Telehealth and Health Information Technology in Rural Healthcare – Resources
Selected recent or important resources focusing on Telehealth and Health Information Technology in Rural Healthcare.
School-Based Telehealth Playbook
Guides health centers through the design, implementation, and operation of a telehealth program that meets the needs of children and adolescents. Covers assessing needs and readiness, program models, business models, technology and equipment, program evaluation, partnerships, and implementation. Highlights examples from rural areas throughout.
Date: 2023
Sponsoring organization: School-Based Health Alliance
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Guides health centers through the design, implementation, and operation of a telehealth program that meets the needs of children and adolescents. Covers assessing needs and readiness, program models, business models, technology and equipment, program evaluation, partnerships, and implementation. Highlights examples from rural areas throughout.
Date: 2023
Sponsoring organization: School-Based Health Alliance
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Disparities in Patient Portal Access by U.S. Adults Before and During the COVID-19 Pandemic
Reports on a population-based survey to determine if socio-demographic disparities exist in accessing online patient portals. Using data from the 2020 U.S. Health Information National Trends Survey, insured adults who had a medical visit in the previous 12 months were asked about their knowledge, access, and use of online medical records. Demographic characteristics of patients who were offered access, and for patients who accessed online portals are compared. Reasons for not using an online portal are discussed. Compares online patient portal use by different patient characteristics, including education, race/ethnicity, sex, age, location (metro vs nonmetro/rural), insurance type, use of internet, and quality of care.
Author(s): Akira Nishii, Celeste Campos-Castillo, Denise Anthony
Citation: JAMIA Open, 5(4)
Date: 12/2022
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Reports on a population-based survey to determine if socio-demographic disparities exist in accessing online patient portals. Using data from the 2020 U.S. Health Information National Trends Survey, insured adults who had a medical visit in the previous 12 months were asked about their knowledge, access, and use of online medical records. Demographic characteristics of patients who were offered access, and for patients who accessed online portals are compared. Reasons for not using an online portal are discussed. Compares online patient portal use by different patient characteristics, including education, race/ethnicity, sex, age, location (metro vs nonmetro/rural), insurance type, use of internet, and quality of care.
Author(s): Akira Nishii, Celeste Campos-Castillo, Denise Anthony
Citation: JAMIA Open, 5(4)
Date: 12/2022
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Medicare Beneficiaries' Use of Audio-Only Health Care Services
Describes the use of audio-only telehealth services among Medicare beneficiaries before and during the COVID-19 pandemic. Presents data on the use of telehealth by age, number of chronic conditions, service type and modality, race and ethnicity, urbanicity, and outpatient facility provider type.
Date: 12/2022
Sponsoring organization: Bipartisan Policy Center
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Describes the use of audio-only telehealth services among Medicare beneficiaries before and during the COVID-19 pandemic. Presents data on the use of telehealth by age, number of chronic conditions, service type and modality, race and ethnicity, urbanicity, and outpatient facility provider type.
Date: 12/2022
Sponsoring organization: Bipartisan Policy Center
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Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication
Presents the results of a comprehensive literature review to identify, summarize, and evaluate available research on the contributions of rural provider-to-provider telehealth communication and collaboration in addressing health disparities, and improving the health of rural populations. Topics cover the specific applications, effectiveness, implementation, sustainability, and barriers and facilitators of provider-to-provider telehealth in rural areas.
Additional links: Executive Summary, Full Report, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 1, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 2
Author(s): Annette Totten, Dana M. Womack, Marian S. McDonagh, et al.
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents the results of a comprehensive literature review to identify, summarize, and evaluate available research on the contributions of rural provider-to-provider telehealth communication and collaboration in addressing health disparities, and improving the health of rural populations. Topics cover the specific applications, effectiveness, implementation, sustainability, and barriers and facilitators of provider-to-provider telehealth in rural areas.
Additional links: Executive Summary, Full Report, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 1, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 2
Author(s): Annette Totten, Dana M. Womack, Marian S. McDonagh, et al.
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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National Institutes of Health Pathways to Prevention Workshop: Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication
Examines the effectiveness of rural provider-to-provider collaboration through the use of telehealth based on a systematic review of rural provider-to-provider telehealth (RPPT), and the results of a workshop of rural health experts. Discusses uptake of different types of telehealth, benefits of provider-to-provider telehealth for rural patients, barriers and facilitators to implementation and sustainability, and limitations of studies examining rural telehealth.
Author(s): Mary Wakefield, Jayashri Sankaranarayanan, Joanne Mather Conroy, et al.
Citation: Journal of Telemedicine and Telecare, 2022
Date: 12/2022
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Examines the effectiveness of rural provider-to-provider collaboration through the use of telehealth based on a systematic review of rural provider-to-provider telehealth (RPPT), and the results of a workshop of rural health experts. Discusses uptake of different types of telehealth, benefits of provider-to-provider telehealth for rural patients, barriers and facilitators to implementation and sustainability, and limitations of studies examining rural telehealth.
Author(s): Mary Wakefield, Jayashri Sankaranarayanan, Joanne Mather Conroy, et al.
Citation: Journal of Telemedicine and Telecare, 2022
Date: 12/2022
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Disparities in Virtual Cardiology Visits Among Veterans Health Administration Patients During the COVID-19 Pandemic
Presents the results of a study to determine how the COVID-19 pandemic, during the first year, influenced the digital divide for patients using virtual and video-based care in Veterans Health Administration (VA) cardiology clinics across the U.S. Study examined sociodemographic and clinical characteristics, drive time to care, geographic location – rural and urban – and encounter type to determine changes in access to care by video, phone, and face-to-face.
Author(s): Rebecca L. Tisdale, Jacqueline Ferguson, James Van Campen, et al.
Citation: JAMIA Open, 5(4)
Date: 12/2022
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Presents the results of a study to determine how the COVID-19 pandemic, during the first year, influenced the digital divide for patients using virtual and video-based care in Veterans Health Administration (VA) cardiology clinics across the U.S. Study examined sociodemographic and clinical characteristics, drive time to care, geographic location – rural and urban – and encounter type to determine changes in access to care by video, phone, and face-to-face.
Author(s): Rebecca L. Tisdale, Jacqueline Ferguson, James Van Campen, et al.
Citation: JAMIA Open, 5(4)
Date: 12/2022
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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, and insurance status, among other measures.
Author(s): Carly McCord, Fred Ullrich, Kimberly A.S. Merchant, et al.
Citation: BMC Psychiatry, 22, 778
Date: 12/2022
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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, and insurance status, among other measures.
Author(s): Carly McCord, Fred Ullrich, Kimberly A.S. Merchant, et al.
Citation: BMC Psychiatry, 22, 778
Date: 12/2022
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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
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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
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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
Sponsoring organizations: Office of Inspector General (HHS), Pandemic Response Accountability Committee
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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
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 on patients by demographic characteristics; 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
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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 on patients by demographic characteristics; 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
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Last Updated: 10/16/2025

