Rural Health
Resources by Topic: Primary care
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
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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
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Collaborative Models for Medication-Assisted Treatment: Key Elements of Vermont's Hub-and Spoke System
Describes the collaborative effort of 3 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
Sponsoring organization: Medicaid Innovation Accelerator Program (IAP)
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Describes the collaborative effort of 3 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
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
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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
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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
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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
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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
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
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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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
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
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
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
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
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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
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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
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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
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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
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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
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