Published on in Vol 23, No 8 (2021): August

Preprints (earlier versions) of this paper are available at, first published .
Telehealth Interventions and Outcomes Across Rural Communities in the United States: Narrative Review

Telehealth Interventions and Outcomes Across Rural Communities in the United States: Narrative Review

Telehealth Interventions and Outcomes Across Rural Communities in the United States: Narrative Review

Authors of this article:

Michael Butzner1 Author Orcid Image ;   Yendelela Cuffee1, 2 Author Orcid Image


  1. Aliberti G, Bhatia R, Desrochers L, Gilliam E, Schonberg M. Perspectives of primary care clinicians in Massachusetts on use of telemedicine with adults aged 65 and older during the COVID-19 pandemic. Preventive Medicine Reports 2022;26:101729 View
  2. James W, Brindley C, Purser C, Topping M. Conceptualizing rurality: The impact of definitions on the rural mortality penalty. Frontiers in Public Health 2022;10 View
  3. Alsadhan I, Alyusuf E, Shaltoot O, AlRuwashid S, Alhamad M, Ekhzaimy A, Fouda M, Sulimani R. Adoption of telemedicine care for osteoporotic patients during the COVID-19 pandemic: experience from a tertiary care center in Saudi Arabia. Archives of Osteoporosis 2022;18(1) View
  4. Graves J, Abshire D, Alejandro A. System- and Individual-Level Barriers to Accessing Medical Care Services Across the Rural-Urban Spectrum, Washington State. Health Services Insights 2022;15:117863292211046 View
  5. Rossano A, Crijns T, Ring D, Reichenberg J. Clinician Preferences for Current and Planned Future Use of Telemedicine. Telemedicine and e-Health 2022;28(9):1293 View
  6. Greenwood H, Krzyzaniak N, Peiris R, Clark J, Scott A, Cardona M, Griffith R, Glasziou P. Telehealth Versus Face-to-face Psychotherapy for Less Common Mental Health Conditions: Systematic Review and Meta-analysis of Randomized Controlled Trials. JMIR Mental Health 2022;9(3):e31780 View
  7. Reilly F, Wani N, Hall S, Morgan H, Allan J, Constable L, Ntessalen M, Murchie P. User Experiences in a Digital Intervention to Support Total Skin Self-examination by Melanoma Survivors: Nested Qualitative Evaluation Embedded in a Randomized Controlled Trial. JMIR Dermatology 2023;6:e39544 View
  8. Mehta A, Awuah W, Kalmanovich J, Huang H, Tanna R, Iqbal D, Garg T, Bulut H, Abdul-Rahman T, Hasan M. Investigating discrepancies in demand and access for bariatric surgery across different demographics in the COVID-19 era. Annals of Medicine and Surgery 2022;82:104368 View
  9. Heitkamp T, Fox L. Addressing Disparities for Persons With Substance Use Disorders in Rural Communities. Journal of Addictions Nursing 2022;33(3):191 View
  10. Yu J, Bekerian D. Telemental Health and Diverse Populations amid COVID-19. Encyclopedia 2023;3(1):267 View
  11. Ludrosky J, Newhouse A, Hudnall E, Sheree A, Perle J. When a Straight Line Is Not the Most Direct Method: an Evaluation of Straight Line Versus True Distance Metrics for Patients in Rural Settings. The Journal of Behavioral Health Services & Research 2023;50(2):214 View
  12. Goetz C, Mushquash C, Maranzan K. An Integrative Review of Barriers and Facilitators Associated With Mental Health Help Seeking Among Indigenous Populations. Psychiatric Services 2023;74(3):272 View
  13. Balakrishnan B, Hamrick L, Alam A, Thompson J. Effects of COVID-19 Acute Respiratory Distress Syndrome Intensive Care Unit Survivor Telemedicine Clinic on Patient Readmission, Pain Perception, and Self-Assessed Health Scores: Randomized, Prospective, Single-Center, Exploratory Study. JMIR Formative Research 2023;7:e43759 View
  14. Sotzen J, Stratman E. Geographic variability in rural patient internet connectivity when accessing telehealth services from home: A retrospective analysis during the COVID‐19 pandemic. The Journal of Rural Health 2023;39(1):55 View
  15. Beauchamp A, Lehmann C, Medford R, Hughes A. The Association of a Geographically Wide Social Media Network on Depression: County-Level Ecological Analysis. Journal of Medical Internet Research 2023;25:e43623 View
  16. Delgado-Peñaloz S, Ortiz-Piedrahita V. Bases para la estructuración de un modelo en salud rural en Arauca. Revista de Salud Pública 2022;24(3):1 View
  17. Muehlensiepen F, Petit P, Knitza J, Welcker M, Vuillerme N. Factors Associated With Telemedicine Use Among Patients With Rheumatic and Musculoskeletal Disease: Secondary Analysis of Data From a German Nationwide Survey. Journal of Medical Internet Research 2023;25:e40912 View
  18. Basile V, Dhillon H, Spoelma M, Butow P, May J, Depczynski J, Pendlebury S. Medical treatment decision-making in rural cancer patients: A qualitative systematic review and meta-synthesis. Patient Education and Counseling 2022;105(8):2693 View
  19. Roberts T, Lennes I. Lessons for Oncology From the COVID-19 Pandemic. The Cancer Journal 2022;28(2):125 View
  20. Sheepway L, Jessup B, Podubinski T, Heaney S, Bailie J, Hoang H, Bourke L. A qualitative exploration of health student perspectives of rural and remote placements during the early stages of the COVID‐19 pandemic. Australian Journal of Rural Health 2023;31(2):294 View
  21. Karkon S, O’Shea F, Doran M, McCormack H, Connolly D. Testing the feasibility and acceptability of an online ‘Fatigue and Activity Management Education for Work (FAME‐W) programme’ for individuals with inflammatory arthritis. Musculoskeletal Care 2023;21(3):815 View
  22. Romani P, Young K, Boorse A, Carson B. Evaluation of a Telehealth Training Program to Teach Educators to Implement Behavioral Assessment and Treatment. Education and Treatment of Children 2023;46(1):5 View
  23. Moussa F, Moussa M, Alharbi H, Omer T, Sofiany H, Oqdi Y, Alblowi B, Alblowi S. Telehealth Readiness of Healthcare Providers during COVID-19 Pandemic in Saudi Arabia. Healthcare 2023;11(6):842 View
  24. Kosowicz L, Tran K, Khanh T, Dang T, Pham V, Ta Thi Kim H, Thi Bach Duong H, Nguyen T, Phuong A, Le T, Ta V, Wickramasinghe N, Schofield P, Zelcer J, Pham Le T, Nguyen T. Lessons for Vietnam on the Use of Digital Technologies to Support Patient-Centered Care in Low- and Middle-Income Countries in the Asia-Pacific Region: Scoping Review. Journal of Medical Internet Research 2023;25:e43224 View
  25. Ko J, El‐Toukhy S, Quintero S, Wilkerson M, Nápoles A, Stewart A, Strassle P. Disparities in telehealth access, not willingness to use services, likely explain rural telehealth disparities. The Journal of Rural Health 2023;39(3):617 View
  26. Qaseem A, MacLean C, Tierney S, Cross J, MacDonald S, Goldzweig C, Fitterman N, Andrews R, Basch P, Johnson A, Mathew S, McLean R, Mount C, Powell R, Saini S, Viswanathan L, Campos K, Qaseem A. Performance Measures for Physicians Providing Clinical Care Using Telemedicine: A Position Paper From the American College of Physicians. Annals of Internal Medicine 2023;176(5):694 View
  27. Zhou R, Gu Y, Zhang B, Kong T, Zhang W, Li J, Shi J. Digital Therapeutics: Emerging New Therapy for Nonalcoholic Fatty Liver Disease. Clinical and Translational Gastroenterology 2023;14(4):e00575 View
  28. Aufa B, Nurfikri A, Mardiati W, Sancoko S, Yuliyanto H, Nurmansyah M, Arumsari I, Koire I. Feasibility, acceptance and factors related to the implementation of telemedicine in rural areas: A scoping review protocol. DIGITAL HEALTH 2023;9:205520762311712 View
  29. Giovannoni G, Alvarez E, Tutton E, Hoffmann O, Xu Y, Vermersch P, Oreja-Guevara C, Trojano M, Gold R, Robles-Cedeño R, Khwaja M, Stadler B, Vandercappellen J, Ziemssen T. Development and usability testing of your MS questionnaire: A patient-based digital tool to monitor symptoms of multiple sclerosis. DIGITAL HEALTH 2023;9:205520762311735 View
  30. Cronin E, McCallion M, Monaghan K. “The best of a bad situation?” A mixed methods survey exploring patients’ perspectives on physiotherapy-led online group exercise programmes. Irish Journal of Medical Science (1971 -) 2023;192(6):2595 View
  31. Guzman N, Guzman D, Blanc T. Advancements in portable instruments based on affinity-capture-migration and affinity-capture-separation for use in clinical testing and life science applications. Journal of Chromatography A 2023;1704:464109 View
  32. Huang H, Leung K, Garg T, Mazzoleni A, Miteu G, Zakariya F, Awuah W, Yin E, Haroon F, Hussain Z, Aji N, Jaiswal V, Tse G. Barriers and shortcomings in access to cardiovascular management and prevention for familial hypercholesterolemia during the COVID‐19 pandemic. Clinical Cardiology 2023;46(8):831 View
  33. Hawe N, Seaton C, Corman K, Burton L, Rush K. ‘There’s a lot less time on small talk’: Rural patient perspectives on shifting to technology-enabled healthcare in Canada during COVID-19. SSM - Health Systems 2023;1:100002 View
  34. Mohamed A, Elsherif S, Legere B, Fatima N, Shuaib A, Saqqur M. Is telestroke more effective than conventional treatment for acute ischemic stroke? A systematic review and meta-analysis of patient outcomes and thrombolysis rates. International Journal of Stroke 2023 View
  35. Capuano P, Hileman B, Tigano S, Magro B, Lo Re V, Liotta R, Sciveres M, Ranucci G, Provenzani A, Burgio G, Scardulla C, Arcadipane A, Martucci G. Telemedicine in Patients Affected by Chronic Liver Disease: A Scoping Review of Clinical Outcomes and the Devices Evaluated. Journal of Clinical Medicine 2023;12(15):5128 View
  36. Zamani Z, Joy T, Gobel D. “We Have Outgrown Our Space; Our Facility Is Old and Falling Apart”: Physical Design Implications to Address the Needs and Priorities of a Critical Access Hospital (CAH). HERD: Health Environments Research & Design Journal 2024;17(1):306 View
  37. Wiese L, Pratt B, Heinze K, Besser L, Ifill A, Williams C. Community-Based Strategies to Reduce Alzheimer’s Disease and Related Dementia Incidence Among Rural, Racially/Ethnically Diverse Older Adults. Current Geriatrics Reports 2023;12(4):205 View
  38. Penwell T, Smith M, Ortiz S, Brooks G, Thompson‐Brenner H. Traditional versus virtual partial hospital programme for eating disorders: Feasibility and preliminary comparison of effects. European Eating Disorders Review 2024;32(2):163 View
  39. Hirschfeld C, Dorbala S, Shaw L, Villines T, Choi A, Better N, Cerci R, Karthikeyan G, Vitola J, Williams M, Al-Mallah M, Berman D, Bernheim A, Biederman R, Bravo P, Budoff M, Bullock-Palmer R, Chen M, DiLorenzo M, Doukky R, Ferencik M, Geske J, Hage F, Hendel R, Koweek L, Murthy V, Narula J, Rodriguez Lozano P, Shah N, Shah A, Soman P, Thompson R, Wolinsky D, Cohen Y, Malkovskiy E, Randazzo M, Lopez-Mattei J, Parwani P, Shetty M, Pascual T, Pynda Y, Dondi M, Paez D, Einstein A, Cerci R, Vitola J, Hinterleitner G, Lu Y, Morozova O, Xu Z, Hirschfeld C, Cohen Y, Randazzo M, Choi A. Cardiovascular Testing in the United States during the COVID-19 Pandemic: Volume Recovery and Worldwide Comparison. Radiology: Cardiothoracic Imaging 2023;5(5) View
  40. Vainieri M, Vandelli A, Benvenuti S, Bertarelli G. Tracking the digital health gap in elderly: A study in Italian remote areas. Health Policy 2023;133:104842 View
  41. Dirjayanto V, Lazarus G, Geraldine P, Dyson N, Triastari S, Anjani J, Wisnu N, Sugiharta A. Efficacy of telemedicine-based antimicrobial stewardship program to combat antimicrobial resistance: A systematic review and meta-analysis. Journal of Telemedicine and Telecare 2023 View
  42. Nwachuya C, Umeh A, Ogwurumba J, Chinedu-Eze I, Azubuike C, Isah A. Effectiveness of Telepharmacy in Rural Communities in Africa: A Scoping Review. Journal of Pharmacy Technology 2023;39(5):241 View
  43. Lee J, Bhatt A, Jackson S, Pollack L, Omeaku N, Lowe Beasley K, Wilson C, Luo F, Roy K. Rural and Urban Differences in Hypertension Management Through Telehealth Before and During the COVID-19 Pandemic Among Commercially Insured Patients. American Journal of Hypertension 2024;37(2):107 View
  44. Bailey S, Wyte-Lake T, Lucas J, Williams S, Cantone R, Garvey B, Hallock-Koppelman L, Angier H, Cohen D. Use of Telehealth for Opioid Use Disorder Treatment in Safety Net Primary Care Settings: A Mixed-Methods Study. Substance Use & Misuse 2023;58(9):1143 View
  45. Kouanda A, Faggen A, Bayudan A, Kamal F, Avila P, Arain M, Dai S, Munroe C. Impact of Telemedicine on No-Show Rates in an Ambulatory Gastroenterology Practice. Telemedicine and e-Health 2024;30(4):1026 View
  46. Cheng C, Yatsuda H, Goto M, Kondoh J, Liu S, Wang R. Application of Shear Horizontal Surface Acoustic Wave (SH-SAW) Immunosensor in Point-of-Care Diagnosis. Biosensors 2023;13(6):605 View
  47. Iamtrakul P, Chayphong S, Haider M, Crizzle A. Older adult access to health care services in Ban Phaeo, Thailand: A case study using geospatial analysis. Transportation Research Interdisciplinary Perspectives 2023;22:100946 View
  48. Abu Farha R, Gharaibeh L, Alzoubi K, Alhamad H. Exploring Community Pharmacists' Perception and Readiness Toward Telepharmacy Implementation in Jordan: A Cross-Sectional Study. Telemedicine and e-Health 2024;30(3):816 View
  49. Zhao X, Stadnick N, Ceballos-Corro E, Castro Jr J, Mallard-Swanson K, Palomares K, Eikey E, Schneider M, Zheng K, Mukamel D, Schueller S, Sorkin D. Facilitators of and Barriers to Integrating Digital Mental Health Into County Mental Health Services: Qualitative Interview Analyses. JMIR Formative Research 2023;7:e45718 View
  50. Neufeld J, Ullrich F, Merchant K, Bhagianadh D, Carter K, Marcin J, Nelson E, McCord C, Law K, Ward M. Change in Drug Use Disorders Identification Test – Consumption (DUDIT-C) with Telehealth Treatment Compared to in-Person Treatment. Substance Use & Misuse 2023;58(9):1168 View
  51. Park S, Ward T, Sudimack A, Cox S, Ballreich J. Cost-effectiveness analysis of a digital Diabetes Prevention Program (dDPP) in prediabetic patients. Journal of Telemedicine and Telecare 2023:1357633X2311742 View
  52. Hadley E, Marcial L, Quattrone W, Bobashev G. Text Analysis of Trends in Health Equity and Disparities From the Internal Revenue Service Tax Documentation Submitted by US Nonprofit Hospitals Between 2010 and 2019: Exploratory Study. Journal of Medical Internet Research 2023;25:e44330 View
  53. Nissinen S, Pesonen S, Toivio P, Sormunen E. Occupational health professionals’ experiences with telehealth services: usage, perceived usefulness and ease of use. Health and Technology 2023;13(5):811 View
  54. Zhang E, Engel I, Giovanetti A, Punt S, Aniel A, Bellinger S, Nelson E. Site coordinators’ perspectives on implementing a school‐based telebehavioral health program. Psychology in the Schools 2024;61(3):1054 View
  55. Ward M, Ullrich F, Bhagianadh D, Nelson E, Marcin J, Carter K, Law K, McCord C, Neufeld J, Merchant K. Telehealth and In-Person Behavioral Health Services in Rural Communities Before and During the COVID-19 Pandemic: Multisite Prospective Cohort Study. JMIR Mental Health 2023;10:e47047 View
  56. Sheinfil A, Day G, Walder A, Hogan J, Giordano T, Lindsay J, Ecker A. Rural Veterans with HIV and Alcohol Use Disorder receive less video telehealth than urban Veterans. The Journal of Rural Health 2023 View
  57. Wang H, Liu J. The connotation and path of sports promoting "proactive health" strategy. Aging Research 2023:9340011 View
  58. Miranda-Hoover A, He P, Chau T, Cimba M, Francois K, Day S, Shanti R, Foote J, Wilder-Smith P, Messadi D, Le A. Telehealth Utilization in Oral Medicine and Oral and Maxillofacial Surgery. Telemedicine and e-Health 2024;30(3):780 View
  59. Ganguly R, Umapathy D, Misra N. Teledentistry – An oral radiology perspective. IP International Journal of Maxillofacial Imaging 2023;9(2):58 View
  60. Terrell E, Rafols J. Telehealth Adoption Among Rehabilitation Specialists. Topics in Geriatric Rehabilitation 2023;39(4):280 View
  61. Kee D, Verma H, Tepper D, Hasegawa D, Burger A, Weissman M. Patient Satisfaction With Telemedicine Among Vulnerable Populations in an Urban Ambulatory Setting. Mayo Clinic Proceedings: Digital Health 2024;2(1):8 View
  62. O’Brien J, Trumbell J, O’Brien A, Fischer C. Pivots and Partnerships: Successes, Challenges, and Lessons Learned From Conducting Research During a Global Pandemic. Violence Against Women 2023 View
  63. Rodriguez H, Ciemins E, Rubio K, Rattelman C, Cuddeback J, Mohl J, Bibi S, Shortell S. Telemedicine use and decrements to type 2 diabetes and hypertension care during the COVID-19 pandemic. BMC Digital Health 2024;2(1) View
  64. Rowe Ferrara M, Chapman S. Rural Patients' Experiences with Synchronous Video Telehealth in the United States: A Scoping Review. Telemedicine and e-Health 2024;30(5):1357 View
  65. Lee J, Bhatt A, Pollack L, Jackson S, Chang J, Tong X, Luo F. Telehealth use during the early COVID-19 public health emergency and subsequent health care costs and utilization. Health Affairs Scholar 2024;2(1) View
  66. Bogulski C, Pro G, Acharya M, Ali M, Brown C, Hayes C, Eswaran H. The association between rurality, dual Medicare/Medicaid eligibility and chronic conditions with telehealth utilization: An analysis of 2019–2020 national Medicare claims. Journal of Telemedicine and Telecare 2024 View
  67. Aijaz M, Lewis V, Murray G. Advancing equity in challenging times: A qualitative study of telehealth expansion and changing patient–provider relationships in primary care settings during the COVID-19 pandemic. DIGITAL HEALTH 2024;10 View
  68. Barrett S, Howlett O, Lal N, McKinstry C. Telehealth-Delivered Allied Health Interventions: A Rapid Umbrella Review of Systematic Reviews. Telemedicine and e-Health 2024 View
  69. Vudathaneni V, Lanke R, Mudaliyar M, Movva K, Mounika Kalluri L, Boyapati R. The Impact of Telemedicine and Remote Patient Monitoring on Healthcare Delivery: A Comprehensive Evaluation. Cureus 2024 View
  70. Perlman A, Pickman Y, Dreyfuss M, Manes I, Bak P, Souroujon D, Paz E, Ebbert J, Zeltzer D. Digitally enabled asynchronous remote medical management of anxiety and depression: A cohort study. Journal of Telemedicine and Telecare 2024 View
  71. Cohen-Mekelburg S, Valicevic A, Lin L, Saini S, Kim H, Adams M. Inflammatory Bowel Disease Hospitalizations Are Similar for Patients Receiving Televisit-Delivered Outpatient Care and Those Receiving Traditional In-Person Care. American Journal of Gastroenterology 2024 View
  72. Maclaren A, Locock L, Skea Z, Skåtun D, Wilson P. Rurality, healthcare and crises: Investigating experiences, differences, and changes to medical care for people living in rural areas. Health & Place 2024;87:103217 View
  73. Weeks W, Spelhaug J, Weinstein J, Ferres J. Bridging the rural‐urban divide: An implementation plan for leveraging technology and artificial intelligence to improve health and economic outcomes in rural America. The Journal of Rural Health 2024 View
  74. Varela J, Sperling S, Block C, O’Leary K, Hart E, Kiselica A. A survey of neuropsychological assessment feedback practices among neuropsychologists. The Clinical Neuropsychologist 2024;38(3):529 View
  75. Nissinen S, Pesonen S, Toivio P, Sormunen E. Exploring the use, usefulness and ease of use of digital occupational health services: A descriptive correlational study of customer experiences. DIGITAL HEALTH 2024;10 View
  76. Booth N, McConnell T, Tully M, Hamill R, Best P. Exploring behaviour-intention gaps to explain low retention in a community-based video-conferencing intervention for depression: lessons for researchers using technology as interventions. Mental Health and Digital Technologies 2024;1(1):5 View
  77. Savira F, Sanigorski A, Namara K, Hensher M, Peeters A, Manias E. Perspectives on telehealth implementation in Australia: An exploratory qualitative study with practice managers and general practitioners. International Journal of Medical Informatics 2024;188:105473 View
  78. Crisanti A, Page K, Saavedra J, Kincaid T, Caswell C, Waldorf V. A combined intervention strategy to increase linkage to and retention in substance use treatment for individuals accessing hospital-based services: study protocol. Frontiers in Psychiatry 2024;15 View
  79. DesRuisseaux L, Gereau Mora M, Suchy Y. Computerized assessment of executive functioning: Validation of the CNS Vital Signs executive functioning scores in a sample of community-dwelling older adults. The Clinical Neuropsychologist 2024:1 View
  80. Uddin J. Expanding Telehealth Services in Rural America. SSRN Electronic Journal 2024 View
  81. Poljo A, Tynes D, Timper K, Süsstrunk J, Kraljević M, Peterli R, Billeter A, Müller-Stich B, Klasen J. Breaking down barriers to bariatric care: a qualitative study on how telemedicine could transform patient experiences in a Swiss monocentric setting. BMJ Open 2024;14(5):e083142 View
  82. Phillips G, Millhollon R, Elenwo C, Ford A, Bray N, Hartwell M. Associations of clinical personnel characteristics and telemedicine practices. Journal of Osteopathic Medicine 2024;0(0) View
  83. Yip O, Du E, Morello C, Bounthavong M. Comparison between in-person, telehealth, and combination visits among veterans treated in a pharmacist-led diabetes management clinic. Journal of the American Pharmacists Association 2024;64(4):102121 View

Books/Policy Documents

  1. Dryden E, Pimentel C, Hartz S, Hung W, Kelley L, Dang S, Flores B, Barczi S, Bowman E, Previll L. Geriatrics Models of Care. View