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Rural Health
Resources by Topic: Service delivery models

Pilot Implementation of a Telehealth Safety Planning Group Intervention for Suicidal Rural Veterans Enhanced by Lived Experience Veteran Peer Participation
Describes a pilot virtual suicide intervention program utilizing lived-experience rural peers offered to rural Arkansas veterans. Discusses successful implementation of peer recovery leaders and program impacts on firearm storage practices. Offers lessons learned and recommendations to those considering a similar program.
Author(s): Marianne Goodman, Madison Strouse, Caroline Boucher, et al.
Citation: Frontiers in Psychiatry, 16
Date: 03/2025
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Building Trust Through Integrated Outreach and Mobile Clinics for People Experiencing Homelessness: Tips for Providers
Discusses the process of utilizing a mobile health clinic approach to provide services to people experiencing homelessness in rural Tuolumne county in Northern California. Discusses issues related to mobile clinics, such as understanding client, staff, and care team benefits of a mobile health model as well as strategies for outreach.
Author(s): Katie League
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Telehealth for the Study of Palliative Care Communication: Opportunities, Methodological Challenges, and Recommendations
Examines telehealth in connection to palliative care communication. Utilizes 3 ongoing studies involving patients with serious illnesses who have received palliative care through telehealth to reflect on opportunities and challenges in utilizing telehealth for palliative care. Provides examples from rural Vermont.
Author(s): Elise C. Tarbi, Susanna L. Schuler, Natalie Ambrose, et al.
Citation: BMC Palliative Care, 24, 55
Date: 03/2025
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Rural Hospital Experiences in the Colorado Hospital Transformation Program
Provides an overview of the Colorado Hospital Transformation Program (CO HTP), a 5-year program that ties Medicaid supplemental payments to hospitals' ability to meet performance targets through September 2026. Describes the experiences of three Critical Access Hospitals (CAHs) and explores how CO HTP impacts rural hospitals. Covers planning and community engagement, quality of care, and healthcare costs.
Date: 03/2025
Sponsoring organization: Rural Health Value
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Goal Alignment and Unintended Consequences of Accountable Care: How the Structure of Oregon's Medicaid Coordinated Care Model Shapes Health Plan-Clinic Partnerships
Analyzes how the coordinated care organization model in Oregon impacts payers and primary care clinics through building relationships, metrics reporting, electronic health record technical assistance, training, and implementing alternative payment methods. Includes discussion of the impact on rural clinics and rural health outcomes.
Author(s): Erin S. Kenzie, Jean Campbell, Mellodie Seater, et al.
Citation: Journal of Clinical and Translational Science, 9(1)
Date: 02/2025
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Cross-State Travel for Cancer Care and Implications for Telehealth Reciprocity
Examines the extent to which Medicare beneficiaries with breast, colon, lung, or pancreatic cancer travel out of state to receive cancer services between January 1, 2017, and December 31, 2020. Compares cross-state travel by cancer site, service type, and patient rurality. Describes the potential implications of these findings for telehealth policies and reciprocity.
Author(s): Erika L. Moen, Qianfei Wang, Lingbo Liu, et al.
Citation: JAMA Network Open, 8(2), e2461021
Date: 02/2025
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Maternity Care in California: An Environmental Scan
Examines factors affecting declining hospital-based maternity care services in California and identifies approaches to increase access and quality of care. Includes discussion of rural hospital closures and rural quality of care challenges, and highlights rural program models in California and Alaska.
Date: 02/2025
Sponsoring organization: California Hospital Association
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An Analysis of Telehealth in a Post-Pandemic Rural, Midwestern Community: Increased Comfort and a Preference for Primary Care
Discusses the implementation of telehealth in rural, underserved communities during the COVID-19 pandemic and if telehealth remains a sustainable option to provide healthcare. Utilizes 2023 data from 253 survey participants regarding internet access, telehealth usage, and telehealth perceptions.
Author(s): Chase Salmon, Kameron Bell, Eric Reyes, Ellen Ireland, Robin Danek
Citation: BMC Health Services Research, 25, 270
Date: 02/2025
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Disparities in Substance Use Disorder Telehealth Services
Results of a study examining telehealth's association with changes in disparities in substance use disorder telehealth utilization across payers and rurality, from 2019-2023. Features statistics including breakdowns by urban and rural areas.
Author(s): Lauryn Saxe Walker, Manying Cui, Jonathan Cantor, et al.
Citation: JAMA Network Open, 8(2), e2459606
Date: 02/2025
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Peer-Assisted Telemedicine Hepatitis-C Treatment for People Who Use Drugs in Rural Communities: A Mixed Methods Study
Examines the Oregon HOPE TeleHCV study, which provided peer-facilitated telemedicine hepatitis C virus (HCV) treatment for people who use drugs (PWUD) in rural Oregon. Utilizes survey and interview data provided by patients and clinicians to identify effective strategies for building trust and reducing barriers to treatment at the systems, clinical, and peer levels.
Author(s): Kim Hoffman, Gillian Leichtling, Sarah Shin, et al.
Citation: Addiction Science & Clinical Practice, 20, 10
Date: 02/2025
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