Rural Health
Resources by Topic: Service delivery models
Rural Hospital Experiences in the Colorado Hospital Transformation Program
Provides an overview of the Colorado Hospital Transformation Program (CO HTP), a 5-year program that ties Medicaid supplemental payments to hospitals' ability to meet performance targets through September 2026. Describes the experiences of three Critical Access Hospitals (CAHs) and explores how CO HTP impacts rural hospitals. Covers planning and community engagement, quality of care, and healthcare costs.
Date: 03/2025
Sponsoring organization: Rural Health Value
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Provides an overview of the Colorado Hospital Transformation Program (CO HTP), a 5-year program that ties Medicaid supplemental payments to hospitals' ability to meet performance targets through September 2026. Describes the experiences of three Critical Access Hospitals (CAHs) and explores how CO HTP impacts rural hospitals. Covers planning and community engagement, quality of care, and healthcare costs.
Date: 03/2025
Sponsoring organization: Rural Health Value
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Maternity Care in California: An Environmental Scan
Examines factors affecting declining hospital-based maternity care services in California and identifies approaches to increase access and quality of care. Includes discussion of rural hospital closures and rural quality of care challenges, and highlights rural program models in California and Alaska.
Date: 02/2025
Sponsoring organization: California Hospital Association
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Examines factors affecting declining hospital-based maternity care services in California and identifies approaches to increase access and quality of care. Includes discussion of rural hospital closures and rural quality of care challenges, and highlights rural program models in California and Alaska.
Date: 02/2025
Sponsoring organization: California Hospital Association
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Cross-State Travel for Cancer Care and Implications for Telehealth Reciprocity
Examines the extent to which Medicare beneficiaries with breast, colon, lung, or pancreatic cancer travel out of state to receive cancer services between January 1, 2017, and December 31, 2020. Compares cross-state travel by cancer site, service type, and patient rurality. Describes the potential implications of these findings for telehealth policies and reciprocity.
Author(s): Erika L. Moen, Qianfei Wang, Lingbo Liu, et al.
Citation: JAMA Network Open, 8(2), e2461021
Date: 02/2025
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Examines the extent to which Medicare beneficiaries with breast, colon, lung, or pancreatic cancer travel out of state to receive cancer services between January 1, 2017, and December 31, 2020. Compares cross-state travel by cancer site, service type, and patient rurality. Describes the potential implications of these findings for telehealth policies and reciprocity.
Author(s): Erika L. Moen, Qianfei Wang, Lingbo Liu, et al.
Citation: JAMA Network Open, 8(2), e2461021
Date: 02/2025
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An Analysis of Telehealth in a Post-Pandemic Rural, Midwestern Community: Increased Comfort and a Preference for Primary Care
Discusses the implementation of telehealth in rural, underserved areas during the COVID-19 pandemic and if telehealth remains a sustainable option to provide healthcare. Utilizes 2023 data from 253 survey participants regarding internet access, telehealth usage, and telehealth perceptions.
Author(s): Chase Salmon, Kameron Bell, Eric Reyes, Ellen Ireland, Robin Danek
Citation: BMC Health Services Research, 25, 270
Date: 02/2025
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Discusses the implementation of telehealth in rural, underserved areas during the COVID-19 pandemic and if telehealth remains a sustainable option to provide healthcare. Utilizes 2023 data from 253 survey participants regarding internet access, telehealth usage, and telehealth perceptions.
Author(s): Chase Salmon, Kameron Bell, Eric Reyes, Ellen Ireland, Robin Danek
Citation: BMC Health Services Research, 25, 270
Date: 02/2025
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Disparities in Substance Use Disorder Telehealth Services
Results of a study examining telehealth's association with changes in disparities in substance use disorder telehealth utilization across payers and rurality, from 2019-2023. Features statistics including breakdowns by urban and rural areas.
Author(s): Lauryn Saxe Walker, Manying Cui, Jonathan Cantor, et al.
Citation: JAMA Network Open, 8(2), e2459606
Date: 02/2025
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Results of a study examining telehealth's association with changes in disparities in substance use disorder telehealth utilization across payers and rurality, from 2019-2023. Features statistics including breakdowns by urban and rural areas.
Author(s): Lauryn Saxe Walker, Manying Cui, Jonathan Cantor, et al.
Citation: JAMA Network Open, 8(2), e2459606
Date: 02/2025
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Peer-Assisted Telemedicine Hepatitis-C Treatment for People Who Use Drugs in Rural Communities: A Mixed Methods Study
Examines the Oregon HOPE TeleHCV study, which provided peer-facilitated telemedicine hepatitis C virus (HCV) treatment for people who use drugs (PWUD) in rural Oregon. Utilizes survey and interview data provided by patients and clinicians to identify effective strategies for building trust and reducing barriers to treatment at the systems, clinical, and peer levels.
Author(s): Kim Hoffman, Gillian Leichtling, Sarah Shin, et al.
Citation: Addiction Science & Clinical Practice, 20, 10
Date: 02/2025
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Examines the Oregon HOPE TeleHCV study, which provided peer-facilitated telemedicine hepatitis C virus (HCV) treatment for people who use drugs (PWUD) in rural Oregon. Utilizes survey and interview data provided by patients and clinicians to identify effective strategies for building trust and reducing barriers to treatment at the systems, clinical, and peer levels.
Author(s): Kim Hoffman, Gillian Leichtling, Sarah Shin, et al.
Citation: Addiction Science & Clinical Practice, 20, 10
Date: 02/2025
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Goal Alignment and Unintended Consequences of Accountable Care: How the Structure of Oregon's Medicaid Coordinated Care Model Shapes Health Plan-Clinic Partnerships
Analyzes how the coordinated care organization model in Oregon impacts payers and primary care clinics through building relationships, metrics reporting, electronic health record technical assistance, training, and implementing alternative payment methods. Includes discussion of the impact on rural clinics and rural health outcomes.
Author(s): Erin S. Kenzie, Jean Campbell, Mellodie Seater, et al.
Citation: Journal of Clinical and Translational Science, 9(1)
Date: 02/2025
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Analyzes how the coordinated care organization model in Oregon impacts payers and primary care clinics through building relationships, metrics reporting, electronic health record technical assistance, training, and implementing alternative payment methods. Includes discussion of the impact on rural clinics and rural health outcomes.
Author(s): Erin S. Kenzie, Jean Campbell, Mellodie Seater, et al.
Citation: Journal of Clinical and Translational Science, 9(1)
Date: 02/2025
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Genetic Services in Appalachia Conference Series
Identifies facilitators and barriers to genetics care provision and access in rural and underserved Appalachian communities, utilizing survey and feedback data of 137 participants in the Genetic Services in Appalachia webinar series. Discusses rural service delivery models, effects of genetic counseling access on rural health disparities, and more.
Author(s): Kimberly M. Kelly, Trupti Dhumal, Virginia G. Scott, et al.
Citation: American Journal of Medical Genetics - Part A, 197(5), e63990
Date: 01/2025
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Identifies facilitators and barriers to genetics care provision and access in rural and underserved Appalachian communities, utilizing survey and feedback data of 137 participants in the Genetic Services in Appalachia webinar series. Discusses rural service delivery models, effects of genetic counseling access on rural health disparities, and more.
Author(s): Kimberly M. Kelly, Trupti Dhumal, Virginia G. Scott, et al.
Citation: American Journal of Medical Genetics - Part A, 197(5), e63990
Date: 01/2025
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Telehealth Evolution in California: Progress, Challenges, and Opportunities
Reports on trends in telehealth policy, financing, implementation, and use in California, and provides recommendations to increase telehealth access. Discusses rural barriers to telehealth access.
Author(s): Natasha Arora, Maggie Jones
Date: 01/2025
Sponsoring organization: California Health Care Foundation
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Reports on trends in telehealth policy, financing, implementation, and use in California, and provides recommendations to increase telehealth access. Discusses rural barriers to telehealth access.
Author(s): Natasha Arora, Maggie Jones
Date: 01/2025
Sponsoring organization: California Health Care Foundation
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The Role of Community Health Workers in a Collaborative Care Management Intervention for Cancer Pain Management: A Feasibility Study for a Randomized Controlled Trial
Examines the feasibility of community health worker (CHW) participation in a collaborative cancer care pain intervention for rural and/or Hispanic/Latino patients, utilizing survey and interview data of 12 CHWs. Discusses CHW experiences and comfort working with cancer patients in underserved settings.
Author(s): Abby M. Lohr, Joan M. Griffin, Jhenitza P. Raygoza, et al.
Citation: Annals of Palliative Medicine, 14(1), 13-28
Date: 01/2025
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Examines the feasibility of community health worker (CHW) participation in a collaborative cancer care pain intervention for rural and/or Hispanic/Latino patients, utilizing survey and interview data of 12 CHWs. Discusses CHW experiences and comfort working with cancer patients in underserved settings.
Author(s): Abby M. Lohr, Joan M. Griffin, Jhenitza P. Raygoza, et al.
Citation: Annals of Palliative Medicine, 14(1), 13-28
Date: 01/2025
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