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Rural Health
Resources by Topic: Service delivery models

Demand for Broadband in Rural Areas: Implications for Universal Access
Reports on the characteristics of demand for fixed broadband among households and small businesses in rural areas and how they affect private sector infrastructure investments. Discusses the role of schools and libraries as providers of broadband service and training to rural residents, and how broadband enabled services, such as telemedicine, may encourage rural households and small businesses to adopt the technology. Highlights federal programs and policies that may increase or impede broadband demand, and offers options for the U.S. Congress to consider as it addresses rural broadband demand.
Date: 12/2019
Type: Document
Sponsoring organization: Congressional Research Service
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Care Management Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs): Frequently Asked Questions
Provides general information about chronic care management services, specific program requirements, detailed descriptions of billing, claims processing, and payment rules, and requirements for people who are considered part of a care management team for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 12/2019
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Minnesota Overview of the Physician Workforce, 2019
Provides an overview of Minnesota's physician workforce using data from the Minnesota Board of Medical Practices (BMP) and the 2018 Physician Workforce survey. Describes licensed physicians by rural-urban commuting area (RUCA) codes, and presents statistics on physicians' education, demographics, work and employment, and new and emerging models of care.
Date: 11/2019
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Opioid-Related Hospitalization and Its Association With Chronic Diseases: Findings From the National Inpatient Sample, 2011-2015
Results of a study examining whether opioid-related hospitalization is associated with cancer, stroke, obesity, asthma, liver or spinal disease, and arthritis. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Janani Rajbhandari-Thapa, Donglan Zhang, Heather M. Padilla, Sae Rom Chung
Citation: Preventing Chronic Disease, 16
Date: 11/2019
Type: Document
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Geographic Disparities Associated with Travel to Medical Care and Attendance in Programs to Prevent/Manage Chronic Illness Among Middle-Aged and Older Adults in Texas
Examines 2,108 rural and urban middle-aged and older adults in Texas with one or more chronic conditions who travel long distances to receive medical care and their utilization of programs focused on prevention and chronic disease management. Participants from 9 counties responded to health assessment surveys regarding their number of doctor's visits within the previous year, distance to receive medical care, residential status, and other personal characteristics.
Author(s): Matthew L. Smith, Samuel D. Towne Jr., Caroline D Bergeron, et al.
Citation: Rural and Remote Health,19(4), 5147
Date: 11/2019
Type: Document
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Telemedicine in Sexual and Reproductive Health
Overview of telemedicine use in sexual and reproductive healthcare by patients, and by providers in metropolitan and non-metropolitan areas. Reviews the potential of telemedicine to increase access particularly in rural areas, identifies the range of reproductive health services facilitated by telemedicine, and covers Medicaid reimbursement, insurance coverage, and investment costs.
Author(s): Gabriela Weigel, Brittni Frederiksen, Usha Ranji, Alina Salganicoff
Date: 11/2019
Type: Document
Sponsoring organization: KFF
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Community Health Worker Roles and Responsibilities in Rural and Urban America
Results of a study to explore community health worker (CHW) roles and responsibilities, the growing professionalization of the field, and interactions between CHWs and other healthcare providers. Uses data obtained from focus groups conducted in Florida, Minnesota, California, and Massachusetts. Provides an in-depth look at the differences between CHW work in rural and urban areas, and offers insights to support continued growth of the field.
Author(s): Timothy H. Callaghan, David J. Washburn, Cason D. Schmit, et al.
Date: 11/2019
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Office-Based Spirometry: Key to Diagnosing Rural COPD Patients
Describes the use of spirometry in the diagnosis of chronic obstructive pulmonary disease (COPD). Provides an overview of required equipment, staffing needs, and interpretation for rural offices interested in offering spirometry. Features a West Virginia Federally Qualified Health Center (FQHC) pulmonary rehabilitation program.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Diagnosing the Rural COPD Patient: Ask About Symptoms, Use Spirometry
Provides insights on the diagnosis of chronic obstructive pulmonary disease (COPD), discussing common symptom patterns associated with COPD, spirometry as the diagnostic test for the condition, and tools and resources for COPD patient care.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Intergovernmental Advisory Committee to the Federal Communications Commission Advisory Recommendation No: 2019-2 in the Matter of State, Local Tribal, and Territorial Regulatory and Other Barriers and Incentives to Telemedicine
Examines the technical infrastructure necessary for effective telemedicine delivery in state, territorial, tribal, and local (rural and urban) areas. Discusses the regulatory barriers including legislation, licensing, reimbursement, malpractice insurance, and privacy that obstruct its development and utilization, and offers recommendations addressing these barriers. Appendix A presents case studies of broadband and telehealth development in several states and territories.
Date: 11/2019
Type: Document
Sponsoring organizations: Federal Communications Commission, Intergovernmental Advisory Committee to the Federal Communications Commission
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