Rural Health
Resources by Topic: Veterans
Achieving Behavioral Health Care Integration in Rural America
Provides an overview of behavioral health and primary care integration and how integration may be different in rural areas than in urban and suburban areas. Examines the barriers to integration in rural areas and opportunities for policies that can improve access to care. Offers policy recommendations to better coordinate and integrate primary care and behavioral health services for high-risk groups and expand the ability of primary care providers to handle the lower-acuity behavioral health needs of patients through enhanced payments, training, and improved access to behavioral health providers for consultation and referral. Builds on the March 2021 report, Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration.
Author(s): Kendall Strong, Michele Gilbert, Julia Harris, et al.
Date: 05/2023
Sponsoring organization: Bipartisan Policy Center
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Provides an overview of behavioral health and primary care integration and how integration may be different in rural areas than in urban and suburban areas. Examines the barriers to integration in rural areas and opportunities for policies that can improve access to care. Offers policy recommendations to better coordinate and integrate primary care and behavioral health services for high-risk groups and expand the ability of primary care providers to handle the lower-acuity behavioral health needs of patients through enhanced payments, training, and improved access to behavioral health providers for consultation and referral. Builds on the March 2021 report, Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration.
Author(s): Kendall Strong, Michele Gilbert, Julia Harris, et al.
Date: 05/2023
Sponsoring organization: Bipartisan Policy Center
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Association of Rural Living With COPD-Related Hospitalizations and Deaths in US Veterans
Highlights a study aiming to identify the cause of higher COPD rates in rural areas. Utilizes VA data to draw conclusions about incidence and access to treatment for COPD for rural veterans. Breaks down data by age, comorbidities, and rurality, among other factors.
Author(s): Spyridon Fortis, Yubo Gao, Arianne K. Baldomero, et al.
Citation: Scientific Reports, 13, 7887
Date: 05/2023
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Highlights a study aiming to identify the cause of higher COPD rates in rural areas. Utilizes VA data to draw conclusions about incidence and access to treatment for COPD for rural veterans. Breaks down data by age, comorbidities, and rurality, among other factors.
Author(s): Spyridon Fortis, Yubo Gao, Arianne K. Baldomero, et al.
Citation: Scientific Reports, 13, 7887
Date: 05/2023
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VA Health Care: Office of Rural Health Would Benefit from Improved Communication and Developing Performance Goals
Examines the initiatives and research projects the Veterans Health Administration (VHA) Office of Rural Health (ORH) funded in fiscal year 2022. Explores how the office communicates funding opportunities and assesses its progress toward achieving its mission. Offers recommendations to the ORH regarding communicating research funding opportunities across the Veterans Administration and developing performance goals reflective of leading practices.
Additional links: Full Report
Date: 05/2023
Sponsoring organization: Government Accountability Office
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Examines the initiatives and research projects the Veterans Health Administration (VHA) Office of Rural Health (ORH) funded in fiscal year 2022. Explores how the office communicates funding opportunities and assesses its progress toward achieving its mission. Offers recommendations to the ORH regarding communicating research funding opportunities across the Veterans Administration and developing performance goals reflective of leading practices.
Additional links: Full Report
Date: 05/2023
Sponsoring organization: Government Accountability Office
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Challenges and Recommendations for Improving Access to Evidence-Based COPD Management among Rural Veterans: Rural Primary Care Provider Perspectives
Highlights a study on the perspectives of primary care providers serving rural veterans on the challenges of providing evidence-based COPD management care in rural communities. Details key barriers and makes policy recommendations.
Author(s): Talitha Wilson, R. Adams Dudley, Ken M. Kunisaki, et al.
Citation: Journal of General Internal Medicine, 38, 2843-2845
Date: 04/2023
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Highlights a study on the perspectives of primary care providers serving rural veterans on the challenges of providing evidence-based COPD management care in rural communities. Details key barriers and makes policy recommendations.
Author(s): Talitha Wilson, R. Adams Dudley, Ken M. Kunisaki, et al.
Citation: Journal of General Internal Medicine, 38, 2843-2845
Date: 04/2023
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Bridging The Gap CoC: Homeless Point-in-Time Count January 22, 2023
Report offering point-in-time data on the homeless population in rural Hawaii counties. Discusses trends over time for various populations including veterans, children, families, people with substance use disorder, and more. Dashboard allows for manipulating data between 2015 and 2023. 2021 data was not gathered due to COVID-19.
Additional links: Dashboards
Date: 04/2023
Sponsoring organizations: Bridging the Gap, Ka Mana O Na Helu
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Report offering point-in-time data on the homeless population in rural Hawaii counties. Discusses trends over time for various populations including veterans, children, families, people with substance use disorder, and more. Dashboard allows for manipulating data between 2015 and 2023. 2021 data was not gathered due to COVID-19.
Additional links: Dashboards
Date: 04/2023
Sponsoring organizations: Bridging the Gap, Ka Mana O Na Helu
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Rural-Urban Trends in Health Care Utilization, Treatment, and Mortality Among US Veterans with Congestive Heart Failure: A Retrospective Cohort Study
Examines Veterans Health Administration patients between 2012 and 2017 with congestive heart failure. Data compare rural and urban differences in healthcare use, treatment received, and mortality with consideration for severity of diagnosis.
Author(s): Maya Aboumrad, David Peritz, Scott Friedman, et al.
Citation: Journal of Rural Health, 39(4), 844-852
Date: 04/2023
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Examines Veterans Health Administration patients between 2012 and 2017 with congestive heart failure. Data compare rural and urban differences in healthcare use, treatment received, and mortality with consideration for severity of diagnosis.
Author(s): Maya Aboumrad, David Peritz, Scott Friedman, et al.
Citation: Journal of Rural Health, 39(4), 844-852
Date: 04/2023
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Whole Health Coaching to Rural Veterans through Telehealth: Advantages, Gaps, and Opportunities
Discusses the Whole Health (WH) initiative – a proactive practice using coaches to engage patients in their health and well-being, and its applicability through telehealth to offer support to rural Veterans in achieving their health goals. Analyzes the findings from data collected through interviews, national surveys and focus groups of WH coaches working with rural veterans to determine the advantages of using telehealth, gaps in telehealth usage, and opportunities for WH coaching for rural veterans.
Author(s): Kelsea LeBeau, Deepthi S. Varma, Consuelo M. Kreider, et al.
Citation: Frontiers in Public Health, 11
Date: 03/2023
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Discusses the Whole Health (WH) initiative – a proactive practice using coaches to engage patients in their health and well-being, and its applicability through telehealth to offer support to rural Veterans in achieving their health goals. Analyzes the findings from data collected through interviews, national surveys and focus groups of WH coaches working with rural veterans to determine the advantages of using telehealth, gaps in telehealth usage, and opportunities for WH coaching for rural veterans.
Author(s): Kelsea LeBeau, Deepthi S. Varma, Consuelo M. Kreider, et al.
Citation: Frontiers in Public Health, 11
Date: 03/2023
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Deploying Digital Health Technologies for Remote Physical Activity Monitoring of Rural Populations With Chronic Neurologic Disease
Examines remote monitoring of physical activity (PA) levels of rural individuals enrolled in the Veterans Health Administration with a diagnosis of Parkinson disease (PD) or stroke. Analyzes data from 40 participants broken down by demographic information, rurality, technology access, exercise self-efficacy, fatigue, mental health, and more. Discusses the feasibility of using remote monitoring to assess PA in rural individuals with neurological disease.
Author(s): Kimberly J. Waddell, Mitesh S. Patel, Jayne R. Wilkinson, et al.
Citation: Archives of Rehabilitation Research and Clinical Translation, 5(1)
Date: 03/2023
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Examines remote monitoring of physical activity (PA) levels of rural individuals enrolled in the Veterans Health Administration with a diagnosis of Parkinson disease (PD) or stroke. Analyzes data from 40 participants broken down by demographic information, rurality, technology access, exercise self-efficacy, fatigue, mental health, and more. Discusses the feasibility of using remote monitoring to assess PA in rural individuals with neurological disease.
Author(s): Kimberly J. Waddell, Mitesh S. Patel, Jayne R. Wilkinson, et al.
Citation: Archives of Rehabilitation Research and Clinical Translation, 5(1)
Date: 03/2023
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Financial Burden of Medical Care Among Veterans Aged 25–64, by Health Insurance Coverage: United States, 2019–2021
Examines financial burden for medical care among veterans aged 25–64 for those with VA health care alone and combined with different types of health insurance coverage. Table 1 includes data on VA health care and health insurance coverage for those in metropolitan and nonmetro areas.
Author(s): Robin A. Cohen, Peter Boersma
Date: 03/2023
Sponsoring organization: National Center for Health Statistics
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Examines financial burden for medical care among veterans aged 25–64 for those with VA health care alone and combined with different types of health insurance coverage. Table 1 includes data on VA health care and health insurance coverage for those in metropolitan and nonmetro areas.
Author(s): Robin A. Cohen, Peter Boersma
Date: 03/2023
Sponsoring organization: National Center for Health Statistics
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VA Health Care: Improved Data, Planning, and Communication Needed for Infrastructure Modernization and Realignment
Describes the Asset and Infrastructure Review Commission and Department of Veterans Affairs (VA) recommendations to modernize and realign its infrastructure. Examines the data that the VA used to inform its recommendations, any plans that VA has to improve such data, and the extent of the VA's planning to modernize and realign its infrastructure. Discusses rural-specific recommendations and compares data on facility closure and service line change recommendations by rurality.
Additional links: Full Report
Date: 03/2023
Sponsoring organization: Government Accountability Office
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Describes the Asset and Infrastructure Review Commission and Department of Veterans Affairs (VA) recommendations to modernize and realign its infrastructure. Examines the data that the VA used to inform its recommendations, any plans that VA has to improve such data, and the extent of the VA's planning to modernize and realign its infrastructure. Discusses rural-specific recommendations and compares data on facility closure and service line change recommendations by rurality.
Additional links: Full Report
Date: 03/2023
Sponsoring organization: Government Accountability Office
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