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Rural Health
Resources by Topic: Service delivery models

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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Early Patient-Centered Outcomes Research Experience With the Use of Telehealth to Address Disparities: Scoping Review
Provides an overview of Patient-Centered Outcomes Research Institute (PCORI)-funded research on using telehealth to address health disparities. Describes barriers and facilitators to implementing telehealth in populations at risk for disparities, including people in rural areas, and identifies themes across studies.
Citation: Journal of Medical Internet Research, 23(12), e28503
Date: 12/2021
Type: Document
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ASTHO Legislative Prospectus: Rural Health
Discusses legislative trends to support rural healthcare access and facilities. Includes information on developing loan repayment programs for medical providers in rural areas, supporting behavioral healthcare, expanding telehealth, and creating broadband infrastructure.
Date: 12/2021
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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What a Pandemic Has Taught Us About the Potential for Innovation in Rural Health: Commencing an Ethnography in Canada, the United States, Sweden, and Australia
Examines success stories of rural communities responding to the COVID-19 pandemic. Utilizes ethnographic research to explore healthcare response in communities with fewer than 7,000 inhabitants and not near large healthcare centers.
Author(s): Samuel Petrie, Dean Carson, Paul Peters, et al.
Citation: Frontiers in Public Health, 9
Date: 12/2021
Type: Document
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State Policy Changes Could Increase Access to Opioid Treatment via Telehealth
Issue brief discussing barriers to opioid use disorder (OUD) treatment via telehealth and policy recommendations to support telehealth, including reimbursement and regulatory policies. Discusses issues of broadband access, infrastructure, and data collection in relation to telehealth implementation.
Date: 12/2021
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Association Between Area-Level Socioeconomic Deprivation and Diabetes Care Quality in US Primary Care Practices
Results of a study examining the association between deprived and rural areas and optimal diabetes care, using data from patients who received care at Mayo Clinic or Mayo Clinic Health System primary care practices in Minnesota, Iowa, and Wisconsin in 2019. Features statistics with breakdowns by urban, rural, and highly rural areas.
Author(s): Shaheen Shiraz Kurani, Michelle A. Lampman, Shealeigh A. Funni, et al.
Citation: JAMA Network Open, 4(12)
Date: 12/2021
Type: Document
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Disparities in the Use of In-Person and Telehealth Primary Care Among High- and Low-Risk Medicare Beneficiaries During COVID-19
Study examining telehealth and in-person primary care for low-risk and high-risk Medicare beneficiaries, assessing telehealth's ability to compensate for fewer in-person clinical visits due to the COVID-19 pandemic. Describes rural and urban differences in health risk and telehealth utilization. Analyzes data from Medicare beneficiaries from an Accountable Care Organization (ACO) in Wisconsin.
Author(s): Ying Jessica Cao, Dandi Chen, Yao Liu, Maureen Smith
Citation: Journal of Patient Experience, 8, 1-10
Date: 12/2021
Type: Document
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