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Rural Health
Resources by Topic: Service delivery models

Using Telehealth to Improve Home-Based Care for Older Adults and Family Caregivers
Describes consumer perspectives and policy concerns with telehealth. Includes examples of home telehealth strategies, potential benefits and challenges, and discussion of home telehealth coverage in federal and state programs, including the Veterans Health Administration, Medicaid, and Medicare.
Author(s): Winifred V. Quinn, Ellen O'Brien, Gregg Springan
Date: 05/2018
Type: Document
Sponsoring organization: AARP Public Policy Institute
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Mobility & Aging in Rural America: The Role for Innovation: An Introduction for Funders
Outlines challenges facing older people, people with disabilities, and people in areas with few mobility options. Includes a section on funding strategies for rural transit. Describes successful programs, defines mobility as a social determinant of health, and explores approaches for improvement, including new partnerships with healthcare providers and telehealth.
Date: 05/2018
Type: Document
Sponsoring organization: Grantmakers In Aging
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Rural Post-Acute Care: Healthcare Leaders Offer Practical Solutions to Workforce Challenges
Describes methods for preparing and supporting healthcare workers who provide post-acute care in rural areas. Highlights programs that empower and train staff, maximize community partnerships, involve community health workers, and use telemonitoring.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 05/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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OSF HealthCare – Peoria, IL: Connecting Health Systems and Community-Based Organizations to Improve Outcomes
Features a faith-based, 13-hospital health care system serving Illinois and Michigan's Upper Peninsula. Describes OSF Center for Health - Streator, which will feature the first rural freestanding emergency department in Illinois. Discusses how OSF HealthCare is using a case management platform and working with community-based organizations to meet a wide range of patient needs.
Date: 05/2018
Type: Document
Sponsoring organization: American Hospital Association
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A Comparison of Collaborative Care Outcomes in Two Health Care Systems: VA Clinics and Federally Qualified Health Centers
Compares merged data from two different collaborative care trials: Telemedicine-Enhanced Antidepressant Management (TEAM) evaluating collaborative care for veterans with depression at a Veterans Affairs (VA) community-based outpatient clinics (CBOCs); and Outreach Using Telemedicine for Rural Enhanced Access in Community Health (OUTREACH) evaluating collaborative care for civilians with depression at Federally Qualified Health Clinics (FQHCs). Aim of study is to determine whether there are any significant differences in outcomes between the two population groups from each of the trials. Studies were conducted in the rural South.
Author(s): Kathleen M. Grubbs, John C. Fortney, Jeffrey Pyne, et al.
Citation: Psychiatric Services, 69(4), 431-437
Date: 04/2018
Type: Document
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Weight Management in Rural Health Clinics: The Midwest Diet and Exercise Trial
Analyzes the effectiveness of providing weight management programs through remote delivery offered at 5 primary care clinics serving rural populations. Remote weight management programs included group phone conferences (GP) and individual phones calls (IP), with comparisons to enhanced usual care (EUC) consisting of individual face-to-face meetings.
Author(s): Anna M. Gorczyca, Richard A. Washburn, Lauren Ptomey, et al.
Citation: Contemporary Clinical Trials, 67, 37-46
Date: 04/2018
Type: Document
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Results of an Asthma Education Program Delivered via Telemedicine in Rural Schools
Examines the impact of a school telemedicine intervention intended to reduce asthma burden among children in the Arkansas Delta region. Summarizes the intervention, participant demographics, asthma-related characteristics, and intervention outcomes.
Author(s): Tamara T. Perry, Jill S. Halterman, Rita H. Brown, et al.
Citation: Annals of Allergy, Asthma & Immunology, 120(4), 401-408
Date: 04/2018
Type: Document
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Intent-to-Treat Analysis of a Simultaneous Multisite Telehealth Diabetes Prevention Program
Demonstrates the effectiveness of a 16-week diabetes prevention program (DPP) administered to 15 rural Montana communities using telehealth technology from a single urban medical site. Compares the findings with a concurrent study of a single urban face-to-face DPP intervention.
Author(s): Elizabeth L Ciemins, Patricia J Coon, Nicholas C Coombs, Barbara L Holloway, Elizabeth J Mullette, et al.
Citation: BMJ Open Diabetes Research & Care, 6(1)
Date: 04/2018
Type: Document
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Improving Chronic Disease Self-Management by Older Home Health Patients through Community Health Coaching
Describes a pilot study using community volunteers trained as health coaches to assist rural older adults with chronic diseases discharged from home health services in effectively managing their chronic condition, with the intent to reduce their hospital readmission and emergency department use.
Author(s): Cheryl Dye, Deborah Willoughby, Begum Aybar-Damali, Carmelita Grady, Rebecca Oran, Alana Knudson
Citation: International Journal of Environmental Research and Public Health, 15(4), 660
Date: 04/2018
Type: Document
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Promising Practices for Increasing Access to Transportation in Rural Communities
Report details several best practice program models for overcoming barriers to accessing transportation services in rural communities, which are featured in the Rural Transportation Toolkit. Discusses the necessity of reliable transportation for the well-being of rural people.
Author(s): Alycia Bayne, Alexa Siegfried, Patricia Stauffer, Alana Knudson
Date: 04/2018
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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