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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Use of Telehealth During the COVID-19 Era
Presents a review of more than 300 studies on the use of telehealth published between March 11, 2020, and May 2, 2022. Explores the characteristics of the patients, providers, and health systems using telehealth during the COVID-19 era. Examines the benefits and harms of telehealth, what is considered a successful telehealth intervention, and strategies used to implement telehealth interventions.
Additional links: Executive Summary
Date: 01/2023
Sponsoring organizations: Agency for Healthcare Research and Quality, Johns Hopkins University Evidence-based Practice Center
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Telerehabilitation Has Potential, but More Research, Funding, and Advocacy Are Needed
Reviews existing evidence on the use of telerehabilitation in the delivery of rehabilitation services, including physical therapy. Identifies barriers to the effective implementation of telerehabilitation and suggests potential areas that professional advocacy and policy can address to improve access to telerehabilitation services.
Author(s): Elizabeth Cornforth
Citation: Health Affairs Forefront
Date: 01/2023
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Participation in Project ECHO to Advance Rural Primary Care Providers' Ability to Address Patient Mental Health Needs
Features a study on the role continuing education programs, such as Project ECHO, can play in aiding rural primary care providers (PCPs) to integrate behavioral healthcare into their practice. Focuses on the Advanced Primary Care (APC ECHO) Adult Psychiatry Module and evaluates its efficacy in facilitating behavioral health integration in to rural PCPs.
Author(s): Ariel Porto, Rosemary Motz, Maximillian Morris, et al.
Citation: Medical Education Online, 28(1), 2164470
Date: 01/2023
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Increasing Patient Activation in American Indian Families with or at Risk for Chronic Kidney Disease
Compares the efficacy of usual care versus usual care plus chronic kidney disease (CKD) education at home among American Indian people at risk for CKD caused by type 2 diabetes. Discusses the impact of home-based kidney care models and details chronic disease challenges and public health approaches in tribal areas.
Additional links: Research Summary
Author(s): Vallabh (Raj) Shah, V. Shane Pankratz, Monica Cardona, Mark Unruh, Kevin English
Date: 2023
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Rural Wisconsin Chronic Disease Toolkit 2023
A toolkit that describes rural-relevant best practices that have been successful in improving chronic disease outcomes and population health. Provides resources to address communication, Body Mass Index, diabetes care, blood pressure control, chronic disease management, and more.
Date: 2023
Sponsoring organization: Rural Wisconsin Health Cooperative
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Oklahoma State Department of Health Annual Report: 2022
Offers review of administrative and outreach activities by the Oklahoma State Department of Health in 2022. Highlights mobile wellness units for rural maternal care.
Date: 2023
Sponsoring organization: Oklahoma State Department of Health
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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
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
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
Sponsoring organization: STAT
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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
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