Rural Health
Resources by Topic: Primary care
North Carolina Primary Care - Health Professional Shortage Areas (HPSA)
County-level map of Primary Care Health Professional Shortage Areas (HPSAs) in North Carolina. Indicates counties containing at least one facility designated as an Automatic HPSA.
Date: 03/2024
Type: Map/Mapping System
Sponsoring organization: North Carolina Office of Rural Health
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County-level map of Primary Care Health Professional Shortage Areas (HPSAs) in North Carolina. Indicates counties containing at least one facility designated as an Automatic HPSA.
Date: 03/2024
Type: Map/Mapping System
Sponsoring organization: North Carolina Office of Rural Health
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2024-2026 Tennessee State Health Plan
Presents a plan for health improvement in Tennessee for the period 2024-2026. Describes the state of health in Tennessee, identifies priorities, and makes recommendations related to early life, care delivery, social determinants of health, and more. Highlights goals for nutrition, maternal and infant health, older adults and healthy aging, chronic conditions, cancer screening, transportation, and health workforce.
Additional links: State Health Plan Priority Areas
Date: 03/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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Presents a plan for health improvement in Tennessee for the period 2024-2026. Describes the state of health in Tennessee, identifies priorities, and makes recommendations related to early life, care delivery, social determinants of health, and more. Highlights goals for nutrition, maternal and infant health, older adults and healthy aging, chronic conditions, cancer screening, transportation, and health workforce.
Additional links: State Health Plan Priority Areas
Date: 03/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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Ten-Year Outcomes: Community Health Center/Academic Medicine Partnership for Rural Family Medicine Training
Examines practice characteristics for 25 North Carolina rural pathway graduates from 2012-2022, using data from internal registries and public sources. Identifies rates of postgraduation placement in rural and federally-designated Health Professional Shortage Areas, and assesses current placements for graduates one year and three years from program completion. Features demographics with breakdowns including rural or nonrural background.
Author(s): Maria Gabriela Castro, Caroline Roberts, Emily M. Hawes, Evan Ashkin, Cristen P. Page
Citation: Family Medicine, 56(3), 185-189
Date: 03/2024
Type: Document
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Examines practice characteristics for 25 North Carolina rural pathway graduates from 2012-2022, using data from internal registries and public sources. Identifies rates of postgraduation placement in rural and federally-designated Health Professional Shortage Areas, and assesses current placements for graduates one year and three years from program completion. Features demographics with breakdowns including rural or nonrural background.
Author(s): Maria Gabriela Castro, Caroline Roberts, Emily M. Hawes, Evan Ashkin, Cristen P. Page
Citation: Family Medicine, 56(3), 185-189
Date: 03/2024
Type: Document
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Cross-Sectional Analysis of Primary Care Clinics' Policies, Practices, and Availability of Patient Support Services During the COVID-19 Pandemic
Examines healthcare access related to missed or no-show appointments, with a focus on patient barriers, no-show policies, and patient support services. Analyzes survey responses from Nebraska primary care clinics, examining rural versus urban differences in clinic ability to address social determinants of health (SDOH).
Author(s): Kendra L. Ratnapradipa, Runqiu Wang, Josiane Kabayundo, et al.
Citation: BMC Health Services Research, 24, 279
Date: 03/2024
Type: Document
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Examines healthcare access related to missed or no-show appointments, with a focus on patient barriers, no-show policies, and patient support services. Analyzes survey responses from Nebraska primary care clinics, examining rural versus urban differences in clinic ability to address social determinants of health (SDOH).
Author(s): Kendra L. Ratnapradipa, Runqiu Wang, Josiane Kabayundo, et al.
Citation: BMC Health Services Research, 24, 279
Date: 03/2024
Type: Document
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HPV ECHO for Providers: Strengthening Opportunities to Increase HPV Vaccination Coverage in Rural Primary Care
Discusses a study using the Extension for Community Healthcare Outcomes (ECHO) Model to train rural primary care clinics to deliver evidence-based human papillomavirus (HPV) vaccine communication to rural families in Pennsylvania. Highlights initial findings related to communication strategy and effectiveness.
Author(s): William A. Calo, Josheili Y. Llavona-Ortiz
Date: 02/2024
Type: Document
Sponsoring organization: St. Jude Children's Research Hospital
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Discusses a study using the Extension for Community Healthcare Outcomes (ECHO) Model to train rural primary care clinics to deliver evidence-based human papillomavirus (HPV) vaccine communication to rural families in Pennsylvania. Highlights initial findings related to communication strategy and effectiveness.
Author(s): William A. Calo, Josheili Y. Llavona-Ortiz
Date: 02/2024
Type: Document
Sponsoring organization: St. Jude Children's Research Hospital
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The Agency for Healthcare Research and Quality's Investments in Primary Care Research for 2021 and 2022
Provides an overview of the Agency for Healthcare Research and Quality's (AHRQ) primary care research investments in 2021 and 2022. Highlights rural grants, research programs, and care delivery models throughout.
Additional links: AHRQ's Recent Investments in Primary Care Research: At-a-Glance
Author(s): Jessie Gerteis, Ellen Childs, Bill Villalba, et al.
Date: 02/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides an overview of the Agency for Healthcare Research and Quality's (AHRQ) primary care research investments in 2021 and 2022. Highlights rural grants, research programs, and care delivery models throughout.
Additional links: AHRQ's Recent Investments in Primary Care Research: At-a-Glance
Author(s): Jessie Gerteis, Ellen Childs, Bill Villalba, et al.
Date: 02/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Advancing Equity in Challenging Times: A Qualitative Study of Telehealth Expansion And Changing Patient–Provider Relationships In Primary Care Settings During the COVID-19 Pandemic
Examines the expansion of telehealth services during the COVID-19 pandemic and potential access issues related to technical and workforce barriers. Analyzes interview data from primary healthcare providers to explore challenges such as reduced team-based care coordination, technological difficulties, loss of nonverbal communication, and equity issues for vulnerable groups, including those in rural areas.
Author(s): Monisa Aijaz, Valerie A Lewis, Genevra F Murray
Citation: Digital Health, 10
Date: 02/2024
Type: Document
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Examines the expansion of telehealth services during the COVID-19 pandemic and potential access issues related to technical and workforce barriers. Analyzes interview data from primary healthcare providers to explore challenges such as reduced team-based care coordination, technological difficulties, loss of nonverbal communication, and equity issues for vulnerable groups, including those in rural areas.
Author(s): Monisa Aijaz, Valerie A Lewis, Genevra F Murray
Citation: Digital Health, 10
Date: 02/2024
Type: Document
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The Health of US Primary Care: 2024 Scorecard Report — No One Can See You Now
Second annual scorecard exploring primary care in the United States across measures in four categories: access, financing, workforce/training, and research. Identifies five factors contributing to increased challenges in accessing primary care. The appendix includes data on the number and percentage of physician residents trained in an MUA, rural county, or both between the 2012-2013 and 2021-2022 academic years.
Additional links: Appendix, Full Report
Author(s): Yalda Jabbarpour, Anuradha Jetty, Hoon Byun, et al.
Date: 02/2024
Type: Document
Sponsoring organizations: Milbank Memorial Fund, Robert Graham Center, The Physicians Foundation
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Second annual scorecard exploring primary care in the United States across measures in four categories: access, financing, workforce/training, and research. Identifies five factors contributing to increased challenges in accessing primary care. The appendix includes data on the number and percentage of physician residents trained in an MUA, rural county, or both between the 2012-2013 and 2021-2022 academic years.
Additional links: Appendix, Full Report
Author(s): Yalda Jabbarpour, Anuradha Jetty, Hoon Byun, et al.
Date: 02/2024
Type: Document
Sponsoring organizations: Milbank Memorial Fund, Robert Graham Center, The Physicians Foundation
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Beneficiary and Clinician Perspectives on Medicare and Other Issues: Findings from 2023 Focus Groups in Select States
Summarizes findings from 24 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between May and July 2023, including three virtual focus groups of rural Medicare beneficiaries. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 02/2024
Type: Document
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
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Summarizes findings from 24 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between May and July 2023, including three virtual focus groups of rural Medicare beneficiaries. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 02/2024
Type: Document
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
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Evaluation of the Primary Care First Model: Second Annual Report
Provides an overview of the Primary Care First (PCF) model, which aims to enhance primary care and move primary care practitioners toward value-based payment. Describes the PCF model implementation experiences for Cohort 1 and Cohort 2 practices. Explores the preliminary impact of the PCF Model on acute hospitalizations and Medicare Part A and B expenditures relative to a comparison group. Estimates the impacts of the model on a set of seven leading indicators to provide an early assessment of whether care delivery changes are resulting in meaningful early outcome changes. Highlights implications from this report for the Primary Care First model and future models.
Additional links: Findings at a Glance
Date: 02/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Provides an overview of the Primary Care First (PCF) model, which aims to enhance primary care and move primary care practitioners toward value-based payment. Describes the PCF model implementation experiences for Cohort 1 and Cohort 2 practices. Explores the preliminary impact of the PCF Model on acute hospitalizations and Medicare Part A and B expenditures relative to a comparison group. Estimates the impacts of the model on a set of seven leading indicators to provide an early assessment of whether care delivery changes are resulting in meaningful early outcome changes. Highlights implications from this report for the Primary Care First model and future models.
Additional links: Findings at a Glance
Date: 02/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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