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Rural Health
Resources by Topic: Service delivery models

Review of Four CARA Programs and Preparing for Future Evaluations
Report highlights a review of four programs funded through the Comprehensive Addiction and Recovery Act (CARA) aimed at expanding access to overdose prevention and treatment of opioid use disorder. Explores the impact of the programs on their communities and makes recommendations for policy makers. Discusses challenges and program adaptations for rural communities.
Additional links: Read Online, Report Highlights
Author(s): Board on Population Health and Public Health Practice
Date: 03/2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Optimizing Population-Based Total Cost of Care (PB-TCOC) Models in the Context of Alternative Payment Models (APMs) and Physician-Focused Payment Models (PFPMs)
Report from the Physician-Focused Payment Model Technical Advisory Committee (PTAC) summarizing findings on population-based total cost of care (PB-TCOC) payment models and the role these models can play in optimizing health care delivery and value-based transformation in the context of alternative payment models (APMs) and physician-focused payment models (PFPMs). Provides an overview of key issues relating to PB-TCOC models and value-based care transformation. Identifies areas where additional research is needed and some potential next steps. Includes rural references throughout.
Date: 03/2023
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Improving Access - NAM Action Collaborative on Countering the U.S. Opioid Epidemic Telehealth and Virtual Care Meeting Series
Highlights the proceedings of a meeting discussing the use of telehealth and virtual care to treat substance use disorder (SUD). Explores the effect the COVID-19 pandemic on telehealth regulation and reimbursement. Features considerations for rural communities.
Date: 03/2023
Type: Document
Sponsoring organization: National Academy of Medicine
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Can Community Paramedicine Improve Health Outcomes in Rural America?
Profiles three community paramedicine programs that serve rural communities in the Midwest, Maine, and Pennsylvania. Describes how community paramedicine can help fill gaps in care in rural communities and improve health outcomes. Identifies challenges to the growth of rural community paramedicine programs, including funding, payment, and workforce.
Author(s): Vida Foubister
Date: 03/2023
Type: Document
Sponsoring organization: Commonwealth Fund
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Coal Workers' Health Surveillance Program: Black Lung Screenings
Fact sheet describing a program intended to study the causes and effects of coal mine dust lung disease and to offer early detection and prevent progression of the disease. Provides information on health screenings available at mobile testing units that travel to communities and mining sites.
Date: 03/2023
Type: Document
Sponsoring organization: National Institute for Occupational Safety and Health
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Digital Access: A Super Determinant of Health
Discusses how the digital divide intersects with health equity and behavioral health and how telehealth can bridge health disparities. Describes local, state, and federal examples of efforts to reduce the digital divide. Includes a list of funding opportunities and resources promoting broadband access.
Date: 03/2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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American Indian and Alaska Native Communities Face a 'Disproportionate Burden of Oral Disease' - Reversing Inequities Involves Challenges and Opportunities
White paper explores the state of American Indian and Alaska Native oral health. Discusses some of the oral health disparities faced by AI/AN communities, such as historical and cultural factors, workforce shortages, and oral health literacy, among other factors. Presents solutions and strategic recommendations to address AI/AN oral health disparities.
Additional links: Executive Summary
Author(s): Mary Altenberg, Terrence Batliner, Tommie Chavis II, et al.
Date: 03/2023
Type: Document
Sponsoring organizations: CareQuest Institute for Oral Health, National Indian Health Board
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Leveraging Telemedicine To Eliminate Outcome Disparities For Rural-Born Newborns
Presentation slides from a webinar discussing the barriers affecting care for neonatal encephalopathy in rural areas. Describes telemedicine strategies evaluating neonatal encephalopathy and methods for improving parent understanding. Identifies other applications of telemedicine appropriate for the care of newborns and children.
Additional links: Transcript
Author(s): Alexa Craig
Date: 03/2023
Type: Presentation Slides
Sponsoring organization: National Consortium of Telehealth Resource Centers
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Teleneurology via Tablet Technology: An Effective Low-Cost Method to Increase Healthcare Accessibility
Presents a study on the use of low-cost tablets in place of more expensive "telemedicine robots" as a means of providing teleneurology services to small rural hospitals. Evaluates a hub-and-spoke teleneurology program based at Vanderbilt University Medical Center serving smaller, community-based hospitals in Kentucky and Tennessee. Draws data from physician and patient surveys.
Author(s): Kelly Harper, Claire Hanson, Bryan Eoff, et al.
Citation: Rural and Remote Health, 23(1), 7591
Date: 03/2023
Type: Document
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Small Rural Hospital Helps Build 'Bridge' to Addiction Services with New Mobile Clinic
A case study that describes a behavioral health program in rural Massachusetts that created a bridge team who provides prevention, treatment, and recovery services outside of hospital facilities for those with opioid used disorder (OUD).
Date: 03/2023
Type: Document
Sponsoring organization: American Hospital Association
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