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Rural Health
Resources by Topic: Service delivery models

Delivering CBT to Rural Latino Children with Anxiety Disorders: A Qualitative Study
Examines perceptions of different methods of providing cognitive behavior therapy (CBT) that could increase access to care for anxiety in rural Latino youth. Compares telephone based, bibliotherapy, and therapist supported bibliotherapy from both the viewpoint of Latino parents and mental health providers.
Author(s): Denise A. Chavira, Cristina E. Bustos, Maritza S. Garcia, Bernardo Ng, Alvaro Camacho
Citation: Community Mental Health Journal, 53(1), 53-61
Date: 01/2017
Type: Document
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Accountable Care Organization Implementation Experiences and Rural Participation: Considerations for Nurses
Examines implications of Accountable Care Organization (ACO) development for advanced practice nurses and other primary care clinicians employed by rural practices such as Rural Health Clinics that may be considering ACO participation.
Author(s): Matt Thomas Bagwell, Angeline Bushy, Judith Ortiz
Citation: The Journal of Nursing Administration, 47(1), 30-34
Date: 01/2017
Type: Document
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Community Paramedics Team Up with Hospitals to Reduce Readmissions
Describes community paramedicine pilot projects in California, one of which is rural, that are providing follow-up calls and visits to patients between 24-72 hours after hospital discharge. Features statistics including number of patients and number of readmissions within 30 days, with breakdowns by 6 diagnoses and site.
Author(s): Karen Shore
Date: 01/2017
Type: Document
Sponsoring organization: California Health Care Foundation
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Evaluating the HCIA - Behavioral Health/Substance Abuse Awards: Third Annual Report
Third annual evaluations of 10 Health Care Innovation Awards Round One projects focused on mental health and substance abuse services. Awardee-specific chapters focus on program objectives, implementation experiences, and participant outcomes. Programs include HealthLinkNow, which uses telehealth to provide behavioral care services in rural areas, and the Prevention and Recovery in Early Psychosis Program, which was expanded to serve to rural counties in California.
Additional links: Addendum, July 2017
Date: 01/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Social Determinants of Health
Policy brief informed by a September 2016 National Advisory Committee on Rural Health and Human Services meeting held in Albuquerque, New Mexico, with site visits to update the committee about factors that affect health outcomes. Identifies emerging payment models and financing strategies, and provides policy recommendations for addressing the social determinants of health in rural communities.
Date: 01/2017
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Remote Eye Care Screening for Rural Veterans with Technology-Based Eye Care Services: A Quality Improvement Project
Highlights the improvement in access to eye care and screening services for veterans as a result of the Technology-based Eye Care Services (TECS), a quality improvement project developed by the Atlanta Veterans Affairs (VA). Provides data on patient demographics, eye care service, and diagnoses broken down by Rural Urban Commuting Area.
Author(s): April Maa, Barbara Wojciechowski, Kelly Hunt, et al.
Citation: Rural and Remote Health, 17(1), 4045
Date: 01/2017
Type: Document
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Native Americans with Diabetes: Better Diabetes Care Can Decrease Kidney Disease
Provides an overview of diabetes and related kidney disease among American Indians and Alaska Natives. Describes an Indian Health Service (IHS) approach using population health and team-based approaches to diabetes and kidney care.
Additional links: Podcast
Date: 01/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Vital Signs: Decrease in Incidence of Diabetes-Related End-Stage Renal Disease among American Indians/Alaska Natives — United States, 1996–2013
Reports on diabetes-related end-stage renal disease by race/ethnicity from 1996-2013. Discusses clinical, public health, and population management approaches used by Indian Health Service that may have positively impacted incidence rates among American Indians and Alaska Natives.
Author(s): Ann Bullock, Nilka Ríos Burrows, Andrew S. Narva, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 66(1), 26-32
Date: 01/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Project Extension for Community Healthcare Outcomes (ECHO) in Multiple Sclerosis: Increasing Clinician Capacity
Reports on a pilot program conducted by the National Multiple Sclerosis Society and faculty from the University of Washington School of Medicine using the Project Extension for Community Healthcare Outcomes (Project ECHO) model. Determines if the Project Echo model was a viable option to support the capacity of clinicians in rural areas to effectively treat patients with Multiple Sclerosis (MS) in underserved areas.
Author(s): Kurt L. Johnson, Deborah Hertz, Gary Stobbe, et al.
Citation: International Journal of MS Care, 9(6), 283–289
Date: 2017
Type: Document
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The Imperative for Strategic Workforce Planning And Development: Challenges and Opportunities
Discusses workforce planning and development efforts in rural hospitals, as well as other key topics that present challenges and opportunities in workforce recruitment and retention, such as diversity, the shortage of behavioral health professionals, technology, and more. Covers three rural specific examples that expand access to healthcare services through telehealth services and a rural residency matching incentive programs.
Date: 2017
Type: Document
Sponsoring organization: American Hospital Association
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