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Rural Health
Resources by Topic: Service delivery models

Factors Determining Patients' Choice Between Mobile Health and Telemedicine: Predictive Analytics Assessment
Results of a study to examine factors influencing the choice of communication medium for receiving healthcare, through analysis of mobile health versus telemedicine visits with a virtual urgent clinic. Features statistics including demographics of virtual urgent clinic users, with breakdowns by urban and rural settings.
Author(s): Saif Khairat, Songzi Liu, Tanzila Zaman, Barbara Edson, Robert Gianforcaro
Citation: JMIR Mhealth Uhealth, 7(6)
Date: 06/2019
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Tailoring Crisis Response and Pre-arrest Diversion Models for Rural Communities
Outlines a guide for rural communities to develop crisis response and pre-arrest diversion programs for people with mental health or substance use disorders. Discusses the use of technology to connect law enforcement with behavioral health programs, as well as building off of current programs to address the specific needs of the community.
Date: 06/2019
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Lower Health Care Costs Act
Recording of a U.S. Senate Committee on Health, Education, Labor and Pensions hearing on the Lower Health Care Costs Act, which covers access to healthcare, surprise medical bills, market competition, drug prices, and other issues. Includes testimony from an organization that works primarily with small and rural practices, the American Hospital Association, American Enterprise Institute, and others.
Additional links: Benedic N. Ippolito Testimony, Sean Cavanaugh Testimony, Tom Nickels Testimony
Date: 06/2019
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Access to Maternal Health Care in Rural Communities: A Patient's Personal Story
Offers a short video featuring a patient's story about accessing maternal healthcare in rural Iowa. Includes the perspective of the obstetrician/gynecologist who provided her care using a combination of telehealth and in-person visits from South Dakota, the closest facility offering the services she needed. Transcript available below description.
Date: 06/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Broadband Availability and Access in Rural Pennsylvania
Report details broadband access in rural Pennsylvania. Discussed broadband speed and the role it plays in rural telehealth services. Features a literature review and policy recommendations.
Author(s): Sascha D. Meinrath, Hannah Bonestroo, Georgia Bullen, et al.
Date: 06/2019
Sponsoring organization: Center for Rural Pennsylvania
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Operationalizing an Implementation Framework to Disseminate a Care Coordination Program for Rural Veterans
Features a study on a framework for assessment prior to the implementation of a care coordination program in Veterans Affairs (VA) facilities. Details a nurse-led care coordination program and highlights the methods for assessing the local context of the program before implementation.
Author(s): Chelsea Leonard, Heather Gilmartin, Marina McCreight, et al.
Citation: Journal of General Internal Medicine, 34, 58-66
Date: 05/2019
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Practical Use of Process Mapping to Guide Implementation of a Care Coordination Program for Rural Veterans
Details a study on the use of process mapping in the implementation of a care coordination program in Veterans Affairs (VA) facilities. Discusses a nurse-led care coordination program and outlines its implementation process.
Author(s): Marina S. McCreight, Heather M. Gilmartin, PhD, Chelsea A. Leonard, et al.
Citation: Journal of General Internal Medicine, 34, 67-74
Date: 05/2019
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Infectious Diseases Society of America Position Statement on Telehealth and Telemedicine as Applied to the Practice of Infectious Diseases
Position statement to educate members of the Infectious Diseases Society of America on telehealth and to promote use of this technology in clinical care, research, and education. Explores the potential to increase access to subspecialist care in rural areas, and describes reimbursement policies of private insurers, Medicare, and Medicaid, for telehealth services provided to patients in rural areas. Also describes HIPAA requirements for telehealth interactions and protected health information.
Author(s): Jeremy D. Young, Rima Abdel-Massih, Thomas Herchline, et al.
Citation: Clinical Infectious Diseases, 68(9), 1437-1443
Date: 05/2019
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Environmental Scan of South Dakota's Mobile Mammography Efforts
Evaluates the mobile mammography efforts of several programs in South Dakota. Includes a county-level map (see additional link) that details mobile mammography coverage and utilization, as well as breast cancer prevalence and mortality.
Additional links: County-Level Map
Date: 05/2019
Sponsoring organization: South Dakota Cancer Coalition
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Twenty Years of School-Based Health Care Growth and Expansion
Examines the status of School-Based Health Centers (SBHCs) and changes from 1998-2017. Includes data on the number of rural SBHCs over time, telehealth-exclusive SBHCs, sponsorship of SBHCs by Federally Qualified Health Centers (FQHCs), the number in each state, funding sources, populations served, types of healthcare provided, and more.
Author(s): Hayley E. Love, John Schlitt, Samira Soleimanpour, Nirmita Panchal, Caroline Behr
Citation: Health Affairs, 38(5), 755-764
Date: 05/2019
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