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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication
Presents the results of a comprehensive literature review to identify, summarize, and evaluate available research on the contributions of rural provider-to-provider telehealth communication and collaboration in addressing health disparities, and improving the health of rural populations. Topics cover the specific applications, effectiveness, implementation, sustainability, and barriers and facilitators of provider-to-provider telehealth in rural areas.
Additional links: Executive Summary, Full Report, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 1, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 2
Author(s): Annette Totten, Dana M. Womack, Marian S. McDonagh, et al.
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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National Institutes of Health Pathways to Prevention Workshop: Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication
Examines the effectiveness of rural provider-to-provider collaboration through the use of telehealth based on a systematic review of rural provider-to-provider telehealth (RPPT), and the results of a workshop of rural health experts. Discusses uptake of different types of telehealth, benefits of provider-to-provider telehealth for rural patients, barriers and facilitators to implementation and sustainability, and limitations of studies examining rural telehealth.
Author(s): Mary Wakefield, Jayashri Sankaranarayanan, Joanne Mather Conroy, et al.
Citation: Journal of Telemedicine and Telecare, 2022
Date: 12/2022
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Comparing Enhancements to Well-Child Visits in the Prevention of Obesity: ENCIRCLE Cluster-Randomized Controlled Trial
Analyzes care delivery models aimed at preventing obesity in preschool children from lower-income households in rural Pennsylvania. Reports on 2,025 parents and their preschool-aged children recruited in the ENCIRCLE (patiEnt-cliNic-Community Integration to prevent obesity in Rural preschool ChiLdrEn) trial, which tests the effectiveness of enhanced well-child visits (WCVs) that include obesity prevention tools.
Author(s): Lisa Bailey-Davis, Amy M. Moore, Melissa N. Poulsen, et al.
Citation: BMC Public Health, 22, 2429
Date: 12/2022
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Experiences with Health Care Access, Cost, and Coverage: Findings from the 2022 KFF Women's Health Survey
Presents findings from the 2022 KFF Women's Health Survey of 5,145 women ages 18-64 who were asked about their health status, use of prescription medications, accessibility to healthcare, their selected care sites, check-ups, use of telemedicine, and health coverage and costs. Includes data on telehealth services provided by urban and rural location.
Author(s): Michelle Long, Brittni Frederiksen, Usha Ranji, Alina Salganicoff, Karen Diep
Date: 12/2022
Sponsoring organization: KFF
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Access and Coverage for Mental Health Care: Findings from the 2022 KFF Women's Health Survey
Presents data from the national 2022 KFF Women's Health Survey of 5,145 women and 1,225 men ages 18-64 where respondents were asked about their experiences in obtaining mental health services, including the use of telehealth, over the past two years. Data is focused on the mental health service needs of women by age, race/ethnicity, income, insurance, and on rural and urban telehealth usage.
Author(s): Karen Diep, Brittni Frederiksen, Michelle Long, Usha Ranji, Alina Salganicoff
Date: 12/2022
Sponsoring organization: KFF
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Disparities in Virtual Cardiology Visits Among Veterans Health Administration Patients During the COVID-19 Pandemic
Presents the results of a study to determine how the COVID-19 pandemic, during the first year, influenced the digital divide for patients using virtual and video-based care in Veterans Health Administration (VA) cardiology clinics across the U.S. Study examined sociodemographic and clinical characteristics, drive time to care, geographic location – rural and urban – and encounter type to determine changes in access to care by video, phone, and face-to-face.
Author(s): Rebecca L. Tisdale, Jacqueline Ferguson, James Van Campen, et al.
Citation: JAMIA Open, 5(4)
Date: 12/2022
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Comparison of In-Person vs. Telebehavioral Health Outcomes from Rural Populations Across America
Examines the efficacy of 2 federal behavioral health grant programs in reducing depression and anxiety in patients, comparing telehealth and in-person modalities in rural areas. Analyzes data from 1,514 patients participating in grant programs between 2017 and 2021 and their associated behavioral health modality. Includes demographic breakdowns by age, sex, and insurance status, among other measures.
Author(s): Carly McCord, Fred Ullrich, Kimberly A.S. Merchant, et al.
Citation: BMC Psychiatry, 22, 778
Date: 12/2022
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Addressing Behavioral Health Workforce Needs in Kansas
Examines the behavioral health workforce in Kansas by age and rural versus urban geographic distribution. Includes data on population to provider ratios for psychiatrists and licensed special clinical social workers (LSCSWs). Discusses strategies to reduce behavioral workforce shortages such as the utilization of telehealth.
Author(s): Cynthia Snyder, Angela Wu, Hina B. Shah, Wen-Chieh Lin
Date: 12/2022
Sponsoring organization: Kansas Health Institute
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Florence County Alcohol & Other Drug Abuse and Mental Health Coalition - Increasing Community Capacity and Resources through Partnership
Details a community effort to address substance use and mental health issues in rural Florence County, WI. Highlights the coalition's efforts to address the behavioral health of the county's youth and families through school-based efforts and discusses how collective action can address behavioral health issues in rural communities.
Date: 12/2022
Sponsoring organizations: Bright Research Group, County Health Rankings & Roadmaps
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CMS Innovation Center: 2022 Report to Congress
Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2020 and September 2022. Includes summaries and updates on multiple rural-relevant models and initiatives, including Community Health Access and Rural Transformation (CHART) Model, the Pennsylvania Rural Health Model (PARHM), the Vermont All-Payer Accountable Care Organization Model, and more.
Date: 12/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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