Rural Health
Resources by Topic: Integrated service delivery
Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action
Issue brief exploring challenges to diagnostic quality in rural healthcare. Provides an overview of the topic of diagnostic errors in rural settings, and provides suggestions related to resource and workforce limitations, access to care, care coordination and other service delivery models, and social determinants of health.
Author(s): Kisha J. Ali, Nick J. Galvez, Sarah Craig, et al.
Date: 09/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Issue brief exploring challenges to diagnostic quality in rural healthcare. Provides an overview of the topic of diagnostic errors in rural settings, and provides suggestions related to resource and workforce limitations, access to care, care coordination and other service delivery models, and social determinants of health.
Author(s): Kisha J. Ali, Nick J. Galvez, Sarah Craig, et al.
Date: 09/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Addressing Depression and Comorbid Health Conditions Through Solution-Focused Brief Therapy in an Integrated Care Setting: A Randomized Clinical Trial
Analyzes the effectiveness of integrating a Solution-Focused Brief Therapy (SFBT) intervention to improve depressive symptoms and related health conditions for patients in a primary care setting. Analyzes 40 SFBT patients receiving treatment at a rural Federally Qualified Health Center (FQHC) for health measures such as depression, anxiety, well-being, body mass index (BMI), and blood pressure.
Author(s): Zach W Cooper, Orion Mowbray, Mohammed K. Ali, Leslie C. M. Johnson
Citation: BMC Primary Care, 25, 313
Date: 08/2024
Type: Document
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Analyzes the effectiveness of integrating a Solution-Focused Brief Therapy (SFBT) intervention to improve depressive symptoms and related health conditions for patients in a primary care setting. Analyzes 40 SFBT patients receiving treatment at a rural Federally Qualified Health Center (FQHC) for health measures such as depression, anxiety, well-being, body mass index (BMI), and blood pressure.
Author(s): Zach W Cooper, Orion Mowbray, Mohammed K. Ali, Leslie C. M. Johnson
Citation: BMC Primary Care, 25, 313
Date: 08/2024
Type: Document
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Integrated Behavioral Health Implementation and Chronic Disease Management Inequities: An Exploratory Study of Statewide Data
Examines associations between the use of integrated behavioral health (IBH) and quality of asthma, diabetes, and vascular disease management at 102 primary care clinics in Minnesota. Analyzes how rurality, racial profile of clinical location, and patient socioeconomic status interact with IBH adoption and quality of chronic disease management.
Author(s): Gretchen J. R. Buchanan, Jerica M. Berge, Timothy F. Piehler
Citation: BMC Primary Care, 25, 302
Date: 08/2024
Type: Document
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Examines associations between the use of integrated behavioral health (IBH) and quality of asthma, diabetes, and vascular disease management at 102 primary care clinics in Minnesota. Analyzes how rurality, racial profile of clinical location, and patient socioeconomic status interact with IBH adoption and quality of chronic disease management.
Author(s): Gretchen J. R. Buchanan, Jerica M. Berge, Timothy F. Piehler
Citation: BMC Primary Care, 25, 302
Date: 08/2024
Type: Document
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Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2023
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes changes in the quality of care during the first four years of the demonstration for states with available quality measures, as well as quality bonus payments states made to CCBHCs based on quality measure performance. Builds on findings on demonstration implementation, quality improvement, and costs outlined in previous evaluation reports, focusing on data collected since spring 2022.
Date: 07/2024
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica, RAND Corporation
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Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes changes in the quality of care during the first four years of the demonstration for states with available quality measures, as well as quality bonus payments states made to CCBHCs based on quality measure performance. Builds on findings on demonstration implementation, quality improvement, and costs outlined in previous evaluation reports, focusing on data collected since spring 2022.
Date: 07/2024
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica, RAND Corporation
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Transforming Oral Health Care in North Carolina
Makes recommendations for improving oral health access, supporting oral care workforce and providers, and promoting oral health quality and equity in North Carolina. Discusses oral health in rural and underserved areas throughout, including coverage of workforce distribution, dental safety net, and access barriers.
Date: 04/2024
Type: Document
Sponsoring organization: North Carolina Institute of Medicine
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Makes recommendations for improving oral health access, supporting oral care workforce and providers, and promoting oral health quality and equity in North Carolina. Discusses oral health in rural and underserved areas throughout, including coverage of workforce distribution, dental safety net, and access barriers.
Date: 04/2024
Type: Document
Sponsoring organization: North Carolina Institute of Medicine
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Experiences with and Outcomes of Oral Health Care - Perspectives from Nationally Representative Data
Report discusses the outcomes and experiences with oral healthcare from patients across the United States surveyed in January - February 2023. Details patients experience with access to care, attitudes about co-location of oral healthcare and other types of care, value-based care, telehealth usage, and discrimination in healthcare, among other topics. Breaks down demographic data of survey participants by age, gender, race/ethnicity, and urbanicity, among other measures.
Author(s): Lisa J. Heaton, Morgan Santoro, Paige Martin, Eric P. Tranby
Date: 03/2024
Type: Document
Sponsoring organization: CareQuest Institute for Oral Health
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Report discusses the outcomes and experiences with oral healthcare from patients across the United States surveyed in January - February 2023. Details patients experience with access to care, attitudes about co-location of oral healthcare and other types of care, value-based care, telehealth usage, and discrimination in healthcare, among other topics. Breaks down demographic data of survey participants by age, gender, race/ethnicity, and urbanicity, among other measures.
Author(s): Lisa J. Heaton, Morgan Santoro, Paige Martin, Eric P. Tranby
Date: 03/2024
Type: Document
Sponsoring organization: CareQuest Institute for Oral Health
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Advancing Oral Health Equity in Texas: A Community-Driven Approach
Report offering priority areas for increasing oral health equity in Texas. Discusses oral healthcare access, workforce, and integrating oral and medical healthcare. Discusses rural throughout.
Date: 02/2024
Type: Document
Sponsoring organization: Texas Health Institute
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Report offering priority areas for increasing oral health equity in Texas. Discusses oral healthcare access, workforce, and integrating oral and medical healthcare. Discusses rural throughout.
Date: 02/2024
Type: Document
Sponsoring organization: Texas Health Institute
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Integrated Care for Kids (InCK) Model: Evaluation Report 2
Presents findings from the first year of the implementation of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model, community context, approach to assessing beneficiary needs, and alternative payment model design. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 02/2024
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Presents findings from the first year of the implementation of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model, community context, approach to assessing beneficiary needs, and alternative payment model design. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 02/2024
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Behavioral Health Workforce, 2023
Offers data on the supply and distribution of the behavioral health workforce and factors impacting that workforce. Includes projected workforce shortages to 2036 and compares rural and urban shortages. Discusses unmet needs for different populations, scope of practice, reimbursement rates, retention, and workforce wellbeing. Describes strategies to improve access to behavioral healthcare around integrated care, community health workers, and telehealth.
Date: 12/2023
Type: Document
Sponsoring organization: National Center for Health Workforce Analysis
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Offers data on the supply and distribution of the behavioral health workforce and factors impacting that workforce. Includes projected workforce shortages to 2036 and compares rural and urban shortages. Discusses unmet needs for different populations, scope of practice, reimbursement rates, retention, and workforce wellbeing. Describes strategies to improve access to behavioral healthcare around integrated care, community health workers, and telehealth.
Date: 12/2023
Type: Document
Sponsoring organization: National Center for Health Workforce Analysis
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Rural Maternity and Obstetrics Management Strategies (RMOMS) Program
Describes a pilot grant program designed to improve maternal and neonatal health in rural communities by collecting data and supporting the development of financially sustainable and coordinated network models. Aims to make maternal and obstetrics care more accessible through increased use of telehealth and specialty care. Fact sheet provides information on the activities of 3 rural networks funded through the RMOMS program.
Date: 09/2023
Type: Website
Sponsoring organizations: Federal Office of Rural Health Policy, Maternal and Child Health Bureau
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Describes a pilot grant program designed to improve maternal and neonatal health in rural communities by collecting data and supporting the development of financially sustainable and coordinated network models. Aims to make maternal and obstetrics care more accessible through increased use of telehealth and specialty care. Fact sheet provides information on the activities of 3 rural networks funded through the RMOMS program.
Date: 09/2023
Type: Website
Sponsoring organizations: Federal Office of Rural Health Policy, Maternal and Child Health Bureau
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