Rural Health
Resources by Topic: Service delivery models
Addressing Depression and Comorbid Health Conditions Through Solution-Focused Brief Therapy in an Integrated Care Setting: A Randomized Clinical Trial
Analyzes the effectiveness of integrating a Solution-Focused Brief Therapy (SFBT) intervention to improve depressive symptoms and related health conditions for patients in a primary care setting. Analyzes 40 SFBT patients receiving treatment at a rural Federally Qualified Health Center (FQHC) for health measures such as depression, anxiety, well-being, body mass index (BMI), and blood pressure.
Author(s): Zach W. Cooper, Orion Mowbray, Mohammed K. Ali, Leslie C.M. Johnson
Citation: BMC Primary Care, 25, 313
Date: 08/2024
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Analyzes the effectiveness of integrating a Solution-Focused Brief Therapy (SFBT) intervention to improve depressive symptoms and related health conditions for patients in a primary care setting. Analyzes 40 SFBT patients receiving treatment at a rural Federally Qualified Health Center (FQHC) for health measures such as depression, anxiety, well-being, body mass index (BMI), and blood pressure.
Author(s): Zach W. Cooper, Orion Mowbray, Mohammed K. Ali, Leslie C.M. Johnson
Citation: BMC Primary Care, 25, 313
Date: 08/2024
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The Cross-State Licensure Continuum: Out-of-State Telehealth Provider Policies
Provides an overview of policy alternatives to full in-state licensure for telehealth providers adopted by states. Describes limited licensure exceptions, telehealth license or registration processes, and interstate licensure compacts, as well as limitations to these policies. Includes a chart indicating which, if any, policies and compacts each state has implemented as of July 2024.
Date: 08/2024
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Provides an overview of policy alternatives to full in-state licensure for telehealth providers adopted by states. Describes limited licensure exceptions, telehealth license or registration processes, and interstate licensure compacts, as well as limitations to these policies. Includes a chart indicating which, if any, policies and compacts each state has implemented as of July 2024.
Date: 08/2024
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Dialysis More Available Than Patient Education in Counties With High Diabetes Prevalence
Compares availability of dialysis and diabetes self-management education and support (DSMES) services at the county level, and discusses impacts of DSMES access on prevalence of end stage renal disease. Analyzes county-level characteristics associated with availability of dialysis or DSMES, including rurality, diabetes prevalence, presence of a Federally Qualified Health Center or Rural Health Clinic, and more.
Author(s): Janice C. Probst, Nicholas Yell, Gabriel A. Benavidez, et al.
Citation: Preventing Chronic Disease, 21, 240052
Date: 08/2024
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Compares availability of dialysis and diabetes self-management education and support (DSMES) services at the county level, and discusses impacts of DSMES access on prevalence of end stage renal disease. Analyzes county-level characteristics associated with availability of dialysis or DSMES, including rurality, diabetes prevalence, presence of a Federally Qualified Health Center or Rural Health Clinic, and more.
Author(s): Janice C. Probst, Nicholas Yell, Gabriel A. Benavidez, et al.
Citation: Preventing Chronic Disease, 21, 240052
Date: 08/2024
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Integrated Behavioral Health Implementation and Chronic Disease Management Inequities: An Exploratory Study of Statewide Data
Examines associations between the use of integrated behavioral health (IBH) and quality of asthma, diabetes, and vascular disease management at 102 primary care clinics in Minnesota. Analyzes how rurality, racial profile of clinical location, and patient socioeconomic status interact with IBH adoption and quality of chronic disease management.
Author(s): Gretchen J.R. Buchanan, Jerica M. Berge, Timothy F. Piehler
Citation: BMC Primary Care, 25, 302
Date: 08/2024
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Examines associations between the use of integrated behavioral health (IBH) and quality of asthma, diabetes, and vascular disease management at 102 primary care clinics in Minnesota. Analyzes how rurality, racial profile of clinical location, and patient socioeconomic status interact with IBH adoption and quality of chronic disease management.
Author(s): Gretchen J.R. Buchanan, Jerica M. Berge, Timothy F. Piehler
Citation: BMC Primary Care, 25, 302
Date: 08/2024
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Community Health Centers' Progress and Challenges in Meeting Patients' Essential Primary Care Needs: Findings from the Commonwealth Fund 2024 National Survey of Federally Qualified Health Centers
Summarizes findings from the 2024 Commonwealth Fund National Survey of Federally Qualified Health Centers (FQHCs), which received responses from 737 FQHC leaders in fall 2023 and spring 2024. Explores the extent to which FQHCs achieve primary care accessibility, comprehensiveness, and coordination. Compares findings to data from the 2018 version of this survey to assess how care delivery changed over time. Describes barriers FQHCs face in offering high-quality care. Presents data by rural and urban location throughout.
Author(s): Celli Horstman, Corinne Lewis, Alexandra Bryan, Sara Federman
Date: 08/2024
Sponsoring organization: Commonwealth Fund
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Summarizes findings from the 2024 Commonwealth Fund National Survey of Federally Qualified Health Centers (FQHCs), which received responses from 737 FQHC leaders in fall 2023 and spring 2024. Explores the extent to which FQHCs achieve primary care accessibility, comprehensiveness, and coordination. Compares findings to data from the 2018 version of this survey to assess how care delivery changed over time. Describes barriers FQHCs face in offering high-quality care. Presents data by rural and urban location throughout.
Author(s): Celli Horstman, Corinne Lewis, Alexandra Bryan, Sara Federman
Date: 08/2024
Sponsoring organization: Commonwealth Fund
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Delivery of High-Speed Broadband Services in Unserved and Underserved Areas of the Commonwealth (Pennsylvania): Fifth Annual Report
Provides an update on the role of broadband in education, telehealth, agriculture, and community and economic development; barriers to development; and funding resources. Discusses developments in Pennsylvania state and local initiatives and efforts to identify unserved and underserved Pennsylvania communities.
Author(s): Yvonne Llewellyn Hursh, Bryan W. DeWalt, Lydia Hack, Allison N. Kobzowicz, Wendy L. Baker
Date: 08/2024
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Provides an update on the role of broadband in education, telehealth, agriculture, and community and economic development; barriers to development; and funding resources. Discusses developments in Pennsylvania state and local initiatives and efforts to identify unserved and underserved Pennsylvania communities.
Author(s): Yvonne Llewellyn Hursh, Bryan W. DeWalt, Lydia Hack, Allison N. Kobzowicz, Wendy L. Baker
Date: 08/2024
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Applying AI to Rural Health, with Jordan Berg
An episode of the Exploring Rural Health podcast featuring Jordan Berg, Principal Investigator for the National Telehealth Technology Assessment Resource Center. Focuses on applications of AI in rural healthcare, as well as how patient information in an AI system is safeguarded.
Date: 08/2024
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Jordan Berg, Principal Investigator for the National Telehealth Technology Assessment Resource Center. Focuses on applications of AI in rural healthcare, as well as how patient information in an AI system is safeguarded.
Date: 08/2024
Sponsoring organization: Rural Health Information Hub
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Veterans Health Care: VA's Video Telehealth Access Program Would Benefit from Performance Goals and Measures
Describes programs implemented by the U.S. Department of Veterans Affairs Veterans Health Administration (VHA) to address veterans' barriers to accessing telehealth, with a focus on the Accessing Telehealth at Local Area Stations (ATLAS) Pilot Program. Examines telehealth performance and use data, veterans' satisfaction with VHA telehealth services, and VHA efforts to assess the quality of its telehealth services. Offers recommendations to the VHA regarding the development and use of performance goals and measures to assess the effectiveness and efficiency of the ATLAS program.
Additional links: Full Report
Date: 08/2024
Sponsoring organization: Government Accountability Office
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Describes programs implemented by the U.S. Department of Veterans Affairs Veterans Health Administration (VHA) to address veterans' barriers to accessing telehealth, with a focus on the Accessing Telehealth at Local Area Stations (ATLAS) Pilot Program. Examines telehealth performance and use data, veterans' satisfaction with VHA telehealth services, and VHA efforts to assess the quality of its telehealth services. Offers recommendations to the VHA regarding the development and use of performance goals and measures to assess the effectiveness and efficiency of the ATLAS program.
Additional links: Full Report
Date: 08/2024
Sponsoring organization: Government Accountability Office
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Palliative Care in Rural Communities
Presents the CARE (Complex, Access, Resourceful, Extraordinary) Framework to highlight the challenges and benefits of healthcare delivery in rural communities. Highlights multiple models for palliative care outside acute care settings with consideration for the CARE Framework.
Author(s): Tracy Fasolino, Kathleen Valentine, Megan E. Mayfield, William E. Rosa, Anne Koci
Citation: American Journal of Nursing, 128(4), 50-55
Date: 07/2024
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Presents the CARE (Complex, Access, Resourceful, Extraordinary) Framework to highlight the challenges and benefits of healthcare delivery in rural communities. Highlights multiple models for palliative care outside acute care settings with consideration for the CARE Framework.
Author(s): Tracy Fasolino, Kathleen Valentine, Megan E. Mayfield, William E. Rosa, Anne Koci
Citation: American Journal of Nursing, 128(4), 50-55
Date: 07/2024
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Clinical Outcomes of Rural Patients with Diabetes Treated by ECHO-Trained Providers Versus an Academic Medical Center
Evaluates the effectiveness of Project ECHO trained rural primary care provider team treating diabetes compared to specialists at an academic medical center by measuring cardiorenal risk factor changes. Discusses implications of study findings for rural populations with diabetes.
Author(s): Matthew F. Bouchonville, Larissa Myaskovsky, Yuridia L. Leyva, et al.
Citation: Journal of General Internal Medicine, 39, 298-2986
Date: 07/2024
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Evaluates the effectiveness of Project ECHO trained rural primary care provider team treating diabetes compared to specialists at an academic medical center by measuring cardiorenal risk factor changes. Discusses implications of study findings for rural populations with diabetes.
Author(s): Matthew F. Bouchonville, Larissa Myaskovsky, Yuridia L. Leyva, et al.
Citation: Journal of General Internal Medicine, 39, 298-2986
Date: 07/2024
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