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Rural Health
Resources by Topic: Service delivery models

"It's the Relationships": Q&A with Peggy Broussard Wheeler
An interview with Peggy Broussard Wheeler, Vice President of Policy at the California Hospital Association. Covers the challenges rural hospitals face during the pandemic, health equity efforts, workforce issues, and more. Discusses how rural hospitals work together to address concerns.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 01/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Integrating Serious Illness Care into Primary Care Delivery: Proceedings of a Workshop
Summarizes presentations and discussions from a June 2021 workshop on challenges and opportunities to integrate serious illness care into primary care settings. Covers the shared principles of primary and serious illness care, the interdisciplinary teams in each discipline, policy issues that serve as barriers or incentives, and best practices. Includes examples of integrating serious illness care into primary care settings in rural areas.
Additional links: Read Online
Date: 01/2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Optimizing Care Coordination to Address Social Determinants of Health Needs for Dual-Use Veterans
Explores a study evaluating a care coordination program that aims to address social determinants of health (SDOH) for veterans who use both Veterans Health Administration (VHA) facilities and non-VA hospitals. Highlights the social worker-led program to help address SDOH factors, such as connecting veterans with transportation, homelessness resources, and financial assistance, among others. Discusses the role rurality plays in veterans' ability to access services and care.
Author(s): Heidi Sjoberg, Wenhui Liu, Carly Rohs, et al.
Citation: BMC Health Services Research, 22(59)
Date: 01/2022
Type: Document
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Coordinated Speech Therapy, Physiotherapy, and Pharmaceutical Care Telehealth for People with Parkinson Disease in Rural Communities: An Exploratory, 8-Week Cohort Study for Feasibility, Safety, and Signal of Efficacy
Study examining telehealth care for rural patients with Parkinson disease based on an evaluation of a telehealth pilot with 15 participants in Wyoming and Nevada. Evaluates outcomes related to speech therapy, physiotherapy, pharmaceutical care components of the program, and discusses the signal of efficacy for the intervention.
Author(s): Mary Jo Cooley Hidecker, Merrill R. Landers, Annalisa Piccorelli, Erin Bush, Reshmi Singh
Citation: Rural and Remote Health, 22, 6679
Date: 01/2022
Type: Document
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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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