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Rural Health
Resources by Topic: Primary care

Rural-Urban Disparities in Diagnosis of Early-Onset Dementia
Results of a study conducted from February 2021 to March 2022 of 71,799 patients with early-onset Alzheimer disease and related dementias. Features demographics and statistics on differences in service use and clinician visits around diagnosis, with breakdowns by rural and urban areas.
Author(s): Wendy Y. Xu, Jeah Jung, Sheldon M. Retchin, Yiting Li, Soumyadipta Roy
Citation: JAMA Network Open, 5(8)
Date: 08/2022
Type: Document
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Advancing Primary Care Innovation in Medicaid Managed Care: A Toolkit for States
Designed to help states leverage their Medicaid managed care contracts and request for proposals (RFPs) to advance primary care innovation (PCI). Outlines strategies for states to conceptualize and design advanced primary care core functions and use managed care contract levers to drive uptake and spread. Provides examples of state approaches, with rural considerations, for identifying and addressing social determinants of health, integrating behavioral healthcare, developing team-based care, implementing technology to improve access, and more.
Date: 08/2022
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Council on Graduate Medical Education (COGME) Teaching Health Center Graduate Medical Education Support Letter
Comment letter from the Council on Graduate Medical Education (COGME) regarding the Doctors of Community (DOC) Act, which would permanently authorize and expand funding for the Teaching Health Center Graduate Medical Education (THCGME) program. Provides an overview of the DOC Act, the THCGME program, and its impacts.
Date: 07/2022
Type: Document
Sponsoring organization: Council on Graduate Medical Education
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Northern Navajo Medical Center Delivers Care Directly to Patients Experiencing Homelessness
Video details a program initiated by the Norther Navajo Medical Center in Shiprock, New Mexico, that provides treatment to people experiencing homelessness on the Navajo reservation. Discusses the mobile clinic's goals and the services it provides, such as physical exams, vaccinations, and other acute and chronic conditions.
Date: 07/2022
Type: Video/Multimedia
Sponsoring organization: Indian Health Service
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The Association Between Primary Care Use and Potentially-Preventable Hospitalization Among Dual Eligibles Age 65 and Over
Examines the relationship between primary care and ambulatory care sensitive condition (ACSC) hospitalization among people age 65 and older who are dually-enrolled in Medicare and Medicaid. Features statistics with breakdowns by urban or rural location.
Author(s): N. Loren Oh, Andrew J. Potter, Lindsay M. Sabik, et al.
Citation: BMC Health Services Research, 22(927)
Date: 07/2022
Type: Document
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Behavioral Health and Primary Care Integration in Rural Health Facilities: Policy Brief and Recommendations to the Secretary
Provides an overview of the prevalence of mental illness and substance use disorders in rural areas. Discusses the role of rural primary care providers in treating these conditions. Outlines federal programs and resources to support behavioral health and primary care integration. Offers policy recommendations related to access to care; workforce recruitment and retention; telehealth, technology, and broadband; and reimbursement and sustainable revenue.
Date: 06/2022
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Addressing a Workforce Crisis in Primary Care Made More Severe by the COVID-19 Pandemic
Podcast exploring the reasons for the current healthcare workforce crisis in primary care, especially in rural areas and among certain demographic groups, and describes the long-term effects of COVID-19 on the workforce shortage. Includes transcript.
Author(s): J.B. Wogan
Date: 06/2022
Type: Audio
Sponsoring organization: Mathematica
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The Racial and Ethnic Diversity of the Family Physician Workforce in Non-Metropolitan and Metropolitan Counties
Policy brief exploring distribution of family physicians (FPs) in rural areas by race/ethnicity and whether rural minority physicians were more likely to work in underserved rural areas. Features statistics on characteristics of early career FPs practicing outpatient care from 2017-2019, with breakdowns by metropolitan, micropolitan, and non-core non-metropolitan location, and race of FPs practicing in persistent poverty or primary care Health Professional Shortage Areas, by stage in career.
Author(s): Lars E. Peterson, Zachary J. Morgan
Date: 06/2022
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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HPSA 101: Health Professional Shortage Areas Explained
Video describing Health Professional Shortage Areas (HPSAs), scoring calculations and factors affecting HPSA scores, National Health Service Corps loan repayments programs, and the role of the Virginia primary care office in identifying shortage areas in Virginia. Includes a brief history of HPSAs. Transcript available by clicking the 3 dots above the red Subscribe button.
Date: 05/2022
Type: Video/Multimedia
Sponsoring organization: Virginia Department of Health: Office of Health Equity
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Telemedicine Versus In-person Primary Care: Impact on Visit Completion Rate in a Rural Appalachian Population
Explores telemedicine use in a primary care clinic in rural West Virginia and its impact on patient access and visit completion rates. Examines visit completion rates of 110,999 patients from January 2019 to November 2020, with patient data broken down by sex, age, marital status, and distance in miles from facility.
Author(s): Treah Haggerty, Heather M. Stephens, Shaylee A. Peckens, et al.
Citation: The Journal of the American Board of Family Medicine, 35(3), 475-484
Date: 05/2022
Type: Document
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