Rural Health
Resources by Topic: Service delivery models
Strategic Choice in Developing Telemedicine - Observations from Three Organizations
Discusses organizational considerations such as local and regional market conditions and economics for hospital systems incorporating telemedicine into their healthcare services. Features a literature review and results of interviews with Kaiser Permanente Southern California, the Mayo Clinic Center for Connected Care, and the University of Mississippi Medical Center. Explores challenges and plans for expansion of services to underserved areas.
Author(s): Thomas Vaughn, Fred Ullrich, Muska Nataliansyah, Keith J. Mueller
Date: 12/2019
Type: Document
Sponsoring organization: Rural Policy Research Institute
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Discusses organizational considerations such as local and regional market conditions and economics for hospital systems incorporating telemedicine into their healthcare services. Features a literature review and results of interviews with Kaiser Permanente Southern California, the Mayo Clinic Center for Connected Care, and the University of Mississippi Medical Center. Explores challenges and plans for expansion of services to underserved areas.
Author(s): Thomas Vaughn, Fred Ullrich, Muska Nataliansyah, Keith J. Mueller
Date: 12/2019
Type: Document
Sponsoring organization: Rural Policy Research Institute
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The Value Initiative Members in Action: Dartmouth-Hitchcock Medical Center - Lebanon, N.H
Describes how the Dartmouth-Hitchcock Medical Center partners with rural and community hospitals to provide telehealth specialty care services across northern New England through the Dartmouth-Hitchcock Connected Care program. Discusses clinical outcomes and patient satisfaction with the telehealth programs. Examines how telehealth services impact staffing and services offered in small and rural hospitals.
Date: 12/2019
Type: Document
Sponsoring organization: American Hospital Association
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Describes how the Dartmouth-Hitchcock Medical Center partners with rural and community hospitals to provide telehealth specialty care services across northern New England through the Dartmouth-Hitchcock Connected Care program. Discusses clinical outcomes and patient satisfaction with the telehealth programs. Examines how telehealth services impact staffing and services offered in small and rural hospitals.
Date: 12/2019
Type: Document
Sponsoring organization: American Hospital Association
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Issue Brief: Integrated Behavioral Health is High-value Care
Highlights the advantages of behavioral health integration. Addresses costs and healthcare outcomes and presents several models for integration in healthcare settings.
Date: 12/2019
Type: Document
Sponsoring organization: American Hospital Association
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Highlights the advantages of behavioral health integration. Addresses costs and healthcare outcomes and presents several models for integration in healthcare settings.
Date: 12/2019
Type: Document
Sponsoring organization: American Hospital Association
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Achieving Health Equity in Preventive Services: Evidence Summary
Summarizes research on achieving health equity in preventive services including screening, counseling, medication, and management for cancer, cardiovascular disease, and diabetes in adult patients by identifying the effects of impediments and barriers that create disparities, and the effectiveness of strategies and interventions to reduce them. Study reports barriers that resulted in or explained a disparity in preventive service, and the effectiveness of the clinician-patient relationship, health information technology, and health system intervention. Studies included African American, Hispanic, Korean and Chinese American, and rural and low-income patients.
Additional links: Full Report
Date: 12/2019
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Summarizes research on achieving health equity in preventive services including screening, counseling, medication, and management for cancer, cardiovascular disease, and diabetes in adult patients by identifying the effects of impediments and barriers that create disparities, and the effectiveness of strategies and interventions to reduce them. Study reports barriers that resulted in or explained a disparity in preventive service, and the effectiveness of the clinician-patient relationship, health information technology, and health system intervention. Studies included African American, Hispanic, Korean and Chinese American, and rural and low-income patients.
Additional links: Full Report
Date: 12/2019
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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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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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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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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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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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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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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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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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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