Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

"I was Unsure at First": A Qualitative Evaluation of Patient Perceptions of VA Clinical Video Telehealth Visits in the V-IMPACT Program
Features a study evaluating a Veterans Health Administration (VHA) program using video-based telehealth to expand access to primary care to rural veterans. Draws conclusions based on interviews with patients who utilized the program.
Author(s): Ashley C Mog, Megan Moldestad, Rachael Kenney, et al.
Citation: Journal of Patient Experience, 9
Date: 01/2022
Type: Document
view details
A Pilot Study Examining Access to and Satisfaction with Maternal Mental Health and Substance Use Disorder Treatment via Telemedicine
Highlights a study on the role telemedicine plays in increasing access to mental health and substance use treatment for women who are pregnant or have recently given birth. The study received a high percentage of participants from rural areas and breaks down the demographic data by rural, as well as several other factors such as age, race, and diagnosis, to name a few.
Author(s): Constance Guille, Emily Johnson, Edie Douglas, et al.
Citation: Telemedicine Reports, 3(1), 24-29
Date: 01/2022
Type: Document
view details
Telemedicine Access and Utilization among Adult Medicaid Beneficiaries with Behavioral and Musculoskeletal Health Conditions
Examines access to care and telemedicine use by adult Medicaid beneficiaries with behavioral health and musculoskeletal conditions in North Carolina based on state Medicaid claims data from March 2019 to March 2021. Covers changes in rates of telemedicine use before and during the COVID-19 pandemic, and offers rural and urban data on telemedicine use in addition to other characteristics in the appendix tables.
Date: 01/2022
Type: Document
Sponsoring organization: Margolis Center for Health Policy
view details
Telemedicine Access and Utilization among Pediatric Medicaid Beneficiaries with Behavioral Health and Musculoskeletal Conditions
Data brief examining access to care and telemedicine use by pediatric Medicaid beneficiaries with behavioral health and musculoskeletal conditions in North Carolina based on state Medicaid claims data from March 2019-March 2021. Covers changes in rates of telemedicine use before and during the COVID-19 pandemic, and offers rural and urban data on telemedicine use in the appendix tables.
Date: 01/2022
Type: Document
Sponsoring organization: Margolis Center for Health Policy
view details
Prenatal Telemedicine During COVID-19: Patterns of Use and Barriers to Access
Study examining patient experiences with prenatal telemedicine based on a survey of 164 pregnant patients at a rural New England medical center. Covers barriers to accessing care, internet access, remote surveillance tools, and engagement with providers.
Author(s): Allie Morgan, Daisy Goodman, Julia Vinagolu-Baur, Ilana Cass
Citation: JAMIA Open, 5(1)
Date: 01/2022
Type: Document
view details
Medi-Cal Specialty Mental Health External Quality Review: FY 2021-22 Statewide Report
Reports on an external review of all 56 county Mental Health Plans (MHPs) that are contracted to provide specialty mental health services to California Medicaid beneficiaries, including breakdowns for rural areas. Discusses challenges meeting demand and recruiting and retaining healthcare providers. Highlights access to services through telehealth; timeliness of providing service and tracking timeliness; quality management; and information systems.
Date: 01/2022
Type: Document
Sponsoring organization: California Department of Health Care Services
view details
The Rural Emergency Hospital (REH), a New Hospital Type
Webinar recording discusses the Rural Emergency Hospital model and how it will affect rural emergency care. Features presentations from representatives of the National Advisory Committee on Rural Health and Human Services, the Kansas Health Institute, and the Cecil G. Sheps Center for Health Services Research.
Additional links: Audio Recording, Webinar Slides, Webinar Transcript
Date: 01/2022
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
view details
Use of a Research as Intervention Approach to Explore Telebehavioral Health Services During the COVID-19 Pandemic in Southeastern Idaho
Study examining telebehavioral health provision in southeastern Idaho, covering COVID-19 and the expansion of telebehavioral health in the region. Discusses provider experiences based on interviews and reflective activities involving 7 primary care and behavioral health providers.
Author(s): Diana C. Schow, Ann Thomson, Wilson T. Trusty, Laurel Buchi-Fotre
Citation: Journal of Primary Care and Community Health, 13
Date: 01/2022
Type: Document
view details
The Effectiveness of Policies to Improve Primary Care Access for Underserved Populations: An Assessment of the Literature
Review of research literature to assess whether policy initiatives targeting primary care access for rural and underserved populations has been effective in reducing healthcare disparities. Initiatives considered include availability, accessibility, accommodation, affordability, and acceptability.
Additional links: Fact Sheet: Alleviating Structural Barriers to Obtaining Primary Care Services, Fact Sheet: Bringing Outpatient Clinics into Communities, Fact Sheet: Ensuring Comfort and Communication in the Delivery of Primary Care Services, Fact Sheet: Increasing the Availability of Primary Care Clinicians, Fact Sheet: Removing Financial Barriers to Primary Care
Author(s): Maanasa Kona, Megan Houston, Nia Gooding
Date: 01/2022
Type: Document
Sponsoring organization: Milbank Memorial Fund
view details
Integrating SUD and OB/GYN Care: Policy Challenges and Opportunities Final Report
Describes opportunities to integrate obstetrics and gynecology (OB/GYN) and substance use disorder (SUD) care to address treatment opportunities and reduce the impacts of SUD on mothers, children, and healthcare spending. Provides a review of literature on the effectiveness of integrated OB/GYN and SUD models, a scan of integrated models. Summarizes selected findings from subject matter experts on incentives for integrated OB/GYN and SUD models, as well as state and federal policy options to encourage the expansion of integrated OB/GYN and SUD care. Includes rural references throughout.
Author(s): Julie Seibert, Erin Dobbins, Elysha Theis, et al.
Date: 01/2022
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
view details