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The Role of Telehealth in an Evolving Health Care Environment

The Role of Telehealth in an Evolving Health Care Environment
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 159
Release: 2012-12-20
Genre: Medical
ISBN: 0309262011
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In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.

Achieving Rural Health Equity and Well-Being

Achieving Rural Health Equity and Well-Being
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 95
Release: 2018-10-17
Genre: Medical
ISBN: 0309469058
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Rural counties make up about 80 percent of the land area of the United States, but they contain less than 20 percent of the U.S. population. The relative sparseness of the population in rural areas is one of many factors that influence the health and well-being of rural Americans. Rural areas have histories, economies, and cultures that differ from those of cities and from one rural area to another. Understanding these differences is critical to taking steps to improve health and well-being in rural areas and to reduce health disparities among rural populations. To explore the impacts of economic, demographic, and social issues in rural communities and to learn about asset-based approaches to addressing the associated challenges, the National Academies of Sciences, Engineering, and Medicine held a workshop on June 13, 2017. This publication summarizes the presentations and discussions from the workshop.

The Rural Health Care Challenge

The Rural Health Care Challenge
Author: Larry T. Patton
Publisher:
Total Pages: 218
Release: 1988
Genre: Hospitals, Rural
ISBN:
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Rural Public Health

Rural Public Health
Author: K. Bryant Smalley, PhD, PsyD
Publisher: Springer Publishing Company
Total Pages: 294
Release: 2014-01-14
Genre: Medical
ISBN: 0826108954
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"[A] welcome addition to the rural health care practitioner's tool kit. It will energize those interested in vulnerable rural residents and their unique characteristics through a public health perspective... Highly recommended."--CHOICE: Current Reviews for Academic Libraries "This call to action for healthcare providers is a comprehensive review of issues in rural healthcare, including both obstacles and ways to begin to overcome them. It is easy to read... This enjoyable book encourages healthcare providers working or considering working in rural healthcare with clear direction."--Doody's Medical Reviews "The Warren & Smalley book is an excellent look at the challenges while also presenting solutions and hope. It recognizes the medical challenges that are present and the cost of bring medical care to these communities... There is so much in this book that will be refreshing and encouraging. The book needs to be read. It is also a book that needs to be placed in the hands of the movers and shakers, as well other interested parties who are in a position to 'make this happen.'" -- Illness, Crisis & Loss Rural residents face distinct health challenges due to economic conditions, cultural/behavioral factors, and health provider shortages that combine to impose striking disparities in health outcomes among rural populations. This comprehensive text about the issues of rural public health is the only book to focus on rural health from the perspectives of public health and prevention. It covers specific diseases and disorders faced by rural populations, service delivery challenges, practitioner shortfalls in rural areas, and promising community health approaches and preventive measures. The text also addresses rural health care ethics and international perspectives. Nearly all chapters offer best practice recommendations and evidence-based prevention programs. This book is a cohesive, centralized resource for researchers, public health practitioners, health organizations, and graduate education programs that focus on the public health of rural populations. Key Features: Comprises the only text to address rural health from the perspectives of public health and prevention Includes best practice recommendations and evidence-based prevention programs in each chapter Presents a cohesive, expansive synthesis of current research and practice Addresses specific diseases and disorders of rural populations, service delivery problems, and practitioner shortfalls in rural areas Discusses promising community health approaches and preventative measures

Quality Through Collaboration

Quality Through Collaboration
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 289
Release: 2005-04-24
Genre: Medical
ISBN: 0309094399
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Building on the innovative Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Quality Through Collaboration: The Future of Rural Health offers a strategy to address the quality challenges in rural communities. Rural America is a vital, diverse component of the American community, representing nearly 20% of the population of the United States. Rural communities are heterogeneous and differ in population density, remoteness from urban areas, and the cultural norms of the regions of which they are a part. As a result, rural communities range in their demographics and environmental, economic, and social characteristics. These differences influence the magnitude and types of health problems these communities face. Quality Through Collaboration: The Future of Rural Health assesses the quality of health care in rural areas and provides a framework for core set of services and essential infrastructure to deliver those services to rural communities. The book recommends: Adopting an integrated approach to addressing both personal and population health needs Establishing a stronger health care quality improvement support structure to assist rural health systems and professionals Enhancing the human resource capacity of health care professionals in rural communities and expanding the preparedness of rural residents to actively engage in improving their health and health care Assuring that rural health care systems are financially stable Investing in an information and communications technology infrastructure It is critical that existing and new resources be deployed strategically, recognizing the need to improve both the quality of individual-level care and the health of rural communities and populations.

Handbook of Research on Leadership and Advocacy for Children and Families in Rural Poverty

Handbook of Research on Leadership and Advocacy for Children and Families in Rural Poverty
Author: Greene, H. Carol
Publisher: IGI Global
Total Pages: 525
Release: 2020-03-27
Genre: Social Science
ISBN: 1799827895
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Rural poverty encompasses a distinctive deprivation in quality of life related to a lack of educational support and resources as well as unique issues related to geographical, cultural, community, and social isolation. While there have been many studies and accommodations made for the impoverished in urban environments, those impoverished in rural settings have been largely overlooked and passed over by current policy. The Handbook of Research on Leadership and Advocacy for Children and Families in Rural Poverty is an essential scholarly publication that creates awareness and promotes action for the advocacy of children and families in rural poverty and recommends interdisciplinary approaches to support the cognitive, social, and emotional needs of children and families in poverty. Featuring a wide range of topics such as mental health, foster care, and public policy, this book is ideal for academicians, counselors, social workers, mental health professionals, early childhood specialists, school psychologists, administrators, policymakers, researchers, and students.

Healthcare Leadership and Rural Communities: Challenges, Strategies, and Solutions

Healthcare Leadership and Rural Communities: Challenges, Strategies, and Solutions
Author: Bill Auxier
Publisher: Ache Management Series
Total Pages: 0
Release: 2023-04
Genre: Business & Economics
ISBN: 9781640553750
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Leaders of rural healthcare organizations confront unique challenges. Payment systems, power dynamics, labor availability, and accessible resources differ considerably between rural and urban areas. Healthcare Leadership and Rural Communities outlines what it takes to manage care in a rural community and provides advice on overcoming the common challenges that healthcare executives confront. The authors provide candid insights gained from their experience as rural healthcare managers and their work with leaders in the field. Covered topics include the following: Measuring and managing rural care quality Developing strong relationships with physicians Financing and funding rural healthcare Meeting demand for mental and behavioral health services Case studies provide an excellent starting point for discussions with healthcare teams, boards, providers, and local leaders on how to solve real-life difficulties and enhance cooperation. All healthcare organizations are linked to their communities, but rural providers have particularly strong ties. This book emphasizes the need for collaboration to safeguard the futures of organizations and their communities.

Advancing Oral Health in America

Advancing Oral Health in America
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 211
Release: 2012-01-05
Genre: Medical
ISBN: 0309186307
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Though it is highly preventable, tooth decay is a common chronic disease both in the United States and worldwide. Evidence shows that decay and other oral diseases may be associated with adverse pregnancy outcomes, respiratory disease, cardiovascular disease, and diabetes. However, individuals and many health care professionals remain unaware of the risk factors and preventive approaches for many oral diseases. They do not fully appreciate how oral health affects overall health and well-being. In Advancing Oral Health in America, the Institute of Medicine (IOM) highlights the vital role that the Department of Health and Human Services (HHS) can play in improving oral health and oral health care in the United States. The IOM recommends that HHS design an oral health initiative which has clearly articulated goals, is coordinated effectively, adequately funded and has high-level accountability. In addition, the IOM stresses three key areas needed for successfully maintaining oral health as a priority issue: strong leadership, sustained interest, and the involvement of multiple stakeholders from both the public and private sectors. Advancing Oral Health in America provides practical recommendations that the Department of Health and Human Services can use to improve oral health care in America. The report will serve as a vital resource for federal health agencies, health care professionals, policy makers, researchers, and public and private health organizations.