Rural Health
Resources by Topic: Service delivery models
Designing a Framework for Remote Cancer Care Through Community Co-Design: Participatory Development Study
Explores the design and implementation of a framework to provide telemedicine cancer care in urban and rural areas of Kentucky. Addresses issues of health disparities and lack of broadband access in geographic areas such as Appalachia. Provides examples of participatory and co-design processes to create telemedicine options and engage communities.
Author(s): Eliah Aronoff-Spencer, Melanie McComsey, Ming-Yuan Chih, et al.
Citation: Journal of Medical Internet Research, 24(4)
Date: 04/2022
Type: Document
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Explores the design and implementation of a framework to provide telemedicine cancer care in urban and rural areas of Kentucky. Addresses issues of health disparities and lack of broadband access in geographic areas such as Appalachia. Provides examples of participatory and co-design processes to create telemedicine options and engage communities.
Author(s): Eliah Aronoff-Spencer, Melanie McComsey, Ming-Yuan Chih, et al.
Citation: Journal of Medical Internet Research, 24(4)
Date: 04/2022
Type: Document
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American Indian/Alaskan Native Health Medicaid Telehealth Services Chart
Spreadsheet database of state-by-state telehealth policies related to American Indian/Alaska Native health services. Covers live video, store-and-forward, and remote patient monitoring policies, as well as billing and reimbursement information. Includes links to state policy manuals.
Date: 04/2022
Type: Database
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Spreadsheet database of state-by-state telehealth policies related to American Indian/Alaska Native health services. Covers live video, store-and-forward, and remote patient monitoring policies, as well as billing and reimbursement information. Includes links to state policy manuals.
Date: 04/2022
Type: Database
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Mental Health Service Use, Suicide Behavior, and Emergency Department Visits Among Rural US Veterans Who Received Video-Enabled Tablets During the COVID-19 Pandemic
Results of a study to examine whether a United States Veterans Affairs initiative to distribute video-enabled tablets during the COVID-19 pandemic was associated with mental healthcare access, suicide behavior, or emergency department (ED) visits among rural veterans. Features demographics and statistics on mental health services use and ED visits, with breakdowns by tablet recipients and nonrecipients.
Author(s): Kritee Gujral, James Van Campen, Josephine Jacobs, et al.
Citation: JAMA Network Open, 5(4)
Date: 04/2022
Type: Document
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Results of a study to examine whether a United States Veterans Affairs initiative to distribute video-enabled tablets during the COVID-19 pandemic was associated with mental healthcare access, suicide behavior, or emergency department (ED) visits among rural veterans. Features demographics and statistics on mental health services use and ED visits, with breakdowns by tablet recipients and nonrecipients.
Author(s): Kritee Gujral, James Van Campen, Josephine Jacobs, et al.
Citation: JAMA Network Open, 5(4)
Date: 04/2022
Type: Document
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Qualitative Analysis of Cancer Care Experiences among Rural Cancer Survivors and Caregivers
Examines cancer survivors and caregivers' perceptions toward cancer care in rural Nebraska. Discusses perceptions of community health status, sources of cancer information, cancer diagnosis, care coordination, provider communication and organizational support, and barriers to care, based on focus group data from 20 participants.
Author(s): Kendra L. Ratnapradipa, Jordan Ranta, Krishtee Napit, et al.
Citation: Journal of Rural Health, 38(4), 876-885
Date: 04/2022
Type: Document
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Examines cancer survivors and caregivers' perceptions toward cancer care in rural Nebraska. Discusses perceptions of community health status, sources of cancer information, cancer diagnosis, care coordination, provider communication and organizational support, and barriers to care, based on focus group data from 20 participants.
Author(s): Kendra L. Ratnapradipa, Jordan Ranta, Krishtee Napit, et al.
Citation: Journal of Rural Health, 38(4), 876-885
Date: 04/2022
Type: Document
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Impact of Telemedicine on Retention in Medications for Opioid Use Disorder (MOUD) Treatment with Buprenorphine in the Times of COVID-19 Pandemic: A Retrospective Chart Review
Study examining treatment retention for medication for opioid use disorder (MOUD) patients via telehealth during the COVID-19 pandemic, based on electronic health records of patients at a rural Federally Qualified Health Center (FQHC) in Pennsylvania. Discusses the impacts of telemedicine on retention rates, COVID-19-related challenges to treatment delivery systems, and policy measures to support telehealth and MOUD interventions.
Author(s): Jagdeep Kaur, Irakli Mania, Raghavendra Tirupathi, Lakshmi Polavarapu
Citation: Journal of Rural Mental Health, 46(2), 75-81
Date: 04/2022
Type: Document
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Study examining treatment retention for medication for opioid use disorder (MOUD) patients via telehealth during the COVID-19 pandemic, based on electronic health records of patients at a rural Federally Qualified Health Center (FQHC) in Pennsylvania. Discusses the impacts of telemedicine on retention rates, COVID-19-related challenges to treatment delivery systems, and policy measures to support telehealth and MOUD interventions.
Author(s): Jagdeep Kaur, Irakli Mania, Raghavendra Tirupathi, Lakshmi Polavarapu
Citation: Journal of Rural Mental Health, 46(2), 75-81
Date: 04/2022
Type: Document
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Trends in Health Disparities of Rural Latinos Pre- and Post-Accountable Care Organization Implementation
Compares diabetes-related hospitalizations among older rural Latino Rural Health Clinic (RHC) patients to those of their White counterparts between 2008 and 2015. Explores whether RHC participation in an Accountable Care Organization reduced diabetes-related hospitalization rates for Latino patients. Presents findings from an analysis of data on 2,683 RHCs nationwide from the Centers for Medicare & Medicaid Services (CMS) and a subset of 516 RHCs in California, Florida, and Texas.
Author(s): Judith Ortiz, Boondaniwon D. Phrathep, Richard Hofler, Chad W. Thomas
Citation: Research in the Sociology of Health Care, 39, 173–187
Date: 03/2022
Type: Document
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Compares diabetes-related hospitalizations among older rural Latino Rural Health Clinic (RHC) patients to those of their White counterparts between 2008 and 2015. Explores whether RHC participation in an Accountable Care Organization reduced diabetes-related hospitalization rates for Latino patients. Presents findings from an analysis of data on 2,683 RHCs nationwide from the Centers for Medicare & Medicaid Services (CMS) and a subset of 516 RHCs in California, Florida, and Texas.
Author(s): Judith Ortiz, Boondaniwon D. Phrathep, Richard Hofler, Chad W. Thomas
Citation: Research in the Sociology of Health Care, 39, 173–187
Date: 03/2022
Type: Document
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Guideline Adoption in Safety-Net Care: Understanding the Prevention, Screening, and Management of Cervical Cancer in Safety-Net and Health Resources and Services Administration-Supported Settings of Care
Provides an overview of a multi-agency federal collaborative strategy to prevent and manage cervical cancer in the United States. Discusses ways to provide effective screening services, manage treatment, and locate facilitators that assist in providing safety-net healthcare to underserved populations, including low-income, uninsured, and rural women.
Author(s): Veronica Chollette, S Kobrin, Jane Segebrecht, et al.
Date: 03/2022
Type: Document
Sponsoring organizations: Centers for Disease Control and Prevention, Health Resources and Services Administration, National Institutes of Health, Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services
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Provides an overview of a multi-agency federal collaborative strategy to prevent and manage cervical cancer in the United States. Discusses ways to provide effective screening services, manage treatment, and locate facilitators that assist in providing safety-net healthcare to underserved populations, including low-income, uninsured, and rural women.
Author(s): Veronica Chollette, S Kobrin, Jane Segebrecht, et al.
Date: 03/2022
Type: Document
Sponsoring organizations: Centers for Disease Control and Prevention, Health Resources and Services Administration, National Institutes of Health, Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services
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Initial Home Dialysis Is Increased for Rural Patients by Accessing Urban Facilities
Investigates health disparities between rural and urban patients with end stage kidney disease (ESKD). Examines 97,930 dialysis initiates from the 2017 United States Renal Data System, broken down by the timing of home dialysis initiation, patient race, disease type, body mass index (BMI), employment status, rural versus urban facility location, and more. Discusses issues of access and disparities in mortality for different populations.
Author(s): Joel T. Adler, S. Ali Husain, Lingwei Xiang, James R. Rodrigue, Sushrut S. Waikar
Citation: Kidney 360, 3, 488-496
Date: 03/2022
Type: Document
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Investigates health disparities between rural and urban patients with end stage kidney disease (ESKD). Examines 97,930 dialysis initiates from the 2017 United States Renal Data System, broken down by the timing of home dialysis initiation, patient race, disease type, body mass index (BMI), employment status, rural versus urban facility location, and more. Discusses issues of access and disparities in mortality for different populations.
Author(s): Joel T. Adler, S. Ali Husain, Lingwei Xiang, James R. Rodrigue, Sushrut S. Waikar
Citation: Kidney 360, 3, 488-496
Date: 03/2022
Type: Document
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Learning From COVID-19-Related Flexibilities: Moving Toward More Person-Centered Medicare and Medicaid Programs
Presents a person-centered framework to facilitate policymakers' decisions regarding the future of COVID-19-related temporary regulatory flexibilities. Identifies priority flexibilities that should be considered for permanence, modification, or further evaluation. Covers regulatory flexibilities regarding telehealth, scope of practice, Medicare Advantage requirements, and more. Includes rural references throughout.
Date: 03/2022
Type: Document
Sponsoring organizations: Health Management Associates, Manatt Health, The Scan Foundation
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Presents a person-centered framework to facilitate policymakers' decisions regarding the future of COVID-19-related temporary regulatory flexibilities. Identifies priority flexibilities that should be considered for permanence, modification, or further evaluation. Covers regulatory flexibilities regarding telehealth, scope of practice, Medicare Advantage requirements, and more. Includes rural references throughout.
Date: 03/2022
Type: Document
Sponsoring organizations: Health Management Associates, Manatt Health, The Scan Foundation
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Mental Health Care in the United States: The Case for Federal Action
Bipartisan report summarizing findings from three Senate Finance Committee hearings and a request for information regarding challenges in the mental healthcare system. Describes the prevalence of behavioral health conditions in the United States, the impact of the COVID-19 pandemic, and spending on behavioral health. Outlines key challenges across five cross-cutting areas: the behavioral health workforce; children, adolescents, and young adults; access to care, integration, and care coordination; mental health and substance use disorder (SUD) parity; and telehealth. Includes information on challenges facing rural and underserved communities.
Date: 03/2022
Type: Document
Sponsoring organization: Senate Committee on Finance
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Bipartisan report summarizing findings from three Senate Finance Committee hearings and a request for information regarding challenges in the mental healthcare system. Describes the prevalence of behavioral health conditions in the United States, the impact of the COVID-19 pandemic, and spending on behavioral health. Outlines key challenges across five cross-cutting areas: the behavioral health workforce; children, adolescents, and young adults; access to care, integration, and care coordination; mental health and substance use disorder (SUD) parity; and telehealth. Includes information on challenges facing rural and underserved communities.
Date: 03/2022
Type: Document
Sponsoring organization: Senate Committee on Finance
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