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Rural Health
Resources by Topic: Primary care

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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Graduates of Rural-Centric Family Medicine Residencies: Determinants of Rural and Urban Practice
Reports on a study analyzing the characteristics, experiences, and attitudes of graduates from rural-centric family medicine residencies regarding influences on their selection of practice location.
Author(s): Davis G. Patterson, C. Holly A. Andrilla, Eric H. Larson
Date: 07/2016
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Vulnerable Rural Counties: The Changing Rural Landscape, 2000-2010
Examined how rural counties were impacted by the 2008 recession, specifically focused on an increase in poverty levels, shifts in population, and loss or reduction of healthcare services and facilities. Includes county-by-county maps with data such as poverty and unemployment rates, elderly population, educational level, non-White population, health insurance coverage, availability of primary care and other specialties, and change in number of hospitals and other healthcare facilities. Appendices include tables comparing urban and rural/remote county statistics.
Additional links: Fact Sheet
Author(s): Kevin J. Bennett, Yu-Hsiu Lin, Matthew Yuen, Deshia Leonhirth, Janice C. Probst
Date: 07/2016
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Breaking the Barriers to Specialty Care: Practical Ideas to Improve Health Equity and Reduce Cost
Collection of briefs focused on how to improve access to specialty care for rural and low-income patients. Discusses telehealth, developing primary care capacity to provide appropriate specialty care, and coordinated specialist networks as approaches to improve specialty care access. Free, but registration required to download.
Date: 06/2016
Type: Document
Sponsoring organizations: Bristol-Myers Squibb Foundation, FSG
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Medicare Accountable Care Organizations: Beneficiary Assignment Update
Clarifies the changes issued in June 2015 regarding Accountable Care Organization's (ACO) beneficiary assignment under the Centers for Medicare and Medicaid Services (CMS) ACO regulations. Addresses how the changes make it easier for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) to participate in ACOs.
Author(s): Thomas Vaughn, A. Clinton MacKinney, Keith J. Mueller, Fred Ullrich, Xi Zhu
Date: 06/2016
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Comprehensive Primary Care Plus - A Rural Commentary
Review of Comprehensive Primary Care Plus (CPC+), a program of the Center for Medicare & Medicaid Innovation (CMMI) initiative, designed to enhance the delivery of primary healthcare and support the shift from volume-based to value-based healthcare payment. Offers a rural perspective, noting the importance and challenges of this payment model for rural healthcare.
Author(s): A. Clinton MacKinney
Date: 06/2016
Type: Document
Sponsoring organization: Rural Health Value
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Screening for Adverse Childhood Experiences in a Family Medicine Setting: A Feasibility Study
Reports on a study set in 3 rural clinical sites exploring the feasibility of using the Adverse Childhood Experience (ACE) screening model for adults during routine office visits. ACEs are generally accepted as predictors in adult health outcomes.
Author(s): Patricia T. Glowa, Ardis L. Olson, Deborah J. Johnson
Citation: Journal of the American Board of Family Medicine, 29(3), 303-307
Date: 05/2016
Type: Document
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