Rural Health
Resources by Topic: Service delivery models
2025 Health and Human Services Evaluation Plan
Provides an overview of the 2025 evaluation activities for 49 Department of Health and Human Services (HHS) programs. Includes evaluation information on rural focused programs such as Rural Maternity and Obstetrics Management Strategies (RMOMS); the National Initiative to Address COVID-19 Health Disparities Among Populations at High-Risk and Underserved, Including Racial and Ethnic Minority Populations and Rural Communities; the Telehealth Technology Enabled Learning Program (TTELP); and more.
Author(s): Maura R. Reilly, Kristen Hudgins, Susan Jenkins
Date: 03/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of the 2025 evaluation activities for 49 Department of Health and Human Services (HHS) programs. Includes evaluation information on rural focused programs such as Rural Maternity and Obstetrics Management Strategies (RMOMS); the National Initiative to Address COVID-19 Health Disparities Among Populations at High-Risk and Underserved, Including Racial and Ethnic Minority Populations and Rural Communities; the Telehealth Technology Enabled Learning Program (TTELP); and more.
Author(s): Maura R. Reilly, Kristen Hudgins, Susan Jenkins
Date: 03/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Acceptability and Feasibility of a Mobile Behavioral Economic Health Intervention to Reduce Alcohol Use in Adults in Rural Areas
Presents results of a remotely-delivered alcohol use reduction pilot program focused on promoting use of behavioral economic strategies and participation in alternative activities among 75 rural people with at-risk alcohol use. Discusses the viability of service delivery via mobile phones and other internet-enabled devices to rural and remote areas.
Author(s): Natalie D. Bayrakdarian, Erin E. Bonar, Isabelle Duguid, et al.
Citation: Drug and Alcohol Dependence Reports, 100225
Date: 03/2024
Type: Document
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Presents results of a remotely-delivered alcohol use reduction pilot program focused on promoting use of behavioral economic strategies and participation in alternative activities among 75 rural people with at-risk alcohol use. Discusses the viability of service delivery via mobile phones and other internet-enabled devices to rural and remote areas.
Author(s): Natalie D. Bayrakdarian, Erin E. Bonar, Isabelle Duguid, et al.
Citation: Drug and Alcohol Dependence Reports, 100225
Date: 03/2024
Type: Document
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Loud and Clear: Improving Access to Hearing Care in Rural America
Discusses barriers to rural hearing care access and the importance of hearing conservation. Features a hearing clinic in South Dakota, a telehealth program in Alaska, and a nationally available agriculture safety program working to address rural hearing care.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Discusses barriers to rural hearing care access and the importance of hearing conservation. Features a hearing clinic in South Dakota, a telehealth program in Alaska, and a nationally available agriculture safety program working to address rural hearing care.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Kentucky Outreach Service Kiosk (KyOSK) Study Protocol: A Community-Level, Controlled Quasi-Experimental, Type 1 Hybrid Effectiveness Study to Assess Implementation, Effectiveness and Cost-Effectiveness of a Community-Tailored Harm Reduction Kiosk on HIV, HCV and Overdose Risk in Rural Appalachia
Reports on study design and implementation of a kiosk-based harm reduction intervention focused on HIV, hepatitis C, and overdose risk in rural Appalachia. Describes characteristics of two selected Appalachian Kentucky counties, eligibility criteria, data collection procedures, and study outcome measurement.
Author(s): April M Young, Jennifer R Havens, Hannah L F Cooper, et al.
Citation: BMJ Open, 14(3), e083983
Date: 03/2024
Type: Document
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Reports on study design and implementation of a kiosk-based harm reduction intervention focused on HIV, hepatitis C, and overdose risk in rural Appalachia. Describes characteristics of two selected Appalachian Kentucky counties, eligibility criteria, data collection procedures, and study outcome measurement.
Author(s): April M Young, Jennifer R Havens, Hannah L F Cooper, et al.
Citation: BMJ Open, 14(3), e083983
Date: 03/2024
Type: Document
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Hearing on Enhancing Access to Care at Home in Rural and Underserved Communities
Recording of a March 12, 2024, House Committee on Ways and Means hearing regarding opportunities and challenges to enhance access to care in patients' homes and modernizing care in rural and underserved communities, with a focus on telehealth and health information technology. Features testimony from two rural patients and representatives from Intermountain Health; Cadence, a company with expertise in chronic care management through remote physiologic monitoring; and Harvard Medical School and Beth Israel Deaconess Medical Center.
Additional links: Ateev Mehrotra, Harvard Medical School and Beth Israel Deaconess Medical Center - Testimony, Bell Maddux, Home Dialysis Patient - Testimony, Chris Altchek, Cadence - Testimony, Nathan Starr, Intermountain Health - Testimony, Roy Underhill, Hospital at Home Patient - Testimony
Date: 03/2024
Type: Video/Multimedia
Sponsoring organization: House Ways and Means Committee
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Recording of a March 12, 2024, House Committee on Ways and Means hearing regarding opportunities and challenges to enhance access to care in patients' homes and modernizing care in rural and underserved communities, with a focus on telehealth and health information technology. Features testimony from two rural patients and representatives from Intermountain Health; Cadence, a company with expertise in chronic care management through remote physiologic monitoring; and Harvard Medical School and Beth Israel Deaconess Medical Center.
Additional links: Ateev Mehrotra, Harvard Medical School and Beth Israel Deaconess Medical Center - Testimony, Bell Maddux, Home Dialysis Patient - Testimony, Chris Altchek, Cadence - Testimony, Nathan Starr, Intermountain Health - Testimony, Roy Underhill, Hospital at Home Patient - Testimony
Date: 03/2024
Type: Video/Multimedia
Sponsoring organization: House Ways and Means Committee
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Use of In-Network Insurance Benefits Is Critical for Improving Retention in Telehealth-Based Buprenorphine Treatment
Evaluated 3,842 patients in an opioid use disorder (OUD) telehealth company to identify associations in insurance status and treatment program retention. Patient characteristic data includes breakdown by urbanicity, age, gender, race and ethnicity, buprenorphine status, and more.
Author(s): Arthur Robin Williams, Christopher Row, Lexie Minarik, et al.
Citation: Health Affairs Scholar, 2(3)
Date: 03/2024
Type: Document
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Evaluated 3,842 patients in an opioid use disorder (OUD) telehealth company to identify associations in insurance status and treatment program retention. Patient characteristic data includes breakdown by urbanicity, age, gender, race and ethnicity, buprenorphine status, and more.
Author(s): Arthur Robin Williams, Christopher Row, Lexie Minarik, et al.
Citation: Health Affairs Scholar, 2(3)
Date: 03/2024
Type: Document
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Office for the Advancement of Telehealth (OAT) 2020-2024 Telehealth Network Grant Program (TNGP) Performance Improvement and Measurement System (PIMS): Summary Report for Program Year 3 (September 1, 2022 - August 31, 2023)
Summarizes findings from the first three years of the 2020-2024 Telehealth Network Grant Program (TNGP), which aims to promote tele-emergency services by enhancing telehealth networks to deliver 24-hour emergency department (ED) consultation services via telehealth to rural providers without emergency care specialists. Presents data on grantee network characteristics, the number of originating and distant sites, specialty areas, averted transfers, ED and hospital readmissions, other uses of the telehealth network, and more.
Date: 02/2024
Type: Document
Sponsoring organizations: Georgia Health Policy Center, Office for the Advancement of Telehealth
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Summarizes findings from the first three years of the 2020-2024 Telehealth Network Grant Program (TNGP), which aims to promote tele-emergency services by enhancing telehealth networks to deliver 24-hour emergency department (ED) consultation services via telehealth to rural providers without emergency care specialists. Presents data on grantee network characteristics, the number of originating and distant sites, specialty areas, averted transfers, ED and hospital readmissions, other uses of the telehealth network, and more.
Date: 02/2024
Type: Document
Sponsoring organizations: Georgia Health Policy Center, Office for the Advancement of Telehealth
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Design and Impact of a Novel Rural Hospital Alliance
Provides an overview of the University of Arkansas for Medical Science's participation in the Arkansas Rural Health Partnership (ARHP), a southern Arkansas collaborative hospital network. Discusses AHRP program development for clinical network development, workforce recruitment and education, telemedicine, and community outreach initiatives. Highlights the use of partnerships and collaborations to improve hospital operations and health service availability in rural areas throughout.
Author(s): Kristie Hadden, Mellie Boagni, Jon Parham, Cam Patterson, Stephanie Gardner
Citation: Southern Medical Journal, 117(2), 67-71
Date: 02/2024
Type: Document
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Provides an overview of the University of Arkansas for Medical Science's participation in the Arkansas Rural Health Partnership (ARHP), a southern Arkansas collaborative hospital network. Discusses AHRP program development for clinical network development, workforce recruitment and education, telemedicine, and community outreach initiatives. Highlights the use of partnerships and collaborations to improve hospital operations and health service availability in rural areas throughout.
Author(s): Kristie Hadden, Mellie Boagni, Jon Parham, Cam Patterson, Stephanie Gardner
Citation: Southern Medical Journal, 117(2), 67-71
Date: 02/2024
Type: Document
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The Agency for Healthcare Research and Quality's Investments in Primary Care Research for 2021 and 2022
Provides an overview of the Agency for Healthcare Research and Quality's (AHRQ) primary care research investments in 2021 and 2022. Highlights rural grants, research programs, and care delivery models throughout.
Additional links: AHRQ's Recent Investments in Primary Care Research: At-a-Glance
Author(s): Jessie Gerteis, Ellen Childs, Bill Villalba, et al.
Date: 02/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides an overview of the Agency for Healthcare Research and Quality's (AHRQ) primary care research investments in 2021 and 2022. Highlights rural grants, research programs, and care delivery models throughout.
Additional links: AHRQ's Recent Investments in Primary Care Research: At-a-Glance
Author(s): Jessie Gerteis, Ellen Childs, Bill Villalba, et al.
Date: 02/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Advancing Equity in Challenging Times: A Qualitative Study of Telehealth Expansion And Changing Patient–Provider Relationships In Primary Care Settings During the COVID-19 Pandemic
Examines the expansion of telehealth services during the COVID-19 pandemic and potential access issues related to technical and workforce barriers. Analyzes interview data from primary healthcare providers to explore challenges such as reduced team-based care coordination, technological difficulties, loss of nonverbal communication, and equity issues for vulnerable groups, including those in rural areas.
Author(s): Monisa Aijaz, Valerie A Lewis, Genevra F Murray
Citation: Digital Health, 10
Date: 02/2024
Type: Document
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Examines the expansion of telehealth services during the COVID-19 pandemic and potential access issues related to technical and workforce barriers. Analyzes interview data from primary healthcare providers to explore challenges such as reduced team-based care coordination, technological difficulties, loss of nonverbal communication, and equity issues for vulnerable groups, including those in rural areas.
Author(s): Monisa Aijaz, Valerie A Lewis, Genevra F Murray
Citation: Digital Health, 10
Date: 02/2024
Type: Document
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