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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Missouri Office of Rural Health's Biennial Report 2022-2023
Provides an overview of rural health in Missouri. Focuses on health status and factors that impact health. Covers demographics and population characteristics; health status of rural Missourians; maternal, infant, and child health; social determinants of health; and access to care. Includes information on the leading causes of death in the state and compares urban and rural data on these deaths.
Date: 2023
Type: Document
Sponsoring organization: Missouri Office of Rural Health and Primary Care
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Addressing the Rising Mental Health Needs of an Aging Population: Proceedings of a Workshop
Summary of a May 2023 workshop discussing mental health care for older adults, including challenges and strategies for meeting mental health needs. Discusses disparities, social determinants of health, access, workforce, interventions and support, rural challenges, and more.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Treating Rural America: The Last Doctor in Town
3 part documentary discussing challenges with accessing healthcare in rural communities. Part 1, "The Last Doctor in Town," highlights shortages of physicians in rural areas. Part 2, "The New Country Doctors," discusses rural residencies and the role of a rural physician. Part 3, "The Telehealth Solution," discusses the role of telehealth as a possible solution for barriers to care. Captions are available in the video player.
Additional links: The New Country Doctors, The Telehealth Solution
Author(s): Hyacinth Empinado
Date: 2023
Type: Video/Multimedia
Sponsoring organization: STAT
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Supporting and Sustaining the Current and Future Workforce to Care for People with Serious Illness: Proceedings of a Workshop (2023)
Summarizes discussions from an April 2023 public workshop exploring strategies and approaches to address major workforce challenges, including health professional well-being, workforce shortages, workforce training and retention, and advancing the diversity, equity, and inclusion of the workforce. Includes a section on well-being of the clinical workforce in rural areas.
Author(s): Roundtable on Quality Care for People with Serious Illness
Date: 2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Disparities in Spatial Accessibility of Primary Care in Louisiana: From Physical to Virtual Accessibility
Evaluates both physical and virtual accessibility to primary care physicians (PCPs) across Louisiana. Analyzes disparities in access between rural and urban areas, the Black population and the general population, and for Area Deprivation Index (ADI) areas.
Author(s): Fahui Wang, Yutian Zeng, Lingbo Liu, Tracy Onega
Citation: Frontiers in Public Health, 11, 1154574
Date: 2023
Type: Document
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Telehealth and In-Person Behavioral Health Services in Rural Communities Before and During the COVID-19 Pandemic: Multisite Prospective Cohort Study
Evaluated telehealth and in-person behavioral healthcare encounters in 95 rural communities before and during the COVID-19 Public Health Emergency to identify changes in healthcare delivery. Discusses specific diagnoses, type of healthcare service, and clinician type.
Author(s): Marcia M. Ward, Fred Ullrich, Divya Bhagianadh, et al.
Citation: JMIR Mental Health, 10, e47047
Date: 2023
Type: Document
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Medicare Telehealth Trends Dashboard, 2019-2021
Interactive dashboard provides data on Medicare beneficiaries' telehealth visits from 2019 through 2021. Allows users to explore data by beneficiary characteristics, including age, disability status, urban/rural residence; behavioral health versus non-behavioral health visits; telehealth modality; and the percent of total visits that were via telehealth visits in 2020 by state.
Date: 2023
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Health Disparities in Central Nervous System Disorders: Driving Transformative Change: Proceedings of a Workshop–in Brief
Highlights the proceedings of a workshop on strategies to reduce health disparities relating to central nervous system (CNS) disorders. Explores CNS health disparities in rural and low-income communities and among racial and ethnic minority groups, such as American Indian and Alaska Native tribal nations. Discusses the roles academia, industry, and the government have in creating a diverse neuroscience workforce to advance community partnerships and collaborations.
Additional links: Read Online
Author(s): Board on Health Sciences Policy
Date: 2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Improving Access to High-Quality Mental Health Care for Veterans: Proceedings of a Workshop
Presents a workshop focusing on mental healthcare access for veterans. Discusses some of the challenges the VA faces in delivering mental healthcare to veterans, particularly those in rural and low-income communities. Explores methods to improve mental health access and highlights best practices.
Author(s): Board on Health Care Services
Date: 2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Coordinated Specialty Care for First Episode Psychosis: Costs and Financing Strategies
Report discusses the costs and funding options for coordinated specialty care (CSC) as an early intervention for patients experiencing their first episode of psychosis. Presents a systemic review of studies examining CSC costs and highlights current financing strategies. Makes recommendations for behavioral health organizations and features states expanding coverage of CSC to rural areas.
Date: 2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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