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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Flattening the Curve by Getting Ahead of It: How the VA Healthcare System Is Leveraging Telehealth to Provide Continued Access to Care for Rural Veterans
Describes the Veterans Health Administration's efforts to use telehealth to provide behavioral health services to rural veterans affected by the COVID-19 pandemic.
Author(s): Ursula S. Myers, Anna Birks, Anouk L. Grubaugh, R. Neal Axon
Citation: Journal of Rural Health, 37(1), 194-196
Date: 01/2021
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Using Technology-Based Therapeutic Tools in Behavioral Health Services
Report discusses the use of telehealth to provide behavioral health services. Explores the benefits of telehealth as a bridge to accessing behavioral healthcare and presents implementation guidance, such as state and licensing regulations and reimbursement considerations.
Date: 2021
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Economics of Using Telemedicine to Supplement Hospice Care in Rural Areas
Describes a tele-hospice program implemented in 2015 by Hospice Services, Inc., a community-based hospice provider that serves rural and frontier counties in northwest and north central Kansas, in partnership with the University of Kansas Medical Center. Explores the financial impact of the tele-hospice intervention, comparing tele-hospice costs with costs of in-person services. Also identifies cost savings related to the use of virtual technology to conduct administrative meetings.
Author(s): Adam F. Lomenick, Sandy J. Kuhlman, Joe L. Barnes, et al.
Citation: Journal of Palliative Medicine, 24(10), 1461–1466
Date: 2021
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Rural Michigan Farmers' Health Concerns and Experiences: A Focus Group Study
Interviewed 14 members of the Michigan Farm Bureau in 2019 to explore their healthcare system experiences. Overall themes discussed include formal healthcare, well-being and health supports, health insurance, and virtual healthcare. Data show basic demographics of participants in addition to their access to internet, cell phones, and virtual healthcare.
Author(s): Nathan Wright, Marylee Scherdt, Michelle L. Aebersold, et al.
Citation: Journal of Primary Care & Community Health, 12(2021)
Date: 2021
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Producing Insecurity: Healthcare Access, Health Insurance, and Wellbeing among American Indian Elders
Analyzes the results of 96 surveys and interviews with American Indian elders aged 55 and older in U.S. Southwest to determine their perception of fear and doubt regarding interactions with healthcare providers and IHS facilities, and the costs of healthcare services and health insurance.
Author(s): Elise Trott Jaramillo, Cathleen E. Willging
Citation: Social Science & Medicine, 268
Date: 2021
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2021 Rural Border Health Chartbook
Presents statistics on health indicators and social determinants of health in the U.S.-Mexico Border region, offering rural/urban comparisons, comparing self-reported Hispanic vs. non-Hispanic ethnicity, and examining proximity to the border. Covers access to care, use of preventive health services, health-related behaviors, COVID-19, mortality, and American Indian health.
Author(s): Elizabeth Crouch, Rachel Davis, Jan M. Eberth, et al.
Date: 2021
Sponsoring organizations: National Rural Health Association, University of South Carolina Rural Health Research Center
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Healthy People 2020 Progress by Population Group
Provides charts and data tables that represent the final status of progress toward Healthy People 2020 target attainments by population group as part of the Healthy People 2020 Final Review. Breaks down progress in specific topic areas for various groupings, including geographic location, which provides rural and urban comparisons, as well as sex, race/ethnicity, educational attainment, family income, and disability status.
Date: 2021
Sponsoring organizations: Centers for Disease Control and Prevention, National Center for Health Statistics
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A Demonstration Project: Assessing the Significance and Impact of Utilizing a Novel Telemedicine Application in the Delivery of Community Based Palliative Care in a Rural Seriously Ill Population
Describes a project that evaluated the integration of virtual pharmacy into a palliative care telehealth model in rural western North Carolina. Addresses the feasibility, usability, and acceptability of using a virtual pharmacist, the common drug-drug interactions in that setting, recommendations from a virtual pharmacist related to medication management, and patient-reported outcomes.
Author(s): Janet H. Bull
Date: 2021
Sponsoring organization: Agency for Healthcare Research and Quality
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2016-2020 South Dakota Primary Care Needs Assessment
Findings of a comprehensive analysis and needs assessment of South Dakota counties and their potential areas of need in primary healthcare. Includes sections on tribal populations, Medicaid, telehealth, Health Professional Shortage Areas, Rural Health Clinics, Critical Access Hospitals, behavioral health, substance abuse, and educational opportunities for the primary care workforce. Features county-by-county statistics for various health indicators.
Date: 2021
Sponsoring organization: South Dakota Office of Rural Health
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2021 Long-Term Support Services Telehealth Results Summary
Presents findings of a review of telehealth needs and challenges among long-term services and supports (LTSS) staff in Hawaii based on telephone interviews. Offers policy recommendations to support LTSS providers and family caregivers and highlights provider experiences before and during the COVID-19 public health emergency. Discusses use of telehealth technology, barriers to using telehealth, and desired support among nursing homes, care homes, home health agents, hospice providers, family caregivers, and rehabilitation service providers.
Date: 2021
Sponsoring organization: Pacific Basin Telehealth Resource Center
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