Rural Health
Resources by Topic: Service delivery models
Feasibility and Acceptability Pilot Study of an Online Weight Loss Program in Rural, Underserved Communities
Examines the feasibility and impact of implementing an online weight loss program in rural, underserved communities. Follows results of the 1-year intervention, analyzing 16 recruited individuals and their ability to attend nutrition and lifestyle education sessions, complete diet and weight monitoring, and achieve weight loss.
Author(s): Ashleigh Oliveira, Nouf Alfouzan, Jin Yu, et al.
Citation: Peer J Life and Environment, 12
Date: 10/2024
Type: Document
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Examines the feasibility and impact of implementing an online weight loss program in rural, underserved communities. Follows results of the 1-year intervention, analyzing 16 recruited individuals and their ability to attend nutrition and lifestyle education sessions, complete diet and weight monitoring, and achieve weight loss.
Author(s): Ashleigh Oliveira, Nouf Alfouzan, Jin Yu, et al.
Citation: Peer J Life and Environment, 12
Date: 10/2024
Type: Document
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Examining Use of Telehealth in Jails: Linking Women to Community OUD Services
Evaluates the Justice Community Opioid Innovation Network's (JCOIN) use of telehealth for opioid use disorder (OUD) assessment and linkage to medications to treat opioid use disorder (MOUD) services at community re-entry for 600 women incarcerated in Kentucky jails. Examines participants' access to treatment, participants' and providers' perceptions of telehealth, and other aspects of program implementation. Discusses barriers to care in a predominantly rural population.
Author(s): Michele Staton, Mary Levi, Erin Winston, et al.
Citation: BMC Women's Health, 24, 549
Date: 10/2024
Type: Document
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Evaluates the Justice Community Opioid Innovation Network's (JCOIN) use of telehealth for opioid use disorder (OUD) assessment and linkage to medications to treat opioid use disorder (MOUD) services at community re-entry for 600 women incarcerated in Kentucky jails. Examines participants' access to treatment, participants' and providers' perceptions of telehealth, and other aspects of program implementation. Discusses barriers to care in a predominantly rural population.
Author(s): Michele Staton, Mary Levi, Erin Winston, et al.
Citation: BMC Women's Health, 24, 549
Date: 10/2024
Type: Document
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What to Know About Medicare Coverage of Telehealth
Discusses telehealth use by Medicare patients before, during, and after declaration of the COVID-19 public health emergency. Notes temporary telehealth provisions set to expire December 31, 2024, telehealth provisions made permanent, and trends in use since 2020. Includes rural and urban comparisons of telehealth use since 2020. Discusses payment models for Medicare and Medicare Advantage, current policies related to telehealth, fraud, and the cost of coverage through Medicare.
Author(s): Alex Cottrill, Juliette Cubanski, Tricia Neuman
Date: 10/2024
Type: Document
Sponsoring organization: KFF
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Discusses telehealth use by Medicare patients before, during, and after declaration of the COVID-19 public health emergency. Notes temporary telehealth provisions set to expire December 31, 2024, telehealth provisions made permanent, and trends in use since 2020. Includes rural and urban comparisons of telehealth use since 2020. Discusses payment models for Medicare and Medicare Advantage, current policies related to telehealth, fraud, and the cost of coverage through Medicare.
Author(s): Alex Cottrill, Juliette Cubanski, Tricia Neuman
Date: 10/2024
Type: Document
Sponsoring organization: KFF
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Medicare Payment Basics: Accountable Care Organizations Payment Systems
Provides an overview of Medicare's Accountable Care Organization (ACO) programs. Discusses the payment mechanics of ACOs, including the maximum shared savings and losses of Medicare Shared Savings Program ACOs by track and level.
Date: 10/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Provides an overview of Medicare's Accountable Care Organization (ACO) programs. Discusses the payment mechanics of ACOs, including the maximum shared savings and losses of Medicare Shared Savings Program ACOs by track and level.
Date: 10/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action
Issue brief exploring challenges to diagnostic quality in rural healthcare. Provides an overview of the topic of diagnostic errors in rural settings, and provides suggestions related to resource and workforce limitations, access to care, care coordination and other service delivery models, and social determinants of health.
Author(s): Kisha J. Ali, Nick J. Galvez, Sarah Craig, et al.
Date: 09/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Issue brief exploring challenges to diagnostic quality in rural healthcare. Provides an overview of the topic of diagnostic errors in rural settings, and provides suggestions related to resource and workforce limitations, access to care, care coordination and other service delivery models, and social determinants of health.
Author(s): Kisha J. Ali, Nick J. Galvez, Sarah Craig, et al.
Date: 09/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Beyond Connectivity: The Role of Broadband in Rural Economic Growth and Resilience
Reports on the economic value of broadband infrastructure for rural areas. Provides a variety of data on broadband and economic growth in rural communities and compares rural and urban gaps in broadband access. Features a broadband development case study for Beltrami County, Minnesota, which includes discussion of broadband's value for telehealth and other aspects of healthcare delivery and availability.
Author(s): Amanda Weinstein, May Erouart, Adam Dewbury
Date: 09/2024
Type: Document
Sponsoring organization: Center on Rural Innovation
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Reports on the economic value of broadband infrastructure for rural areas. Provides a variety of data on broadband and economic growth in rural communities and compares rural and urban gaps in broadband access. Features a broadband development case study for Beltrami County, Minnesota, which includes discussion of broadband's value for telehealth and other aspects of healthcare delivery and availability.
Author(s): Amanda Weinstein, May Erouart, Adam Dewbury
Date: 09/2024
Type: Document
Sponsoring organization: Center on Rural Innovation
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A Rural Community Readiness Assessment of Prehospital Telestroke Services in the Ambulance
Assesses community perspectives on the acceptability of ambulance-based prehospital stroke telemedicine services in rural and urban communities in O'ahu, Hawai'i. Utilizes questionnaire results of 263 adults recruited from community events, with additional data from 29 follow-up interviews. Compares rural and urban attitudes toward ambulance telestroke services, local hospitals, and Hawai'i's healthcare system, and identifies positive and negative themes affecting acceptability.
Author(s): Angel Lynn E. Talana, Kyrillos B. Guirguis, J. Aaron Matthews, et al.
Citation: Hawai'i Journal of Health & Social Welfare, 83(9), 250-256
Date: 09/2024
Type: Document
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Assesses community perspectives on the acceptability of ambulance-based prehospital stroke telemedicine services in rural and urban communities in O'ahu, Hawai'i. Utilizes questionnaire results of 263 adults recruited from community events, with additional data from 29 follow-up interviews. Compares rural and urban attitudes toward ambulance telestroke services, local hospitals, and Hawai'i's healthcare system, and identifies positive and negative themes affecting acceptability.
Author(s): Angel Lynn E. Talana, Kyrillos B. Guirguis, J. Aaron Matthews, et al.
Citation: Hawai'i Journal of Health & Social Welfare, 83(9), 250-256
Date: 09/2024
Type: Document
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Inequities in Adequacy of Prenatal Care and Shifts in Rural/Urban Differences Early in the COVID-19 Pandemic
Compares prenatal care adequacy before and during the early COVID-19 pandemic, utilizing 2016-2020 Pregnancy Risk Assessment Monitoring System (PRAMS) data. Breaks down data by sociodemographic characteristics, including rural versus urban status, with further data on the influence of barriers to virtual care on rural-urban care disparities.
Author(s): Mounika Polavarapu, Shipra Singh, Camelia Arsene, Rachel Stanton
Citation: Women's Health Issues
Date: 09/2024
Type: Document
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Compares prenatal care adequacy before and during the early COVID-19 pandemic, utilizing 2016-2020 Pregnancy Risk Assessment Monitoring System (PRAMS) data. Breaks down data by sociodemographic characteristics, including rural versus urban status, with further data on the influence of barriers to virtual care on rural-urban care disparities.
Author(s): Mounika Polavarapu, Shipra Singh, Camelia Arsene, Rachel Stanton
Citation: Women's Health Issues
Date: 09/2024
Type: Document
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Environmental Scan on Identifying a Pathway Toward Maximizing Participation in Population-Based Total Cost of Care (PB-TCOC) Models
Presents results of an environmental scan on the identification of a pathway toward maximizing participation in population-based total cost of care (PB-TCOC) models. Describes the Center for Medicare & Medicaid Services's (CMS's) goal of having all Medicare beneficiaries with Parts A and B in accountable care relationships by 2030. Discusses challenges and technical issues related to maximizing participation in PB-TCOC models, including organizational structure, payment, and risk adjustment. Summarizes relevant features of CMS Innovation Center (CMMI) models identified in previous Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references and considerations throughout.
Date: 09/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Presents results of an environmental scan on the identification of a pathway toward maximizing participation in population-based total cost of care (PB-TCOC) models. Describes the Center for Medicare & Medicaid Services's (CMS's) goal of having all Medicare beneficiaries with Parts A and B in accountable care relationships by 2030. Discusses challenges and technical issues related to maximizing participation in PB-TCOC models, including organizational structure, payment, and risk adjustment. Summarizes relevant features of CMS Innovation Center (CMMI) models identified in previous Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references and considerations throughout.
Date: 09/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Lessons for Future Pandemics: Temporal Evolution and Rural-Urban Variations in the Impacts of the COVID-19 on Opioid Use Treatment
Presents a study highlighting the lessons learned from opioid use treatment programs operating during the COVID-19 pandemic. Explores the impact of the pandemic on treatment services. Discusses the use of telehealth for both counseling and medication prescribing, as well as the challenges faced by patients trying to obtain treatment during the pandemic.
Author(s): Zhongyang He, Jonathan M. Heess, Travis Young, Zhen Lei
Citation: PLoS ONE, 19(9), e0310386
Date: 09/2024
Type: Document
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Presents a study highlighting the lessons learned from opioid use treatment programs operating during the COVID-19 pandemic. Explores the impact of the pandemic on treatment services. Discusses the use of telehealth for both counseling and medication prescribing, as well as the challenges faced by patients trying to obtain treatment during the pandemic.
Author(s): Zhongyang He, Jonathan M. Heess, Travis Young, Zhen Lei
Citation: PLoS ONE, 19(9), e0310386
Date: 09/2024
Type: Document
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