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Rural Health
Resources by Topic: Service delivery models

A Mixed Methods Descriptive Investigation of Readiness to Change in Rural Hospitals Participating in a Tele-Critical Care Intervention
Examines organizational readiness for community-academic partnerships to utilize telemedicine outreach and clinician education based on 4 rural hospitals in South Carolina. Discusses factors that help and hinder telemedicine readiness.
Author(s): Jane Zapka, Kit Simpson, Lara Hiott, et al.
Citation: BMC Health Services Research, 13, 33
Date: 2013
Type: Document
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Improving Access to Specialized Care: The Telehealth Kidney Transplant Clinic at the Iowa City VAMC
Profiles the Telehealth Transplant Clinic at the Iowa City Veterans Affairs Medical Center and their actions to reduce travel time and costs for kidney transplant patients by allowing them to receive annual follow-up exams remotely using telehealth services.
Author(s): Roberto Kalil, Christie Thomas, Carol Winetroub, Stacey Abel
Date: 2013
Type: Document
Sponsoring organizations: U.S. Department of Veterans Affairs, Veterans Rural Health Resource Centers
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Improving Accessibility: VISN 11 Mobile Prosthetics Van Program
Describes a mobile program that provides prosthetic and orthotic services to veterans in areas of Michigan, Indiana, northwest Ohio, and eastern Illinois that did not previously offer them and that may be many miles away from the nearest veteran medical center (VAMC).
Author(s): Sherri DeLoof, Guadalupe Bravo, Ernest Howard, Michael Rilenge
Date: 2013
Type: Document
Sponsoring organizations: U.S. Department of Veterans Affairs, Veterans Rural Health Resource Centers
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Urban–Rural Disparities in Colorectal Cancer Screening: Cross-Sectional Analysis of 1998–2005 Data from the Centers for Disease Control's Behavioral Risk Factor Surveillance Study
Analyzes Behavioral Risk Factor Surveillance System (BRFSS) data to examine disparities in colorectal cancer screening rates between rural and urban U.S. populations. Table 1 compares rural and urban population characteristics, such as age, race, ethnicity, education, income, marital status, and overall health.
Author(s): Allison M. Cole, J. Elizabeth Jackson, Mark Doescher
Citation: Cancer Medicine, 1(3), 350-356
Date: 12/2012
Type: Document
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Evolving Trends in Maternal Fetal Medicine Referrals in a Rural State Using Telemedicine
Presents the results of a study using Arkansas Medicaid claims and birth certificate data from 2001-2006 to make an assessment of maternal fetal medicine (MFM) referrals and consultations from face-to-face interaction to telemedicine over time in a rural population. Discusses the formation of ANGELS (Antenatal and Neonatal Guidelines, Education and Learning Systems) to improve obstetrical care in rural Arkansas and to improve appropriate referrals to MFM specialists.
Author(s): Everett F. Magann, Janet Bronstein, Samantha S. McKelvey, et al.
Citation: Archives of Gynecology and Obstetrics, 286(6)
Date: 12/2012
Type: Document
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Options for Rural Health Care System Reform and Redesign
Examines options for rural healthcare infrastructure in a changing health care environment and reflects on previous work around the Affordable Care Act. Includes a discussion of the Frontier Extended Stay Clinic (FESC) and Frontier Community Health Integration Project (F-CHIP).
Date: 12/2012
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Continuing Education Training Focused on the Development of Behavioral Telehealth Competencies in Behavioral Healthcare Providers
Examines the impact of a Behavioral Telehealth Ethical Competencies Training Program on the development of behavioral telehealth competency by 16 behavioral health providers. Explores the 14 behavioral telehealth competencies using video vignettes and self-reported competence surveys to determine the effectiveness of the training program.
Author(s): Valerie Gifford, Britton Niles, Inna Rivkin, Catherine Koverola, Jodi Polaha
Citation: Rural and Remote Health, 12(4), 2108
Date: 12/2012
Type: Document
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Creating a Patient Navigation Model to Address Cervical Cancer Disparities in a Rural Hispanic Farmworker Community
Details a program to address cervical cancer disparities in rural Hispanic agricultural workers. Addresses specific barriers to preventive screenings, including awareness and knowledge of screening, cultural beliefs, cost, lack of health insurance, transportation, and child care.
Author(s): Kristen J. Wells, Maria I. Rivera, Sister Sara K. Proctor, et al.
Citation: Journal of Health Care for the Poor and Underserved, 23(4), 1712-1718
Date: 11/2012
Type: Document
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Palliative Care Rural Initiative Dissemination Model and Implementation Guide
Includes tools, best practices, and lessons learned associated with implementing care coordination models to help rural community hospice organizations meet the needs of veterans. Created within a collaboration of the National Rural Health Resource Center and the Veterans Integrated Service Network (VISN) 23 and designed to be replicated by other VISNs.
Date: 11/2012
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Returning the Mouth to the Body: Integrating Oral Health & Primary Care
Describes how coordinating oral health and primary care services can address dental health disparities affecting vulnerable populations including those in rural and underserved areas.
Date: 09/2012
Type: Document
Sponsoring organization: Grantmakers in Health
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