Rural Health
Resources by Topic: Pharmacy and prescription drugs
Evaluating a Training Program for Rural Doctors and Nursing Home Staff on Safe Medicine Use for Patients with Dementia and Nursing Home Residents
Investigates whether a training program for healthcare providers in 29 rural counties in Iowa affected medication use by patients age 66 or older. Includes data and statistics on outpatients with dementia and nursing home residents, with information on age, sex, chronic disease, medication use, and more.
Author(s): Ryan Carnahan, Grant Brown, Marianne Smith, et al.
Date: 2019
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Investigates whether a training program for healthcare providers in 29 rural counties in Iowa affected medication use by patients age 66 or older. Includes data and statistics on outpatients with dementia and nursing home residents, with information on age, sex, chronic disease, medication use, and more.
Author(s): Ryan Carnahan, Grant Brown, Marianne Smith, et al.
Date: 2019
Sponsoring organization: Patient-Centered Outcomes Research Institute
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The Special Registration for Telemedicine: In Brief
Describes changes to the Controlled Substance Act (CSA) authorizing special registration for telemedicine to increase access to healthcare providers that can prescribe controlled substances using telemedicine, with the goal of helping address the opioid crisis and shortage of mental health providers. Outlines the seven categories for the practice of telemedicine under the authority of the CSA. The Drug Enforcement Administration plans to publish the related proposed rule to finalize the registration process and procedures.
Date: 12/2018
Sponsoring organization: Congressional Research Service
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Describes changes to the Controlled Substance Act (CSA) authorizing special registration for telemedicine to increase access to healthcare providers that can prescribe controlled substances using telemedicine, with the goal of helping address the opioid crisis and shortage of mental health providers. Outlines the seven categories for the practice of telemedicine under the authority of the CSA. The Drug Enforcement Administration plans to publish the related proposed rule to finalize the registration process and procedures.
Date: 12/2018
Sponsoring organization: Congressional Research Service
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Update: Rural/Urban Disparities in Pneumococcal Vaccine Service Delivery Among the Fee-for-Service Medicare Population, 2012-2015
Updated report on a study to identify disparities in vaccine provision to people ages 65 and over, and to assess the impact of pharmacies as alternate site providers in rural areas. Revised version specifically assesses the uptake of the 13-valent pneumococcal conjugate vaccine, in response to the revised vaccination recommendations issued in 2014. Includes statistics on pneumococcal vaccine services provided by fee-for-service pharmacies and primary care providers, with breakdowns by rural and urban frequency, and state-level maps with rate of service delivery per eligible population, using 2014 and 2015 data.
Author(s): Joseph C. Vanghelof, Aric Schadler, Patricia R. Freeman, Jeffery C. Talbert
Date: 11/2018
Sponsoring organization: Rural and Underserved Health Research Center
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Updated report on a study to identify disparities in vaccine provision to people ages 65 and over, and to assess the impact of pharmacies as alternate site providers in rural areas. Revised version specifically assesses the uptake of the 13-valent pneumococcal conjugate vaccine, in response to the revised vaccination recommendations issued in 2014. Includes statistics on pneumococcal vaccine services provided by fee-for-service pharmacies and primary care providers, with breakdowns by rural and urban frequency, and state-level maps with rate of service delivery per eligible population, using 2014 and 2015 data.
Author(s): Joseph C. Vanghelof, Aric Schadler, Patricia R. Freeman, Jeffery C. Talbert
Date: 11/2018
Sponsoring organization: Rural and Underserved Health Research Center
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A Regional Analysis of Hepatitis C Virus Collaborative Care with Pharmacists in Indian Health Service Facilities
Reports on an Indian Health Service (IHS) review to identify and address gaps in hepatitis C virus (HCV) treatment of American Indian/Alaska Natives (AI/ANs). The study took place at 11 separate healthcare facilities in mostly rural Oklahoma and Kansas. The HCV treatment included a strong pharmacy component with a collaborative practice agreement, and HCV telehealth services for specialist support.
Author(s): Rebecca Geiger, Jessica Steinert, Grant McElwee,et al.
Citation: Journal of Primary Care & Community Health, 9, 1-5
Date: 10/2018
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Reports on an Indian Health Service (IHS) review to identify and address gaps in hepatitis C virus (HCV) treatment of American Indian/Alaska Natives (AI/ANs). The study took place at 11 separate healthcare facilities in mostly rural Oklahoma and Kansas. The HCV treatment included a strong pharmacy component with a collaborative practice agreement, and HCV telehealth services for specialist support.
Author(s): Rebecca Geiger, Jessica Steinert, Grant McElwee,et al.
Citation: Journal of Primary Care & Community Health, 9, 1-5
Date: 10/2018
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Patchwork of Contrasting Medication Cultures Across the USA
Examines differences in prescribing patterns by geographic area, including rural/urban comparisons. Compares opioid prescribing patterns with state drug monitoring programs, disease-associated drug use with relevant death rates, use of brand versus generic drugs, and the impact of insurance rates, poverty, and race/ethnicity.
Author(s): Rachel D. Melamed, Andrey Rzhetsky
Citation: Nature Communications, 9, 4022
Date: 10/2018
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Examines differences in prescribing patterns by geographic area, including rural/urban comparisons. Compares opioid prescribing patterns with state drug monitoring programs, disease-associated drug use with relevant death rates, use of brand versus generic drugs, and the impact of insurance rates, poverty, and race/ethnicity.
Author(s): Rachel D. Melamed, Andrey Rzhetsky
Citation: Nature Communications, 9, 4022
Date: 10/2018
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Access in Brief: Rural and Urban Health Care
Compares healthcare access and use of services for children and adults with Medicaid to those with private insurance or no insurance for both rural and urban areas and for adults with disabilities. Includes access data by age group, income, and race/ethnicity and utilization data for office and emergency room visits. Addresses access to prescription drugs and eyeglasses as well as barriers to healthcare access.
Date: 10/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Compares healthcare access and use of services for children and adults with Medicaid to those with private insurance or no insurance for both rural and urban areas and for adults with disabilities. Includes access data by age group, income, and race/ethnicity and utilization data for office and emergency room visits. Addresses access to prescription drugs and eyeglasses as well as barriers to healthcare access.
Date: 10/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Northern Maine Medical Center – Fort Kent, Maine: Purchase of Retail Pharmacy Enhances Services to the Community
Profiles a hospital in rural Maine that purchased a community pharmacy to offer prevention and wellness services, reduce readmissions, and improve medication adherence.
Date: 10/2018
Sponsoring organization: American Hospital Association
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Profiles a hospital in rural Maine that purchased a community pharmacy to offer prevention and wellness services, reduce readmissions, and improve medication adherence.
Date: 10/2018
Sponsoring organization: American Hospital Association
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Opioid Prescribing Rates by Congressional Districts, United States, 2016
Details a study on opioid prescribing rates by U.S. congressional districts. Compares congressional district rates with state-level rates and highlights rates among in rural areas, specific regions, and by other variables.
Author(s): Lyndsey A. Rolheiser, Jack Cordes, S.V. Subramanian
Citation: American Journal of Public Health, 108(9), 1214–1219
Date: 09/2018
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Details a study on opioid prescribing rates by U.S. congressional districts. Compares congressional district rates with state-level rates and highlights rates among in rural areas, specific regions, and by other variables.
Author(s): Lyndsey A. Rolheiser, Jack Cordes, S.V. Subramanian
Citation: American Journal of Public Health, 108(9), 1214–1219
Date: 09/2018
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Any Use and Frequent Use of Opioids among Non-elderly Adults in 2015-2016, by Socioeconomic Characteristics
Details a study on the rate of opioid prescribing for adults under the age of 65 from 2015-2016. Presents data regarding poverty status and whether prescription was filled in a Metropolitan Statistical Area (MSA) or not, among other factors.
Author(s): G. Edward Miller, Asako S. Moriya
Date: 09/2018
Sponsoring organization: Agency for Healthcare Research and Quality
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Details a study on the rate of opioid prescribing for adults under the age of 65 from 2015-2016. Presents data regarding poverty status and whether prescription was filled in a Metropolitan Statistical Area (MSA) or not, among other factors.
Author(s): G. Edward Miller, Asako S. Moriya
Date: 09/2018
Sponsoring organization: Agency for Healthcare Research and Quality
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Drug Discount Program: Characteristics of Hospitals Participating and Not Participating in the 340B Program
Analyzes 2016 cost report data to describe and compare characteristics of 340B participating and non-participating hospitals, specifically examining three hospital types: Critical Access Hospitals (CAHs), Sole Community Hospitals (SCHs), and general acute care hospitals. Discusses trends related to decreased charity care and an increase in Medicaid expansion on 340B hospital participation.
Additional links: Full Report
Date: 07/2018
Sponsoring organization: Government Accountability Office
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Analyzes 2016 cost report data to describe and compare characteristics of 340B participating and non-participating hospitals, specifically examining three hospital types: Critical Access Hospitals (CAHs), Sole Community Hospitals (SCHs), and general acute care hospitals. Discusses trends related to decreased charity care and an increase in Medicaid expansion on 340B hospital participation.
Additional links: Full Report
Date: 07/2018
Sponsoring organization: Government Accountability Office
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