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Rural Health
Resources by Topic: Frontier and remote areas

Retention of Physicians in Rural and Frontier Oregon: 2008 - 2012
Analyzes Oregon's rural physician workforce capacity, retention rates, and growth trends. Presents information about the following topics: practice specialty, physician age, physician gender, medical degree type (MD or DO), practice setting, employment status, ethnicity, and more. Numerous charts and graphs help illustrate important measures. Includes county-level data.
Date: 02/2014
Type: Document
Sponsoring organization: Oregon Healthcare Workforce Institute
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The Future of the Frontier Extended Stay Clinic
Describes the Centers for Medicaid and Medicare Services (CMS) Frontier Extended Stay Clinic (FESC) demonstration project. Identifies the successes and challenges, and discusses the financial sustainability of the FESC model. Includes policy recommendations and lessons learned.
Author(s): Susan Wilger, Saskia Van Hecke
Date: 02/2014
Type: Document
Sponsoring organization: National Rural Health Association
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The Role of Community Health Centers in Assessing the Social Determinants of Health for Planning and Policy: The Example of Frontier New Mexico
Discusses the use of the Tool for Health and Resilience in Vulnerable Environments (THRIVE) by a frontier-based community health center in New Mexico for evaluating and addressing social determinants of health.
Author(s): Sean Bruna, Lisa Cacari Stone, Susan Wilger, Jeremy Cantor, Carolina Guzman
Citation: Journal of Ambulatory Care Management, 37(3), 258-268
Date: 2014
Type: Document
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Evaluation of the Medicare Frontier Extended Stay Clinic Demonstration: Report to Congress
Reports on the results of a Medicare Frontier Extended Stay Clinic (FESC) demonstration project that used an enhanced clinic model in frontier areas to address the needs of seriously ill or injured patients who could not be transferred to a hospital or needed monitoring and observation for a limited period of time. Includes an overview of the demonstration and key findings from the project.
Date: 2014
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Characteristics of the Frontier Extended Stay Clinic: A New Facility Model
Describes the characteristics of five pilot Frontier Extended Stay Clinics (FESCs), four of which are located in rural frontier communities in Alaska and the other is located in Washington. Analyzes patient utilization and outcomes, and provides statistics on FESC extended-stay encounters by type and data year.
Author(s): Rosyland Frazier, Sanna Doucette
Citation: International Journal of Circumpolar Health, 72(1)
Date: 08/2013
Type: Document
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The Frontier Extended Stay Clinic Model: A Potential Health Care Delivery Alternative for Small Rural Communities
Describes how the Frontier Extended Stay Clinic model may be appropriate in rural communities other than the five original demonstration sites. Appendix includes data reports for the demonstration states.
Additional links: Appendix
Author(s): A. Clinton MacKinney, Fred Ullrich, Keith J. Mueller
Date: 08/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Frontier Extended Stay Clinics: Understanding and Facilitating Rural Health Transformation
An overview of the Frontier Extended Stay Clinic (FESC) demonstration project, which allowed participating clinics to expand services to include extended stay and emergency services. Discusses the benefit of this type of facility as an option for small rural communities.
Date: 07/2013
Type: Document
Sponsoring organization: Rural Health Value
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Rural Survivors & Economic Security
Policy brief focusing on the impact of rurality on the economic security of and ability to access resources by victims of domestic violence, sexual assault, and stalking. Includes statistics and data for metropolitan and nonmetropolitan counties, Frontier and Remote (FAR) zip-code areas, poverty levels, access to transportation and safe housing, reporting rates, and more.
Date: 04/2013
Type: Document
Sponsoring organization: Wider Opportunities for Women
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Effectiveness of a Community Health Worker Cardiovascular Risk Reduction Program in Public Health and Health Care Settings
Evaluates the effectiveness of a Community Health Worker system of care to help decrease coronary heart disease in primarily rural and frontier Colorado counties. Includes data and statistics broken down by age, race, risk factors, and geographic location.
Author(s): Mori J. Krantz, Stephanie M. Coronel, Elizabeth M. Whitley, et al.
Citation: American Journal of Public Health, 103(1), 19-27
Date: 01/2013
Type: Document
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The Utility of Rural and Underserved Designations in Geospatial Assessments of Distance Traveled to Healthcare Services: Implications for Public Health Research and Practice
Reviews the different definitions of rurality and their purposes. Examines common resident profile characteristics associated with each designation using an eight-county sample from central Texas. Discusses the impact of rural definitions can have on research findings and resulting health policy.
Author(s): Matthew Lee Smith, Justin B. Dickerson, Monica L. Wendel, et al.
Citation: Journal of Environmental and Public Health, 2013, 960157
Date: 2013
Type: Document
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