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Rural Health Information Hub

Rural Health
Resources by Topic: Primary care

Rural and Nonrural Primary Care Physician Practices Increasingly Rely on Nurse Practitioners
Details a study comparing rural and urban reliance on nurse practitioners as providers of primary care. Discusses the role of Medicaid expansion and scope of practice in findings.
Author(s): Hilary Barnes, Michael R. Richards, Matthew D. McHugh, Grant Martsolf
Citation: Health Affairs, 37(6)
Date: 06/2018
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What Makes Physician Assistant (PA) Training Programs Successful at Training Rural PAs?
Results of a study analyzing characteristics of PA programs producing high proportions of graduates who choose rural practice, using data collected from 173 programs from November 2015 through January 2016. Features statistics with breakdowns by rurally oriented and non-rurally oriented programs and those with high and low rural productivity.
Date: 06/2018
Sponsoring organization: WWAMI Rural Health Research Center
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PAs in Rural Locations Ready to Meet Primary Care Needs
Describes characteristics of physician assistants (PAs) working in rural areas, based on data collected from 9,140 PAs for the 2018 American Academy of PAs Salary Survey. Features statistics with breakdowns by rural or urban location and by various medical specialties.
Author(s): Noel Smith
Date: 06/2018
Sponsoring organization: American Academy of PAs
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Mental Health-related Physician Office Visits by Adults Aged 18 and Over: United States, 2012–2014
Examines adult mental health-related physician office visits by specialty and patient characteristics. Includes information on visits to psychiatrists, primary care physicians, and other physicians in large metropolitan, medium to small metropolitan, and rural areas.
Additional links: Questions for the Lead Author, NCHStats blog
Author(s): Donald Cherry, Michael Albert, Linda F. McCaig
Date: 06/2018
Sponsoring organization: Centers for Disease Control and Prevention
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Prescribing Practices of Rural Physicians Waivered to Prescribe Buprenorphine
Highlights a study on the prescribing practices of rural physicians with buprenorphine waivers, which allowed them to provide medication-assisted treatment (MAT) for opioid used disorder. Findings are based on surveys of all rural physicians with a Drug Enforcement Administration prescription waiver. Breaks down data by physician specialty, practice type, and waiver type, among other factors.
Author(s): Holly A. Andrilla, Cynthia Coulthard, Davis G. Patterson
Citation: American Journal of Preventive Medicine, 54(6) S3, S208-S214
Date: 06/2018
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Toolkit: State Strategies to Develop Value-Based Payment Methodologies for Federally Qualified Health Centers
Designed to help policymakers implement Medicaid value-based payment (VBP) methodologies by providing background information, key considerations, and state strategies. Table 1 in the Payment Methodologies section gives an overview of select state VBP methodologies for Federally Qualified Health Centers (FQHCs). Addresses challenges for small and rural FQHCs.
Author(s): Rachel Donlon, Hannah Dorr, Kitty Purington
Date: 05/2018
Sponsoring organization: National Academy for State Health Policy
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Evaluation of the Comprehensive Primary Care Initiative: Fourth Annual Report
Final report evaluating the Centers for Medicare and Medicaid Services four-year Comprehensive Primary Care (CPC) initiative. Examines CPC participants, program implementation, and impact of CPC on clinicians and staff, patient experience, cost, service use, and quality of care. Includes information on rural practices participating in the CPC.
Author(s): Deborah Peikes, Grace Anglin, Stacy Dale, et al.
Date: 05/2018
Sponsoring organization: Mathematica Policy Research
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Ensuring Access and Improving Population Health Through Collaboration and Patient-Centered Care Columbia Memorial Hospital, Astoria, OR
Describes Columbia Memorial Hospital (CMH), an independent Critical Access Hospital (CAH), in Astoria, Oregon, that works to ensure access to specialty and primary care for Pacific North Coast and Lower Columbia regions of northwest Oregon. Shares strategies and collaborative efforts to address the community's needs by ensuring access to care, improving population health, and designing consumer driven patient-centered care.
Date: 05/2018
Sponsoring organization: American Hospital Association Rural Health Services
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Ensuring Access to Care: Wagner Community Memorial Hospital – Avera, Wagner, S.D.
Describes Wagner Community Memorial Hospital – Avera (WCMH-A), a 20-bed Critical Access Hospital (CAH) in Wagner, South Dakota, that works to ensure access to care while addressing the social determinants of health for the populations they serve. Shares strategies and collaborative efforts to address the community's needs through the use of telemedicine, housing and economic development, population health, and access to primary care.
Date: 05/2018
Sponsoring organization: American Hospital Association Rural Health Services
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Weight Management in Rural Health Clinics: The Midwest Diet and Exercise Trial
Analyzes the effectiveness of providing weight management programs through remote delivery offered at 5 primary care clinics serving rural populations. Remote weight management programs included group phone conferences (GP) and individual phones calls (IP), with comparisons to enhanced usual care (EUC) consisting of individual face-to-face meetings.
Author(s): Anna M. Gorczyca, Richard A. Washburn, Lauren Ptomey, et al.
Citation: Contemporary Clinical Trials, 67, 37-46
Date: 04/2018
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