This website is being reviewed for updates. Some information is offline. We apologize for any inconvenience.
Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Target Door-to-Needle Time in Acute Stroke Treatment via Telemedicine Versus In-Person Evaluation in a Rural Setting of the Midwest: A Retrospective Cohort Study
Examines door-to-needle time (DTN) among 239 patients who received thrombolytic treatment within a rural, Midwestern stroke network. Compares telemedicine and in-person treatment delivery, with data on patient safety, short-term outcomes, and DTN by provider type.
Author(s): Andrea Loggini, Jonatan Hornik, Jessie Henson, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(1), 108141
Date: 01/2025
view details
Youth Mental Health and Substance Use Task Force: Redesigning the Health Care Delivery System to Better Meet the Needs of Youth
Presents policy recommendations from 50 experts and thought leaders regarding how to maximize the potential of the U.S. healthcare system to better serve youth with behavioral health needs. Covers the behavioral health workforce, transparency and compliance with existing screening and treatment requirements, promoting integrated primary care and behavioral health services in pediatric settings, the needs of youth with the highest acuity behavioral health needs, and strengthening crisis and stabilization systems. Includes rural references and considerations throughout.
Date: 01/2025
Sponsoring organization: Bipartisan Policy Center
view details
Community Health Center Patients, Financing, and Services
Describes health center patient characteristics, services, patient experiences, and financing changes between 2019 and 2023. Presents data on health centers in rural communities throughout.
Author(s): Akash Pillai, Bradley Corallo, Jennifer Tolbert
Date: 01/2025
Sponsoring organization: KFF
view details
Variables Influencing Telemedicine Utilization via Telephone Appointments among Rural Patients
Examines patient telemedicine preferences at a rural outpatient clinic in California. Examines 2021 survey feedback from 153 patients related to themes such as patient-physician rapport, quality, accessibility, availability, cost, and more.
Author(s): Eliseo GarcĂ­a, Benjamin C. Vincent, Shivani Thakur, et al.
Citation: BMC Health Services Research, 25, 1
Date: 01/2025
view details
Measuring Meaningful Outcomes for Adult Hearing Health Interventions: Consensus Study Report
Presents a set of core outcomes and measurements for the evaluation of interventions to address hearing difficulties in adults. See pages 42 and 47-48 for discussion of conditions influencing the prevalence of hearing difficulties in rural areas, rural access to care, and telehealth as a means of providing services in rural areas.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2025
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
view details
Telehealth FAQ Calendar Year 2025
Provides information on Medicare telehealth regulations and payment policy for calendar year 2025. Includes information on audio-only services, behavioral health services, direct supervision, and more.
Date: 2025
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Addressing Workforce Challenges Across the Behavioral Health Continuum of Care: Proceedings of a Workshop
Summary of presentations and discussions from a July 2024 public workshop to address workforce needs and challenges related to behavioral healthcare. Includes discussions of telepsychiatry collaborative care to improve rural access and capacity, and recruiting and retaining Native American healthcare providers in behavioral health settings.
Author(s): Board on Health Care Services
Date: 2025
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
view details
Provider-to-Provider Telemedicine for Sepsis Is Used Less Frequently in Communities with High Social Vulnerability
Examines the relationship between provider-to-provider emergency department-based telehealth consultation (tele-ED) and the prevalence of sepsis in counties with elevated social vulnerability index (SVI) scores. Analyzes 2016-2019 data from 1191 patients treated in rural, Midwestern EDs, with breakdowns according to patient, provider, hospital, and county characteristics. Discusses the relationship between SVI scores and tele-ED use.
Author(s): Kevin J. Tu, J. Priyanka Vakkalanka, Uche E. Okoro, et al.
Citation: Journal of Rural Health, 41(1), e12861
Date: 2025
view details
South Dakota Department of Health 2024 Annual Report
Describes activities and accomplishments of the South Dakota Department of Health in 2024. Includes sections on public health preparedness and response, rural health, emergency medical services, health information technology, family and community health, and licensure and accreditation.
Date: 12/2024
Sponsoring organization: South Dakota Department of Health
view details
Healthcare Stakeholder Perceptions of Broadband and Telehealth Influences in Telehealth Broadband Pilot Program Communities
Summarizes findings from interviews with healthcare stakeholders in Alaska, Michigan, Texas, and West Virginia communities served by the Telehealth Broadband Pilot (TBP) Program. Describes influences on clinic, providers and healthcare staff, and TBP Program community and patient broadband and telehealth utilization.
Author(s): Cari A. Bogulski, M. Kathryn Allison, Hannah C. McCoy, Rosario Silva, Hari Eswaran
Date: 12/2024
Sponsoring organizations: Rural Telehealth Evaluation Center, University of Arkansas for Medical Sciences Regional Campuses
view details