

Advance Care Planning: New Realities in Times of COVID-19

July 15, 2020
Advance care planning — planning for decision-making in times of medical crisis — has always been intended for all people, all ages, with or without a chronic disease. Clinicians talk about the challenges of these conversations now that COVID-19 has nudged planning from the realm of the theoretical future to current reality.

Pennsylvania Hospital Transitions HRSA-Funded Program to Online Services and Addresses COVID-19 Stress

July 1, 2020
Butler Memorial Hospital in Pennsylvania received a HRSA Rural Health Care Services Outreach grant to develop a program for chronic disease patients. Partway through the grant cycle, the COVID-19 pandemic hit. The hospital shares how it was able to transition its program services to an online format and develop new initiatives to address stress in the healthcare workforce and the larger community.

Diagnosing the Rural COPD Patient: Ask About Symptoms, Use Spirometry

November 20, 2019
The National Heart, Lung, and Blood Institute calculates that 3.5 million rural Americans have COPD, or chronic obstructive pulmonary disease. It's also estimated that hundreds of thousands of rural Americans have the condition and don't know it. Though it is a condition without a cure, it is a condition with hope. The COPD Foundation's Chief Science Officer and a State Captain share how asking questions and doing spirometry can help diagnose the condition.

Office-Based Spirometry: Key to Diagnosing Rural COPD Patients

November 20, 2019
Chronic obstructive lung disease, or COPD, is a disease with a stronghold in rural America: almost double the prevalence and double the mortality rates compared to large urban areas. Though it is a condition with no cure, it's a condition that has treatments — and hope — making proper diagnosis by spirometry imperative.