Rural Health
Resources by Topic: Primary care
Improving Access to Primary Care for Underserved Populations: A Review of Findings from Five Case Studies and Recommendations
Summarizes and synthesizes the findings from a series of five case studies that explored the impact of policy initiatives that aim to improve access to primary care. Covers increasing the availability of primary care providers, improving underserved communities' access to outpatient clinics, removing structural barriers to care, making primary care affordable, and improving comfort and communication between providers and patients. Presents recommendations for federal and state policymakers, primary care practices, medical schools, and other relevant stakeholders. Includes rural examples and considerations throughout.
Additional links: Executive Summary
Author(s): Maanasa Kona, Jalisa Clark, Emma Walsh-Alker
Date: 11/2023
Type: Document
Sponsoring organizations: Center on Health Insurance Reforms, Milbank Memorial Fund, National Institute for Health Care Reform
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Summarizes and synthesizes the findings from a series of five case studies that explored the impact of policy initiatives that aim to improve access to primary care. Covers increasing the availability of primary care providers, improving underserved communities' access to outpatient clinics, removing structural barriers to care, making primary care affordable, and improving comfort and communication between providers and patients. Presents recommendations for federal and state policymakers, primary care practices, medical schools, and other relevant stakeholders. Includes rural examples and considerations throughout.
Additional links: Executive Summary
Author(s): Maanasa Kona, Jalisa Clark, Emma Walsh-Alker
Date: 11/2023
Type: Document
Sponsoring organizations: Center on Health Insurance Reforms, Milbank Memorial Fund, National Institute for Health Care Reform
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HHS is Taking Action to Strengthen Primary Care
Describes the importance of primary care to improving access to healthcare, the health and well-being of individuals and communities, and health equity. Discusses challenges facing primary care and outlines actions taken by the U.S. Department of Health and Human Services (HHS) to address these challenges. Covers primary care payment, workforce, access, health information technology, and research and practice improvement support.
Date: 11/2023
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Describes the importance of primary care to improving access to healthcare, the health and well-being of individuals and communities, and health equity. Discusses challenges facing primary care and outlines actions taken by the U.S. Department of Health and Human Services (HHS) to address these challenges. Covers primary care payment, workforce, access, health information technology, and research and practice improvement support.
Date: 11/2023
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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The U.S. Department of Health and Human Services Is Taking Action to Strengthen Primary Care
Commentary describing challenges facing primary care in the United States and actions the U.S. Department of Health and Human Services (HHS) is taking to address these challenges and strengthen primary care.
Author(s): Rachel Levine, R. Burciaga Valdez, Chiquita Brooks-LaSure, et al.
Date: 11/2023
Type: Document
Sponsoring organization: National Academy of Medicine
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Commentary describing challenges facing primary care in the United States and actions the U.S. Department of Health and Human Services (HHS) is taking to address these challenges and strengthen primary care.
Author(s): Rachel Levine, R. Burciaga Valdez, Chiquita Brooks-LaSure, et al.
Date: 11/2023
Type: Document
Sponsoring organization: National Academy of Medicine
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Health is Primary: Charting a Path to Equity and Sustainability
Examines factors driving the downward trends in primary care, including fewer clinicians practicing primary care, fewer available appointments, lower spending on primary care, and fewer adults reporting that they have a usual source of primary care. Features a literature review, supply and demand analysis, and recommendations for potential solutions. Mentions rural throughout.
Additional links: Executive Summary, Slide Presentation
Author(s): Alison Huffstetler, Ann Greiner, Anam Siddiqi, et al.
Date: 11/2023
Type: Document
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Examines factors driving the downward trends in primary care, including fewer clinicians practicing primary care, fewer available appointments, lower spending on primary care, and fewer adults reporting that they have a usual source of primary care. Features a literature review, supply and demand analysis, and recommendations for potential solutions. Mentions rural throughout.
Additional links: Executive Summary, Slide Presentation
Author(s): Alison Huffstetler, Ann Greiner, Anam Siddiqi, et al.
Date: 11/2023
Type: Document
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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First-Ever Rural Physician and Advanced Practice Provider Compensation Survey
Recording of an October 11, 2023, webinar discussing results of a January 2023 survey of rural hospitals regarding physician and advanced-practice provider compensation. Presents results for primary care and specialty care providers by provider type, hospital system affiliation, and region. Highlights factors that influence compensation and nurse practitioner practice environments by state. Transcript available in the video description.
Additional links: Presentation Slides
Date: 10/2023
Type: Video/Multimedia
Sponsoring organizations: National Rural Health Association, Stroudwater Associates
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Recording of an October 11, 2023, webinar discussing results of a January 2023 survey of rural hospitals regarding physician and advanced-practice provider compensation. Presents results for primary care and specialty care providers by provider type, hospital system affiliation, and region. Highlights factors that influence compensation and nurse practitioner practice environments by state. Transcript available in the video description.
Additional links: Presentation Slides
Date: 10/2023
Type: Video/Multimedia
Sponsoring organizations: National Rural Health Association, Stroudwater Associates
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South Dakota Health Professional Shortage Areas: Primary Medical Care
South Dakota map showing geographic, population, and automatic primary medical care Health Professional Shortage Areas (HPSAs).
Date: 09/2023
Type: Map/Mapping System
Sponsoring organization: South Dakota Office of Rural Health
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South Dakota map showing geographic, population, and automatic primary medical care Health Professional Shortage Areas (HPSAs).
Date: 09/2023
Type: Map/Mapping System
Sponsoring organization: South Dakota Office of Rural Health
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Oregon Areas of Unmet Health Care Need Report, 2023
Covers nine variables that describe areas of unmet healthcare need in Oregon and measure access to primary care, mental, and oral healthcare services. Areas of unmet need are scored based on variables within the following categories: availability of providers, ability to afford care, and utilization. Includes statistics and county-level information by service areas.
Date: 09/2023
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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Covers nine variables that describe areas of unmet healthcare need in Oregon and measure access to primary care, mental, and oral healthcare services. Areas of unmet need are scored based on variables within the following categories: availability of providers, ability to afford care, and utilization. Includes statistics and county-level information by service areas.
Date: 09/2023
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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Implementation of Substance Use Screening in Rural Federally-Qualified Health Center Clinics Identified High Rates of Unhealthy Alcohol and Cannabis Use among Adult Primary Care Patients
Examines the feasibility of integrating electronic health record (EHR) tools into the screening of primary care patients for substance use. Discusses the process of screening 3,749 patients at 3 rural Federally Qualified Health Centers (FQHCs) via EHR-integrated methods and the potential impacts of this screening method on reducing rural primary care provider burden.
Author(s): Jennifer McNeely, Bethany McLeman, Trip Gardner, et al.
Citation: Addiction Science & Clinical Practice, 18, 56
Date: 09/2023
Type: Document
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Examines the feasibility of integrating electronic health record (EHR) tools into the screening of primary care patients for substance use. Discusses the process of screening 3,749 patients at 3 rural Federally Qualified Health Centers (FQHCs) via EHR-integrated methods and the potential impacts of this screening method on reducing rural primary care provider burden.
Author(s): Jennifer McNeely, Bethany McLeman, Trip Gardner, et al.
Citation: Addiction Science & Clinical Practice, 18, 56
Date: 09/2023
Type: Document
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US Pediatric Primary Care Physician Workforce in Rural Areas, 2010 to 2020
Research letter assessing the growth and distribution of the general pediatrician and family medicine physician workforce from 2010-2020 across U.S. counties, and identifying sociodemographic characteristics of counties lacking these physicians. Features statistics with breakdowns by partly rural, entirely rural, and total counties.
Author(s): Tarun Ramesh, Hao Yu
Citation: JAMA Network Open, 6(9)
Date: 09/2023
Type: Document
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Research letter assessing the growth and distribution of the general pediatrician and family medicine physician workforce from 2010-2020 across U.S. counties, and identifying sociodemographic characteristics of counties lacking these physicians. Features statistics with breakdowns by partly rural, entirely rural, and total counties.
Author(s): Tarun Ramesh, Hao Yu
Citation: JAMA Network Open, 6(9)
Date: 09/2023
Type: Document
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Advisory Committee on Training in Primary Care Medicine and Dentistry (ACTPCMD) Meeting Minutes, August 17, 2023
Summarizes the Advisory Committee on Training in Primary Care Medicine and Dentistry (ACTPCMD) meeting held August 17, 2023. Features updates from the Bureau of Health Workforce on programs to address healthcare workforce shortages and Title VII funding opportunities planned for 2024, including the Primary Care Training and Enhancement (PCTE) - Physician Assistant Rural Training in Mental and Behavioral Health and the Rural Community Program Directors programs.
Additional links: Presentations
Date: 08/2023
Type: Document
Sponsoring organization: Advisory Committee on Training in Primary Care Medicine and Dentistry
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Summarizes the Advisory Committee on Training in Primary Care Medicine and Dentistry (ACTPCMD) meeting held August 17, 2023. Features updates from the Bureau of Health Workforce on programs to address healthcare workforce shortages and Title VII funding opportunities planned for 2024, including the Primary Care Training and Enhancement (PCTE) - Physician Assistant Rural Training in Mental and Behavioral Health and the Rural Community Program Directors programs.
Additional links: Presentations
Date: 08/2023
Type: Document
Sponsoring organization: Advisory Committee on Training in Primary Care Medicine and Dentistry
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