Rural Health
Resources by Topic: Service delivery models
Goal Alignment and Unintended Consequences of Accountable Care: How the Structure of Oregon's Medicaid Coordinated Care Model Shapes Health Plan-Clinic Partnerships
Analyzes how the coordinated care organization model in Oregon impacts payers and primary care clinics through building relationships, metrics reporting, electronic health record technical assistance, training, and implementing alternative payment methods. Includes discussion of the impact on rural clinics and rural health outcomes.
Author(s): Erin S. Kenzie, Jean Campbell, Mellodie Seater, et al.
Citation: Journal of Clinical and Translational Science, 9(1)
Date: 02/2025
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Analyzes how the coordinated care organization model in Oregon impacts payers and primary care clinics through building relationships, metrics reporting, electronic health record technical assistance, training, and implementing alternative payment methods. Includes discussion of the impact on rural clinics and rural health outcomes.
Author(s): Erin S. Kenzie, Jean Campbell, Mellodie Seater, et al.
Citation: Journal of Clinical and Translational Science, 9(1)
Date: 02/2025
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Cross-State Travel for Cancer Care and Implications for Telehealth Reciprocity
Examines the extent to which Medicare beneficiaries with breast, colon, lung, or pancreatic cancer travel out of state to receive cancer services between January 1, 2017, and December 31, 2020. Compares cross-state travel by cancer site, service type, and patient rurality. Describes the potential implications of these findings for telehealth policies and reciprocity.
Author(s): Erika L. Moen, Qianfei Wang, Lingbo Liu, et al.
Citation: JAMA Network Open, 8(2), e2461021
Date: 02/2025
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Examines the extent to which Medicare beneficiaries with breast, colon, lung, or pancreatic cancer travel out of state to receive cancer services between January 1, 2017, and December 31, 2020. Compares cross-state travel by cancer site, service type, and patient rurality. Describes the potential implications of these findings for telehealth policies and reciprocity.
Author(s): Erika L. Moen, Qianfei Wang, Lingbo Liu, et al.
Citation: JAMA Network Open, 8(2), e2461021
Date: 02/2025
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Maternity Care in California: An Environmental Scan
Examines factors affecting declining hospital-based maternity care services in California and identifies approaches to increase access and quality of care. Includes discussion of rural hospital closures and rural quality of care challenges, and highlights rural program models in California and Alaska.
Date: 02/2025
Sponsoring organization: California Hospital Association
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Examines factors affecting declining hospital-based maternity care services in California and identifies approaches to increase access and quality of care. Includes discussion of rural hospital closures and rural quality of care challenges, and highlights rural program models in California and Alaska.
Date: 02/2025
Sponsoring organization: California Hospital Association
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An Analysis of Telehealth in a Post-Pandemic Rural, Midwestern Community: Increased Comfort and a Preference for Primary Care
Discusses the implementation of telehealth in rural, underserved communities during the COVID-19 pandemic and if telehealth remains a sustainable option to provide healthcare. Utilizes 2023 data from 253 survey participants regarding internet access, telehealth usage, and telehealth perceptions.
Author(s): Chase Salmon, Kameron Bell, Eric Reyes, Ellen Ireland, Robin Danek
Citation: BMC Health Services Research, 25, 270
Date: 02/2025
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Discusses the implementation of telehealth in rural, underserved communities during the COVID-19 pandemic and if telehealth remains a sustainable option to provide healthcare. Utilizes 2023 data from 253 survey participants regarding internet access, telehealth usage, and telehealth perceptions.
Author(s): Chase Salmon, Kameron Bell, Eric Reyes, Ellen Ireland, Robin Danek
Citation: BMC Health Services Research, 25, 270
Date: 02/2025
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Disparities in Substance Use Disorder Telehealth Services
Results of a study examining telehealth's association with changes in disparities in substance use disorder telehealth utilization across payers and rurality, from 2019-2023. Features statistics including breakdowns by urban and rural areas.
Author(s): Lauryn Saxe Walker, Manying Cui, Jonathan Cantor, et al.
Citation: JAMA Network Open, 8(2), e2459606
Date: 02/2025
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Results of a study examining telehealth's association with changes in disparities in substance use disorder telehealth utilization across payers and rurality, from 2019-2023. Features statistics including breakdowns by urban and rural areas.
Author(s): Lauryn Saxe Walker, Manying Cui, Jonathan Cantor, et al.
Citation: JAMA Network Open, 8(2), e2459606
Date: 02/2025
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Peer-Assisted Telemedicine Hepatitis-C Treatment for People Who Use Drugs in Rural Communities: A Mixed Methods Study
Examines the Oregon HOPE TeleHCV study, which provided peer-facilitated telemedicine hepatitis C virus (HCV) treatment for people who use drugs (PWUD) in rural Oregon. Utilizes survey and interview data provided by patients and clinicians to identify effective strategies for building trust and reducing barriers to treatment at the systems, clinical, and peer levels.
Author(s): Kim Hoffman, Gillian Leichtling, Sarah Shin, et al.
Citation: Addiction Science & Clinical Practice, 20, 10
Date: 02/2025
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Examines the Oregon HOPE TeleHCV study, which provided peer-facilitated telemedicine hepatitis C virus (HCV) treatment for people who use drugs (PWUD) in rural Oregon. Utilizes survey and interview data provided by patients and clinicians to identify effective strategies for building trust and reducing barriers to treatment at the systems, clinical, and peer levels.
Author(s): Kim Hoffman, Gillian Leichtling, Sarah Shin, et al.
Citation: Addiction Science & Clinical Practice, 20, 10
Date: 02/2025
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A Consultation Model for Intellectual and Developmental Disability Care
Analyzes the impact of a consultation model within an Intellectual and Developmental Disabilities (IDD) clinic in North Carolina. Examines 2017-2023 data of IDD patients and includes breakdowns of patient demographics, clinical needs, administrative characteristics, and estimated travel distance/time to clinic. Discusses the consultation model and its potential to serve rural and geographically dispersed patients.
Author(s): Rebecca T. Putnam, Phillip M. Hughes, Chelsea C. Atkins, C. Micha Belden
Citation: The Journal of the American Board of Family Medicine, 38(1), 180-187
Date: 01/2025
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Analyzes the impact of a consultation model within an Intellectual and Developmental Disabilities (IDD) clinic in North Carolina. Examines 2017-2023 data of IDD patients and includes breakdowns of patient demographics, clinical needs, administrative characteristics, and estimated travel distance/time to clinic. Discusses the consultation model and its potential to serve rural and geographically dispersed patients.
Author(s): Rebecca T. Putnam, Phillip M. Hughes, Chelsea C. Atkins, C. Micha Belden
Citation: The Journal of the American Board of Family Medicine, 38(1), 180-187
Date: 01/2025
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Enhancing Rural Access to Medications for Opioid Use Disorder: Policy Brief and Recommendations to the Secretary
Provides an overview of issues related to opioid use disorder (OUD) in rural areas. Discusses access to medication for opioid use disorder (MOUD), MOUD workforce, telehealth to support access to MOUD, and Medicaid 1115 demonstrations that address OUD. Offers policy recommendations related to regulatory barriers, reimbursement flexibility, workforce, and service site expansion to increase access to MOUD in rural areas.
Date: 01/2025
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of issues related to opioid use disorder (OUD) in rural areas. Discusses access to medication for opioid use disorder (MOUD), MOUD workforce, telehealth to support access to MOUD, and Medicaid 1115 demonstrations that address OUD. Offers policy recommendations related to regulatory barriers, reimbursement flexibility, workforce, and service site expansion to increase access to MOUD in rural areas.
Date: 01/2025
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Assessing the Needs of Rural Families Affected by the Opioid Crisis: Issue Brief and Recommendations to the Secretary
Explores the considerations for addressing social determinants of health that influence opioid use disorder (OUD) and the role of community efforts in prevention, treatment, and recovery in rural areas, with a focus on prevention efforts in Las Vegas, New Mexico. Discusses youth and family prevention and well-being; stigma; adverse childhood experience; school-based health centers and youth and family resource centers; access to stable housing, food, and other social supports; the importance of trusted community resources for support; and workforce. Offers recommendations related to reducing stigma and promoting the enhanced utilization of the Community Services Block Grant (CSBG) to help rural communities address OUD and substance use disorders.
Date: 01/2025
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Explores the considerations for addressing social determinants of health that influence opioid use disorder (OUD) and the role of community efforts in prevention, treatment, and recovery in rural areas, with a focus on prevention efforts in Las Vegas, New Mexico. Discusses youth and family prevention and well-being; stigma; adverse childhood experience; school-based health centers and youth and family resource centers; access to stable housing, food, and other social supports; the importance of trusted community resources for support; and workforce. Offers recommendations related to reducing stigma and promoting the enhanced utilization of the Community Services Block Grant (CSBG) to help rural communities address OUD and substance use disorders.
Date: 01/2025
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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An Examination of the Implementation and Effectiveness of the Telehealth Broadband Pilot Program in the United States
Provides a brief overview of the Telehealth Broadband Pilot (TBP) Program, which aimed to address gaps in broadband service that limited access to telehealth services in rural and underserved communities in Alaska, Michigan, Texas, and West Virginia. Describes the development and implementation of pods that measured broadband data in the communities over time. Summarizes discussions with TBP Program staff regarding the implementation and effectiveness of the program. Includes factors for consideration in the development of future programs to measure broadband in rural communities.
Date: 01/2025
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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Provides a brief overview of the Telehealth Broadband Pilot (TBP) Program, which aimed to address gaps in broadband service that limited access to telehealth services in rural and underserved communities in Alaska, Michigan, Texas, and West Virginia. Describes the development and implementation of pods that measured broadband data in the communities over time. Summarizes discussions with TBP Program staff regarding the implementation and effectiveness of the program. Includes factors for consideration in the development of future programs to measure broadband in rural communities.
Date: 01/2025
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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