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Rural Health
Resources by Topic: Frontier and remote areas

Rural Family Physicians in Patient Centered Medical Homes Have a Broader Scope of Practice
Results of a study to determine whether rural family physicians in Patient Centered Medical Home (PCMH) practices have a broader scope of practice than those in non-PCMH practices. Features statistics including physician characteristics and scope of clinical services, with breakdowns by PCMH and non-PCMH and by large rural, small rural, and frontier areas.
Author(s): Lars E. Peterson, Bo Fang
Date: 02/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Rural Family Physicians Have a Broader Scope of Practice than Urban Family Physicians
Results of a study to determine differences between rural and urban family physicians in scope of practice for clinical and procedural care in 2014 and 2015. Features statistics including physician characteristics and percentages of physicians providing various types of services and care, with breakdowns by metropolitan, large rural, small rural, and frontier areas.
Author(s): Lars E. Peterson, Bo Fang
Date: 02/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Emerging Strategies to Ensure Access to Health Care Services: Frontier Health System
Discusses the challenges of providing care in frontier communities and offers solutions for improving access to and delivery of care. Proposes the creation of a frontier-specific accountable care organization (ACO), the Frontier Health System (FHS), that provides traditional ACO services along with transportation, swing beds, home-based care, expanded visiting nurse services, and more.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association
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Health Impacts of Methamphetamine Use in Alaska
Presents a report on methamphetamine use in Alaska. Analyzes rates of usage and mortality by demographics, such as age, race, and region of the state, among others.
Author(s): Laura Coughlin, Deborah Hull-Jilly
Citation: State of Alaska Epidemiology Bulletin, 19(4)
Date: 11/2017
Type: Document
Sponsoring organization: Alaska Division of Public Health
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Promising Practice: Nevada SORH Digs Up Data on Rural and Frontier Counties
Describes the process for creating the Nevada Rural and Frontier Health Data Book, which is published biennially by the Nevada State Office of Rural Health (NV SORH) and compiles comprehensive rural and frontier health related data for all counties within the state. Provides information and data for legislators, hospital administrators, and county commissioners.
Author(s): Beth Blevins
Date: 07/2017
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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The Future of the Frontier: Water, Energy & Climate in America's Most Remote Communities
Examines the demographic background of frontier areas in the U.S. using level two of the Frontier and Remote Area Code methodology (FAR2), in comparison to the nation as a whole. Describes the history, county-level planning issues, climate change, and water and energy concerns unique to frontier regions.
Author(s): Michael Borsellino, Glenn Davis, Brian Kempf, et al.
Date: 2017
Type: Document
Sponsoring organization: National Center for Frontier Communities
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Oregon Rural And Frontier Health Facility Listening Tour, 2017
Reports on common issues, themes, and challenges found on the Oregon Office of Rural Health's 2017 rural and frontier health facility listening tour. Includes a focus on the behavioral health system and provides county-level statistics on key indicators, such as mortality, healthcare utilization, unemployment, substance abuse, and more.
Date: 2017
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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Rural Health Networks and Care Coordination: Health Care Innovation in Frontier Communities to Improve Patient Outcomes and Reduce Health Care Costs
Discusses the findings of a single-case, community-based participatory design study in a frontier community in northern Minnesota to determine the effectiveness of developing a community care team focused on collaboration and care coordination to improve patient outcomes and reduce emergency room use.
Author(s): Pat Conway, Heidi Favet, Laurie Hall, Jenny Uhrich, Jeanette Palcher, et al.
Citation: Journal of Health Care for the Poor and Underserved, 27(4A), 91–115
Date: 11/2016
Type: Document
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Frontier Community Health Integration Project (FCHIP) Demonstration Fact Sheet
Provides an overview of the Frontier Community Health Integration Project (FCHIP) Demonstration, which tested models of healthcare delivery in the most sparsely populated rural counties. Identifies the participating Critical Access Hospitals and the interventions they focused on.
Date: 08/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Integrated Care in a Frontier Community
Examines the Southeast Health Group (SHG) in La Junta, Colorado, which coordinates physical and behavioral health using patient-centered, wellness-based care coordination to empower patients and promote self-directed care. Focuses on hiring providers who share SHG's philosophy of care, using community resources, and engaging peer support specialists.
Date: 07/2016
Type: Document
Sponsoring organization: Rural Health Value
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