Rural Health
Resources by Topic: Primary care

Estimate the Economic Impact of a Rural Primary Care Physician
Provides estimates of, and the methodology used to determine, the economic impact of a primary care physician on a rural community. Shows that the economic impact is greater in communities that have a local hospital, where the physician can refer patients and provide inpatient services.
Author(s): Fred C Eilrich, Gerald A. Doeksen, Cheryl F. St. Clair
Date: 10/2016
Type: Document
Sponsoring organization: National Center for Rural Health Works
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National Health Service Corps - An Extended Analysis: Final Report
Examines the distribution and retention of National Health Service Corps providers with a focus on Health Professional Shortage Areas (HPSAs) and Indian Health Service (IHS) sites. Compares long and short-term retention of NHSC and non-NHSC providers for 2000-2015 and NHSC participant location after completing their service requirements. Includes data breakdowns by type of HPSA (primary care, dental health, mental health), type of provider, race/ethnicity, and gender.
Author(s): Sebastian Negrusa, Paul Hogan, Projesh Ghosh, Lachlan Watkins
Date: 09/2016
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Where did North Dakota Primary Care Physicians Graduate from Medical School and Where Have North Dakota Medical School Graduates Gone?
Uses 2013 data from the American Medical Association Physician Masterfile to show the migration tendencies of North Dakota's primary care physicians, including physicians who graduated from the UND School of Medicine and Health Sciences.
Author(s): Gary Hart, Mandi-Leigh Peterson, Abdimajid Ahmed
Date: 09/2016
Type: Document
Sponsoring organization: University of North Dakota Center for Rural Health
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Do Residencies That Aim to Produce Rural Family Physicians Offer Relevant Training?
Examines the differences in skills training and program content for allopathic, osteopathic, and dual-accredited family medicine residency programs that offer rural-centric training tracks. Also examines rural/urban training configurations and the differences in requirements for time spent training in rural locations.
Author(s): David V. Evans, Davis G. Patterson, Holly A. Andrilla, David Schmitz, Randall Longenecker
Citation: Family Medicine, 48(8), 596-602
Date: 09/2016
Type: Document
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Using Area Health Education Centers to Promote Interest in Rural Practice
Examines the relationship of third-year medical students participating in AHEC-sponsored family medicine clerkships in a rural primary care setting and their interest in working in rural areas after graduation. Compares the same relationship between third-year medical students participating in non-AHEC-sponsored family medicine clerkships.
Author(s): Jennifer Taylor, Sarah Goletz
Citation: Rural and Remote Health, 16(3), 3934
Date: 09/2016
Type: Document
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Project ECHO's Complex Care Initiative: Building Capacity to Help "Superutilizers" in Underserved Communities
Describes a case study from the University of New Mexico's Project ECHO (Extension for Community Health Outcomes) program, which uses telehealth to support primary care clinicians in underserved areas. Focuses on a project targeting Medicaid beneficiaries with substance abuse and mental health issues, with details on two primary care teams being supported, including one in a rural New Mexico community.
Author(s): Martha Hostetter, Sarah Klein, Douglas McCarthy
Date: 08/2016
Type: Document
Sponsoring organization: Commonwealth Fund
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Remedy for the Rural Opioid Epidemic: Leaders Discuss Medication-Assisted Addiction Treatment in Primary Care
Summarizes a meeting focused on understanding the opioid challenges in rural Northern California and identifying potential solutions. Provides maps highlighting opioid overdose death rates by county and the availability of licensed narcotic treatment programs.
Date: 07/2016
Type: Document
Sponsoring organization: California Health Care Foundation
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Spatial Access to Primary Care Providers in Appalachia Evaluating Current Methodology
Determines the spatial access to primary care physicians and compares access to care between urban and rural Appalachian counties in Pennsylvania, Ohio, Kentucky, and North Carolina.
Author(s): Joseph Donohoe, Vince Marshall, Xi Tan, et al.
Citation: Journal of Primary Care and Community Health, 7(3), 149-158
Date: 07/2016
Type: Document
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Costs of Accountable Care Organization Participation for Primary Care Providers: Early Stage Results
Analyzes data from 2012 and 2013 Medicare cost reports to determine whether joining an Accountable Care Organization (ACO) is associated with an increase in a Rural Health Clinic's (RHC) per visit cost, particularly during the first two years of participation.
Author(s): Richard A. Hofler, Judith Ortiz
Citation: BMC Health Services Research, 16(315)
Date: 07/2016
Type: Document
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The Graduate Medical Education System and Physician Supply in Texas
Reports on the number of primary care and specialty physicians in Texas. Identifies the medical specialties at critical shortage levels and the rural and urban locations of physician specialists. Looks at the overall supply of physicians in the state, the relevancy of the graduate medical education (GME) system, and the ability of the GME system to meet the current and future healthcare needs in Texas.
Additional links: Addendum to the Graduate Medical Education System and Physician Supply in Texas
Date: 07/2016
Type: Document
Sponsoring organization: Texas Health and Human Services
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