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Rural Health
Resources by Topic: Service delivery models

A National Agenda for Community Paramedicine Research
Summarizes comments from community paramedicine stakeholders at an October 2012 meeting on community paramedicine. Includes discussion and collaboration aimed at building a national evidence base on community paramedicine.
Author(s): Davis G. Patterson, Susan M. Skillman
Date: 02/2013
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Rural Hospital Participation in the Medicare Shared Savings Program
Proposes modifications to the Medicare Shared Savings Programs (MSSP) and the Advanced Payment Program to help transform the healthcare delivery system in rural communities. Discusses expanding Medicare beneficiaries in rural communities from a single primary care provider to a Community Care Organization (CCO) with shared savings payments and providing early payments to CCOs to support infrastructure and chronic disease management.
Author(s): Lynn Barr
Date: 02/2013
Type: Document
Sponsoring organization: National Rural Health Association
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Recruiting Rural Participants for a Telehealth Intervention on Diabetes Self-Management
Reports on a study that used rural Federally Qualified Health Center site coordinators at multiple locations to recruit participants for a telehealth behavioral coaching intervention. Identifies study design, site, and participant factors that acted as barriers or facilitators to participant recruitment.
Author(s): Sheridan Miyamoto, Stuart Henderson, Heather M. Young, Deborah Ward, Vanessa Santillan
Citation: Journal of Rural Health, 29(1), 69-77
Date: 01/2013
Type: Document
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Mental Health and Mental Health Care in Rural America: The Hope of Redesigned Primary Care
Briefly discusses mental health treatment disparities between rural and nonrural veterans.
Date: 01/2013
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Telehealth and Medicare: Payment Policy, Current Use, and Prospects for Growth
Examines growth in Medicare paid telehealth services by analyzing claims data matched to patient zip codes and provider characteristics. Includes a map of Medicare beneficiaries using telehealth by county of residence and analysis on the types of telehealth services provided.
Author(s): Matlin Gilman, Jeff Stensland
Citation: Medicare & Medicaid Research Review, 3(4)
Date: 2013
Type: Document
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Mixed-Methods Evaluation of a Telehealth Collaborative Care Program for Persons with HIV Infection in Rural Settings
Discusses the findings of the Iowa City Veterans Affairs Healthcare System's implementation of a telehealth collaborative care program for veterans with HIV living in rural parts of Iowa and Illinois.
Author(s): Michael Ohl, Dena Dillon, Jane Moeckli, et al.
Date: 2013
Type: Document
Sponsoring organizations: U.S. Department of Veterans Affairs, Veterans Rural Health Resource Centers
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A Pilot Randomized Controlled Trial of a Depression and Disease Management Program Delivered by Telephone
Reports on the use of telephone administered psychotherapy as an effective means of treating rural veterans with a medical illness accompanied by depression whose treatment would otherwise be hampered by cost, social stigma, and travel barriers.
Author(s): Arwa Aburizik, Lilian Dindo, Peter J. Kaboli, Mary E. Charlton, Carolyn Turvey
Date: 2013
Type: Document
Sponsoring organizations: U.S. Department of Veterans Affairs, Veterans Rural Health Resource Centers
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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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