Rural Health
Resources by Topic: Service delivery models
Improving Substance Use Care: Addressing Barriers to Expanding Integrated Treatment Options for Post-9/11 Veterans
Report details the barriers to behavioral health treatment for veterans of the post-9/11 wars. Highlights challenges specific to rural veterans, such as stigma around mental health and substance use issues, as well as distance to care. Discusses methods for overcoming barriers to treatment.
Author(s): Eric R. Pedersen, Kathryn E. Bouskill, Stephanie Brooks Holliday, et al.
Date: 07/2020
Type: Document
Sponsoring organization: RAND Corporation
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Report details the barriers to behavioral health treatment for veterans of the post-9/11 wars. Highlights challenges specific to rural veterans, such as stigma around mental health and substance use issues, as well as distance to care. Discusses methods for overcoming barriers to treatment.
Author(s): Eric R. Pedersen, Kathryn E. Bouskill, Stephanie Brooks Holliday, et al.
Date: 07/2020
Type: Document
Sponsoring organization: RAND Corporation
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The Growing Divide in the Composition of Public Health Delivery Systems in US Rural and Urban Communities, 2014–2018
Analyzes data from the National Longitudinal Survey of Public Health Systems to examine rural-urban differences in the scope of public health delivery system activities and organizational networks from 2014-2018. Provides geographic breakdowns on various characteristics, including poverty, unemployment, trends for public health activities, and more.
Author(s): Kelsey M. Owsley, Mika K. Hamer, Glen P. Mays
Citation: American Journal of Public Health, 110(Suppl 2), S204-S210
Date: 07/2020
Type: Document
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Analyzes data from the National Longitudinal Survey of Public Health Systems to examine rural-urban differences in the scope of public health delivery system activities and organizational networks from 2014-2018. Provides geographic breakdowns on various characteristics, including poverty, unemployment, trends for public health activities, and more.
Author(s): Kelsey M. Owsley, Mika K. Hamer, Glen P. Mays
Citation: American Journal of Public Health, 110(Suppl 2), S204-S210
Date: 07/2020
Type: Document
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The Influence of Telehealth for Better Health Across Communities
Describes the use of Extension for Community Healthcare Outcomes (ECHO), a videoconferencing peer learning application used by healthcare providers in predominantly rural areas of Missouri for the treatment of COVID-19–positive patients with chronic diseases such as diabetes, COPD, and hypertension. Discusses implications for public health and ways to optimize health system performance.
Author(s): Jane A. McElroy, Tamara M. Day, Mirna Becevic
Citation: Preventing Chronic Disease, 17
Date: 07/2020
Type: Document
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Describes the use of Extension for Community Healthcare Outcomes (ECHO), a videoconferencing peer learning application used by healthcare providers in predominantly rural areas of Missouri for the treatment of COVID-19–positive patients with chronic diseases such as diabetes, COPD, and hypertension. Discusses implications for public health and ways to optimize health system performance.
Author(s): Jane A. McElroy, Tamara M. Day, Mirna Becevic
Citation: Preventing Chronic Disease, 17
Date: 07/2020
Type: Document
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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Second Annual Report
Reports on the first two program years of the CPC+, a CMS primary care payment and delivery reform effort. Discusses CPC+ participating practices, payer partners, and health information technology (HIT) vendors supporting the program. Describes practices changes and outcomes for Medicare fee-for-service beneficiaries. Includes statistics with breakdowns by rural, suburban, or urban practice location.
Additional links: Appendices to the Supplemental Volume, CMS Perspective Report, Findings at a Glance, Supplemental Volume
Date: 07/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Reports on the first two program years of the CPC+, a CMS primary care payment and delivery reform effort. Discusses CPC+ participating practices, payer partners, and health information technology (HIT) vendors supporting the program. Describes practices changes and outcomes for Medicare fee-for-service beneficiaries. Includes statistics with breakdowns by rural, suburban, or urban practice location.
Additional links: Appendices to the Supplemental Volume, CMS Perspective Report, Findings at a Glance, Supplemental Volume
Date: 07/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Advance Care Planning: New Realities in Times of COVID-19
Examines the challenges of advance care planning, planning for decision-making in times of medical crisis, due to COVID-19. Shares insights from clinicians and others involved in helping rural patients.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 07/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Examines the challenges of advance care planning, planning for decision-making in times of medical crisis, due to COVID-19. Shares insights from clinicians and others involved in helping rural patients.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 07/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Insights for What Enhances or Undermines Trust in Hospital Settings
Reviews research on the trust rural and underserved populations have in hospitals. Highlights dimensions of patient trust identified by researchers. Profiles a study by the Colorado Hospital Association examining the relationship between patient and family engagement activities and patient trust in rural hospitals. Includes a discussion on the impact of the COVID-19 pandemic on rural hospitals and Critical Access Hospitals.
Author(s): Bonnie Austin Cluxton
Date: 07/2020
Type: Document
Sponsoring organization: AcademyHealth
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Reviews research on the trust rural and underserved populations have in hospitals. Highlights dimensions of patient trust identified by researchers. Profiles a study by the Colorado Hospital Association examining the relationship between patient and family engagement activities and patient trust in rural hospitals. Includes a discussion on the impact of the COVID-19 pandemic on rural hospitals and Critical Access Hospitals.
Author(s): Bonnie Austin Cluxton
Date: 07/2020
Type: Document
Sponsoring organization: AcademyHealth
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Telepharmacy Rules and Statutes: A 3-Year Update for all 50 States
Surveys the legislative and administrative activity authorizing community-based telepharmacy. Includes a table identifying states that have permitted telepharmacy services through legislation, regulation, or waiver or pilot programs, and states with limitations, prohibitions, or no guidance on these services. Provides an overview of state rules and regulations that limit aspects of telepharmacy implementation. Explores areas for further research and evaluation, including the relationship between telepharmacy and rural pharmacy closures.
Author(s): Jason Semprini, Fred Ullrich, Keith J. Mueller
Date: 07/2020
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Surveys the legislative and administrative activity authorizing community-based telepharmacy. Includes a table identifying states that have permitted telepharmacy services through legislation, regulation, or waiver or pilot programs, and states with limitations, prohibitions, or no guidance on these services. Provides an overview of state rules and regulations that limit aspects of telepharmacy implementation. Explores areas for further research and evaluation, including the relationship between telepharmacy and rural pharmacy closures.
Author(s): Jason Semprini, Fred Ullrich, Keith J. Mueller
Date: 07/2020
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Pennsylvania Hospital Transitions HRSA-Funded Program to Online Services and Addresses COVID-19 Stress
Features Butler Memorial Hospital and how it adapted to the COVID-19 pandemic. Highlights the switch to online delivery for a chronic disease project funded by a HRSA Rural Health Care Services Outreach grant. Also describes initiatives to address healthcare workforce stress, help patients use tablets to visit with loved ones, and distribute healthy food to the community.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 07/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Features Butler Memorial Hospital and how it adapted to the COVID-19 pandemic. Highlights the switch to online delivery for a chronic disease project funded by a HRSA Rural Health Care Services Outreach grant. Also describes initiatives to address healthcare workforce stress, help patients use tablets to visit with loved ones, and distribute healthy food to the community.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 07/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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South Carolina Telehealth Alliance - COVID-19: Resources for Patients and Providers in South Carolina
Features links to resources for online screening, laws and regulations, and reimbursement policies, related to telehealth in South Carolina.
Date: 07/2020
Type: Website
Sponsoring organization: South Carolina Telehealth Alliance
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Features links to resources for online screening, laws and regulations, and reimbursement policies, related to telehealth in South Carolina.
Date: 07/2020
Type: Website
Sponsoring organization: South Carolina Telehealth Alliance
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Innovative Health Care Provider Roles
Discusses healthcare provider types that might have the potential to benefit rural communities including community health workers, community paramedics, patient advocates, health coaches, and dental therapists.
Date: 07/2020
Type: Document
Sponsoring organization: Rural Health Value
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Discusses healthcare provider types that might have the potential to benefit rural communities including community health workers, community paramedics, patient advocates, health coaches, and dental therapists.
Date: 07/2020
Type: Document
Sponsoring organization: Rural Health Value
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