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Rural Health
Resources by Topic: Service delivery models

Filling Behavioral Health Gaps in Rural Communities: A Unique Partnership in Washington State
Discusses a collaboration between a Critical Access Hospital (CAH) in Washington and state hospitals to accept patient transfers by utilizing swing beds to care for patients with complex behavioral health and social needs, such as substance use disorder, mental health, homelessness, and more. Includes data on swing bed admissions and information on incorporating behavioral health services into primary care.
Author(s): Sarah Klein, Martha Hostetter
Date: 02/2023
Sponsoring organization: The Commonwealth Fund
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The Doorway at Cheshire Medical Center Leads to Healing
Profiles the Doorway at Cheshire Medical Center, a program at Cheshire Medical Center, a rural hospital in Keene, New Hampshire. Describes how the Doorway uses evidence-based assessment tools to refer clients to the appropriate services in the community and serves as a connection point between multiple substance use disorder (SUD) services.
Date: 02/2023
Sponsoring organization: American Hospital Association
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Perceived Benefits of Geriatric Specialty Telemedicine among Rural Patients and Caregivers
Explores the perceived benefits of a Veterans Health Administration (VHA) geriatric specialty telemedicine service (GRECC Connect), which connects geriatric interdisciplinary teams in urban areas with older veterans in rural areas through videoconferencing platforms. Summarizes results of interviews 30 rural older adults enrolled in the VHA and their caregivers about the content and quality of their GRECC Connect visits.
Author(s): Eileen M. Dryden, Meaghan A. Kennedy, Jennifer Conti, et al.
Citation: Health Services Research, 58(Suppl 1), 26-35
Date: 02/2023
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Strategies to Recruit Rural Primary Care Providers to Implement a Medication for Opioid Use Disorder (MOUD) Focused Integrated Care Model
Highlights a study on an intervention aimed at addressing systemic barriers to accessing medications for opioid used disorder (MOUD) for rural patients via an integrated care model. Breaks down the intervention structure and discusses project replication and sustainability.
Author(s): Renee M. Cloutier, Evan S. Cole, Brianna L. McDonough, et al.
Citation: Implementation Research and Practice, 4, 1-12
Date: 01/2023
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Designing Home-Based Physical Activity Programs for Rural Cancer Survivors: A Survey of Technology Access and Preferences
Results of a survey of 298 adults with cancer on demographics, cancer characteristics, technology use and access, current physical activity, and preferred home-based physical activity program characteristics. Includes rural versus nonrural comparisons.
Author(s): Elizabeth A. Salerno, Rohana Gao, Jason Fanning, et al.
Citation: Frontiers in Oncology, 13, 1061641
Date: 01/2023
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Arkansas Health Workforce Projections: 2021-2035
Report outlining the current non-physician healthcare workforce shortages in Arkansas, projections through 2035, and recommendations to address supply and demand issues. Recommendations include discussion of the workforce pipeline, retention, exploring models of care, distribution of workforce, data collection, and policy. Discusses rural throughout.
Date: 01/2023
Sponsoring organization: Arkansas Hospital Association
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Aging on the Farm: Emerging Issues 2020-2021 Evaluation Report
Highlights 4 projects related to aging on the farm. Includes project descriptions, results, and future plans. Project topics include telehealth occupational therapy, data gathering on farmer needs in order to safely age in place, dementia awareness and healthcare quality, and exercise promotion for farmers with Parkinson's disease.
Author(s): Erica Shuck, Devon Charlier
Date: 01/2023
Sponsoring organization: Upper Midwest Agricultural Safety and Health Center
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Farmworker Outreach Promising Practices: Lessons from the Field
Highlights ten different promising practices in farmworker outreach and discusses some of the lessons learned from each. Evaluates the ability of outreach programs to address the healthcare needs of the farmworkers served.
Date: 01/2023
Sponsoring organizations: Health Outreach Partners, National Center for Farmworker Health
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Pre-Pandemic Geographic Access to Hospital-Based Telehealth for Cancer Care in the United States
Explores the availability of telehealth and oncology services across geographic and sociodemographic domains before the start of the COVID-19 pandemic. Utilizes 2019 and 2020 data sources to examine hospital characteristics by telehealth and oncology services, with information on hospital ownership, number of hospital beds, Health Professional Shortage Area (HPSA) status, presence of Rural Health Clinic (RHC) co-located at hospital, and more. Includes availability of telehealth, oncology, and hospital services broken down by county; HPSA status; income, average age, and race/ethnicity of residents; ratio of population to primary care physicians; rural noncore, rural micropolitan, or urban status; and more.
Author(s): David I. Shalowitz, Peiyin Hung, Whitney E. Zahnd, Jan Eberth
Citation: PLoS One, 18(1)
Date: 01/2023
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COVID-19 Impacts on Primary Care Clinic Care Management Processes
Examines the relationship between COVID-19 primary care disruptions and worsened health outcomes for patients with chronic diseases. Analyzes 269 primary care clinics in Minnesota in 2017, 2019, and 2021 to observe changes in care management processes (CMPs). Presents rural versus urban clinic data related to CMPs reported on the Physician Practice Connections Readiness Survey (PPC-RS).
Author(s): Leif I. Solberg, Caroline S. Carlin, Kevin A. Peterson
Citation: The Annals of Family Medicine, 21(1), 40-45
Date: 01/2023
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