Rural Health
Resources by Topic: Service delivery models
Measuring Meaningful Outcomes for Adult Hearing Health Interventions: Consensus Study Report
Presents a set of core outcomes and measurements for the evaluation of interventions to address hearing difficulties in adults. See pages 42 and 47-48 for discussion of conditions influencing the prevalence of hearing difficulties in rural areas, rural access to care, and telehealth as a means of providing services in rural areas.
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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Presents a set of core outcomes and measurements for the evaluation of interventions to address hearing difficulties in adults. See pages 42 and 47-48 for discussion of conditions influencing the prevalence of hearing difficulties in rural areas, rural access to care, and telehealth as a means of providing services in rural areas.
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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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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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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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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Feasibility of a Remote Patient Video Education Intervention to Improve Care Coordination for Rural Cancer Patients
Examines the feasibility, patient satisfaction, and acceptability of a video education intervention focused on cancer care coordination among 19 cancer patients in rural Hawaii.
Author(s): Izumi Okado, Christa Braun-Inglis, Kehau Matsumoto, et al.
Citation: Journal of Cancer Education, 40, 594-599
Date: 12/2024
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Examines the feasibility, patient satisfaction, and acceptability of a video education intervention focused on cancer care coordination among 19 cancer patients in rural Hawaii.
Author(s): Izumi Okado, Christa Braun-Inglis, Kehau Matsumoto, et al.
Citation: Journal of Cancer Education, 40, 594-599
Date: 12/2024
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Bridging the Gap: A Policy Framework for Sustainable Community Paramedicine in Rural America
Policy brief regarding the need for a national policy for non-physician licensed healthcare providers to be reimbursed for community paramedicine services. Discusses the role of community paramedicine in expanding access to care in rural areas and describes four community paramedicine models. Offers policy recommendations related to recognizing, supporting, and reimbursing community paramedicine programs.
Author(s): Katie Gorndt, Kimberly Haverly, Tom Syverson
Date: 12/2024
Sponsoring organization: National Rural Health Association
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Policy brief regarding the need for a national policy for non-physician licensed healthcare providers to be reimbursed for community paramedicine services. Discusses the role of community paramedicine in expanding access to care in rural areas and describes four community paramedicine models. Offers policy recommendations related to recognizing, supporting, and reimbursing community paramedicine programs.
Author(s): Katie Gorndt, Kimberly Haverly, Tom Syverson
Date: 12/2024
Sponsoring organization: National Rural Health Association
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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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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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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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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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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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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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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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Braiding Research Approaches to Understand Home Visiting in Indigenous Communities
Provides a scoping review, research questions, and feedback from practitioners regarding Indigenous home visiting programs and Indigenous methodologies in home visiting research. Includes suggestions for research methodologies that incorporate cultural awareness and relationships in Indigenous communities.
Author(s): Natalie Moyer, Chelsea Wesner, Michelle Sarche, et al.
Date: 12/2024
Sponsoring organizations: Administration for Children and Families, The Center for Indigenous Research Collaboration and Learning for Home Visiting
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Provides a scoping review, research questions, and feedback from practitioners regarding Indigenous home visiting programs and Indigenous methodologies in home visiting research. Includes suggestions for research methodologies that incorporate cultural awareness and relationships in Indigenous communities.
Author(s): Natalie Moyer, Chelsea Wesner, Michelle Sarche, et al.
Date: 12/2024
Sponsoring organizations: Administration for Children and Families, The Center for Indigenous Research Collaboration and Learning for Home Visiting
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