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Telehealth and Health Information Technology in Rural Healthcare – Resources

Selected recent or important resources focusing on Telehealth and Health Information Technology in Rural Healthcare.

Comparison of In-Person vs. Telebehavioral Health Outcomes from Rural Populations Across America
Examines the efficacy of 2 federal behavioral health grant programs in reducing depression and anxiety in patients, comparing telehealth and in-person modalities in rural areas. Analyzes data from 1,514 patients participating in grant programs between 2017 and 2021 and their associated behavioral health modality. Includes demographic breakdowns by age, sex, race/ethnicity, and insurance status.
Author(s): Carly McCord, Fred Ullrich, Kimberly A. S. Merchant, et al.
Citation: BMC Psychiatry, 22, 778
Date: 12/2022
Type: Document
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Financial Impact of Telehealth: Rural Chief Financial Officer Perspectives
Explores how rural chief financial officers (CFOs) and hospital administrators perceive the financial impacts of telehealth in their facilities. Analyzes 30 interview responses from CFOs and administrators between October 2021 and January 2022 about the perceived benefits and challenges of telehealth programs. Discusses opportunities to improve telehealth infrastructure to make the modality more cost effective for hospitals.
Author(s): Lori Uscher-Pines, Jessica L. Sousa, Kori S. Zachrison, Lee Schwamm, Ateev Mehrotra
Citation: The American Journal of Managed Care, 28(12), e436-e443
Date: 12/2022
Type: Document
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Insights on Telehealth Use and Program Integrity Risks Across Selected Health Care Programs During the Pandemic
Presents a study of telehealth expansion during the COVID-19 pandemic and program integrity risks, including fraud, waste, and abuse. Offers a range of data on telehealth usage and programs
Date: 12/2022
Type: Document
Sponsoring organizations: Office of Inspector General (HHS), Pandemic Response Accountability Committee
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Before and During Pandemic Telemedicine Use: An Analysis of Rural and Urban Safety-Net Clinics
Investigates telemedicine use for primary care before and during the COVID-19 pandemic. Utilizes electronic health record data to analyze 1,015,722 patients seen in 466 different safety-net clinics. Includes demographic breakdown of patients by sex, race/ethnicity, insurance status, chronic disease status, and urban, large rural, small rural, or isolated rural residence.
Author(s): Annie E. Larson, Whitney E. Zahnd, Melinda M. Davis, et al.
Citation: American Journal of Preventative Medicine, 63(6), 1031-1036
Date: 12/2022
Type: Document
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Contraceptive Care Service Provision via Telehealth Early in the COVID-19 Pandemic at Rural and Urban Federally Qualified Health Centers in 2 Southeastern States
Explores a study on the use of telehealth by Federally Qualified Health Centers (FQHCs) to provide contraceptive services during the COVID-19 pandemic in Alabama and South Carolina. Breaks down data by clinic accessibility and services offered, type of contraceptives provided, and rural versus urban location, among other factors.
Author(s): Kate Beatty, Michael G. Smith, Amal J. Khoury, et al.
Citation: Journal of Rural Health, 39(1), 160-171
Date: 12/2022
Type: Document
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Evidence Brief: Safety and Effectiveness of Telehealth-Delivered Mental Health Care
Presents an overview of research evidence on the safety and effectiveness of telehealth-based mental healthcare for veterans. Discusses outcomes and studies of telehealth treatment for posttraumatic stress disorder (PTSD), depression, anxiety, substance use, and multiple mental health conditions.
Additional links: Supplemental Materials
Author(s): E.H. Beech, S. Young, J.K. Anderson, B.E. Belsher, N.J. Parr
Date: 10/2022
Type: Document
Sponsoring organization: U.S. Department of Veterans Affairs
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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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The Future of Telehealth After COVID-19: New Opportunities and Challenges
Provides an overview of the current evidence regarding telehealth's impact on equitable access to care and on quality of care, patient outcomes, and cost. Describes the COVID-19 pandemic-related regulatory flexibilities for mental health and substance use disorder services. Discusses the importance of telehealth on primary and specialty care during the public health emergency (PHE). Offers recommendations for Medicare telehealth policies to promote better outcomes for Medicare beneficiaries and value for the Medicare program.
Additional links: Medicare Telehealth Utilization and Spending Impacts 2019-2021, Webinar Recording
Author(s): Julia Harris, Sabah Bhatnagar, Brady Newell, et al.
Date: 10/2022
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Telemedicine Use Among Adults: United States, 2021
Reports on the percent of adults who used telemedicine in the past 12 months. Includes data on telemedicine use for those living in metropolitan, micropolitan, and noncore areas.
Author(s): Jacqueline W. Lucas, Maria A. Villarroel
Date: 10/2022
Type: Document
Sponsoring organization: National Center for Health Statistics
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Hospital Capabilities to Enable Patient Electronic Access to Health Information, 2021
Data brief examining 2021 national estimates of rates of U.S. hospitals enabling patient electronic access to health information, presenting findings for small, Critical Access, rural, and independent hospitals. Analyzes data from the 2021 AHA Annual Survey Information Technology Supplement.
Author(s): Wesley Barker, Dustin Charles
Date: 10/2022
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Last Updated: 4/8/2024