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Rural Health
Resources by Topic: Service delivery models

Rural and Urban/Suburban Families' Use of a Web-Based Mental Health Intervention
Analyzes data from a web-based mental health intervention program serving adolescents and caregivers in disaster-affected areas of Missouri and Alabama, comparing rural and urban/suburban rates of accessing and completing web-based mental healthcare modules. Describes historic disparities in mental healthcare among rural communities, noting changes to access and engagement due to increased internet technology use among rural youth and adults. Discusses the potential of web-based healthcare interventions, including telehealth, to expand mental health services in rural areas.
Author(s): Brian Bunnell, Tatiana Davidson, Daniel Dewey, Matthew Price, Kenneth J. Ruggiero
Citation: Telemedicine Journal and E-Health, 23(5), 390-396
Date: 05/2017
Type: Document
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Evidence Roadmap: Telehealth and Health Care Access for Rural Populations
Lists systematic reviews, research studies, grey literature, and ongoing research related to telehealth and rural healthcare access.
Date: 05/2017
Type: Literature Search
Sponsoring organization: AcademyHealth
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Rural Promising Practice Issue Brief: IMPROVE: Integrated Management and Polypharmacy Review of Vulnerable Elders
Highlights a model for delivering integrated care management for older rural veterans with co-occurring chronic diseases. Presents methods for rural providers to help patients manage their prescriptions and avoid polypharmacy.
Additional links: Overview
Date: 05/2017
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Bringing Care Where it is Needed: A Rural Maryland Perspective
Presents a report on the different care delivery models helping to improve access to healthcare in rural Maryland. Discusses three programs using different approaches to deliver care to people in rural communities.
Date: 05/2017
Type: Document
Sponsoring organization: Maryland Rural Health Association
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Track: A Randomized Controlled Trial of a Digital Health Obesity Treatment Intervention for Medically Vulnerable Primary Care Patients
Examines the effectiveness of Track, a digital health intervention, to provide obesity treatment to low-income, racial/ethnic minority adults with obesity and related comorbidities in rural North Carolina. Includes baseline characteristic data, such as gender, race/ethnicity, education, smoking status, and diagnosis.
Author(s): Perry Foley, Dori Steinberg, Erica Levine, et al.
Citation: Contemporary Clinical Trials, 48, 12-20
Date: 05/2017
Type: Document
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American Telemedicine Association: Telestroke Guidelines
Details guidelines for telestroke services to assist providers with the assessment, diagnosis, management, and/or remote consultative support for patients showing signs and symptoms of a stroke using real time videoconferencing technology.
Author(s): Bart M. Demaerschalk, Jill Berg, Brian W. Chong, et al.
Citation: Telemedicine Journal and e-Health, 23(5), 376-389
Date: 05/2017
Type: Document
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Rural Promising Practice Issue Brief: Interdisciplinary Clinical Video - Telehealth for Geriatrics and Dementia
Highlights the development, implementation, and evaluation of an interdisciplinary telehealth program designed to help caregivers provide coordinated care for aging rural veterans suffering from dementia. Discusses the interdisciplinary team model comprised of social workers, geriatricians, primary care providers, and rural caregivers coordinating to maintain a uniform level of care. Includes outcomes regarding the increase of access to education and caregiver support, as well as the ability of providers to prescribe medication to rural patients.
Additional links: Overview
Date: 05/2017
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Rural Health Philanthropy Partnership: Leveraging Public-Private Funds to Improve Health
Highlights the work of two grantees funded through the Rural Health Care Coordination Network Partnership Program, a combined effort of the Federal Office of Rural Health Policy and philanthropy organizations. Discusses how the coordinated efforts of the grantees and their philanthropy partners benefit patients.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 05/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Lessons Learned: A Rural Case Study - Challenges Increasing Access to Dental Care Among Rural Veterans
Details the referral process initiated by the Grand Island Dental Outpatient Team in Nebraska for rural veterans who are ineligible for VA dental coverage to receive basic treatment from community dentists. Discusses some of the challenges to designing and implementing the program, such as establishing new partnerships with local dentists, adhering to a sustainable staffing plan, and pursuing data collection and analysis for measuring outcomes, among other factors.
Date: 05/2017
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Integrating Community Health Workers into Complex Care Teams: Key Considerations
Examines effective strategies for integrating community health workers (CHWs) into complex care teams. Discusses factors to consider, such as recruiting and hiring, training and career progression, team integration, support and retention, and more. Includes a brief description of characteristics that are particularly important for CHWs working in rural areas.
Author(s): Jim Lloyd, Caitlin Thomas-Henkel
Date: 05/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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