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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Measuring Meaningful Outcomes for Adult Hearing Health Interventions: Consensus Study Report
Presents a set of core outcomes and measurements for the evaluation of interventions to address hearing difficulties in adults. See pages 42 and 47-48 for discussion of conditions influencing the prevalence of hearing difficulties in rural areas, rural access to care, and telehealth as a means of providing services in rural areas.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2025
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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2025 Aging Innovations & Achievement Awards Showcase: Honoring Successful Initiatives of USAging Members
Offers examples of 41 innovative and high achieving programs related to the care of older adults in local communities. Includes rural examples in the areas of telehealth, outreach, and bridging the digital divide.
Date: 2025
Sponsoring organization: USAging
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Social Vulnerability, Lower Broadband Internet Access, and Rurality Associated with Lower Telemedicine Use in U.S. Counties
Examines how patient characteristics and broadband access are to telemedicine use across the United States. Analyzes data from a random sample of telemedicine sessions held on the Doxy.me platform in 2022. Compares data by patients' urban and rural status, as well as high, medium, and low broadband access at the county level.
Author(s): Mollie R. Cummins, Bob Wong, Neng Wan, et al.
Citation: JAMIA Open, 8(4), ooaf056
Date: 2025
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Challenges and Strategies to Improve Access to Oral Health Care in Rural America
Provides an overview of barriers to oral health in rural areas, and discusses strategies to increase access to oral health care and improve rural public health outcomes. Covers topics including dental insurance, service delivery models, oral health workforce, the role of oral health professionals in addressing opioid and tobacco use, and water fluoridation.
Author(s): Liang Hong, Shillpa Naavaal, Sohini Dhar, Siddardha Chandrupatla
Date: 2025
Sponsoring organization: American Association of Public Health Dentistry (AAPHD)
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"Voice of Concern" for Rural Veterans With PTSD: Care Managers' Role Engaging Rural Veterans in Evidence-Based Therapies via Telemedicine
Conducted phone interviews with 43 veterans to identify satisfaction with care managers offering trauma-focused psychotherapies through telehealth. Discusses barriers to care and 3 ways CMs were most helpful to veteran patients.
Author(s): Valentina V. Petrova, Carol Simons, Suparna Rajan, et al.
Citation: Psychological Trauma: Theory, Research, Practice, and Policy, 17(8), 1771-1779
Date: 2025
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Blueprint for a National Prevention Infrastructure for Mental, Emotional, and Behavioral Disorders
Explores evidence-based policies and approaches to preventing mental, emotional, and behavioral (MEB) disorders among population groups across the U.S. Discusses the need for prevention services on top of acute or episodic care during MEB crises. Details the infrastructure and workforce required for comprehensive MEB prevention and makes policy recommendations.
Author(s): Marcella Alsan, Marthe R. Gold, Alina B. Baciu, Alexis Wojtowicz
Date: 2025
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Supporting Physical and Mental Health in Rural Veterans Living With Heart Failure: Protocol for a Nurse-Led Telephone Intervention Study
Presents a study on supporting the physical and mental health of rural veterans with heart failure. Explores the findings of an intervention designed for rural veterans with heart failure and evaluates its efficacy.
Author(s): Lucinda J. Graven, Laurie Abbott, Josef V. Hodgkins, et al.
Citation: JMIR Research Protocols, 14, e63498
Date: 2025
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Telehealth FAQ Calendar Year 2025
Provides information on Medicare telehealth regulations and payment policy for calendar year 2025. Includes information on audio-only services, behavioral health services, direct supervision, and more.
Date: 2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Addressing Workforce Challenges Across the Behavioral Health Continuum of Care: Proceedings of a Workshop
Summary of presentations and discussions from a July 2024 public workshop to address workforce needs and challenges related to behavioral healthcare. Includes discussions of telepsychiatry collaborative care to improve rural access and capacity, and recruiting and retaining Native American healthcare providers in behavioral health settings.
Author(s): Board on Health Care Services
Date: 2025
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Provider-to-Provider Telemedicine for Sepsis Is Used Less Frequently in Communities with High Social Vulnerability
Examines the relationship between provider-to-provider emergency department-based telehealth consultation (tele-ED) and the prevalence of sepsis in counties with elevated social vulnerability index (SVI) scores. Analyzes 2016-2019 data from 1191 patients treated in rural, Midwestern EDs, with breakdowns according to patient, provider, hospital, and county characteristics. Discusses the relationship between SVI scores and tele-ED use.
Author(s): Kevin J. Tu, J. Priyanka Vakkalanka, Uche E. Okoro, et al.
Citation: Journal of Rural Health, 41(1), e12861
Date: 2025
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