Rural Health
Resources by Topic: Service delivery models
Telehealth Visit Use Among U.S. Adults
Slide deck presenting survey data on telehealth use, breaking down results by rural/non-rural location, age, insurance coverage, and ethnicity. Addresses telehealth visit purposes, patient satisfaction, and barriers to telehealth access.
Author(s): Jazmyne Sutton
Date: 08/2021
Type: Presentation Slides
Sponsoring organizations: Bipartisan Policy Center, SSRS
view details
Slide deck presenting survey data on telehealth use, breaking down results by rural/non-rural location, age, insurance coverage, and ethnicity. Addresses telehealth visit purposes, patient satisfaction, and barriers to telehealth access.
Author(s): Jazmyne Sutton
Date: 08/2021
Type: Presentation Slides
Sponsoring organizations: Bipartisan Policy Center, SSRS
view details
Barriers for Implementing the Hub and Spoke Model to Expand Medication for Opioid Use Disorder: A Case Study of Montana
Highlights a study of the barriers to the implementation of hub and spoke programs to provide treatment for opioid use disorder in rural Montana. Features data based on interviews with 65 programs that provide medication for opioid use disorder in Montana and discusses the barriers to their efforts.
Author(s): Brandn Green, Danielle Christine Rhubart, Matthew R Filteau
Citation: Substance Abuse: Research and Treatment, 15
Date: 08/2021
Type: Document
view details
Highlights a study of the barriers to the implementation of hub and spoke programs to provide treatment for opioid use disorder in rural Montana. Features data based on interviews with 65 programs that provide medication for opioid use disorder in Montana and discusses the barriers to their efforts.
Author(s): Brandn Green, Danielle Christine Rhubart, Matthew R Filteau
Citation: Substance Abuse: Research and Treatment, 15
Date: 08/2021
Type: Document
view details
"We Got an Invite into the Fortress": VA-Community Partnerships for Meeting Veterans' Healthcare Needs
Evaluates the efficacy of the VA's Veteran's Community Partnership (VCP) initiative across the rural and urban continuum. Bases conclusions on focus group interviews with local representatives of organizations involved with VCP. Highlights program challenges, benefits, and achievements in rural and urban settings.
Author(s): Carol J. Ward, Curtis Child, Bret L. Hicken, et al.
Citation: International Journal of Environmental Research and Public Health, 18(16), 8334
Date: 08/2021
Type: Document
view details
Evaluates the efficacy of the VA's Veteran's Community Partnership (VCP) initiative across the rural and urban continuum. Bases conclusions on focus group interviews with local representatives of organizations involved with VCP. Highlights program challenges, benefits, and achievements in rural and urban settings.
Author(s): Carol J. Ward, Curtis Child, Bret L. Hicken, et al.
Citation: International Journal of Environmental Research and Public Health, 18(16), 8334
Date: 08/2021
Type: Document
view details
Evaluation of the Vermont All-Payer Accountable Care Organization Model: First Evaluation Report
Evaluates the first two performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes information on hospital and provider participation in rural counties and unique challenges for rural Critical Access Hospitals.
Additional links: Findings at a Glance, Technical Appendices
Date: 08/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
view details
Evaluates the first two performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes information on hospital and provider participation in rural counties and unique challenges for rural Critical Access Hospitals.
Additional links: Findings at a Glance, Technical Appendices
Date: 08/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
view details
The Pennsylvania Rural Health Model (PARHM): First Annual Report
Evaluates the first year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall health care spending. Provides an overview of the model and describes the implementation experience of the first cohort of participating hospitals. Presents preliminary, descriptive data on the financial performance and utilization outcomes of Cohort 1 participants.
Additional links: Appendix, Findings at a Glance
Date: 08/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
view details
Evaluates the first year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall health care spending. Provides an overview of the model and describes the implementation experience of the first cohort of participating hospitals. Presents preliminary, descriptive data on the financial performance and utilization outcomes of Cohort 1 participants.
Additional links: Appendix, Findings at a Glance
Date: 08/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
view details
Paying for Telemedicine in Smaller Rural Hospitals: Extending the Technology to Those Who Benefit Most
Viewpoint article discussing the positive financial impacts of telemedicine in emergency departments (EDs) and barriers to using telemedicine in small rural hospitals related to patient volume, high upfront costs, and reimbursement issues. Outlines policy interventions to support rural telemedicine.
Author(s): Kori S. Zachrison, Jessica V. Richard, Ateev Mehrotra
Citation: JAMA Health Forum, 2(8), e211570
Date: 08/2021
Type: Document
view details
Viewpoint article discussing the positive financial impacts of telemedicine in emergency departments (EDs) and barriers to using telemedicine in small rural hospitals related to patient volume, high upfront costs, and reimbursement issues. Outlines policy interventions to support rural telemedicine.
Author(s): Kori S. Zachrison, Jessica V. Richard, Ateev Mehrotra
Citation: JAMA Health Forum, 2(8), e211570
Date: 08/2021
Type: Document
view details
Mobile Telemedicine for Buprenorphine Treatment in Rural Populations With Opioid Use Disorder
Results of a study conducted from June-October 2020 in Caroline County, Maryland, to evaluate the implementation of an initiative to extend access to telemedicine (TM) medications for opioid use disorder to rural communities, by bringing care via a TM mobile treatment unit (TM-MTU). Features demographics and statistics on opioid use during TM-MTU treatment.
Author(s): Eric Weintraub, Chamindi Seneviratne, Jessica Anane, et al.
Citation: JAMA Network Open, 4(8)
Date: 08/2021
Type: Document
view details
Results of a study conducted from June-October 2020 in Caroline County, Maryland, to evaluate the implementation of an initiative to extend access to telemedicine (TM) medications for opioid use disorder to rural communities, by bringing care via a TM mobile treatment unit (TM-MTU). Features demographics and statistics on opioid use during TM-MTU treatment.
Author(s): Eric Weintraub, Chamindi Seneviratne, Jessica Anane, et al.
Citation: JAMA Network Open, 4(8)
Date: 08/2021
Type: Document
view details
Nurse Perspectives Regarding Implementation of an Asthma Monitoring Mobile Health Application in the School Setting
Study exploring nurse experiences with school-based telehealth (SBTH) implementation, specifically SBTH asthma programs in South Carolina. Discusses barriers to asthma care for rural children and the potential for SBTH and mobile health to treat childhood asthma. Draws data from 26 survey respondents that addresses interests in specific mobile application features and issues related to caregiver and family participation.
Author(s): Emily E. Johnson, Claire MacGeorge, Annie Andrews, et al.
Citation: Telemedicine and e-Health, 27(8), 955-962
Date: 08/2021
Type: Document
view details
Study exploring nurse experiences with school-based telehealth (SBTH) implementation, specifically SBTH asthma programs in South Carolina. Discusses barriers to asthma care for rural children and the potential for SBTH and mobile health to treat childhood asthma. Draws data from 26 survey respondents that addresses interests in specific mobile application features and issues related to caregiver and family participation.
Author(s): Emily E. Johnson, Claire MacGeorge, Annie Andrews, et al.
Citation: Telemedicine and e-Health, 27(8), 955-962
Date: 08/2021
Type: Document
view details
The Association of Broadband Internet Access and Telemedicine Utilization in Rural Western Tennessee: An Observational Study
Results of a study to determine whether broadband internet availability was associated with telemedicine adoption among a rural patient population in western Tennessee. Features statistics including race, sex, insurance type, broadband access, and location with breakdowns by nonrural, partially rural, or rural areas.
Author(s): Jacob K. Quinton, Michael K. Ong, Sitaram Vangala, et al.
Citation: BMC Health Services Research, 21, 765
Date: 08/2021
Type: Document
view details
Results of a study to determine whether broadband internet availability was associated with telemedicine adoption among a rural patient population in western Tennessee. Features statistics including race, sex, insurance type, broadband access, and location with breakdowns by nonrural, partially rural, or rural areas.
Author(s): Jacob K. Quinton, Michael K. Ong, Sitaram Vangala, et al.
Citation: BMC Health Services Research, 21, 765
Date: 08/2021
Type: Document
view details
Not Your Mother's Healthcare: Surveying Consumer Experiences with Telehealth Services
Recording of an August 4, 2021, webinar on telehealth use during the COVID-19 pandemic. Presents results of a survey conducted between June 28-July 18, 2021, on telehealth utilization, patient satisfaction, and obstacles to accessing telehealth services. Includes data on rural and urban differences throughout. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Additional links: Presentation Slides
Date: 08/2021
Type: Document
Sponsoring organization: Bipartisan Policy Center
view details
Recording of an August 4, 2021, webinar on telehealth use during the COVID-19 pandemic. Presents results of a survey conducted between June 28-July 18, 2021, on telehealth utilization, patient satisfaction, and obstacles to accessing telehealth services. Includes data on rural and urban differences throughout. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Additional links: Presentation Slides
Date: 08/2021
Type: Document
Sponsoring organization: Bipartisan Policy Center
view details