Rural Health
Resources by Topic: Health workforce
Report to Congress: Teaching Health Center Graduate Medical Education Direct and Indirect Training Expenses Report
Provides an overview of the Teaching Health Center Graduate Medical Education (THCGME) program and describes costs involved in its efforts to improve distribution of primary care providers in rural and underserved areas. Features statistics including estimated costs of training a THC resident in FY 2017 dollars, with breakdowns by rural and nonrural location.
Date: 2019
Sponsoring organization: Bureau of Health Workforce
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Provides an overview of the Teaching Health Center Graduate Medical Education (THCGME) program and describes costs involved in its efforts to improve distribution of primary care providers in rural and underserved areas. Features statistics including estimated costs of training a THC resident in FY 2017 dollars, with breakdowns by rural and nonrural location.
Date: 2019
Sponsoring organization: Bureau of Health Workforce
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Williamson Health and Wellness Center (WHWC): Community Health Worker Care Coordination Program, West Virginia
Brief overview of a care coordination program using a team of community health workers, a registered nurse, and a nurse practitioner. Discusses the program's sustainability efforts, as well as key takeaways about the program. The program was funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018 and received additional philanthropic funding through a public-private partnership.
Date: 2019
Sponsoring organization: Federal Office of Rural Health Policy
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Brief overview of a care coordination program using a team of community health workers, a registered nurse, and a nurse practitioner. Discusses the program's sustainability efforts, as well as key takeaways about the program. The program was funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018 and received additional philanthropic funding through a public-private partnership.
Date: 2019
Sponsoring organization: Federal Office of Rural Health Policy
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Comparing Buprenorphine-Prescribing Physicians Across Nonmetropolitan and Metropolitan Areas in the United States
Highlights a study comparing buprenorphine prescribing rates between metro and nonmetro areas. Looks at physician treatment practices, characteristics, and practice location.
Author(s): Lewei (Allison) Lin, Hannah K. Knudsen
Citation: Annals of Family Medicine, 17(3), 212-220
Date: 2019
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Highlights a study comparing buprenorphine prescribing rates between metro and nonmetro areas. Looks at physician treatment practices, characteristics, and practice location.
Author(s): Lewei (Allison) Lin, Hannah K. Knudsen
Citation: Annals of Family Medicine, 17(3), 212-220
Date: 2019
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State Innovation Models (SIM) Round 2: Model Test Annual Report Three
Third annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Addresses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Offers an update and lessons learned on strategies to support healthcare delivery transformation related to behavioral health integration, data for improving health care quality and performance, health information technology, care coordination, and workforce development. Describes states' population health activities. Includes discussion of rural issues throughout the report.
Additional links: Findings at a Glance
Date: 2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Third annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Addresses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Offers an update and lessons learned on strategies to support healthcare delivery transformation related to behavioral health integration, data for improving health care quality and performance, health information technology, care coordination, and workforce development. Describes states' population health activities. Includes discussion of rural issues throughout the report.
Additional links: Findings at a Glance
Date: 2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Perspectives of Physicians in Small Rural Practices on the Medicare Quality Payment Program
Provides feedback from small, rural practices on the implementation of Medicare's Quality Payment Program (QPP), which includes the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). Identifies challenges rural physicians face and offers recommendations to help more small practices participate in the program.
Author(s): Peter Mendel, Christine Buttorff, Peggy G. Chen, et al.
Date: 2019
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Provides feedback from small, rural practices on the implementation of Medicare's Quality Payment Program (QPP), which includes the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). Identifies challenges rural physicians face and offers recommendations to help more small practices participate in the program.
Author(s): Peter Mendel, Christine Buttorff, Peggy G. Chen, et al.
Date: 2019
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Examining the Availability of SAFE Kits at Hospitals in the United States
Congressional hearing analyzing the availability of sexual assault forensic examiners. Discusses the impact of training, service volume, and workforce retention on access. Notes rural-specific rates of sexual assault and challenges with access to care. Includes testimony from the U.S. Government Accountability Office, International Association of Forensic Nurses, and Futures Without Violence.
Additional links: A. Nicole Clowers Testimony, Kiersten Stewart Testimony, Sara Jennings Testimony
Date: 12/2018
Sponsoring organizations: House Committee on Energy and Commerce, Subcommittee on Oversight and Investigations
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Congressional hearing analyzing the availability of sexual assault forensic examiners. Discusses the impact of training, service volume, and workforce retention on access. Notes rural-specific rates of sexual assault and challenges with access to care. Includes testimony from the U.S. Government Accountability Office, International Association of Forensic Nurses, and Futures Without Violence.
Additional links: A. Nicole Clowers Testimony, Kiersten Stewart Testimony, Sara Jennings Testimony
Date: 12/2018
Sponsoring organizations: House Committee on Energy and Commerce, Subcommittee on Oversight and Investigations
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Salud es Vida: A Cervical Cancer Screening Intervention for Rural Latina Immigrant Women
Investigates the feasibility and effectiveness of Salud Es Vida, an educational group session led by promotoras focused on cervical cancer screening and increased cervical cancer knowledge among immigrant Hispanic/Latina women from farmworker environments. The intervention was conducted in four rural counties of Southeast Georgia and included the development of a toolkit offering a curriculum guide and class activities created in partnership with promotoras.
Author(s): John S. Luque, Yelena N. Tarasenko, Claudia Reyes-Garcia, et al.
Citation: Journal of Cancer Education, 32(4), 690-699
Date: 12/2018
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Investigates the feasibility and effectiveness of Salud Es Vida, an educational group session led by promotoras focused on cervical cancer screening and increased cervical cancer knowledge among immigrant Hispanic/Latina women from farmworker environments. The intervention was conducted in four rural counties of Southeast Georgia and included the development of a toolkit offering a curriculum guide and class activities created in partnership with promotoras.
Author(s): John S. Luque, Yelena N. Tarasenko, Claudia Reyes-Garcia, et al.
Citation: Journal of Cancer Education, 32(4), 690-699
Date: 12/2018
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Behavioral and Subjective Health Changes in US and Mexico Border Residing Participants in Two Promotora-Led Chronic Disease Prevention Interventions
Study of two community health worker (CHW) chronic disease prevention programs serving Mexico-born residents of the U.S-Mexico border region: one in a rural Arizona community and one in an urban community in Sonora, Mexico. Discusses challenges related to healthy diet, physical activity, and social support as risk factors for obesity and diabetes. Analyzes data from self-report assessments to evaluate behavioral and subjective health improvements over 6 months of the intervention programs.
Author(s): S C Carvajal, S Huang, M L Bell, et al.
Citation: Health Education Research, 33(6), 522-534
Date: 12/2018
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Study of two community health worker (CHW) chronic disease prevention programs serving Mexico-born residents of the U.S-Mexico border region: one in a rural Arizona community and one in an urban community in Sonora, Mexico. Discusses challenges related to healthy diet, physical activity, and social support as risk factors for obesity and diabetes. Analyzes data from self-report assessments to evaluate behavioral and subjective health improvements over 6 months of the intervention programs.
Author(s): S C Carvajal, S Huang, M L Bell, et al.
Citation: Health Education Research, 33(6), 522-534
Date: 12/2018
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Depression in a Depressed Area: Deservingness, Mental Illness, and Treatment in the Contemporary Rural U.S.
Examines the concepts of health-related deservingness and local moral economics to understand the diversity of moral responses to depression for rural women living in Appalachian Kentucky, where economic distress has contributed to poor mental health. Women from a variety of ages, treatment encounters, work experiences, and family sizes, along with healthcare professionals from a variety of backgrounds and settings, participated in semi-structured interviews and focus groups.
Author(s): Claire Snell-Rood, Elizabeth Carpenter-Song
Citation: Social Science & Medicine, 219: 78-86
Date: 12/2018
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Examines the concepts of health-related deservingness and local moral economics to understand the diversity of moral responses to depression for rural women living in Appalachian Kentucky, where economic distress has contributed to poor mental health. Women from a variety of ages, treatment encounters, work experiences, and family sizes, along with healthcare professionals from a variety of backgrounds and settings, participated in semi-structured interviews and focus groups.
Author(s): Claire Snell-Rood, Elizabeth Carpenter-Song
Citation: Social Science & Medicine, 219: 78-86
Date: 12/2018
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Narrowing the Rural Oral Healthcare Gap: The 2017 Rural Interprofessional Oral Health Practice Symposium
Discusses a 2017 symposium on interprofessional oral health practice in rural communities. Details the current state of interprofessional practice, as well as goals for the future. Discusses the results of a number of survey questions given to the symposium participants.
Author(s): Sean G. Boynes, Ce Ce Heyward, Christine Kenney, et al.
Citation: BMC Oral Health, 18(Supplement 1), 212
Date: 12/2018
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Discusses a 2017 symposium on interprofessional oral health practice in rural communities. Details the current state of interprofessional practice, as well as goals for the future. Discusses the results of a number of survey questions given to the symposium participants.
Author(s): Sean G. Boynes, Ce Ce Heyward, Christine Kenney, et al.
Citation: BMC Oral Health, 18(Supplement 1), 212
Date: 12/2018
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