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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Digital Prosperity: How Broadband Can Deliver Health and Equity to All Communities
Examines the role broadband plays in impacting health and equity in rural and urban areas, and identifies policy reforms to reduce these barriers. Outlines how government and marketplaces influence access to broadband, and offers case studies demonstrating effective methods to develop more equitable outcomes.
Author(s): Adie Tomer, Lara Fishbane, Angela Siefer, Bill Callahan
Date: 02/2020
Sponsoring organization: Brookings Institution
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Underserved Communities: Enhancing Care with Graduate Medical Education
Provides an overview of the current supply of rheumatology healthcare providers in rural America and future projected workforce shortages. Discusses strategies to improve access to care and address rheumatology workforce shortages such as increasing residency and fellowship positions in Medically Underserved Areas (MUAs), telemedicine, the J-1 visa waiver program, and the National Health Service Corps.
Author(s): Vaneet Kaur Sandhu, Donna Jose, Candace H Feldman
Citation: Rheumatic Diseases Clinics of North America, 46(1), 167-178
Date: 02/2020
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Recruiting and Retaining Behavioral Health Workers in Rural America: A Toolkit for Action
Explores successful tactics and programs, and elements missing from many current efforts to recruit and retain behavioral health workers. Describes funding opportunities, pipeline programs, telehealth initiatives, innovative approaches to recruitment and retention, and legislative changes in 2019 that helped promote recruitment and retention.
Author(s): Nancy Baum, Jaque King
Date: 02/2020
Sponsoring organizations: Center for Health and Research Transformation, University of Michigan Behavioral Health Workforce Research Center
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Healthcare from Anywhere: Telehealth Use and Perceptions in Rural Michigan
Examines the current state of telehealth services in rural Michigan. Discusses state and local policies related to access to telehealth services, perceptions of telehealth services, and how these services are used by physicians. Identifies barriers rural Michigan healthcare providers and residents face in utilizing telehealth services. Presents recommendations that would increase access to telehealth services for rural Michigan residents. Includes an overview of the telehealth policy environment of all 50 states, with a focus on states with moderate or progressive telehealth policy environments.
Date: 02/2020
Sponsoring organizations: AARP, Connected Nation, Michigan Health Endowment
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Improving the Care of Students with Diabetes in Rural Schools Utilizing an Online Diabetes Education Program for School Personnel
Analyzes the impact of Diabetes Care at School: Bridging the Gap, an online diabetes education program, to determine the knowledge and confidence of school personnel who provide care to students with diabetes in rural areas.
Author(s): Cassity Gutierrez
Citation: Rural and Remote Health, 20(1), 5596
Date: 02/2020
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Williamson Health and Wellness Center: Williamson, WV
Highlights a Community-Driven Health Equity Action Plan as implemented by the Williamson Health and Wellness Center in West Virginia. Details the goals and focus of the program.
Additional links: Summary
Date: 02/2020
Sponsoring organization: National Academy of Medicine
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Gorge Health Equity Collaborative: Columbia Gorge Region, OR and WA
Presents a Community-Driven Health Equity Action Plan as implemented by the Gorge Health Equity Collaborative in Washington and Oregon. Highlights health and healthcare access of children and adults in the Columbia Gorge region.
Additional links: Full Report
Date: 02/2020
Sponsoring organization: National Academy of Medicine
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Telemedicine and Pregnancy Care
Explores the role telemedicine can play in providing prenatal and postpartum care to women in rural areas. Highlights the types of specialized care that can be delivered via telemedicine to support maternal care in rural areas. Discusses some of the barriers to telemedicine implementation, including state-level Medicaid reimbursement policy.
Author(s): Gabriela Weigel, Brittni Frederiksen, Usha Ranji
Date: 02/2020
Sponsoring organization: KFF
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Making a Difference for Generations to Come: School-Based Oral Healthcare in Louisiana
Features a Louisiana Federally Qualified Health Center that offers primary care oral health assessment and fluoride varnishes in school-based health centers. Discusses the impact that access to childhood oral health services may have into adulthood.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 02/2020
Sponsoring organization: Rural Health Information Hub
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How to Better Support Small Physician-led Accountable Care Organizations: Recent Program Updates, Challenges, and Policy Implications
Describes the strategies of successful small physician-led Accountable Care Organizations (ACOs). Discusses how policy changes contribute to the opportunities and challenges for these ACOs. Explores how "ACO Enablers" aid small ACOs in participating in risk-bearing models. Includes a brief discussion of how the ACO Investment Model program supported ACOs in rural and underserved areas with access to capital.
Author(s): Jonathan Gonzalez-Smith, Hannah Crook, Elizabeth Singletary, William Bleser, Robert Saunders
Date: 02/2020
Sponsoring organizations: Duke Margolis Center for Health Policy, Robert Wood Johnson Foundation
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