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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Challenges and Strategies to Improve Access to Oral Health Care in Rural America
Provides an overview of barriers to oral health in rural areas, and discusses strategies to increase access to oral health care and improve rural public health outcomes. Covers topics including dental insurance, service delivery models, oral health workforce, the role of oral health professionals in addressing opioid and tobacco use, and water fluoridation.
Author(s): Liang Hong, Shillpa Naavaal, Sohini Dhar, Siddardha Chandrupatla
Date: 2025
Sponsoring organization: American Association of Public Health Dentistry (AAPHD)
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"Voice of Concern" for Rural Veterans With PTSD: Care Managers' Role Engaging Rural Veterans in Evidence-Based Therapies via Telemedicine
Conducted phone interviews with 43 veterans to identify satisfaction with care managers offering trauma-focused psychotherapies through telehealth. Discusses barriers to care and 3 ways CMs were most helpful to veteran patients.
Author(s): Valentina V. Petrova, Carol Simons, Suparna Rajan, et al.
Citation: Psychological Trauma: Theory, Research, Practice, and Policy, 17(8), 1771-1779
Date: 2025
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Blueprint for a National Prevention Infrastructure for Mental, Emotional, and Behavioral Disorders
Explores evidence-based policies and approaches to preventing mental, emotional, and behavioral (MEB) disorders among population groups across the U.S. Discusses the need for prevention services on top of acute or episodic care during MEB crises. Details the infrastructure and workforce required for comprehensive MEB prevention and makes policy recommendations.
Additional links: Read Online
Author(s): Marcella Alsan, Marthe R. Gold, Alina B. Baciu, Alexis Wojtowicz
Date: 2025
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Supporting Physical and Mental Health in Rural Veterans Living With Heart Failure: Protocol for a Nurse-Led Telephone Intervention Study
Presents a study on supporting the physical and mental health of rural veterans with heart failure. Explores the findings of an intervention designed for rural veterans with heart failure and evaluates its efficacy.
Author(s): Lucinda J. Graven, Laurie Abbott, Josef V. Hodgkins, et al.
Citation: JMIR Research Protocols, 14, e63498
Date: 2025
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Addressing Workforce Challenges Across the Behavioral Health Continuum of Care: Proceedings of a Workshop
Summary of presentations and discussions from a July 2024 public workshop to address workforce needs and challenges related to behavioral healthcare. Includes discussions of telepsychiatry collaborative care to improve rural access and capacity, and recruiting and retaining Native American healthcare providers in behavioral health settings.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2025
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Provider-to-Provider Telemedicine for Sepsis Is Used Less Frequently in Communities with High Social Vulnerability
Examines the relationship between provider-to-provider emergency department-based telehealth consultation (tele-ED) and the prevalence of sepsis in counties with elevated social vulnerability index (SVI) scores. Analyzes 2016-2019 data from 1191 patients treated in rural, Midwestern EDs, with breakdowns according to patient, provider, hospital, and county characteristics. Discusses the relationship between SVI scores and tele-ED use.
Author(s): Kevin J. Tu, J. Priyanka Vakkalanka, Uche E. Okoro, et al.
Citation: Journal of Rural Health, 41(1), e12861
Date: 2025
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South Dakota Department of Health 2024 Annual Report
Describes activities and accomplishments of the South Dakota Department of Health in 2024. Includes sections on public health preparedness and response, rural health, emergency medical services, health information technology, family and community health, and licensure and accreditation.
Date: 12/2024
Sponsoring organization: South Dakota Department of Health
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Healthcare Stakeholder Perceptions of Broadband and Telehealth Influences in Telehealth Broadband Pilot Program Communities
Summarizes findings from interviews with healthcare stakeholders in Alaska, Michigan, Texas, and West Virginia communities served by the Telehealth Broadband Pilot (TBP) Program. Describes influences on clinic, providers and healthcare staff, and TBP Program community and patient broadband and telehealth utilization.
Author(s): Cari A. Bogulski, M. Kathryn Allison, Hannah C. McCoy, Rosario Silva, Hari Eswaran
Date: 12/2024
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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An Evaluation of the Telehealth Broadband Pilot Program (2021–2024)
Provides an overview of the Telehealth Broadband Pilot (TBP) Program, which aimed to address gaps in broadband service that limited access to telehealth services in rural and underserved communities in Alaska, Michigan, Texas, and West Virginia. Details the development and implementation of devices that measured broadband data in the communities over time and the results of those devices. Summarizes discussions with TBP Program staff regarding the implementation and effectiveness of the program, as well as interviews with healthcare stakeholders, consumers, and technical assistance providers in TBP Program communities. Offers factors for consideration in the development of future programs to measure broadband implementation in rural communities and improve user experience. Includes summary reports by state.
Date: 12/2024
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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Consumer Perceptions of Broadband and Telehealth Across Telehealth Broadband Pilot Program Counties
Presents findings from interviews with consumers in Alaska, Michigan, Texas, and West Virginia communities served by the Telehealth Broadband Pilot Program. Describes facilitators and barriers to home broadband and telehealth adoption identified in the interviews.
Author(s): Cari A. Bogulski, Rosario Silva, Hannah C. McCoy, M. Kathryn Allison, Hari Eswaran
Date: 12/2024
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
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