Rural Health
Resources by Topic: Service delivery models
Community Health Centers' Progress and Challenges in Meeting Patients' Essential Primary Care Needs: Findings from the Commonwealth Fund 2024 National Survey of Federally Qualified Health Centers
Summarizes findings from the 2024 Commonwealth Fund National Survey of Federally Qualified Health Centers (FQHCs), which received responses from 737 FQHC leaders in fall 2023 and spring 2024. Explores the extent to which FQHCs achieve primary care accessibility, comprehensiveness, and coordination. Compares findings to data from the 2018 version of this survey to assess how care delivery changed over time. Describes barriers FQHCs face in offering high-quality care. Presents data by rural and urban location throughout.
Author(s): Celli Horstman, Corinne Lewis, Alexandra Bryan, Sara Federman
Date: 08/2024
Sponsoring organization: Commonwealth Fund
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Summarizes findings from the 2024 Commonwealth Fund National Survey of Federally Qualified Health Centers (FQHCs), which received responses from 737 FQHC leaders in fall 2023 and spring 2024. Explores the extent to which FQHCs achieve primary care accessibility, comprehensiveness, and coordination. Compares findings to data from the 2018 version of this survey to assess how care delivery changed over time. Describes barriers FQHCs face in offering high-quality care. Presents data by rural and urban location throughout.
Author(s): Celli Horstman, Corinne Lewis, Alexandra Bryan, Sara Federman
Date: 08/2024
Sponsoring organization: Commonwealth Fund
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Delivery of High-Speed Broadband Services in Unserved and Underserved Areas of the Commonwealth (Pennsylvania): Fifth Annual Report
Provides an update on the role of broadband in education, telehealth, agriculture, and community and economic development; barriers to development; and funding resources. Discusses developments in Pennsylvania state and local initiatives and efforts to identify unserved and underserved Pennsylvania communities.
Author(s): Yvonne Llewellyn Hursh, Bryan W. DeWalt, Lydia Hack, Allison N. Kobzowicz, Wendy L. Baker
Date: 08/2024
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Provides an update on the role of broadband in education, telehealth, agriculture, and community and economic development; barriers to development; and funding resources. Discusses developments in Pennsylvania state and local initiatives and efforts to identify unserved and underserved Pennsylvania communities.
Author(s): Yvonne Llewellyn Hursh, Bryan W. DeWalt, Lydia Hack, Allison N. Kobzowicz, Wendy L. Baker
Date: 08/2024
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Applying AI to Rural Health, with Jordan Berg
An episode of the Exploring Rural Health podcast featuring Jordan Berg, Principal Investigator for the National Telehealth Technology Assessment Resource Center. Focuses on applications of AI in rural healthcare, as well as how patient information in an AI system is safeguarded.
Date: 08/2024
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Jordan Berg, Principal Investigator for the National Telehealth Technology Assessment Resource Center. Focuses on applications of AI in rural healthcare, as well as how patient information in an AI system is safeguarded.
Date: 08/2024
Sponsoring organization: Rural Health Information Hub
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Veterans Health Care: VA's Video Telehealth Access Program Would Benefit from Performance Goals and Measures
Describes programs implemented by the U.S. Department of Veterans Affairs Veterans Health Administration (VHA) to address veterans' barriers to accessing telehealth, with a focus on the Accessing Telehealth at Local Area Stations (ATLAS) Pilot Program. Examines telehealth performance and use data, veterans' satisfaction with VHA telehealth services, and VHA efforts to assess the quality of its telehealth services. Offers recommendations to the VHA regarding the development and use of performance goals and measures to assess the effectiveness and efficiency of the ATLAS program.
Additional links: Full Report
Date: 08/2024
Sponsoring organization: Government Accountability Office
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Describes programs implemented by the U.S. Department of Veterans Affairs Veterans Health Administration (VHA) to address veterans' barriers to accessing telehealth, with a focus on the Accessing Telehealth at Local Area Stations (ATLAS) Pilot Program. Examines telehealth performance and use data, veterans' satisfaction with VHA telehealth services, and VHA efforts to assess the quality of its telehealth services. Offers recommendations to the VHA regarding the development and use of performance goals and measures to assess the effectiveness and efficiency of the ATLAS program.
Additional links: Full Report
Date: 08/2024
Sponsoring organization: Government Accountability Office
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Palliative Care in Rural Communities
Presents the CARE (Complex, Access, Resourceful, Extraordinary) Framework to highlight the challenges and benefits of healthcare delivery in rural communities. Highlights multiple models for palliative care outside acute care settings with consideration for the CARE Framework.
Author(s): Tracy Fasolino, Kathleen Valentine, Megan E. Mayfield, William E. Rosa, Anne Koci
Citation: American Journal of Nursing, 128(4), 50-55
Date: 07/2024
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Presents the CARE (Complex, Access, Resourceful, Extraordinary) Framework to highlight the challenges and benefits of healthcare delivery in rural communities. Highlights multiple models for palliative care outside acute care settings with consideration for the CARE Framework.
Author(s): Tracy Fasolino, Kathleen Valentine, Megan E. Mayfield, William E. Rosa, Anne Koci
Citation: American Journal of Nursing, 128(4), 50-55
Date: 07/2024
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Clinical Outcomes of Rural Patients with Diabetes Treated by ECHO-Trained Providers Versus an Academic Medical Center
Evaluates the effectiveness of Project ECHO trained rural primary care provider team treating diabetes compared to specialists at an academic medical center by measuring cardiorenal risk factor changes. Discusses implications of study findings for rural and other underserved populations with diabetes.
Author(s): Matthew F. Bouchonville, Larissa Myaskovsky, Yuridia L. Leyva, et al.
Citation: Journal of General Internal Medicine, 39, 298-2986
Date: 07/2024
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Evaluates the effectiveness of Project ECHO trained rural primary care provider team treating diabetes compared to specialists at an academic medical center by measuring cardiorenal risk factor changes. Discusses implications of study findings for rural and other underserved populations with diabetes.
Author(s): Matthew F. Bouchonville, Larissa Myaskovsky, Yuridia L. Leyva, et al.
Citation: Journal of General Internal Medicine, 39, 298-2986
Date: 07/2024
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National Cancer Institute-Funded Grants Focused on Synchronous Telehealth Cancer Care Delivery: A Portfolio Analysis
Analyzes trends in National Cancer Institute (NCI) funding for cancer-related telehealth research between fiscal years 2016 and 2022. Compares grants awarded during the period 2016-2019 versus 2020-2022, with data on study characteristics including telehealth delivery methods, services provided, cancer type, and more. Includes data on grants for rural populations and other groups experiencing health disparities.
Author(s): Roxanne E Jensen, Rachelle Brick, Joshua Medel, et al.
Citation: Journal of the National Cancer Institute Monographs, 2024(64), 55-61
Date: 07/2024
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Analyzes trends in National Cancer Institute (NCI) funding for cancer-related telehealth research between fiscal years 2016 and 2022. Compares grants awarded during the period 2016-2019 versus 2020-2022, with data on study characteristics including telehealth delivery methods, services provided, cancer type, and more. Includes data on grants for rural populations and other groups experiencing health disparities.
Author(s): Roxanne E Jensen, Rachelle Brick, Joshua Medel, et al.
Citation: Journal of the National Cancer Institute Monographs, 2024(64), 55-61
Date: 07/2024
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Community-Engaged Systems for Population Health Improvement: A Novel Approach to Improve Diabetes Outcomes in Rural Communities
Describes the design and implementation of a community-driven diabetes prevention and care management initiative focused on coalition-building and decentralized decision-making in 2 rural Nebraska communities. Discusses planning, capacity-building, community engagement, and sustainability.
Author(s): Kristin Pullyblank, Marisa Rosen, Christopher Wichman, et al.
Citation: Journal of Community Health, 49, 798-808
Date: 07/2024
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Describes the design and implementation of a community-driven diabetes prevention and care management initiative focused on coalition-building and decentralized decision-making in 2 rural Nebraska communities. Discusses planning, capacity-building, community engagement, and sustainability.
Author(s): Kristin Pullyblank, Marisa Rosen, Christopher Wichman, et al.
Citation: Journal of Community Health, 49, 798-808
Date: 07/2024
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The Future of Acute Hospital Care at Home
Describes the Acute Hospital Care at Home (AHCAH) model and explores barriers to participation including rural-specific concerns. Offers current and future policy reform recommendations related to rural hospital participation and flexibilities.
Author(s): Lisa Harootunian, Kamryn Perry, Allison Buffett, et al.
Date: 07/2024
Sponsoring organization: Bipartisan Policy Center
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Describes the Acute Hospital Care at Home (AHCAH) model and explores barriers to participation including rural-specific concerns. Offers current and future policy reform recommendations related to rural hospital participation and flexibilities.
Author(s): Lisa Harootunian, Kamryn Perry, Allison Buffett, et al.
Date: 07/2024
Sponsoring organization: Bipartisan Policy Center
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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
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
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica, RAND Corporation
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