Rural Health
Resources by Topic: Service delivery models
Racial and Ethnic Disparities in Access to Acute Stroke Capabilities in California: Association with Rurality and Telestroke Access
Examines disparities in presentation to emergency departments (EDs) with or without acute stroke capability among patients with acute stroke by race and ethnicity, and variations in these associations by patient rurality and ED telestroke status, using 2021 NEDI-California and NEDI-USA survey data.
Author(s): Kori S. Zachrison, Renee Y. Hsia, Krislyn M. Boggs, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 35(4), 108607
Date: 04/2026
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Examines disparities in presentation to emergency departments (EDs) with or without acute stroke capability among patients with acute stroke by race and ethnicity, and variations in these associations by patient rurality and ED telestroke status, using 2021 NEDI-California and NEDI-USA survey data.
Author(s): Kori S. Zachrison, Renee Y. Hsia, Krislyn M. Boggs, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 35(4), 108607
Date: 04/2026
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Bridging the Gap: A Scoping Review of Family Caregiver Roles in Rural Health Settings
Presents a literature review exploring how unpaid caregivers contribute to rural healthcare systems by filling gaps in the rural healthcare infrastructure. Highlights the various roles that unpaid caregivers play in the provision of healthcare, such as providing transportation, translating for family members, and telehealth mediation, among other activities.
Author(s): Stephanie Quon, Isabel Truong, Leah Moroz, Katherine Zheng
Citation: Rural and Remote Health, 26(1), 10621
Date: 03/2026
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Presents a literature review exploring how unpaid caregivers contribute to rural healthcare systems by filling gaps in the rural healthcare infrastructure. Highlights the various roles that unpaid caregivers play in the provision of healthcare, such as providing transportation, translating for family members, and telehealth mediation, among other activities.
Author(s): Stephanie Quon, Isabel Truong, Leah Moroz, Katherine Zheng
Citation: Rural and Remote Health, 26(1), 10621
Date: 03/2026
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Unapologetically Built Backwards: ONU HealthWise, Pharmacist-Driven Healthcare Access in Rural Ohio
Features a university pharmacy department in rural Ohio that prepares pharmacy students for rural practice while also providing mobile services in nearby rural counties. Describes how the program has expanded to offer interprofessional education experiences and serve a larger region.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2026
Sponsoring organization: Rural Health Information Hub
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Features a university pharmacy department in rural Ohio that prepares pharmacy students for rural practice while also providing mobile services in nearby rural counties. Describes how the program has expanded to offer interprofessional education experiences and serve a larger region.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2026
Sponsoring organization: Rural Health Information Hub
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Rural Health Transformation Program: State Focus on Maternal and Child Health
Describes maternal and child healthcare initiatives addressed in state Rural Health Transformation Program applications. Covers access to maternity care, the maternal health workforce, community-based behavioral health programs, technology-enabled strategies for maternal health, and more.
Author(s): Anoosha Hasan, Elliot Hill, Zack Gould
Date: 03/2026
Sponsoring organization: National Academy for State Health Policy
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Describes maternal and child healthcare initiatives addressed in state Rural Health Transformation Program applications. Covers access to maternity care, the maternal health workforce, community-based behavioral health programs, technology-enabled strategies for maternal health, and more.
Author(s): Anoosha Hasan, Elliot Hill, Zack Gould
Date: 03/2026
Sponsoring organization: National Academy for State Health Policy
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Advancing Technology Innovation through the Rural Health Transformation Program
Identifies common themes across Rural Health Transformation Program (RHTP) plans related to proposed health technology initiatives. Covers the information technology infrastructure, telehealth and remote patient monitoring, artificial intelligence, and catalyst funds and pilot programs.
Author(s): Daisy Kim, Maya Sandalow
Date: 03/2026
Sponsoring organization: Bipartisan Policy Center
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Identifies common themes across Rural Health Transformation Program (RHTP) plans related to proposed health technology initiatives. Covers the information technology infrastructure, telehealth and remote patient monitoring, artificial intelligence, and catalyst funds and pilot programs.
Author(s): Daisy Kim, Maya Sandalow
Date: 03/2026
Sponsoring organization: Bipartisan Policy Center
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Telehealth Resource Center Skills Matrix
Outlines the technical assistance and subject matter expertise of the 14 federally funded Telehealth Resource Centers in specific telehealth topics, clinical specialties, and areas of telehealth implementation.
Date: 03/2026
Sponsoring organization: National Consortium of Telehealth Resource Centers
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Outlines the technical assistance and subject matter expertise of the 14 federally funded Telehealth Resource Centers in specific telehealth topics, clinical specialties, and areas of telehealth implementation.
Date: 03/2026
Sponsoring organization: National Consortium of Telehealth Resource Centers
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Barriers to Implementing a Pharmacist-Led COPD CARE Bundle in Rural Settings: A Qualitative Evaluation
Examines barriers to implementing the COPD Coordinated Access to Reduce Exacerbations (COPD CARE) program, a care bundle focused on improving chronic obstructive pulmonary disease care coordination among pharmacists, nurse care managers, and other pharmacy clinicians in the Veterans Affairs system. Describes themes from clinician interviews, including discussion of staffing challenges, limited referral availability, fragmentation of care, technological limitations, and more.
Author(s): Edward Christopher Portillo, Martha Maurer, Steven Do, et al.
Citation: BMJ Open Respiratory Research, 13, e003178
Date: 03/2026
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Examines barriers to implementing the COPD Coordinated Access to Reduce Exacerbations (COPD CARE) program, a care bundle focused on improving chronic obstructive pulmonary disease care coordination among pharmacists, nurse care managers, and other pharmacy clinicians in the Veterans Affairs system. Describes themes from clinician interviews, including discussion of staffing challenges, limited referral availability, fragmentation of care, technological limitations, and more.
Author(s): Edward Christopher Portillo, Martha Maurer, Steven Do, et al.
Citation: BMJ Open Respiratory Research, 13, e003178
Date: 03/2026
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Increasing Uptake of Diabetes Self-Management Education and Support (DSMES) in Rural Kentucky Primary Care Clinics: Findings From a Pilot Pragmatic Cluster-Randomized Trial
Provides findings from a quality improvement pilot study focused on increasing diabetes self-management education and support (DSMES) uptake via coaching and technical assistance in rural Kentucky primary care clinics.
Author(s): Mary E. Lacy, Jessica Elliott, Vance Drakeford, et al.
Citation: Journal of Primary Care & Community Health, 17
Date: 03/2026
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Provides findings from a quality improvement pilot study focused on increasing diabetes self-management education and support (DSMES) uptake via coaching and technical assistance in rural Kentucky primary care clinics.
Author(s): Mary E. Lacy, Jessica Elliott, Vance Drakeford, et al.
Citation: Journal of Primary Care & Community Health, 17
Date: 03/2026
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Rural Health Transformation Program: State Focus on Behavioral Health
Describes behavioral healthcare initiatives addressed in state Rural Health Transformation Program applications. Covers behavioral health integration in primary care, the behavioral health crisis continuum, the behavioral health workforce, payment approaches, and technology investments.
Author(s): Laura Galbreath
Date: 03/2026
Sponsoring organization: National Academy for State Health Policy
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Describes behavioral healthcare initiatives addressed in state Rural Health Transformation Program applications. Covers behavioral health integration in primary care, the behavioral health crisis continuum, the behavioral health workforce, payment approaches, and technology investments.
Author(s): Laura Galbreath
Date: 03/2026
Sponsoring organization: National Academy for State Health Policy
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Mental Health Specialist Telemedicine Uptake and Patient Location
Analyzes 17,742 Medicare fee-for-service claims for mental health specialists between 2018 and 2023 to identify the proportion of telemedicine visits that are with rural, low-access-to-care, or other distant communities. Includes analysis of new and established patients. Discusses study findings as part of larger discussions regarding telehealth increasing access to healthcare for rural and other hard to reach populations.
Author(s): Jacob Jorem, Andrew D. Wilcock, Alisa B. Busch, Haiden A. Huskamp, Ateev Mehrotra
Citation: JAMA Network Open, 9(3)
Date: 03/2026
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Analyzes 17,742 Medicare fee-for-service claims for mental health specialists between 2018 and 2023 to identify the proportion of telemedicine visits that are with rural, low-access-to-care, or other distant communities. Includes analysis of new and established patients. Discusses study findings as part of larger discussions regarding telehealth increasing access to healthcare for rural and other hard to reach populations.
Author(s): Jacob Jorem, Andrew D. Wilcock, Alisa B. Busch, Haiden A. Huskamp, Ateev Mehrotra
Citation: JAMA Network Open, 9(3)
Date: 03/2026
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