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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

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
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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
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
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
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
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Telehealth in Rural Integrated Care Webinar Series
A 3-part webinar series on telehealth in rural integrated care. Part 1 discusses general issues and opportunities for telehealth in decreasing health disparities. Part 2 focuses on the unique challenges for rural children and rural schools. Part 3 focuses on the unique challenges for rural migrant workers and farmworkers.
Additional links: Part 2, Part 3
Date: 2023
Sponsoring organization: National Council for Mental Wellbeing
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School-Based Telehealth Playbook
Guides health centers through the design, implementation, and operation of a telehealth program that meets the needs of children and adolescents. Covers assessing needs and readiness, program models, business models, technology and equipment, program evaluation, partnerships, and implementation. Highlights examples from rural areas throughout.
Date: 2023
Sponsoring organization: School-Based Health Alliance
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Patient and Provider Perceptions of COVID-19-Driven Telehealth Use From Nurse-Led Care Models in Rural, Frontier, and Urban Colorado Communities
Compares rural/frontier and urban perceptions of telehealth in 3 nurse-led models of care in Colorado: Federally Qualified Health Centers (FQHCs), nurse midwifery practices, and the Nurse-Family partnership program. Analyzes surveys from 308 patient respondents and 88 provider respondents and includes data about respondent characteristics, patient engagement, patient trust, provider experience, quality of healthcare visits, and more.
Author(s): Amy J Barton, Claudia R Amura, Emileigh L Willems, et al.
Citation: Technology and Digital Innovations in Patient Experience, 10
Date: 2023
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Engaging At-Risk Rural Residents in Secondary Lung Cancer Prevention
Presents the results of a qualitative study analyzing interview transcripts of rural residents in Maine at risk for lung cancer based on smoking history and age to identify key themes that influence their understanding and attitudes regarding lung cancer risk, low-dose computed tomography (LDCT) screening tests, and the role of patient-provider relationships.
Author(s): Erika Ziller, Jean A Talbot, Martha Elbaum, et al.
Citation: Journal of Primary Care & Community Health, 14
Date: 2023
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Common Problems, Common Solutions: Looking Across Sectors at Strategies for Supporting Rural Youth and Families Tool-Kit
Provides an overview of barriers faced by rural communities in supporting youth and families, and innovative strategies to improve outcomes for youth, families, and communities. Informed by interviews and listening sessions with practitioners and leaders working in rural areas across the United States.
Author(s): Lisa Pilnik, Christine Humowitz
Date: 2023
Sponsoring organizations: Georgetown University Center for Juvenile Justice Reform, U.S. Department of Justice
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