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Rural Health
Resources by Topic: Primary care

The Balance Protocol: A Pragmatic Weight Gain Prevention Randomized Controlled Trial for Medically Vulnerable Patients Within Primary Care
Presents a study of a first-line weight gain prevention intervention for obese patients in central North Carolina. Explores the effectiveness of the intervention on a largely rural, uninsured, and majority Hispanic population.
Author(s): Miriam B. Berger, Dori M. Steinberg, Sandy Askew, et al.
Citation: BMC Public Health, 19, 596
Date: 05/2019
Type: Document
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Rural Access to Primary Care in New York State
Report highlights the state of primary care access across rural New York State. Discusses key issues and makes policy recommendations. Requires a no-cost registration to download report.
Date: 05/2019
Type: Document
Sponsoring organization: Primary Care Development Corporation
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Identification of High-Need Rural Counties to Assist in Resource Location Planning for Primary Care
Demonstrates a selection process to sort counties by health and healthcare needs, and to identify areas with poor health outcomes and limited access to Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Features statistics and county-level maps showing distribution of safety net providers in rural counties, distribution of average decile scores for health outcomes, socioeconomic characteristics, health behaviors, access to healthcare, and physical environment, among rural counties without an RHC and an FQHC.
Author(s): Charity B. Breneman, Jan M. Eberth, Janice C. Probst
Date: 05/2019
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Family Physicians' Contributions to Rural Emergency Care and Urban Urgent Care
Presents a study on the role of family physicians play in rural versus urban emergency departments. Compares rates in urban, large rural, small rural, and frontier facilities.
Author(s): Lars E. Peterson, James C. Puffer, Urooj Nasim, Stephen Petterson, Warren P. Newton
Citation: Journal of the American Board of Family Medicine, 32(3), 295-296
Date: 05/2019
Type: Document
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Promising Practice: Innovative Program Teaches Colorado Providers to Be Rural Leaders
Highlights the Colorado Rural Health Center's (CRHC) Rural Colorado Primary Care Leaders (RCPCL) Program that works to educate rural primary care providers to become advocates for their rural patients and communities. Discusses program funding, and RCPCL training and education requirements. Provides details on the RCPCL Capstone project involving meetings at the state capital with local representatives and the state health committee.
Author(s): Beth Blevins
Date: 05/2019
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Summary of Activities and Value-Added Services, State Fiscal Year 2018: Quality, Timeliness, and Access to Health Care for Texas Medicaid and CHIP Recipients
Reports on an external quality review of the Texas Medicaid and Children's Health Insurance Program (CHIP) programs. Includes rural/urban breakdowns throughout and provides data specific to Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Addresses screening rates, access to primary care, specialty referrals, maternal morbidity, and shortages of behavioral health providers.
Date: 05/2019
Type: Document
Sponsoring organization: Texas Health and Human Services
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Race-Specific Patterns of Treatment Intensification Among Hypertensive Patients Using Home Blood Pressure Monitoring: Analysis Using Defined Daily Doses in the Heart Healthy Lenoir Study
Presents the results of a cohort study to compare racial disparities in blood pressure control with a focus on identifying any racial differences in antihypertensive medication intensification (AMI). Participants in the study included 217 adult patients (57% Black and 66% women) from six rural primary care practices and who engage in home blood pressure monitoring (HBPM) and documentation.
Author(s): Doyle M. Cummings, Alyssa Adams, Jacquie Halladay, et al.
Citation: Annals of Pharmacotherapy, 53(4), 333-340
Date: 04/2019
Type: Document
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Collaborative Models for Medication-Assisted Treatment: Key Elements of Vermont's Hub-and Spoke System
Describes the collaborative effort of three health-related organizations who partnered to develop and implement a medication assisted therapy (MAT) treatment practice using the hub and spoke model. This system was supported through a Centers for Medicare & Medicaid Services Health Home State Plan amendment for Vermont, a mostly rural state, to modify their current MAT services to increase access to addiction treatment, integrate health and addictions care, improve health outcomes, and promote recovery.
Date: 04/2019
Type: Document
Sponsoring organization: Medicaid Innovation Accelerator Program (IAP)
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Geographic Variation in Spatial Accessibility of U.S. Healthcare Providers
Examines spatial accessibility and other factors of accessibility for key physician and non-physician groups, including primary care physicians, specialists, nurse practitioners, and chiropractors in rural and urban locations, using geospatial methods. Population data, Medicare claims, provider location, professional school location, and U.S. Census ZIP Code Tabulation Areas (ZCTAs) were used in the analyses.
Author(s): Keith B. Naylor, Joshua Tooto, Olga Yakusheva, et al.
Citation: PLoS One, 14(4)
Date: 04/2019
Type: Document
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Testing and Improving the Acceptability of a Web-Based Platform for Collective Intelligence to Improve Diagnostic Accuracy in Primary Care Clinics
Explores use of the Human Dx collective intelligence tool among 13 primary care providers in community-based clinics, including 3 in rural areas. Includes statistics on characteristics of participating clinicians, with breakdown by urban or rural location.
Author(s): Valy Fontil, Kate Radcliffe, Helena C. Lyson, et al.
Citation: JAMIA Open, 2(1), 40-48
Date: 04/2019
Type: Document
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