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Rural Health
Resources by Topic: Service delivery models

Comparing Two Telehealth Approaches for Treating Complex Psychiatric Disorders in Primary Care -- The SPIRIT Study
Details a study on the use of telepsychiatry and telepsychology to treat complex psychiatric disorders in rural primary care settings. Discusses a trials done in 24 primary care clinics without behavioral health services. Compares models of care and draws conclusions from survey data.
Additional links: Audio Abstract Recording, En Español, Research Summary
Author(s): John C. Fortney, Jürgen Unützer
Date: 2022
Type: Document
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The Regional Distribution of Psychiatric Residency Positions Funded by the Department of Veterans Affairs and Its Relationship to Rural Veteran Populations
Details a study on the geographic distribution of psychiatry residency positions funded by the VA from 2014-2020. Breaks down data by residency locations, positions available, and rural versus urban areas served, among other measures.
Author(s): Matthew Vincenti, Anthony Albanese, Edward Bope, Bradley V. Watts
Citation: Academic Psychiatry, 46, 435-440
Date: 2022
Type: Document
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The Use of Telehealth for Disability Evaluation in Medicine and Allied Health: Proceedings of a Workshop
Summarizes presentations and discussions held during a March 2022 workshop regarding the use of telehealth for patient evaluation. Provides an overview of telehealth policy broadly and within the context of the COVID-19 pandemic. Explores the use of telehealth in a range of clinical specialties; telehealth access and digital inclusion and equity; the experiences of U.S. healthcare systems in deploying telehealth; and licensure, privacy, and security issues.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Caring for People with Serious Illness: Lessons Learned from the COVID-19 Pandemic: Proceedings from a Workshop
Proceedings from a three-part workshop to explore the initial responses to the pandemic by healthcare teams providing care to people with serious illness, the impact of the pandemic on the healthcare workforce, use of telehealth, issues related to communicating with the public about health emergencies, and policy opportunities to improve care for people with serious illness. Mentions rural throughout.
Additional links: Read Online
Date: 2022
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Attitudes and Perceived Barriers Toward Store-and-Forward Teledermatology among Primary Care Providers of the Rural Mississippi
Explores the utilization of teledermatology to make dermatology care accessible in rural and underserved areas of Mississippi. Discusses perceived barriers based on 34 primary care provider surveys, such as time investment to learn the technology and time required to submit a teledermatology consult.
Author(s): Summer Morrissette, Ross L. Pearlman, Margaret Kovar, et al.
Citation: Archives of Dermatological Research, 314, 37-40
Date: 2022
Type: Document
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Experiences of Health Centers in Implementing Telehealth Visits for Underserved Patients During the COVID-19 Pandemic: Results from the Connected Care Accelerator Initiative
Offers an analysis of telehealth implementation in safety net settings with a focus on Federally Qualified Health Centers based on health center-provided telehealth visit data from February 2019-August 2021, as well as interviews with leadership and staff. Covers trends in telehealth use in health centers that participate in the California Health Care Foundation's Connected Care Accelerator initiative, the perceptions of health center leaders and staff, and implications for future policy, practice, and investigation.
Author(s): Lori Uscher-Pines, Natasha Arora, Maggie Jones, et al.
Date: 2022
Type: Document
Sponsoring organization: RAND Corporation
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Achieving Excellence in Cancer Diagnosis Proceedings of a Workshop—in Brief
Highlights discussions from a virtual workshop focused on improving cancer diagnosis. Includes information on addressing disparities in diagnosis and access to care, including disparities for rural populations. Features a cancer screening and diagnosis program serving rural Appalachia, describing the challenges faced and strategies used, including the use of a mobile screening unit.
Author(s): Board on Health Care Services
Date: 2022
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Innovation in Cancer Care and Cancer Research in the Context of the COVID-19 Pandemic: Proceedings of a Workshop
Shares insights from a virtual workshop that looked at short- and long-term adjustments to cancer care delivery and cancer research during the pandemic. Includes information on rural and tribal cancer care access. Discusses telehealth for cancer care, both during the pandemic and as a tool to improve access to care going forward.
Additional links: Read Online
Author(s): National Cancer Policy Forum
Date: 2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Key Findings from RAND Health Care Research on Telehealth Policy
Brief examining the implications of telehealth policy for emergency response, treatment for substance use disorder and opioid use disorder, access to care for service members and rural populations, and healthcare equity.
Author(s): Lori Uscher-Pines, Shira H. Fischer
Date: 2022
Type: Document
Sponsoring organization: RAND Corporation
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Home Blood Pressure Telemonitoring with Remote Hypertension Management in a Rural and Low-Income Population
Explores the feasibility, safety, and effectiveness of home-based blood pressure telemonitoring with remote hypertension management among a predominately rural and low-income population in Mississippi. Summarizes results of a study on 120 individuals conducted from September 4, 2018, through June 15, 2020.
Author(s): Donald Clark, Julia Woods, Yunxi Zhang, et al.
Citation: Hypertension, 78(6), 1927-1929
Date: 12/2021
Type: Document
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