Rural Health
Resources by Topic: Chronic disease management
Pennsylvania State Health Improvement Plan, 2023-2028
Multi-year strategic plan developed by the Pennsylvania Department of Health and the Healthy Pennsylvania Partnership, a multi-sector partnership of stakeholders and collaborators. Outlines steps and partnerships needed to achieve health equity, chronic disease prevention, and whole person care, and encourages policymakers, healthcare providers, nonprofits, and residents to promote and support health improvements throughout Pennsylvania.
Date: 03/2023
Sponsoring organization: Pennsylvania Department of Health
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Multi-year strategic plan developed by the Pennsylvania Department of Health and the Healthy Pennsylvania Partnership, a multi-sector partnership of stakeholders and collaborators. Outlines steps and partnerships needed to achieve health equity, chronic disease prevention, and whole person care, and encourages policymakers, healthcare providers, nonprofits, and residents to promote and support health improvements throughout Pennsylvania.
Date: 03/2023
Sponsoring organization: Pennsylvania Department of Health
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Rural Healthcare Disparities in the United States: Can Our Payer Structures Help Us Get Upstream?
Describes a care model utilizing community health workers (CHWs) to engage patients by screening for diseases, and offering education and information to help them manage their chronic conditions in an accessible, non-traditional settings such as a food bank distribution centers, county fairs, livestock auctions, and educational events in rural Idaho. Discusses the value of CHWs, along with a primary care team, in improving outcomes for populations at risk, and the absence of payment models to support this model.
Author(s): Kelly McGrath
Citation: Journal of General Internal Medicine, 38 (Suppl 1), 16-17
Date: 03/2023
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Describes a care model utilizing community health workers (CHWs) to engage patients by screening for diseases, and offering education and information to help them manage their chronic conditions in an accessible, non-traditional settings such as a food bank distribution centers, county fairs, livestock auctions, and educational events in rural Idaho. Discusses the value of CHWs, along with a primary care team, in improving outcomes for populations at risk, and the absence of payment models to support this model.
Author(s): Kelly McGrath
Citation: Journal of General Internal Medicine, 38 (Suppl 1), 16-17
Date: 03/2023
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COVID-19 Impacts on Primary Care Clinic Care Management Processes
Examines the relationship between COVID-19 primary care disruptions and worsened health outcomes for patients with chronic diseases. Analyzes 269 primary care clinics in Minnesota in 2017, 2019, and 2021 to observe changes in care management processes (CMPs). Presents rural versus urban clinic data related to CMPs reported on the Physician Practice Connections Readiness Survey (PPC-RS).
Author(s): Leif I. Solberg, Caroline S. Carlin, Kevin A. Peterson
Citation: The Annals of Family Medicine, 21(1), 40-45
Date: 01/2023
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Examines the relationship between COVID-19 primary care disruptions and worsened health outcomes for patients with chronic diseases. Analyzes 269 primary care clinics in Minnesota in 2017, 2019, and 2021 to observe changes in care management processes (CMPs). Presents rural versus urban clinic data related to CMPs reported on the Physician Practice Connections Readiness Survey (PPC-RS).
Author(s): Leif I. Solberg, Caroline S. Carlin, Kevin A. Peterson
Citation: The Annals of Family Medicine, 21(1), 40-45
Date: 01/2023
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Rural Wisconsin Chronic Disease Toolkit 2023
Toolkit describing rural-relevant best practices that have been successful in improving chronic disease outcomes and population health. Provides resources to address communication, Body Mass Index, diabetes care, blood pressure control, chronic disease management, and more.
Date: 2023
Sponsoring organization: Rural Wisconsin Health Cooperative
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Toolkit describing rural-relevant best practices that have been successful in improving chronic disease outcomes and population health. Provides resources to address communication, Body Mass Index, diabetes care, blood pressure control, chronic disease management, and more.
Date: 2023
Sponsoring organization: Rural Wisconsin Health Cooperative
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Engaging At-Risk Rural Residents in Secondary Lung Cancer Prevention
Presents the results of a qualitative study analyzing interview transcripts of rural residents in Maine at risk for lung cancer based on smoking history and age to identify key themes that influence their understanding and attitudes regarding lung cancer risk, low-dose computed tomography (LDCT) screening tests, and the role of patient-provider relationships.
Author(s): Erika Ziller, Jean A Talbot, Martha Elbaum, et al.
Citation: Journal of Primary Care & Community Health, 14
Date: 2023
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Presents the results of a qualitative study analyzing interview transcripts of rural residents in Maine at risk for lung cancer based on smoking history and age to identify key themes that influence their understanding and attitudes regarding lung cancer risk, low-dose computed tomography (LDCT) screening tests, and the role of patient-provider relationships.
Author(s): Erika Ziller, Jean A Talbot, Martha Elbaum, et al.
Citation: Journal of Primary Care & Community Health, 14
Date: 2023
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The Association Between Primary Care Use and Potentially-Preventable Hospitalization Among Dual Eligibles Age 65 and Over
Examines the relationship between primary care and ambulatory care sensitive condition (ACSC) hospitalization among people age 65 and older who are dually-enrolled in Medicare and Medicaid. Features statistics with breakdowns by urban or rural location.
Author(s): N. Loren Oh, Andrew J. Potter, Lindsay M. Sabik, et al.
Citation: BMC Health Services Research, 22(927)
Date: 07/2022
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Examines the relationship between primary care and ambulatory care sensitive condition (ACSC) hospitalization among people age 65 and older who are dually-enrolled in Medicare and Medicaid. Features statistics with breakdowns by urban or rural location.
Author(s): N. Loren Oh, Andrew J. Potter, Lindsay M. Sabik, et al.
Citation: BMC Health Services Research, 22(927)
Date: 07/2022
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Long-term Effects of Remote Patient Monitoring in Patients Living with Diabetes: A Retrospective Look at Participants of the Mississippi Diabetes Telehealth Network Study
Results of a study evaluating the long-term effectiveness of a remote patient monitoring (RPM) program after the intervention was withdrawn. Designed to test the ability of a telehealth program to serve diabetes patients in rural Mississippi, from 2014-2016.
Author(s): Tearsanee Carlisle Davis, Ashley S. Allen, Yunxi Zhang
Citation: Telemedicine Reports, 3(1), 130-136
Date: 06/2022
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Results of a study evaluating the long-term effectiveness of a remote patient monitoring (RPM) program after the intervention was withdrawn. Designed to test the ability of a telehealth program to serve diabetes patients in rural Mississippi, from 2014-2016.
Author(s): Tearsanee Carlisle Davis, Ashley S. Allen, Yunxi Zhang
Citation: Telemedicine Reports, 3(1), 130-136
Date: 06/2022
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BuchananCares Program: A Team-based Care Pilot Led by a Rural Community Hospital and Local Pharmacist
Describes BuchananCares, a collaboration among health professionals from the Appalachian College of Pharmacy, Buchanan General Hospital in rural Virginia, and the Virginia Department of Health. Designed to reduce patient readmissions and improve medication use for patients with COPD, diabetes, heart failure, and pneumonia.
Date: 06/2022
Sponsoring organization: Community Preventive Services Task Force
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Describes BuchananCares, a collaboration among health professionals from the Appalachian College of Pharmacy, Buchanan General Hospital in rural Virginia, and the Virginia Department of Health. Designed to reduce patient readmissions and improve medication use for patients with COPD, diabetes, heart failure, and pneumonia.
Date: 06/2022
Sponsoring organization: Community Preventive Services Task Force
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Staving Off One's Mortality: Rural Kidney Health and Its Disparities
Describes rural disparities around access to disease-stabilizing treatment for kidney disease and to renal replacement therapies. Features insights from providers serving rural patients, as well as a rural kidney transplant recipient sharing her experience.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2022
Sponsoring organization: Rural Health Information Hub
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Describes rural disparities around access to disease-stabilizing treatment for kidney disease and to renal replacement therapies. Features insights from providers serving rural patients, as well as a rural kidney transplant recipient sharing her experience.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2022
Sponsoring organization: Rural Health Information Hub
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Diabetes Prevalence and Monitoring by Urbanization
Poster presentation from the National Rural Health Association 2022 annual conference, examining the prevalence of diabetes and the quality of annual hemoglobin A1c (HbA1c) monitoring in a national sample of commercially-insured people. Features demographics and statistics including prevalence of diabetes among enrollees and HbA1c testing in people with diabetes in 2019 and 2020, with breakdowns by metro and nonmetro location.
Author(s): Lindsey R. Hammerslag, Katie Youngen, Ty Borders, Jeffery Talbert
Date: 05/2022
Sponsoring organization: Rural and Underserved Health Research Center
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Poster presentation from the National Rural Health Association 2022 annual conference, examining the prevalence of diabetes and the quality of annual hemoglobin A1c (HbA1c) monitoring in a national sample of commercially-insured people. Features demographics and statistics including prevalence of diabetes among enrollees and HbA1c testing in people with diabetes in 2019 and 2020, with breakdowns by metro and nonmetro location.
Author(s): Lindsey R. Hammerslag, Katie Youngen, Ty Borders, Jeffery Talbert
Date: 05/2022
Sponsoring organization: Rural and Underserved Health Research Center
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