Rural Health
Resources by Topic: Service delivery models
Telephone-Based Guideline-Directed Medical Therapy Optimization in Navajo Nation: The Hózhó Randomized Clinical Trial
Explores whether a guideline-directed medical therapy (GDMT) is initiated and titrated through telehealth improves GDMT use among patients with heart failure with reduced ejection fraction in Navajo Nation. Summarizes results of a stepped-wedge, pragmatic comparative effectiveness trial conducted from February to August 2023 at two Indian Health Service facilities in rural Navajo Nation. Discusses the importance of community-designed and locally-tailored strategies to improve GDMT rates.
Author(s): Lauren A. Eberly, Ada Tennison, Daniel Mays, et al.
Citation: JAMA Internal Medicine, 184(6), 681-690
Date: 04/2024
Type: Document
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Explores whether a guideline-directed medical therapy (GDMT) is initiated and titrated through telehealth improves GDMT use among patients with heart failure with reduced ejection fraction in Navajo Nation. Summarizes results of a stepped-wedge, pragmatic comparative effectiveness trial conducted from February to August 2023 at two Indian Health Service facilities in rural Navajo Nation. Discusses the importance of community-designed and locally-tailored strategies to improve GDMT rates.
Author(s): Lauren A. Eberly, Ada Tennison, Daniel Mays, et al.
Citation: JAMA Internal Medicine, 184(6), 681-690
Date: 04/2024
Type: Document
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Unlocking Access: Implementing Home Delivered Meals to Expand Summer Meal Access for Rural Families
A recorded webinar that discusses utilizing home delivery to provide food access to families during the summer months. Includes examples from organizations who successfully implemented a food home delivery strategy. Transcript available below description.
Additional links: Slide Deck
Author(s): Allison Dela Cuesta, Kristen Collins, Madeline Ghanem, Donna Riviello
Date: 04/2024
Type: Video/Multimedia
Sponsoring organization: No Kid Hungry
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A recorded webinar that discusses utilizing home delivery to provide food access to families during the summer months. Includes examples from organizations who successfully implemented a food home delivery strategy. Transcript available below description.
Additional links: Slide Deck
Author(s): Allison Dela Cuesta, Kristen Collins, Madeline Ghanem, Donna Riviello
Date: 04/2024
Type: Video/Multimedia
Sponsoring organization: No Kid Hungry
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Primary Care Providers' Experiences Treating Opioid Use Disorder Using Telehealth in the Height of the COVID-19 Pandemic
Presents a study of the experiences of primary care providers who used telehealth for opioid use disorder treatment during the COVID-19 pandemic. Draws on the insights of participants from rural and urban counties in Kentucky and Arkansas and compares the experiences of rural and urban providers.
Author(s): Sarah Alexandra Marshall, Lachan E. Siebenmorgen, Nickolas Zaller, et al.
Citation: Journal of Primary Care and Community Health, 15
Date: 04/2024
Type: Document
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Presents a study of the experiences of primary care providers who used telehealth for opioid use disorder treatment during the COVID-19 pandemic. Draws on the insights of participants from rural and urban counties in Kentucky and Arkansas and compares the experiences of rural and urban providers.
Author(s): Sarah Alexandra Marshall, Lachan E. Siebenmorgen, Nickolas Zaller, et al.
Citation: Journal of Primary Care and Community Health, 15
Date: 04/2024
Type: Document
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Symptoms of the Disease: The Epidemiological, Economic, and Public Health Impacts of COVID-19 on the Battle Born State
Reports on the impact of the COVID-19 pandemic in Nevada between March 2020 and December 2022 on various healthcare, economic, and sociodemographic indicators. Includes rural and urban comparisons related to case and mortality rates, telehealth utilization, homelessness, and child welfare.
Date: 04/2024
Type: Document
Sponsoring organization: Nevada Department of Health and Human Services
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Reports on the impact of the COVID-19 pandemic in Nevada between March 2020 and December 2022 on various healthcare, economic, and sociodemographic indicators. Includes rural and urban comparisons related to case and mortality rates, telehealth utilization, homelessness, and child welfare.
Date: 04/2024
Type: Document
Sponsoring organization: Nevada Department of Health and Human Services
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NCHS Rapid Surveys System: ADHD
Interactive data showing Attention-Deficit/Hyperactivity Disorder (ADHD) diagnosis, treatment, and telehealth service use data. Includes an analysis of diagnoses by age with a breakdown of patient characteristics including urbanicity and other demographics. Data gathered by the National Center for Health Statistics in November 2023.
Date: 04/2024
Type: Chart/Graph
Sponsoring organization: National Center for Health Statistics
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Interactive data showing Attention-Deficit/Hyperactivity Disorder (ADHD) diagnosis, treatment, and telehealth service use data. Includes an analysis of diagnoses by age with a breakdown of patient characteristics including urbanicity and other demographics. Data gathered by the National Center for Health Statistics in November 2023.
Date: 04/2024
Type: Chart/Graph
Sponsoring organization: National Center for Health Statistics
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April 2024 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2024 meeting. Covers telehealth in Medicare, alternative approaches to lowering Medicare payments for select conditions in inpatient rehabilitation facilities, approaches for updating the Medicare physician fee schedule, initial findings from an analysis of Medicare Part B payment rates and 340B ceiling prices, and more. Includes discussion of telehealth in rural areas and data on telehealth use in Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) between 2020 and 2022.
Additional links: Telehealth in Medicare: Status Report - Presentation Slides
Date: 04/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2024 meeting. Covers telehealth in Medicare, alternative approaches to lowering Medicare payments for select conditions in inpatient rehabilitation facilities, approaches for updating the Medicare physician fee schedule, initial findings from an analysis of Medicare Part B payment rates and 340B ceiling prices, and more. Includes discussion of telehealth in rural areas and data on telehealth use in Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) between 2020 and 2022.
Additional links: Telehealth in Medicare: Status Report - Presentation Slides
Date: 04/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Survey Emphasizes Scale and Significance of the RHC Program
Summarizes results of a 2024 national survey of 930 Rural Health Clinics. Presents data on the average payer mix, use and attitude toward telehealth services, Medicare Advantage (MA) contract structures, and MA reimbursement relative to traditional Medicare reimbursement, and more.
Additional links: NARHC 2024 Policy Survey Results
Date: 04/2024
Type: Document
Sponsoring organization: National Association of Rural Health Clinics
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Summarizes results of a 2024 national survey of 930 Rural Health Clinics. Presents data on the average payer mix, use and attitude toward telehealth services, Medicare Advantage (MA) contract structures, and MA reimbursement relative to traditional Medicare reimbursement, and more.
Additional links: NARHC 2024 Policy Survey Results
Date: 04/2024
Type: Document
Sponsoring organization: National Association of Rural Health Clinics
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Cancer Care Coordination in Rural Hawaii: A Focus Group Study
Presents results from focus group discussions about challenges and facilitators of coordinated care with 8 rural cancer patients receiving active treatment in Hawaii. Identifies themes related to access to care, insurance, travel, electronic patient portal use, and more.
Author(s): Shin Chang, Michelle Liu, Christa Braun-Inglis, Randall Holcombe, Izumi Okado
Citation: BMC Health Services Research, 24, 518
Date: 04/2024
Type: Document
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Presents results from focus group discussions about challenges and facilitators of coordinated care with 8 rural cancer patients receiving active treatment in Hawaii. Identifies themes related to access to care, insurance, travel, electronic patient portal use, and more.
Author(s): Shin Chang, Michelle Liu, Christa Braun-Inglis, Randall Holcombe, Izumi Okado
Citation: BMC Health Services Research, 24, 518
Date: 04/2024
Type: Document
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Identifying Priority Geographic Locations for Diabetes Self-Management Education and Support Services in the Appalachian Region
Examines the relationship among diabetes self-management education and support (DSMES) services, economic distress, and diabetes prevalence in Appalachia. Includes maps presenting these relationships as well as discussion about providing equitable DSMES services.
Author(s): Jacob T. Wittman, Dayna S. Alexander, Melissa Bing, et al.
Citation: Preventing Chronic Disease, 21
Date: 04/2024
Type: Document
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Examines the relationship among diabetes self-management education and support (DSMES) services, economic distress, and diabetes prevalence in Appalachia. Includes maps presenting these relationships as well as discussion about providing equitable DSMES services.
Author(s): Jacob T. Wittman, Dayna S. Alexander, Melissa Bing, et al.
Citation: Preventing Chronic Disease, 21
Date: 04/2024
Type: Document
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Transforming Oral Health Care in North Carolina
Makes recommendations for improving oral health access, supporting oral care workforce and providers, and promoting oral health quality and equity in North Carolina. Discusses oral health in rural and underserved areas throughout, including coverage of workforce distribution, dental safety net, and access barriers.
Date: 04/2024
Type: Document
Sponsoring organization: North Carolina Institute of Medicine
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Makes recommendations for improving oral health access, supporting oral care workforce and providers, and promoting oral health quality and equity in North Carolina. Discusses oral health in rural and underserved areas throughout, including coverage of workforce distribution, dental safety net, and access barriers.
Date: 04/2024
Type: Document
Sponsoring organization: North Carolina Institute of Medicine
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