Rural Health
Resources by State: Pennsylvania
Medical School Impact on the Primary Care Physician Shortage in Pennsylvania: Staff Study
Describes training required to become a physician in Pennsylvania and examines issues contributing to primary care physician shortages, including student debt burden, burnout, and low investment in primary care. Features information on primary care initiatives from Pennsylvania's medical schools, including health workforce pipeline programs, and statistics including average number of graduates matching into primary care specialties from each institution, estimates of how many graduates intend to specialize in primary care, and how many are retained by the state. Mentions rural throughout.
Author(s): Bryan W. DeWalt, Stephen J. Kramer, Wendy L. Baker
Date: 12/2021
Type: Document
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Describes training required to become a physician in Pennsylvania and examines issues contributing to primary care physician shortages, including student debt burden, burnout, and low investment in primary care. Features information on primary care initiatives from Pennsylvania's medical schools, including health workforce pipeline programs, and statistics including average number of graduates matching into primary care specialties from each institution, estimates of how many graduates intend to specialize in primary care, and how many are retained by the state. Mentions rural throughout.
Author(s): Bryan W. DeWalt, Stephen J. Kramer, Wendy L. Baker
Date: 12/2021
Type: Document
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Recruitment and Retention Issues for Counselors in Rural Pennsylvania Substance Use Disorder Treatment Programs
Results of a study of Pennsylvania substance use disorder (SUD) counselors and directors of treatment programs and clinics, to assess the characteristics of treatment counselors in rural Pennsylvania counties and how those characteristics relate to recruitment and retention issues. Also examines how well higher education institutions in rural counties prepare those entering the profession, and analyzes the effectiveness of state-level incentives, like the student loan repayment program, to attract potential SUD counselors. Features statistics on counselors' characteristics and duties, and client characteristics.
Additional links: Executive Summary
Author(s): Jennifer Murphy
Date: 10/2021
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Results of a study of Pennsylvania substance use disorder (SUD) counselors and directors of treatment programs and clinics, to assess the characteristics of treatment counselors in rural Pennsylvania counties and how those characteristics relate to recruitment and retention issues. Also examines how well higher education institutions in rural counties prepare those entering the profession, and analyzes the effectiveness of state-level incentives, like the student loan repayment program, to attract potential SUD counselors. Features statistics on counselors' characteristics and duties, and client characteristics.
Additional links: Executive Summary
Author(s): Jennifer Murphy
Date: 10/2021
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Transforming State Behavioral Health Systems: Findings from States on the Impact of CCBHC Implementation
Reports information from surveys and interviews with state Certified Community Behavioral Health Clinic (CCBHC) program directors from the 8 original demonstration states, including Minnesota, Missouri, Nevada, New Jersey, New York, Oklahoma, Oregon, and Pennsylvania. Shares how the CCBHC program helped states address mental health and substance use issues in their communities by lowering costs, improving outcomes, building healthcare system capacity for mental health and substance use, and increasing the infrastructure to meet the rising need of care. Includes specific examples of how the CCBHC program improved access to urgent recovery centers, crisis centers, and telehealth services in rural communities.
Author(s): Rachael Matulis, Dorn Schuffman, Rebecca Farley David, Samantha Holcombe
Date: 10/2021
Type: Document
Sponsoring organization: National Council for Mental Wellbeing
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Reports information from surveys and interviews with state Certified Community Behavioral Health Clinic (CCBHC) program directors from the 8 original demonstration states, including Minnesota, Missouri, Nevada, New Jersey, New York, Oklahoma, Oregon, and Pennsylvania. Shares how the CCBHC program helped states address mental health and substance use issues in their communities by lowering costs, improving outcomes, building healthcare system capacity for mental health and substance use, and increasing the infrastructure to meet the rising need of care. Includes specific examples of how the CCBHC program improved access to urgent recovery centers, crisis centers, and telehealth services in rural communities.
Author(s): Rachael Matulis, Dorn Schuffman, Rebecca Farley David, Samantha Holcombe
Date: 10/2021
Type: Document
Sponsoring organization: National Council for Mental Wellbeing
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Creating New Rural Residency Programs: Three Grantees Share Their Stories
Highlights three rural residency programs in Pennsylvania, Mississippi, and California. Discusses program accomplishments made possible through funding from the Federal Office of Rural Health Policy's Rural Residency Planning and Development Program.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 09/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Highlights three rural residency programs in Pennsylvania, Mississippi, and California. Discusses program accomplishments made possible through funding from the Federal Office of Rural Health Policy's Rural Residency Planning and Development Program.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 09/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Police Chiefs Serving Small and Rural Municipalities: Profiles and Concerns
Presents a profile of police chiefs and departments in small and rural Pennsylvania municipalities and compares rural and urban departments. Analyzes concerns of rural Pennsylvania police chiefs, including domestic violence, illicit drug use, human trafficking, school safety, and mental health needs for themselves and for the citizens with whom they interact. Includes statistics with breakdowns by urban and rural areas.
Author(s): Jennifer C. Gibbs
Date: 08/2021
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Presents a profile of police chiefs and departments in small and rural Pennsylvania municipalities and compares rural and urban departments. Analyzes concerns of rural Pennsylvania police chiefs, including domestic violence, illicit drug use, human trafficking, school safety, and mental health needs for themselves and for the citizens with whom they interact. Includes statistics with breakdowns by urban and rural areas.
Author(s): Jennifer C. Gibbs
Date: 08/2021
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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The Pennsylvania Rural Health Model (PARHM): First Annual Report
Evaluates the first year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall health care spending. Provides an overview of the model and describes the implementation experience of the first cohort of participating hospitals. Presents preliminary, descriptive data on the financial performance and utilization outcomes of Cohort 1 participants.
Additional links: Appendix, Findings at a Glance
Date: 08/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the first year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall health care spending. Provides an overview of the model and describes the implementation experience of the first cohort of participating hospitals. Presents preliminary, descriptive data on the financial performance and utilization outcomes of Cohort 1 participants.
Additional links: Appendix, Findings at a Glance
Date: 08/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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The Implementation of the Sexual Assault Forensic Examination Telehealth Center: A Program Evaluation
Study that evaluates the implementation of the Pennsylvania-based Sexual Assault Forensic Examination Telehealth (SAFE-T) Center in 3 rural hospitals, based on surveys of staff and patients. Discusses results related to nurse confidence scores, perspectives of telehealth in relation to examinations, quality care, and patient outcomes.
Author(s): Sheridan Miyamoto, Elizabeth Thiede, Elizabeth N. Wright, et al.
Citation: Journal of Forensic Nursing, 17(3), E24-E33
Date: 07/2021
Type: Document
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Study that evaluates the implementation of the Pennsylvania-based Sexual Assault Forensic Examination Telehealth (SAFE-T) Center in 3 rural hospitals, based on surveys of staff and patients. Discusses results related to nurse confidence scores, perspectives of telehealth in relation to examinations, quality care, and patient outcomes.
Author(s): Sheridan Miyamoto, Elizabeth Thiede, Elizabeth N. Wright, et al.
Citation: Journal of Forensic Nursing, 17(3), E24-E33
Date: 07/2021
Type: Document
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Perceptions of Diseases of Despair by Members of Rural and Urban High-Prevalence Communities: A Qualitative Study
Reports on a study of community perceptions of despair-related illnesses based on 4 focus groups of 60 patients from 1 urban and 2 rural census blocks in central Pennsylvania where diseases of despair (DoD) are prevalent. Discusses perceived causes of DoD, such as economic instability, substance misuse, and fragmented family life; and intervention strategies at the community, local, and state level.
Author(s): Daniel R. George, Bethany Snyder, Lauren J. Van Scoy, et al.
Citation: JAMA Network Open, 4(7), e2118134
Date: 07/2021
Type: Document
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Reports on a study of community perceptions of despair-related illnesses based on 4 focus groups of 60 patients from 1 urban and 2 rural census blocks in central Pennsylvania where diseases of despair (DoD) are prevalent. Discusses perceived causes of DoD, such as economic instability, substance misuse, and fragmented family life; and intervention strategies at the community, local, and state level.
Author(s): Daniel R. George, Bethany Snyder, Lauren J. Van Scoy, et al.
Citation: JAMA Network Open, 4(7), e2118134
Date: 07/2021
Type: Document
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Suicide Trends and Prevention in Rural Pennsylvania Counties and Schools
Examines the overall trends in suicide in Pennsylvania from 1990 to 2018 and the suicide prevention programs currently used by counties and in K-12 school districts. Features statistics comparing suicide rates in United States and Pennsylvania, suicide rates in Pennsylvania and predictors of suicide with breakdowns by rural and urban counties, and county-level maps showing rates of suicide per 100,000 and change in suicide rates from 1999-2018.
Author(s): Daniel J. Mallinson, Eunsil Yoo, Brandon Cruz
Date: 06/2021
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Examines the overall trends in suicide in Pennsylvania from 1990 to 2018 and the suicide prevention programs currently used by counties and in K-12 school districts. Features statistics comparing suicide rates in United States and Pennsylvania, suicide rates in Pennsylvania and predictors of suicide with breakdowns by rural and urban counties, and county-level maps showing rates of suicide per 100,000 and change in suicide rates from 1999-2018.
Author(s): Daniel J. Mallinson, Eunsil Yoo, Brandon Cruz
Date: 06/2021
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Understanding Declining Rates of Drug Overdose Mortality in Eastern Kentucky
Identifies potential policies and strategies that might have contributed to the decline in drug overdose mortality in the 5-year periods from 2008-2012 to 2013-2017 in 8 counties in eastern Kentucky. Offers recommendations for approaches that could be implemented in other communities. Includes statistics on overdose mortality in 8 eastern Kentucky counties; a county-level map showing changes in rates of overdose mortality in Pennsylvania, Kentucky, West Virginia, Tennessee, North Carolina, and Ohio; and a graph showing rates of overdose mortality in the Appalachian counties of Kentucky, Ohio, and West Virginia from 1999-2019.
Date: 04/2021
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Kentucky Center of Excellence in Rural Health
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Identifies potential policies and strategies that might have contributed to the decline in drug overdose mortality in the 5-year periods from 2008-2012 to 2013-2017 in 8 counties in eastern Kentucky. Offers recommendations for approaches that could be implemented in other communities. Includes statistics on overdose mortality in 8 eastern Kentucky counties; a county-level map showing changes in rates of overdose mortality in Pennsylvania, Kentucky, West Virginia, Tennessee, North Carolina, and Ohio; and a graph showing rates of overdose mortality in the Appalachian counties of Kentucky, Ohio, and West Virginia from 1999-2019.
Date: 04/2021
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Kentucky Center of Excellence in Rural Health
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