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Rural Health
Resources by Topic: Service delivery models

Barriers to Telemedicine Implementation in Southwest Tribal Communities During COVID-19
Explores some of the barriers to expanding telemedicine to tribal communities in the Southwestern U.S. during the COVID-19 pandemic. Discusses some of the existing health and infrastructure disparities faced by the tribes and details both the need for telemedicine and the barriers to providing it.
Author(s): Janessa M. Graves, Jessica L. Mackelprang, Solmaz Amiri, et al.
Citation: Journal of Rural Health, 37(1), 239-241
Date: 01/2021
Type: Document
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Telehealth in Response to the COVID-19 Pandemic in Rural Veteran and Military Beneficiaries
Presents a study on the use of telehealth to provide mental healthcare to rural veterans during the COVID-19 pandemic. Discusses the Veterans Health Administration and the Defense Health Agency's use of telehealth and telemental health and their effectiveness in treating rural veterans.
Author(s): Robert D. Shura, Timothy W. Brearly, Larry A. Tupler
Citation: Journal of Rural Health, 37(1), 200-204
Date: 01/2021
Type: Document
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Telemedicine: Has the Time Really Finally Arrived?
Explores one provider's observations on the utility of telemedicine in a variety of settings over time in light of COVID-19. Discusses efforts to increase the mobile nature of telehealth services for both the provider and patient. Encourages rural and small town healthcare providers to log all telemedicine encounters.
Author(s): William J. Crump
Citation: Journal of Rural Health, 37(1), 156-157
Date: 01/2021
Type: Document
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Using Telehealth as a Tool for Rural Hospitals in the COVID-19 Pandemic Response
Explores strategies for implementing telehealth services at rural hospitals in response to COVID-19. Discusses how telehealth can be utilized to expand rural hospital capacity, meet the needs of low acuity or recently discharged patients, and limit transfers to tertiary locations.
Author(s): Jeydith Gutierrez, Ethan Kuperman, Peter J. Kaboli
Citation: Journal of Rural Health, 37(1), 161-164
Date: 01/2021
Type: Document
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A Primary Care Response to COVID‐19 for Patients with an Opioid Use Disorder
Discusses the challenges of treating patients with opioid use disorder (OUD) during the COVID-19 pandemic. Highlights decisions made by primary care physicians regarding harm reduction related to COVID-19 that may have detrimental effects for OUD patient.
Author(s): Courtenay Gilmore Wilson, Melinda Ramage, E. Blake Fagan
Citation: Journal of Rural Health, 37(1), 169-171
Date: 01/2021
Type: Document
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Telehealth Policies Impacting Federally Qualified Health Centers in Face of COVID‐19
Provides an overview of changes to federal, California Medicaid, and private insurer telehealth policies in response to COVID-19. Discusses opportunities and limitations Federally Qualified Health Centers and Rural Health Clinics may face in expanding telehealth services. Offers recommendations for removing barriers for providers in rural and underserved areas.
Author(s): Miku Sodhi
Citation: Journal of Rural Health, 37(1), 158-160
Date: 01/2021
Type: Document
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Flattening the Curve by Getting Ahead of It: How the VA Healthcare System Is Leveraging Telehealth to Provide Continued Access to Care for Rural Veterans
Describes the Veterans Health Administration's efforts to use telehealth to provide behavioral health services to rural veterans affected by the COVID-19 pandemic.
Author(s): Ursula S. Myers, Anna Birks, Anouk L. Grubaugh, R. Neal Axon
Citation: Journal of Rural Health, 37(1), 194-196
Date: 01/2021
Type: Document
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Using Technology-Based Therapeutic Tools in Behavioral Health Services
Report discusses the use of telehealth to provide behavioral health services. Explores the benefits of telehealth as a bridge to accessing behavioral healthcare and presents implementation guidance, such as state and licensing regulations and reimbursement considerations.
Date: 2021
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Economics of Using Telemedicine to Supplement Hospice Care in Rural Areas
Describes a tele-hospice program implemented in 2015 by Hospice Services, Inc., a community-based hospice provider that serves rural and frontier counties in northwest and north central Kansas, in partnership with the University of Kansas Medical Center. Explores the financial impact of the tele-hospice intervention, comparing tele-hospice costs with costs of in-person services. Also identifies cost savings related to the use of virtual technology to conduct administrative meetings.
Author(s): Adam F. Lomenick, Sandy J. Kuhlman, Joe L. Barnes, et al.
Citation: Journal of Palliative Medicine, 24(10), 1461–1466
Date: 2021
Type: Document
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Dialogue About the Workforce for Population Health Improvement: Proceedings of a Workshop
Presentations from a workshop facilitating a population health perspective among public health and healthcare leaders and professionals; framing the work of personnel such as community health workers, health navigators, and peer-to-peer chronic disease management educators within the context of population health; and leveraging the competencies of public- and private-sector workforces that are working to include a well-being orientation in their activities.
Additional links: Read Online
Author(s): Roundtable on Population Health Improvement
Date: 2021
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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