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Rural Health Information Hub

Rural Health
Resources by Topic: Health occupations

National Ambulatory Medical Care Survey: 2016 National Summary Tables
Provides data on outpatient visits to physician offices, with information on physician practice, patient, and visit characteristics. Tables 1, 13, 19, and 30 include data by metropolitan status for metro and nonmetro areas.
Date: 05/2019
Sponsoring organization: National Center for Health Statistics
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Medicare Physician Payment Reform After Two Years: Examining MACRA Implementation and the Road Ahead
Provides a recording of a U.S. Senate Committee on Finance hearing on physician payment reforms under the Medicare Access and CHIP Reauthorization Act (MACRA). Features testimonies about what is working well and challenges faced, including provisions and challenges for small and rural practices. Contains testimonies from the American Medical Association, American Academy of Family Physicians, American College of Surgeons, American Medical Group Association, and Brookings Institution.
Additional links: American Medical Association Testimony, John Cullen Testimony, Scott Hines Testimony
Date: 05/2019
Sponsoring organization: Senate Committee on Finance
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Collaborative Models for Medication-Assisted Treatment: Key Elements of Vermont's Hub-and Spoke System
Describes the collaborative effort of three health-related organizations who partnered to develop and implement a medication assisted therapy (MAT) treatment practice using the hub and spoke model. This system was supported through a Centers for Medicare & Medicaid Services Health Home State Plan amendment for Vermont, a mostly rural state, to modify their current MAT services to increase access to addiction treatment, integrate health and addictions care, improve health outcomes, and promote recovery.
Date: 04/2019
Sponsoring organization: Medicaid Innovation Accelerator Program (IAP)
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Scratching the Surface of Psychiatric Services Distribution and Public Health: An Indiana Assessment
Discusses the shortage of psychiatric providers in rural Indiana using data from the Indiana Professional Licensing Agency. Compares 2015 workforce data to population demographics and county-by-county data on behavioral and public health, including rates of hypertension, smoking, and substance abuse. Tables compare population characteristics to provider licensing data to illustrate psychiatry workforce challenges in rural counties.
Author(s): Steven Moberly, Hannah Maxey, Lacy Foy, et al.
Citation: The Journal of Behavioral Health Services and Research, 46(2), 267-282
Date: 04/2019
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Isolated, Small, and Large Hospitals Have Fewer Nursing Resources than Urban Hospitals: Implications for Rural Health Policy
Describes the nurse work environment, nurse education, nursing skill mix, and patient-to-registered nurse (RN) ratios across hospitals in California, Florida, and Pennsylvania. Examines how the findings differ by urban, large, small, and isolated hospitals, and discusses the potential impact on patient outcomes.
Author(s): Jessica G. Smith, Colin M. Plover, Moira C. McChesney, Eileen T. Lake
Citation: Public Health Nursing, 36(4), 469-477
Date: 04/2019
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Increasing Rural Nurses' Awareness of a Statewide Health Information Resource: An Educational Outreach Initiative
Reports on strategies designed to promote awareness and usage of HEALWA among rural health professionals in Washington state, including the use of a librarian position. HEALWA is a virtual resource library of evidence-based health information that can be accessed by health practitioners across the state.
Author(s): Kathryn Vela, Tania Bardyn
Citation: Journal of the Medical Library Association, 107(2), 244-250
Date: 04/2019
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Geographic Variation in Spatial Accessibility of U.S. Healthcare Providers
Examines spatial accessibility and other factors of accessibility for key physician and non-physician groups, including primary care physicians, specialists, nurse practitioners, and chiropractors in rural and urban locations, using geospatial methods. Population data, Medicare claims, provider location, professional school location, and U.S. Census ZIP Code Tabulation Areas (ZCTAs) were used in the analyses.
Author(s): Keith B. Naylor, Joshua Tooto, Olga Yakusheva, et al.
Citation: PLoS One, 14(4)
Date: 04/2019
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Buprenorphine Prescribing by Nurse Practitioners, Physician Assistants and Physicians After CARA 2016
Investigates the differences in buprenorphine prescribing patterns among nurse practitioners (NPs), physician assistants (PAs) and physicians in Medicaid following implementation of the Comprehensive Addiction and Recovery Act (CARA) addressing opioid use disorder (OUD). Retail pharmacy claims from July 2017 to June 2018 were analyzed to identify prescriber type, number of patients, payer type, rural and urban differences, and Medicaid trends for FDA-approved buprenorphine drugs for the treatment of OUD.
Author(s): Rekha Varghese, Karin Johnson, Bo Feng, et al.
Date: 04/2019
Sponsoring organizations: IMPAQ International, LLC, Medicaid and CHIP Payment and Access Commission
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New Dental Provider Orientation
Presentation template provides guidance for new or prospective dentists working in the Indian Health Service (IHS). Details the scope and mission of IHS and highlights the hiring process and demands of oral health providers. Presents general information regarding IHS facilities across the country.
Date: 04/2019
Sponsoring organization: Indian Health Service
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Rising from the Ashes: How Trauma-Informed Care Nurtures Healing in Rural America
Provides an overview of trauma-informed care and how it is provided in rural communities. Highlights the provision of trauma-informed care in a rural California community after wildfires, in a Wyoming pediatrician's clinic, and by rural nurses providing assault exams with support from experts via telehealth.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 04/2019
Sponsoring organization: Rural Health Information Hub
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