Telehealth Use in Rural Healthcare Publications

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Here are 57 recent or important documents focusing on Telehealth. For more on this topic, search all RHIhub resources.

Access to Behavioral Health Care for Geographically Remote Service Members and Dependents in the U.S.
A geospatial analysis using TRICARE and other data to determine access to and utilization of mental and behavioral healthcare services for veterans who reside in remote locations. Recommends two pathways for improving access to care: telehealth service and collaborative care between primary care and specialty behavioral care.
Author(s): Ryan Brown, Grant Marshall, Joshua Breslau, Coreen Farris, Karen Osilla, Harold Pincus, Teague Ruder, Phoenix Voorhies, Dionne Barnes-Proby, Katherine Pfrommer, Lisa Miyashiro, Y. Rana, D. Adamson
Sponsoring organization: RAND Corporation
Date: 01/2015
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Breaking the Barriers to Specialty Care: Practical Ideas to Improve Health Equity and Reduce Cost
A collection of briefs focused on how to improve access to specialty care for rural and low-income patients. Discusses telehealth, developing primary care capacity to provide appropriate specialty care, and coordinated specialist networks as approaches to improve specialty care access. Free, but registration required to download.
Author(s): Bristol-Myers Squibb Foundation, FSG
Date: 06/2016
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Building Blocks for Cultural Integration in the Development and Establishment of Rural VA Telemental Health Clinics for Native Veterans
Offers an overview, plus suggestions and tips for setting up, operating, and maintaining telemental health (TMH) clinics for rural Native Veterans.
Sponsoring organization: Veterans Rural Health Resource Center: Western Region
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Compendium of Rural Best Practices/Models Innovations to Strengthen Rural Health Care: Technology, Quality Improvement, Collaboration, and Training
Summaries of innovative programs occurring in rural areas, featuring a medical home model, a Lean/Six Sigma hospital program, a community health center telehealth program, and a statewide behavioral health network.
Sponsoring organization: National Rural Health Association
Date: 2013
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Creating Opportunity and Prosperity Through Strengthening Rural-Urban Connections
Highlights examples in which regional development organizations can benefit from linking rural regions with urban centers. Includes information on broadband development and its implication for improving access to healthcare services.
Author(s): Brian Dabson, Erin Meyers
Sponsoring organization: National Association of Development Organizations
Date: 05/2015
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Creating Telemedicine-Based Medical Networks for Rural and Frontier Areas
Describes a three part approach that can leverage Recovery Act initiatives for launching new technologies that address the needs of medically underserved areas.
Author(s): Leonard R. Graziplene
Date: 2009
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e-Emergency Services Bring Specialists to Rural Patients with the Push of a Button
More and more specialists are available to small hospitals via telemedicine, benefiting patients—and doctors. Highlights Avera eEmergency Services, a hospital-based telemedicine emergency support service available in South Dakota, Iowa, Minnesota, and North Dakota.
Author(s): Candi Helseth
Sponsoring organization: Rural Health Information Hub
Location: Rural Monitor, 2011(Summer)
Date: 08/2011
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Effect of Tele-Emergency Services on Recruitment and Retention of US Rural Physicians
Analyzes the effects of telemedicine services on recruitment and retention of physicians to rural healthcare facilities.
Author(s): Andrew Potter, Keith Mueller, A Mackinney, Marcia Ward
Location: Rural and Remote Health, 14, 2787
Date: 08/2014
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The Empirical Foundations of Telemedicine Interventions for Chronic Disease Management
Looks at the impact telemedicine has on cost, quality and rural access to healthcare, focusing on three chronic diseases: congestive heart failure, stroke, and chronic obstructive pulmonary disease.
Author(s): Rashid L. Bashshur, Gary W. Shannon, Brian R. Smith
Location: Telemedicine Journal and E-health, 20(9), 769-800
Date: 09/2014
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Estimating the Economic Impact of Telemedicine in a Rural Community
Authors conducted site visits to twenty-four rural hospitals in the Midwest to develop a methodology for estimating the economic impact of telemedicine on a rural community.
Author(s): Brian E. Whitacre
Date: 08/2011
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An Exploratory Study of the Use of Telehealth Services by Federally Qualified Health Centers and Hospitals in New York State
Findings of a study on use of telehealth services by New York healthcare providers, including limitations, barriers, and plans for expanding availability. Features statistics on frequency and type of use, financing and reimbursement by provider type, and reasons for future use, with breakdowns by region of state and urban or rural location.
Author(s): Robert Martiniano, Jean Moore
Sponsoring organization: Center for Health Workforce Studies
Date: 11/2015
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Extent of Telehealth Use in Rural and Urban Hospitals
Provides discussion with statistics on the use of telehealth in rural and urban hospitals, and the opportunities telehealth can bring to supporting healthcare in rural communities.
Author(s): Marcia M. Ward, Fred Ullrich, Keith Mueller
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 04/2014
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Family Physicians and Telehealth: Findings from a National Survey
Discusses potential for telemedicine to facilitate expanded access to health care, particularly in rural and medically underserved areas. Includes statistics with breakdowns by percentage of use, type of medical care, type of facility ownership, practice characteristics, attitudes and beliefs about telehealth, and perceived barriers.
Author(s): Kathleen Klink, Megan Coffman, Miranda Moore, Anuradha Jetty, Stephen Petterson, Andrew Bazemore
Sponsoring organization: Robert Graham Center
Date: 10/2015
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Forging Rural Health Care Links
Discusses Avera eCARE, a South Dakota-based telehealth system providing comprehensive, round-the-clock, "virtual hospital" care in specialties such as infectious disease, behavioral health, oncology, pulmonology, cardiology, and pediatrics. Primarily serves Medicare-age patients in rural areas of eight Midwestern states.
Author(s): Donna Farris
Location: Health Progress, 96(1)
Date: 2015
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A Guide to Telemedicine: Designing a Hospital-Based Program
Provides small and rural hospitals with step-by-step instructions to develop a telemedicine program in their communities.
Sponsoring organization: Illinois Hospital Association
Date: 01/2013
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Hospital Views of Factors Affecting Telemedicine Use
Discusses the observations of rural and urban hospital representatives, from both hub and spoke locations, regarding the obstacles and the driving forces in the development and expansion of telemedicine services.
Author(s): Kimberly A. S. Merchant, Marcia M. Ward, Keith J. Mueller,
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 04/2015
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Improving Access to Care through Telehealth
Provides descriptions of research studies to expand access to care for Veterans through improved telehealth services.
Sponsoring organization: VA Health Services Research & Development Service
Date: 07/2016
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Improving Access to Specialized Care: The Telehealth Kidney Transplant Clinic at the Iowa City VAMC
The Telehealth Transplant Clinic at the Iowa City Veterans Affairs Medical Center has been found to reduce travel time for kidney transplant patients by allowing them to receive annual follow-up exams remotely using telehealth services.
Author(s): Roberto Kalil, Christie Thomas, Carol Winetroub, Stacey Abel
Sponsoring organization: Veterans Health Administration's Office of Rural Health
Date: 2013
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Improving Behavioral Health Access & Integration Using Telehealth & Teleconsultation: A Health Care System for the 21st Century
Highlights the benefits of using telehealth and teleconsultation in rural and urban areas. Identifies strategies to develop and expand telehealth services and addresses the regulatory barriers with the distribution of telehealth services.
Author(s): Charles Townley, Rachel Yalowich
Sponsoring organization: National Academy for State Health Policy
Date: 11/2015
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Improving Rural Health: State Policy Options
Discusses strategies that states have used to improve healthcare in rural communities. Covers workforce pipeline strategies, long-term care services, behavioral health, emergency medical services, wellness and prevention, rural health clinics, school-based health centers, telehealth, recruitment and retention of healthcare professionals, loan repayment programs and community health workers.
Author(s): Kristine Goodwin, Laura Tobler
Sponsoring organization: National Conference of State Legislatures
Date: 11/2013
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Increasing Access to Behavioral Health Care Through Technology
Presents insights on establishing a telebehavioral health program shared at a meeting convened by the U.S. Department of Health and Human Services (HHS) and the Health Resources and Services Administration’s (HRSA) Office of Special Health Affairs with participants from HRSA-funded health centers in urban and rural areas.
Sponsoring organization: Health Resources and Services Administration
Date: 02/2013
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Mental Health Services Are a Critical Rural Need
Reports high rates of depression, suicide, and addiction among rural people, and notes barriers to treatment including lack of anonymity, shortage of detoxification centers, transportation-related problems, and cultural reluctance to seek help with emotional and behavioral stresses. Notes that telemedicine has enabled psychiatrists to treat distance patients effectively, yet initiatives such as this have received little support.
Author(s): Patrick T. Reardon
Location: Health Progress, 91(5)
Date: 2010
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Mixed-methods Evaluation of a Telehealth Collaborative Care Program for Persons with HIV Infection in Rural Settings (Issue Brief)
Discusses the findings of the Iowa City Veterans Affairs Health Care System's implementation of a telehealth collaborative care program for veterans with HIV living in rural parts of Iowa and Illinois.
Author(s): Michael Ohl, Dena Dillon, Jane Moeckli, et al.
Sponsoring organization: U.S. Department of Veterans Affairs
Date: 2013
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Mobile Health and Patient Engagement in the Safety Net: A Survey of Community Health Centers and Clinics
Discusses the results of a survey of rural and urban community health clinics and other clinics to evaluate the use of cell phones to engage patients in their healthcare. Highlights areas where the use of cell phones has shown to be successful in chronic disease management.
Author(s): Andrew Broderick, Farshid Haque
Sponsoring organization: Commonwealth Fund
Date: 05/2015
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New Opportunities and Challenges for Teleaudiology Within Department of Veterans Affairs
Provides an overview of teleaudiology and the delivery of audiological services through telemedicine practice for rural and inner urban areas. Includes discussion on how the Veterans Administration is researching and incorporating teleaudiology within its healthcare program.
Author(s): Peter G. Jacobs, Gabrielle H. Saunders
Location: Journal of Rehabilitation Research & Development, 51(5), vii-xii
Date: 2014
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A Pilot Project to Improve Access to Telepsychotherapy at Rural Clinics
Describes the challenges and motivators regarding the implementation of a telemental health pilot project in rural outpatient clinics to improve access to mental health services for rural veterans.
Author(s): Geri Adler, Lonique R. Pritchett, Michael R. Kauth, Danielle Nadorff
Location: Telemedicine and e-Health, 2D(1), 83-85
Date: 01/2014
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A Pilot Videoconference Group Stress Management Program in Cancer Survivors: Lessons Learned
Discusses the advantages and barriers of developing and implementing a group-based videoconference program that provides interventions to improve the psychosocial outcomes of rural cancer patients following treatment.
Author(s): Eric Zhou, Ann Partridge, Jaime Blackmon, Evan Morgan, Christopher Recklitis
Location: Rural and Remote Health, 16, 3863
Date: 06/2016
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Practice Based Versus Telemedicine Based Collaborative Care for Depression in Rural Federally Qualified Health Centers: A Pragmatic Randomized Comparative Effectiveness Trial
Reports on a research trial comparing practice-based collaborative primary care for depression involving mental health providers on-site to telemedicine-based collaborative primary care with off-site mental health providers.
Author(s): John C. Fortney, Jeffrey M. Pyne, Sip B. Mouden, et al.
Location: American Journal of Psychiatry, 170(4), 414-25
Date: 04/2013
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Project ECHO’s Complex Care Initiative: Building Capacity to Help "Superutilizers" in Underserved Communities
Case study of the University of New Mexico’s Project ECHO (Extension for Community Health Outcomes) program, which uses telehealth to support primary care clinicians in underserved areas. Focuses on a project targeting Medicaid beneficiaries with substance abuse and mental health issues, with details on two primary care teams being supported, including one in a rural New Mexico community.
Author(s): Martha Hostetter, Sarah Klein, Douglas McCarthy
Sponsoring organization: Commonwealth Fund
Date: 08/2016
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The Promise of Telehealth For Hospitals, Health Systems and Their Communities
Highlights how hospitals are embracing the use of telehealth technologies. Discusses benefits including virtual consultations with distant specialists for people in rural areas, the ability to perform high-tech monitoring without requiring patients to leave their homes, and providing patients with less expensive and more convenient care options. Features several telehealth projects who serve those living in rural communities, including the NC Telepsychiatry Network, the Medical University of SC, and the Geisinger Health Plan in rural Pennsylvania.
Sponsoring organization: American Hospital Association
Date: 01/2015
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Rationale and Design: Telepsychology Service Delivery for Depressed Elderly Veterans
Describes a study and medical trial that will work to provide telepsychology services for depressed, elderly veterans living in rural America.
Author(s): Leonard E. Egede, Christopher B. Frueh, Lisa K. Richardson, et al.
Location: Trials, 10, 22
Date: 04/2009
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The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary
Reports on a HRSA-sponsored workshop held in Washington, DC on August 8-9, 2012, that examined how the use of telehealth technology can fit into the U.S. health care system. Chapter 4 considers some of the overarching challenges in telehealth, especially for rural communities. Rural is also mentioned throughout the report.
Author(s): Tracy A. Lustig
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
Date: 2012
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Role of Telehealth/Videoconferencing in Managing Cancer Pain in Rural American Indian Communities
Results of a study to determine the feasibility and effect of using videoconferencing to deliver cancer-related pain management education and case consultation to health care providers in rural AI/AN communities.
Author(s): Haozous E, Doorenbos AZ, Demiris G, et al.
Location: Psycho-Oncology, 21(2), 219-223
Date: 02/2012
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Rural Kentucky Gains More Access
Discusses comprehensive telehealth services available to medically underserved and economically disadvantaged Appalachian rural areas and provided by KentuckyOne Health, the state's largest health system. Addresses home telemonitoring and telepsychiatry, and their value to health care professionals and patients.
Author(s): Deborah Burton, F. Rose Rexroat
Location: Health Progress, 96(1)
Date: 2015
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Rural Telehealth Capabilities and Outreach Continue to Grow
Telehealth is being used more widely in rural areas, improving patient care for schoolchildren, seniors and every age group in-between.
Author(s): Candi Helseth
Sponsoring organization: Rural Health Information Hub
Location: Rural Monitor, 2013(Summer)
Date: 08/2013
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State Telehealth Laws and Medicaid Program Policies
Provides a summary of telehealth-related laws and reimbursement policies for all 50 states and the District of Columbia, using policy language available in each state as of July 2015. The primary focus of the report is on Medicaid coverage for telehealth services but also includes reference to state policies that require private insurer payment for the service.
Sponsoring organization: Center for Connected Health Policy (National Telehealth Policy Resource Center)
Date: 07/2015
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State Telemedicine Gaps Analysis: Coverage & Reimbursement
Compares telemedicine coverage and reimbursement standards for every state. Discusses Medicaid telemedicine coverage and conditions of payment for rural areas by reporting distance or geography restrictions.
Author(s): Latoya Thomas, Gary Capistrant
Sponsoring organization: American Telemedicine Association
Date: 05/2015
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State Telemedicine Gaps Analysis: Coverage and Reimbursement
A summary of telemedicine policy across the 50 states, with a specific focus on reimbursement standards and available coverage. Includes maps, data, and statistics using a grading scale for each state to allow for direct comparison.
Author(s): Latoya Thomas, Gary Capistrant
Sponsoring organization: American Telemedicine Association
Date: 01/2016
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State Telemedicine Gaps Analysis: Physician Practice Standards & Licensure
A summary of telemedicine policy and how it affects the use and availability of services for both patients and physicians across the 50 states. Includes maps, data, and statistics using a grading system for each state to allow for direct comparison.
Author(s): Latoya Thomas, Gary Capistrant
Sponsoring organization: American Telemedicine Association
Date: 01/2016
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State Trends that Impact the Use of Telehealth at Health Centers: Store-and-Forward and Remote Patient Monitoring
A discussion of several state policies and their legislative activity regarding telehealth services involving asynchronous encounters. These encounters include store-an-forward methods where data is transferred between a patient and provider, or provider to provider, and remote patient monitoring that uses two-way video, remote measurements, and phone-based systems to manage patient care.
Author(s): Heidi Emerson
Sponsoring organization: National Association of Community Health Centers
Date: 09/2015
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Streamlining Telemedicine Licensure to Improve Rural America
Provides information and statistics to support advocacy efforts for telemedicine cross-state licensure to improve health care access in rural America.
Author(s): Jarod Giger, Mary DeVany
Sponsoring organization: National Rural Health Association
Date: 02/2013
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Technology Stemming from Tragedy
Describes how Finger Lakes Community Health, a rural Federally Qualified Health Center, developed an open access telehealth network in response to two separate traffic accidents involving FLCH providers.
Author(s): Kate Menzies
Sponsoring organization: Rural Health Information Hub
Location: Rural Monitor
Date: 08/2015
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Telecommunications: Projects and Policies Related to Deploying Broadband in Unserved and Underserved Areas
Shares options for broadband deployment in unserved and underserved areas. Identifies alternative approaches to expanding rural broadband and factors to consider when planning a broadband project. Identifies economic, legal, and policy issues. Describes FCC efforts to foster broadband deployment in unserved areas. Appendix includes brief case studies.
Sponsoring organization: Government Accountability Office
Date: 04/2014
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Telehealth in Rural America
Discusses the use of telehealth in rural areas, related reimbursement challenges, and provides recommendations to the Secretary of Health and Human Services for improving healthcare access and quality through the use of telehealth services.
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
Date: 03/2015
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Telehealth Parity Laws
Policy brief discussing federal and state activities related to telehealth, as well as Medicaid and private insurer reimbursement for telehealth services. Identifies the arguments in favor of and against paying for telehealth at parity with in-person care. Discusses the role telehealth can play in rural access to healthcare.
Location: Health Affairs
Date: 08/2016
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Telehealth Policy Trends and Considerations
Provides an overview of the field of telehealth and the potential questions that may arise when considering the creation of policy related to the subject. Focuses on three areas of interest for state policy makers: coverage and reimbursement, licensure, and safety and security. Includes a policy checklist and strategies being tested in several states.
Sponsoring organization: National Conference of State Legislatures
Date: 2015
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Telehealth Resources: An Introduction
Discusses the Telehealth Resource Centers which provide support to healthcare organizations, networks and providers to implement telehealth programs that serve rural and underserved communities.
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 02/2014
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Telehealth Services: Rural Health Fact Sheet Series
Contains information on originating sites, distant site practitioners, telehealth services, billing and payment for professional services furnished via telehealth as well as for the originating site facility fee, and a list of helpful websites.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Telehealth Start-Up and Resource Guide
Provides an overview and framework for implementing telehealth in critical access hospitals and rural areas. Includes resources about telehealth and an annotated list of organizations that support telehealth activities.
Sponsoring organization: Telligen Health Information Technology Regional Extension Center
Date: 10/2014
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Telehealth: Into the Mainstream?
Considers the promise and challenges of telehealth as a tool for addressing health needs with a particular notice to the opportunity to apply telehealth technology in rural America.
Author(s): Lisa Sprague
Sponsoring organization: National Health Policy Forum
Date: 03/2014
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Telehealth: Mapping the Evidence for Patient Outcomes From Systematic Reviews
A review of literature resulting in an evidence map for telehealth impacts on clinical outcomes for use by policymakers and other healthcare leaders. Identifies key areas that lack evidence-based research and suggests future studies needed to aid systematic review.
Author(s): Annette M. Totten, Dana M. Womack, Karen B. Eden, et al.
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 06/2016
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Telemedicine Reaches Beyond Clinic Walls: Network Help Extend Access
Discusses how telemedicine isn't confined to hospitals. It can reach patients in nursing homes, prisons and isolated geographic regions.
Author(s): Candi Helseth
Sponsoring organization: Rural Health Information Hub
Location: Rural Monitor, 2011(Summer)
Date: 08/2011
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Telemedicine: Changing the Landscape of Rural Physician Practice
Discusses how telemedicine helps rural primary care physicians provide better care and allows specialists to care for patients in rural and underserved areas.
Author(s): Bonnie Darves
Date: 05/2013
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Telemedicine: The Promise and Challenges
Provides an overview of telemedicine including a definition, current applications, policy issues surrounding it, evidence for its use, and a look forward to the future of the service delivery model. Includes examples of the application of telehealth services in rural areas.
Author(s): Deanna Okrent
Sponsoring organization: Alliance for Health Reform
Date: 06/2015
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Telemental Health in Today's Rural Health System
Describes the organizational setting, services provided, and staff used in 53 telemental rural health programs. Also outlines the opportunities and challenges for telemental health in the rural health system.
Author(s): David Lambert, John Gale, Anush Y. Hansen, Zach Croll, David Hartley
Sponsoring organization: Maine Rural Health Research Center
Date: 12/2013
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Testimony by Kristi Henderson, University of Mississippi Medical Center, before the U.S. Senate Committee on Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies
Testimony presented at a May 7, 2015 Labor-HHS Subcommittee hearing on rural health. Discusses how telehealth is improving healthcare in rural communities. Includes examples of telehealth across the nation, with more in-depth information about the telehealth services available to rural Mississippi through the University of Mississippi Medical Center's Center for Telehealth.
Author(s): Kristi Henderson
Sponsoring organization: Senate Committee on Appropriations
Date: 05/2015
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The Use of Telemedicine to Address Access and Physician Workforce Shortages
Policy statement discusses opportunities to use telemedicine technologies to address pediatric workforce shortages in rural and urban settings. Opportunities discussed include improving access to care, physician capacity, quality of care, and costs of care.
Author(s): James Marcin, Mary Rimsza, William Moskowitz, James Marcin, Ted Sigrest, Harold Simon
Sponsoring organization: American Academy of Pediatrics
Location: Pediatrics, 136(1)
Date: 06/2015
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PubMed Search: Telemedicine and Rural Health Services
Searches PubMed's collection of journal article citations on the topic of rural telemedicine.
Sponsoring organization: National Library of Medicine