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Rural Health
Resources by Topic: Service delivery models

Independent Evaluation of Comprehensive Primary Care Plus (CPC+): First Annual Report
Provides an overview of first-year findings for CPC+, including who participated, the supports practices received, how practices implemented CPC+, and the impacts on cost, service use, and outcomes for Medicare beneficiaries. Features statistics with breakdowns by rural, suburban, or urban location.
Additional links: Appendices to the Supplemental Volume, Findings at a Glance, Supplemental Volume
Author(s): Deborah Peikes, Grace Anglin, Mary Harrington, et al.
Date: 04/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Rural Telehealth Participation Rates Vary by the Activity
Chart showing the percent of the rural population engaged in online health research, online health maintenance, and online health monitoring in 2015.
Date: 04/2019
Type: Chart/Graph
Sponsoring organization: USDA Economic Research Service
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Rising from the Ashes: How Trauma-Informed Care Nurtures Healing in Rural America
Provides an overview of trauma-informed care and how it is provided in rural communities. Highlights the provision of trauma-informed care in a rural California community after wildfires, in a Wyoming pediatrician's clinic, and by rural nurses providing assault exams with support from experts via telehealth.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 04/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Protocol for Links (Linking Individual Needs to Community and Clinical Services): A Prospective Matched Observational Study of a Community Health Worker Community Clinical Linkage Intervention on the U.S.-Mexico Border
Describes Linking Individual Needs to Community and Clinical Services (LINKS), a 3-year observational tool developed to examine the impact of CHW-led interventions using electronic health records and other applications to reduce chronic disease risk and promote well-being among Latinos residing in the U.S. Mexico border region of Arizona.
Author(s): Abby M. Lohr, Maia Ingram, Scott C. Carvajal, Kevin Doubleday, Benjamin Aceves, et al.
Citation: BMC Public Health,19, 399
Date: 04/2019
Type: Document
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Oral Health: Targeting Rural Areas
Compiles articles from a special issue of the Texas Public Health Journal focusing on rural oral health in Texas, Louisiana, and Oklahoma. Covers emergency department use in Texas for oral health needs in rural versus urban counties, geriatric oral health and workforce options such as teledentistry, a Delivery System Reform Incentive Payment project under a state waiver targeting rural communities, partnerships to reach underserved areas and pregnant women, and oral health initiatives in Louisiana and Oklahoma.
Citation: Texas Public Health Journal, 71(2), 2-16
Date: 04/2019
Type: Document
Sponsoring organization: Texas Public Health Association
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User Engagement Associated with Web-Intervention Features to Attain Clinically Meaningful Weight Loss and Weight Maintenance in Rural Women
Discusses messaging and tracking features within web-based weight loss interventions and their efficacy in achieving clinically meaningful short-term and longer-term weight loss in 201 women living in rural Nebraska. Explores the web-based intervention's potential as a telemedicine option in rural areas.
Author(s): Patricia A. Hageman, Joseph E. Mroz, Michael A. Yoerger, Carol H. Pullen
Citation: Journal of Obesity, 2019
Date: 03/2019
Type: Document
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Evaluating Breast Cancer Care Coordination at a Rural National Cancer Institute Comprehensive Cancer Center Using Network Analysis and Geospatial Methods
Examines geographic access data for breast cancer patients served by a National Cancer Institute Comprehensive Cancer Center in New England. Discusses cancer care coordination, physician networks, and care network density (the amount of patient sharing among providers in a care network) to evaluate healthcare quality and outcomes.
Author(s): Erika L. Moen, Nirav S. Kapadia, A. James O'Malley, Tracy Onega
Citation: Cancer Epidemiology, Biomarkers and Prevention, 28(3), 455-461
Date: 03/2019
Type: Document
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Redesigning Care: A How-to Guide for Hospitals and Health Systems Seeking to Implement, Strengthen and Sustain Telebehavioral Health
Describes strategies and actions for hospitals and health systems that want to start, strengthen, and sustain telebehavioral health programs. Details six elements for successful telebehavioral health implementation: leadership commitment; organizational policies and clinical workflows; staff education and training; patient, family, and caregiver engagement; measurement; and community partnerships. Provides tools and resources for each element of success.
Date: 03/2019
Type: Document
Sponsoring organizations: American Hospital Association, National Quality Forum
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Using Implementation Facilitation to Implement Primary Care Mental Health Integration via Clinical Video Telehealth in Rural Clinics: Protocol for a Hybrid Type 2 Cluster Randomized Stepped-wedge Design
Presents a study on the effectiveness of telehealth in mental health integration in rural Veterans Health Administration clinics. Outlines implementation timeline and discusses the results of the implementation.
Author(s): Richard R. Owen, Eva N. Woodward, Karen L. Drummond, et al.
Citation: Implementation Science, 14, 33
Date: 03/2019
Type: Document
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Geographic and Social Factors Associated with Chronic Disease Self-Management Program Participation: Going the "Extra-Mile" for Disease Prevention
Analyzes geographic and social factors related to Chronic Disease Self-Management Program (CDSMP) and Diabetes Self-Management Program (DSMP) participants in rural and urban areas of Illinois. Compares rural and urban statistics describing CDSMP and DSMP participants by race, education, weekly physical activity, program enrollment, sessions attended, and more.
Author(s): Julie Bobitt, Liliana Aguayo, Laura Payne, Taylor Jansen, Andiara Schwingel
Citation: Preventing Chronic Disease, 16
Date: 03/2019
Type: Document
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