• Melhado TV, Schneegans S, Rochat A, Kawasaki K, Finley EP, Wheeler D, Allison WE. Utilizing PRISM and RE-AIM to implement and evaluate the Rural Telementoring Training Center (RTTC) for health care workforce development in rural communities. Frontiers in Health Services. 2023 Oct 19; 3:1219308.
• Kusters IS, Amspoker AB, Frosio K, Day SC, Day G, Ecker A, Hogan J, Lindsay JA, Shore J. Rural-Urban Disparities in Video Telehealth Use During Rapid Mental Health Care Virtualization Among American Indian/Alaska Native Veterans. JAMA psychiatry. 2023 Oct 1; 80(10):1055-1060.
• Sheinfil AZ, Day G, Walder A, Hogan J, Giordano TP, Lindsay J, Ecker A. Rural Veterans with HIV and Alcohol Use Disorder receive less video telehealth than urban Veterans. The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association. 2023 Sep 27.
• Baldomero AK, Kunisaki KM, Wendt CH, Henning-Smith C, Hagedorn HJ, Bangerter A, Dudley RA. Guideline-discordant inhaler regimens after COPD hospitalization: associations with rurality, drive time to care, and fragmented care - a United States cohort study. Lancet Regional Health. Americas. 2023 Oct 1; 26:100597.
• Pizer SD, Sites EP, Thorsness R. Underserved and Rural Access Strategies: Briefing before the IVC's Executive Leadership Team Lisa Arfons, Executive Director, Integrated Field Operations, and Mary Fields, National Director of Field Support; 2023 Sep 11; Virtual Briefing.

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• Despite Equal Access and Use of VA Care, Black Veterans are More Likely to Experience Postpartum Rehospitalization and Low-Birthweight Infants
  This study sought to determine whether Black/white racial disparities in access, use, and outcomes are present among pregnant and postpartum Veterans and their infants using VA maternity care. Findings showed no statistically significant racial disparities in access or use of care during the perinatal period; nevertheless, Black Veterans were more likely than white Veterans to experience postpartu...
  
  Date: July 1, 2023
• Thirty-Day Mortality Higher for Older Veterans Hospitalized with COVID-19 in Community vs. VA Hospitals
  This study compared outcomes among Veterans ages 65+ admitted for COVID-19 in VA and community hospitals. Findings showed that admission to community hospitals was associated with higher unadjusted (27% vs. 18%) and risk adjusted 30-day mortality compared to admission to VA hospitals. Readmission within 30 days was less common following admission to community compared to VA hospitals (13% vs. 14%)...
  
  Date: May 30, 2023
• Rural-Urban Telemedicine Disparity among Veterans Worsens Following Onset of COVID-19 Pandemic
  This study examined changes over time in rural-urban differences in telemedicine use for primary care and mental health integration services among nearly 64 million primary care and 4 million mental health integration visits. Findings showed that the pandemic exacerbated the rural-urban telemedicine divide across VA, possibly because underlying causes of digital inequity were not addressed as init...
  
  Date: March 7, 2023
• Timeliness of VA Purchased Community Primary Care Did Not Improve Following Early Expansion Under MISSION Act
  This study examined whether early Community Care Network (CCN) implementation impacted community primary care (PC) appointment wait times. Findings showed that expanded contracting with community providers and new provider network adequacy standards implemented through CCNs did not, in early stages, improve the timeliness of community primary care for Veterans. Wait times increased sharply for bot...
  
  Date: October 28, 2022
• New Metric Determines Adequacy of VA Primary Care Staffing
  This study created a primary care provider (PCP) staffing measure using clinic-level provider FTE and number of assigned patients to identify primary care (PC) clinics at risk of insufficient staffing and describe rural-urban staffing variation. Using this metric, over the 3.5-year study period at 916 clinics, 38 (4%) were always under-staffed, 21 (2%) were always marginally staffed, and 200 (22%)...
  
  Date: August 4, 2022

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• Overview: VA Telehealth || In Progress

  ...particularly important for Veterans living in rural states. On December 6, 2018, VA hosted...particularly important for Veterans living in rural states. On December 6, 2018, VA hosted...with 45% of these Veterans living in rural areas.1 HSR&D is conducting numerous

• Management Briefs eBrief-no112 -- Rural Healthcare Workforce

  Management Briefs eBrief-no112 -- Rural Healthcare Workforce...Synthesis Program. Systematic Review: Rural Healthcare Workforce Approximately...population lives in rural areas, and Veterans living in rural areas represent one-third

• Management Briefs eBrief-no38 -- Rural vs. Urban Ambulatory Healthcare

  Management Briefs eBrief-no38 -- Rural vs. Urban Ambulatory Healthcare...June 2011 A Review of the Literature: Rural vs. Urban Ambulatory Healthcare There...system who live in rural areas (as defined by VA). The Rural Veterans Care Act

• Rural Healthcare Workforce: A Systematic Review

  ...Rural Healthcare Workforce: A Systematic Review...Rural Healthcare Workforce: A Systematic Review Department of Veterans Affairs...Service Evidence-based Synthesis Program Rural Healthcare Workforce: A Systematic

• FORUM, Summer 2017: Rural Health

  Collaborations Reveal Opportunities to Improve Rural Health Care B. Josea Kramer, PhD, Beth...patient-level impact was unknown in rural areas where access is limited for all

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