Rural Health
Resources by Topic: Primary care
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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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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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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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): First Annual Report
Provides an overview of first-year findings for CPC+, including who participated, the supports practices received, how practices implemented CPC+, and the impacts on cost, service use, and outcomes for Medicare beneficiaries. Features statistics with breakdowns by rural, suburban, or urban location.
Additional links: Appendices to the Supplemental Volume, Findings at a Glance, Supplemental Volume
Author(s): Deborah Peikes, Grace Anglin, Mary Harrington, et al.
Date: 04/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Provides an overview of first-year findings for CPC+, including who participated, the supports practices received, how practices implemented CPC+, and the impacts on cost, service use, and outcomes for Medicare beneficiaries. Features statistics with breakdowns by rural, suburban, or urban location.
Additional links: Appendices to the Supplemental Volume, Findings at a Glance, Supplemental Volume
Author(s): Deborah Peikes, Grace Anglin, Mary Harrington, et al.
Date: 04/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Primary Care Clinician Participation in the CMS Quality Payment Program
Analyzes primary care clinician participation in the Centers for Medicare and Medicaid Services (CMS) Quality Payment Program (QPP). Provides data by provider type, specialty, practice location for metro and nonmetro areas, and Advanced Alternative Payment Model (A-APM) or Merit-Based Incentive Payment System (MIPS) program participation.
Author(s): A. Clinton MacKinney, Fred Ullrich, Keith J. Mueller
Date: 04/2019
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Analyzes primary care clinician participation in the Centers for Medicare and Medicaid Services (CMS) Quality Payment Program (QPP). Provides data by provider type, specialty, practice location for metro and nonmetro areas, and Advanced Alternative Payment Model (A-APM) or Merit-Based Incentive Payment System (MIPS) program participation.
Author(s): A. Clinton MacKinney, Fred Ullrich, Keith J. Mueller
Date: 04/2019
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Rising from the Ashes: How Trauma-Informed Care Nurtures Healing in Rural America
Provides an overview of trauma-informed care and how it is provided in rural communities. Highlights the provision of trauma-informed care in a rural California community after wildfires, in a Wyoming pediatrician's clinic, and by rural nurses providing assault exams with support from experts via telehealth.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 04/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Provides an overview of trauma-informed care and how it is provided in rural communities. Highlights the provision of trauma-informed care in a rural California community after wildfires, in a Wyoming pediatrician's clinic, and by rural nurses providing assault exams with support from experts via telehealth.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 04/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Indiana Primary Care Needs Assessment, 2019
Summarizes 2015-2018 efforts to identify gaps in healthcare access and allocate resources to communities in greatest need. Lists Primary Care, Mental, and Dental Health Professional Shortage Area (HPSA) designations obtained between 2015 and 2018. Identifies population health priorities related to infant mortality, obesity, smoking, and substance misuse in Indiana.
Author(s): Chipo Chavanduka, Sierra Vaughn, Hannah Maxey
Date: 03/2019
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Summarizes 2015-2018 efforts to identify gaps in healthcare access and allocate resources to communities in greatest need. Lists Primary Care, Mental, and Dental Health Professional Shortage Area (HPSA) designations obtained between 2015 and 2018. Identifies population health priorities related to infant mortality, obesity, smoking, and substance misuse in Indiana.
Author(s): Chipo Chavanduka, Sierra Vaughn, Hannah Maxey
Date: 03/2019
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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A Stepped-Wedge Cluster Randomized Trial Designed to Improve Completion of HPV Vaccine Series and Reduce Missed Opportunities to Vaccinate in Rural Primary Care Practices
Describes a study that will examine the effectiveness of using a team-based intervention to improve human papillomavirus (HPV) vaccination in rural Oregon. Addresses study design, planned interventions, and baseline HPV series initiation and completion rates.
Author(s): Patricia A. Carney, Brigit Hatch, Isabel Stock, et al.
Citation: Implementation Science, 14(1), 30
Date: 03/2019
Type: Document
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Describes a study that will examine the effectiveness of using a team-based intervention to improve human papillomavirus (HPV) vaccination in rural Oregon. Addresses study design, planned interventions, and baseline HPV series initiation and completion rates.
Author(s): Patricia A. Carney, Brigit Hatch, Isabel Stock, et al.
Citation: Implementation Science, 14(1), 30
Date: 03/2019
Type: Document
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Using Implementation Facilitation to Implement Primary Care Mental Health Integration via Clinical Video Telehealth in Rural Clinics: Protocol for a Hybrid Type 2 Cluster Randomized Stepped-wedge Design
Presents a study on the effectiveness of telehealth in mental health integration in rural Veterans Health Administration clinics. Outlines implementation timeline and discusses the results of the implementation.
Author(s): Richard R. Owen, Eva N. Woodward, Karen L. Drummond, et al.
Citation: Implementation Science, 14, 33
Date: 03/2019
Type: Document
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Presents a study on the effectiveness of telehealth in mental health integration in rural Veterans Health Administration clinics. Outlines implementation timeline and discusses the results of the implementation.
Author(s): Richard R. Owen, Eva N. Woodward, Karen L. Drummond, et al.
Citation: Implementation Science, 14, 33
Date: 03/2019
Type: Document
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Primary Care Physician Characteristics Associated with Low Value Care Spending
Highlights study on the relationship between low value care (LVC) and the characteristics of primary care physicians. Looks at physicians' patient panel size, specialty, and region, among other characteristics.
Author(s): Tyler W. Barreto, Yoonkyung Chung, Peter Wingrove, et al.
Citation: Journal of the American Board of Family Medicine, 32(2), 218-225
Date: 03/2019
Type: Document
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Highlights study on the relationship between low value care (LVC) and the characteristics of primary care physicians. Looks at physicians' patient panel size, specialty, and region, among other characteristics.
Author(s): Tyler W. Barreto, Yoonkyung Chung, Peter Wingrove, et al.
Citation: Journal of the American Board of Family Medicine, 32(2), 218-225
Date: 03/2019
Type: Document
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Examining the Cost Effectiveness of Teaching Health Centers
Examines areas where the Teaching Health Center Graduate Medical Education (THCGME) program can produce savings, focusing on physician spending for patient encounters during and after residency training and patient Medicaid and Medicare insurance coverage. Identifies the location of THCGME programs and highlights program outcomes, including the percent of graduates who work in rural and underserved areas and practice primary care.
Author(s): Candice Chen, Leighton Ku, Marsha Regenstein, Fitzhugh Mullan
Date: 03/2019
Type: Document
Sponsoring organizations: Geiger Gibson Program in Community Health, George Washington University Milken Institute School of Public Health Department of Health Policy and Management, RCHN Community Health Foundation
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Examines areas where the Teaching Health Center Graduate Medical Education (THCGME) program can produce savings, focusing on physician spending for patient encounters during and after residency training and patient Medicaid and Medicare insurance coverage. Identifies the location of THCGME programs and highlights program outcomes, including the percent of graduates who work in rural and underserved areas and practice primary care.
Author(s): Candice Chen, Leighton Ku, Marsha Regenstein, Fitzhugh Mullan
Date: 03/2019
Type: Document
Sponsoring organizations: Geiger Gibson Program in Community Health, George Washington University Milken Institute School of Public Health Department of Health Policy and Management, RCHN Community Health Foundation
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