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Rural Health
Resources by Topic: Primary care

Rural Challenges, Strategies, and Recommendations to Advance Value-Based Payment and Care During and Beyond the COVID-19 Crisis
Describes the key challenges rural primary care and behavioral health providers have faced in delivering care since COVID-19, in addition to the policy changes implemented in response to those challenges. Offers state-level policy recommendations for improving rural primary care and behavioral health services.
Author(s): Angel Bourgoin, Jim Maxwell, Yvette Cho, Rachel Tobey
Date: 11/2020
Type: Document
Sponsoring organization: Delta Center for a Thriving Safety Net
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Health Care Delivery System Reform: Six Policy Imperatives
Presents six recommendations for healthcare delivery system reform in order to improve quality, advance equity, and increase the affordability of healthcare in the United States. Includes specific policy recommendations for small and rural providers throughout.
Date: 11/2020
Type: Document
Sponsoring organization: Commonwealth Fund
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Chartbook on Healthcare for Veterans
Explores the disparities in access to, and healthcare received by, veterans. Describes disparities between veterans and non-veterans, within the veteran population, and among users of the Veterans Health Administration (VHA). Includes rural-urban comparisons throughout.
Date: 11/2020
Type: Document
Sponsoring organizations: Agency for Healthcare Research and Quality, U.S. Department of Veterans Affairs
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Pipeline Programs Can Support Reforms in Medical Education: A Cohort Study of Alabama's Rural Health Leaders Pipeline to Engage Community Leaders
Presents a study examining the efficacy of a medical education pipeline program to provide healthcare professionals for rural communities in Alabama. Details the distributions of graduates throughout the state and highlights the counties by the percentage of their populations that are rural, poor, and Black, among other measures.
Author(s): John R. Wheat, James D. Leeper
Citation: Journal of Rural Health
Date: 11/2020
Type: Document
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Innovations in Primary Care Education and Training: Developing Community Partnerships to Improve Population Health - Seventeenth Annual Report to the Secretary of the U.S. Department of Health and Human Services and to Congress
Offers policy and program development recommendations to the Secretary of the U.S. Department of Health and Human Services regarding primary care training and education. Recommendations cover longitudinal community-based training programs, chronic disease prevention and management, population health education and training, and telehealth education and training. Includes rural references throughout.
Date: 10/2020
Type: Document
Sponsoring organization: Advisory Committee on Training in Primary Care Medicine and Dentistry
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Psychiatrist and Psychologist Experiences with Telehealth and Remote Collaborative Care in Primary Care: A Qualitative Study
Discusses delivery of mental health services to rural patients through telehealth referral and remote collaborative care based on focus group sessions with 10 telepsychiatrists and 4 telepsychologists working in primary care clinics in Washington, Michigan, and Arkansas. Summarizes participant experiences of challenges and successes with telehealth delivery models.
Author(s): Molly Howland, McKenna Tennant, Deborah J. Bowen, et al.
Citation: Journal of Rural Health, 37(4), 780-787
Date: 10/2020
Type: Document
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Louisiana Primary Care Needs Assessment: Closing the Gap on Healthcare Disparities and Workforce Shortages
Identifies unmet needs and disparities in health outcomes in Louisiana, explores health workforce concerns, and discusses barriers to accessing healthcare. Includes a section on Health Professional Shortage Areas and mentions rural throughout.
Author(s): Hayley Alexander, Barrie Black, Nicole Coarsey, Kimberly Brent
Date: 09/2020
Type: Document
Sponsoring organization: Well-Ahead Louisiana
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A Sustainable Model for Preventive Services in Rural Counties: The Healthier Together Study
Describes a study of a patient outreach program in rural Oklahoma that brought together wellness coordinators, primary care providers, county health departments, health information exchange (HIE) networks, and rural hospitals to provide preventive services. Examines the return on investment for coordinated preventive services and the sustainability of outreach programs to support rural healthcare.
Author(s): Zsolt Nagykaldi, Dewey Scheid, Yan D. Zhao, Bhawani Mishra, Tracy Greever-Rice
Citation: The Journal of the American Board of Family Medicine, 33(5), 698-706
Date: 09/2020
Type: Document
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Coordination of Services for People With Serious Mental Illness and General Medical Conditions: Perspectives From Rural Northeastern United States
Highlights a study on healthcare providers' perspectives on the coordination of mental and physical healthcare and social services for rural patients with physical and mental conditions. Breaks down survey responses by coordination level and theme.
Author(s): Marianne Storm, Karen L. Fortuna, Emily A. Gill, et al.
Citation: Psychiatric Rehabilitation Journal, 43(3), 234-243
Date: 09/2020
Type: Document
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Telepsychiatric Consultation as a Training and Workforce Development Strategy for Rural Primary Care
Study examining the impacts of telepsychiatric consultations on the capacity for clinical and non-clinical staff to recognize and treat psychiatric disorders. Draws from interviews with 17 staff members at 3 rural primary care facilities in Washington. Discusses implications of telepsychiatric consultation for primary care and behavioral health integration models.
Author(s): Morhaf Al Achkar, Ian M. Bennet, Lydia Chwastiak, et al.
Citation: Annals of Family Medicine, 18(5), 438-445
Date: 09/2020
Type: Document
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