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Rural Health Information Hub

Rural Health
Resources by Topic: Telehealth

Clinician Perceptions of Barriers and Facilitators for Delivering Early Integrated Palliative Care via Telehealth
Presents results from a survey on barriers, facilitators, and benefits of telehealth use for early integrated palliative care (EIPC). Survey participants were 48 clinicians providing palliative care services to patients with advanced lung cancer. Discusses clinician attitudes, logistical and organizational influences, and patient characteristics affecting access. Highlights barriers experienced by elderly, rural, and under-resourced populations.
Author(s): Katrina Grace Sadang, Joely A. Centracchio, Yael Turk, et al.
Citation: Cancers, 15(22), 5340
Date: 11/2023
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Still Searching: Meeting Oral Health Needs in Rural Settings
Report discusses oral health access in rural areas. Compares barriers to care in rural, suburban, and urban communities. Highlights teledentistry use and insurance rates, among other factors.
Author(s): Paige Martin, Morgan Santoro, Lisa J. Heaton, et al.
Date: 11/2023
Sponsoring organization: CareQuest Institute for Oral Health
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Understanding Rural-Urban Differences in Veterans' Internet Access Use, and Patient Preferences for Telemedicine
Report breaks down differences in internet access, use, and opinions about telehealth for rural and urban veterans. Bases findings on interviews with eligible veterans and highlights veterans' experiences with telehealth.
Date: 11/2023
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Final Rule for CY 2024 Physician Fee Schedule: Fact Sheet
Fact sheet covering Centers for Medicare & Medicaid Services (CMS) telehealth policy changes for 2024 as outlined in the final calendar year (CY) 2024 Physician Fee Schedule. Covers eligible services that can be delivered by telehealth, remote monitoring services, physician supervision, diabetes self-management training (DSMT), and more.
Date: 11/2023
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Improving Behavioral Health Care in the Military Health System: Challenges, Promising Strategies, and Research Directions
Examines behavioral healthcare access for military service members. Discusses strategies for improving behavioral healthcare in the military health system, such as virtual care and quality control measures, with considerations for underserved populations.
Author(s): Kimberly A. Hepner, Carol P. Roth, Nabeel Qureshi, Jessica L. Sousa
Date: 11/2023
Sponsoring organization: RAND Corporation
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Ensuring Medicare Beneficiary Access: A Path to Telehealth Permanency
Recording of a November 14, 2023, U.S. Senate Committee on Finance Subcommittee on Health Care hearing on the role of telehealth in improving access to care and the potential to make COVID-19 Medicare flexibilities permanent. Features testimony from Nicki Perisho, Principal Investigator and Program Director for the Northwest Regional Telehealth Resource Center, and Eric Wallace, Medical Director for the University of Alabama at Birmingham (UAB) Health System Telehealth Program.
Additional links: Eric Wallace, UAB Health System Telehealth Program - Testimony, Nicki Perisho, Northwest Regional Telehealth Resource Center - Testimony
Date: 11/2023
Sponsoring organization: Senate Committee on Finance, Subcommittee on Health Care
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Calendar Year (CY) 2024 Medicare Physician Fee Schedule Final Rule
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2024. Summarizes provisions related to paying separately for Community Health Integration, Social Determinants of Health (SDOH) Risk Assessment, and Principal Illness Navigation services; telehealth services; mental health visits furnished by Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), including marriage and family therapists and mental health counselors as eligible for payment at RHCs and FQHCs; and more.
Date: 11/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health is Primary: Charting a Path to Equity and Sustainability
Examines factors driving the downward trends in primary care, including fewer clinicians practicing primary care, fewer available appointments, lower spending on primary care, and fewer adults reporting that they have a usual source of primary care. Features a literature review, supply and demand analysis, and recommendations for potential solutions. Mentions rural throughout.
Additional links: Slide Presentation
Author(s): Alison Huffstetler, Ann Greiner, Anam Siddiqi, et al.
Date: 11/2023
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Use of Telemedicine and Quality of Care Among Medicare Enrollees With Serious Mental Illness
Examines telemedicine use during the COVID-19 pandemic among Medicare beneficiaries with mental illness. Analyzes levels of telemental use by mental health practices who saw patients with schizophrenia or bipolar I disorder the year before the COVID-19 pandemic and during the first pandemic year. Discusses patient outcomes and quality of care as correlated with telemental use, with data broken down according to practice characteristics and patient demographics, including rurality.
Author(s): Andrew D. Wilcock, Haiden A. Huskamp, Alisa B. Busch, et al.
Citation: JAMA Health Forum, 4(10)
Date: 10/2023
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Telemedicine Buprenorphine Initiation and Retention in Opioid Use Disorder Treatment for Medicaid Enrollees
Evaluated buprenorphine treatment via telemedicine and overdose outcomes for 91,914 people in Kentucky and Ohio on Medicaid in 2020 to determine the impact of telemedicine on treatment retention and opioid-related nonfatal overdose. Includes discussion on the implications for rural residents.
Author(s): Lindsey R. Hammerslag, Aimee Mack, Redonna K. Chandler, et al.
Citation: JAMA Network Open, 6(10), e2336914
Date: 10/2023
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