Rural Health
Resources by Topic: Service delivery models
Understanding Technical Assistance Needs for Delivering Telehealth Services in New York State
Discusses the use of telehealth services in New York State. Highlights the responses to a survey of providers regarding telehealth usage and technical assistance issues.
Date: 10/2019
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Discusses the use of telehealth services in New York State. Highlights the responses to a survey of providers regarding telehealth usage and technical assistance issues.
Date: 10/2019
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Rural First Responder Access to Mental Health Care: A National Crisis
Explores mental health challenges experienced by first responders and increased risk of suicide. Describes barriers to accessing adequate mental healthcare within the scope of their employment, especially in rural areas where services remain limited and stigma may be associated with the need for assistance.
Author(s): Jeffrey Hintz, Carrie Hintz
Date: 10/2019
Type: Document
Sponsoring organization: Journal of Emergency Medical Services
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Explores mental health challenges experienced by first responders and increased risk of suicide. Describes barriers to accessing adequate mental healthcare within the scope of their employment, especially in rural areas where services remain limited and stigma may be associated with the need for assistance.
Author(s): Jeffrey Hintz, Carrie Hintz
Date: 10/2019
Type: Document
Sponsoring organization: Journal of Emergency Medical Services
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Telelactation via Mobile App: Perspectives of Rural Mothers, Their Care Providers, and Lactation Consultants
Analyzes the efficacy of direct-to-consumer (DTC) telelactation services in rural Pennsylvania in areas that lack in-person availability of international board-certified lactation consultants (IBCLCs). Discusses potential challenges such as lack of personal relationships, preference for local resources, and limited WiFi in rural areas. Reflects on potential benefits including access to support and increased maternal breastfeeding confidence.
Author(s): Jill Demirci, Virginia Kotzias, Debra L. Bogen, Kristin N. Ray, Lori Uscher-Pines
Citation: Telemedicine Journal and E-Health, 25(9), 853-858
Date: 09/2019
Type: Document
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Analyzes the efficacy of direct-to-consumer (DTC) telelactation services in rural Pennsylvania in areas that lack in-person availability of international board-certified lactation consultants (IBCLCs). Discusses potential challenges such as lack of personal relationships, preference for local resources, and limited WiFi in rural areas. Reflects on potential benefits including access to support and increased maternal breastfeeding confidence.
Author(s): Jill Demirci, Virginia Kotzias, Debra L. Bogen, Kristin N. Ray, Lori Uscher-Pines
Citation: Telemedicine Journal and E-Health, 25(9), 853-858
Date: 09/2019
Type: Document
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Impact of Rural Address and Distance from Clinic on Depression Outcomes Within a Primary Care Medical Home Practice
Compares rural and urban outcomes and rates of recovery for patients diagnosed with depression, describing mental healthcare disparities. Discusses Collaborative Care Management (CCM), which involves nurse care coordinators, behavioral health practitioners, and physicians working together to treat primary care patients with depression. Studies 3,870 patients in southeast Minnesota, analyzing remission data and patients' distance from their primary care clinic. Discusses the impact of rural residence, distance from providers, accessibility of care, and CCM on recovery rates.
Author(s): Hailon Wong, Kyle Moore, Kurt B. Angstman, Gregory M. Garrison
Citation: BMC Family Practice, 20, 123
Date: 09/2019
Type: Document
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Compares rural and urban outcomes and rates of recovery for patients diagnosed with depression, describing mental healthcare disparities. Discusses Collaborative Care Management (CCM), which involves nurse care coordinators, behavioral health practitioners, and physicians working together to treat primary care patients with depression. Studies 3,870 patients in southeast Minnesota, analyzing remission data and patients' distance from their primary care clinic. Discusses the impact of rural residence, distance from providers, accessibility of care, and CCM on recovery rates.
Author(s): Hailon Wong, Kyle Moore, Kurt B. Angstman, Gregory M. Garrison
Citation: BMC Family Practice, 20, 123
Date: 09/2019
Type: Document
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The Use of and Experiences With Telelactation Among Rural Breastfeeding Mothers: Secondary Analysis of a Randomized Controlled Trial
Study exploring a telehealth video-based lactation service offered to rural Pennsylvania mothers through a Critical Access Hospital. Discusses data on study participation, number of telelactation video calls per participant, nature of the participants' concerns or questions, breastfeeding experience, and infant age. Describes challenges of providing lactation support in rural areas and presents telelactation services as a potential solution.
Author(s): Kandice Kapinos, Virginia Kotzias, Debra Bogen, et al.
Citation: Journal of Medical Internet Research, 21(9), e13967
Date: 09/2019
Type: Document
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Study exploring a telehealth video-based lactation service offered to rural Pennsylvania mothers through a Critical Access Hospital. Discusses data on study participation, number of telelactation video calls per participant, nature of the participants' concerns or questions, breastfeeding experience, and infant age. Describes challenges of providing lactation support in rural areas and presents telelactation services as a potential solution.
Author(s): Kandice Kapinos, Virginia Kotzias, Debra Bogen, et al.
Citation: Journal of Medical Internet Research, 21(9), e13967
Date: 09/2019
Type: Document
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Looking Through a Different Lens: Patient Satisfaction With Telemedicine in Delivering Pediatric Fracture Care
Looks at patient satisfaction with telemedicine for pediatric fracture care based on a study conducted in rural central Pennsylvania. Compares satisfaction levels for real-time video consultation with a pediatric orthopedic surgeon facilitated by a physician's assistant to conventional outpatient clinic visits.
Author(s): Neha Sinha, Max Cornell, Benjamin Wheatley, et al.
Citation: JAAOS Global Research & Reviews, 3(9), e100
Date: 09/2019
Type: Document
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Looks at patient satisfaction with telemedicine for pediatric fracture care based on a study conducted in rural central Pennsylvania. Compares satisfaction levels for real-time video consultation with a pediatric orthopedic surgeon facilitated by a physician's assistant to conventional outpatient clinic visits.
Author(s): Neha Sinha, Max Cornell, Benjamin Wheatley, et al.
Citation: JAAOS Global Research & Reviews, 3(9), e100
Date: 09/2019
Type: Document
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Financial Alignment Initiative South Carolina Healthy Connections Prime: First Evaluation Report
Evaluation of the first year of the South Carolina Healthy Connections Prime demonstration to integrate care for the state's Medicare-Medicaid beneficiaries. Discusses access and other challenges for rural enrollees and how the program has worked to address rural needs.
Date: 09/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Evaluation of the first year of the South Carolina Healthy Connections Prime demonstration to integrate care for the state's Medicare-Medicaid beneficiaries. Discusses access and other challenges for rural enrollees and how the program has worked to address rural needs.
Date: 09/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Russell County Hospital Listens to their Community to Improve Transitions of Care
Highlights quality improvement activities underway at a 25-bed Critical Access Hospital (CAH) in rural Kentucky. Discusses community collaboration efforts, expansion of specialty services, renovations, a focus on staff satisfaction, and care coordination activities.
Date: 09/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Highlights quality improvement activities underway at a 25-bed Critical Access Hospital (CAH) in rural Kentucky. Discusses community collaboration efforts, expansion of specialty services, renovations, a focus on staff satisfaction, and care coordination activities.
Date: 09/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Serving Rural America: Health Insurance Providers at Work
Offers 5 case studies to showcase the ways in which health insurance providers are working to ensure access to high quality healthcare in rural areas. Examples feature 8 insurance providers in Maryland, Pennsylvania, California, and Oregon sharing different approaches to healthcare delivery, financing, and community engagement.
Date: 09/2019
Type: Document
Sponsoring organization: AHIP
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Offers 5 case studies to showcase the ways in which health insurance providers are working to ensure access to high quality healthcare in rural areas. Examples feature 8 insurance providers in Maryland, Pennsylvania, California, and Oregon sharing different approaches to healthcare delivery, financing, and community engagement.
Date: 09/2019
Type: Document
Sponsoring organization: AHIP
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Provider Shortages and Limited Availability of Behavioral Health Services in New Mexico's Medicaid Managed Care
Examines the supply and distribution of behavioral health providers and prescribers across New Mexico, with a focus on services available to Medicaid managed care enrollees. Includes data for rural and frontier counties. Discusses rural broadband connectivity challenges that impact the use of telehealth to address access. Offers policy recommendations. Findings are likely to be relevant to behavioral healthcare access in other states' rural and frontier counties.
Date: 09/2019
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Examines the supply and distribution of behavioral health providers and prescribers across New Mexico, with a focus on services available to Medicaid managed care enrollees. Includes data for rural and frontier counties. Discusses rural broadband connectivity challenges that impact the use of telehealth to address access. Offers policy recommendations. Findings are likely to be relevant to behavioral healthcare access in other states' rural and frontier counties.
Date: 09/2019
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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