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Rural Health
Resources by Topic: Service delivery models

Polypharmacy and Health-Related Quality of Life Among US Adults With Arthritis, Medical Expenditure Panel Survey, 2010-2012
Results of a study of 6,132 adults with arthritis, to determine the relationship between treatment with prescription drugs from 6 or more drug classes and health-related quality of life. Features demographic statistics with breakdown between urban and rural areas of residence.
Author(s): Abdulkarim M. Meraya, Nilanjana Dwibedi, Usha Sambamoorthi
Citation: Preventing Chronic Disease, 13
Date: 09/2016
Type: Document
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Telemedicine Penetration and Consultation Among Rural Trauma Patients in Critical Access Hospital Emergency Departments in North Dakota
Discusses the use of telemedicine in rural Critical Access Hospital (CAH) emergency departments in North Dakota and how the availability of those services changed outcomes for trauma patients. Includes data and statistics regarding use.
Author(s): Nicholas M. Mohr, Karisa K. Harland, Elizabeth Chrischilles, et al.
Date: 09/2016
Type: Document
Sponsoring organization: Rural Telehealth Research Center
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EMS Leaders Speak
Five experts discuss emergency medical services in a changing rural healthcare delivery system. Topics addressed include EMS challenges and potential opportunities, such as community paramedicine and telehealth.
Author(s): Kevin McGinnis, Diane Calmus, Don Wood, Tom Nehring, Gary Wingrove
Citation: Rural Monitor
Date: 09/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Veterans Rural Health Advisory Committee Letter of Recommendations to Secretary, 2016
Details the recommendations of the Veterans Rural Health Advisory Committee to the Secretary of Veterans Affairs. Makes recommendations about the response time from the VA, reimbursement delays for non-VA providers, utilization of telehealth, and the implementation of quality care standards, among others.
Author(s): Margaret Puccinelli, Janice Casillas, Syreeta Long, et al.
Date: 08/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Sociocultural Construction of Food Ways in Low-Income Mexican-American Women with Diabetes: A Qualitative Study
Explores successful type 2 diabetes management practices of low-income Hispanic women residing in a rural community on the Texas-Mexico border in a sociocultural context, specifically looking at foodways. Foodways are the cultural, social, and economic practices relating to the production and consumption of food.
Author(s): Sandra Benavides-Vaello, Sharon A. Brown
Citation: Journal of Clinical Nursing, 25(15-16), 2367-2377
Date: 08/2016
Type: Document
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Two Annual Report
Second annual report detailing the findings of CMS's State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Vermont, and Oregon - to accelerate health system transformation in the areas of delivery systems, payment models, information technology, workforce development, and more. Presents results from the second of three planned site visits to the states, including interviews, focus groups, and surveys. Connections made throughout to issues specifically affecting rural healthcare.
Date: 08/2016
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Report to Congress: E-health and Telemedicine
Reports the state of e-health and telemedicine after the implementation of the Affordable Care Act (ACA). Includes current policy challenges, discussion of federal level telehealth activity, and a legislative proposal for FY17.
Date: 08/2016
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Evaluation of the Round Two Health Care Innovation Awards (HCIA R2): First Annual Report
Summarizes the first year evaluation results of the 39 Health Care Innovation Awards Round Two projects. Includes findings for the individual grantees, which include 14 projects that serve rural areas.
Date: 08/2016
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Telehealth Parity Laws
Policy brief discussing federal and state activities related to telehealth, as well as Medicaid and private insurer reimbursement for telehealth services. Identifies the arguments in favor of and against paying for telehealth at parity with in-person care. Discusses the role telehealth can play in rural access to healthcare.
Citation: Health Affairs
Date: 08/2016
Type: Document
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Home-Based Cardiac Care for Rural Veterans
Video describing the Home-Based Cardiac Rehabilitation Program from the Department of Veterans Affairs. Focuses on individualized care for rural veterans through cardiac telehealth. This program allows for one-on-one care for patients who cannot come for traditional clinic rehab appointments due to geographic isolation, transportation challenges, or other impediments.
Date: 08/2016
Type: Video/Multimedia
Sponsoring organization: U.S. Department of Veterans Affairs
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