Rural Health
Resources by Topic: Primary care
Identification of Barriers, Facilitators and System-Based Implementation Strategies to Increase Teleophthalmology Use for Diabetic Eye Screening in a Rural US Primary Care Clinic: A Qualitative Study
Examines transcripts from interviews with patients and providers at a rural primary care clinic to determine factors that either promote or prevent teleopthalmology use for diabetic eye screening.
Author(s): Yao Liu, Nicholas Zupan, Rebecca Swearingen, et al.
Citation: BMJ Open, 9(2), e022594
Date: 2019
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Examines transcripts from interviews with patients and providers at a rural primary care clinic to determine factors that either promote or prevent teleopthalmology use for diabetic eye screening.
Author(s): Yao Liu, Nicholas Zupan, Rebecca Swearingen, et al.
Citation: BMJ Open, 9(2), e022594
Date: 2019
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An Implementation and Impact Evaluation of From Coverage to Care
Analysis of the use in rural and urban areas of Coverage to Care (C2C) online and print resources, developed by the Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH), for healthcare professionals and consumers. C2C resources offer tools for providers to promote and improve access to care and support consumer engagement. C2C also helps consumers understand the value of health insurance coverage and of working with a provider to prevent and achieve health. Data is derived from CMS, Census Bureau Zip Code Tabulation Area (USCB-ZCTA), American Community Survey (ACS), Kaiser Health, Behavioral Risk Factor Surveillance System (BRFSS), and Healthcare Cost and Utilization Project State Emergency Department Databases (HCUP-SEDD).
Author(s): Thomas W. Concannon, Laurie T. Martin, Kathryn E. Bouskill, et al.
Date: 2019
Sponsoring organization: RAND Corporation
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Analysis of the use in rural and urban areas of Coverage to Care (C2C) online and print resources, developed by the Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH), for healthcare professionals and consumers. C2C resources offer tools for providers to promote and improve access to care and support consumer engagement. C2C also helps consumers understand the value of health insurance coverage and of working with a provider to prevent and achieve health. Data is derived from CMS, Census Bureau Zip Code Tabulation Area (USCB-ZCTA), American Community Survey (ACS), Kaiser Health, Behavioral Risk Factor Surveillance System (BRFSS), and Healthcare Cost and Utilization Project State Emergency Department Databases (HCUP-SEDD).
Author(s): Thomas W. Concannon, Laurie T. Martin, Kathryn E. Bouskill, et al.
Date: 2019
Sponsoring organization: RAND Corporation
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Change in Site of Children's Primary Care: A Longitudinal Population-Based Analysis
Results of a study examining the proportion of children seen at family practice and pediatrician practices in Vermont over time, and the influence of demographics and rurality on this trend. Features statistics on change in site of children's primary care for the years between 2009-2016, with breakdowns by patient home locations in urban, large town, small town, or isolated rural area.
Author(s): Richard C. Wasserman, Susan E. Varni, Matthew C. Hollander
Citation: Annals of Family Medicine, 17(5), 390-395
Date: 2019
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Results of a study examining the proportion of children seen at family practice and pediatrician practices in Vermont over time, and the influence of demographics and rurality on this trend. Features statistics on change in site of children's primary care for the years between 2009-2016, with breakdowns by patient home locations in urban, large town, small town, or isolated rural area.
Author(s): Richard C. Wasserman, Susan E. Varni, Matthew C. Hollander
Citation: Annals of Family Medicine, 17(5), 390-395
Date: 2019
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Depression in a Depressed Area: Deservingness, Mental Illness, and Treatment in the Contemporary Rural U.S.
Examines the concepts of health-related deservingness and local moral economics to understand the diversity of moral responses to depression for rural women living in Appalachian Kentucky, where economic distress has contributed to poor mental health. Women from a variety of ages, treatment encounters, work experiences, and family sizes, along with healthcare professionals from a variety of backgrounds and settings, participated in semi-structured interviews and focus groups.
Author(s): Claire Snell-Rood, Elizabeth Carpenter-Song
Citation: Social Science & Medicine, 219: 78-86
Date: 12/2018
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Examines the concepts of health-related deservingness and local moral economics to understand the diversity of moral responses to depression for rural women living in Appalachian Kentucky, where economic distress has contributed to poor mental health. Women from a variety of ages, treatment encounters, work experiences, and family sizes, along with healthcare professionals from a variety of backgrounds and settings, participated in semi-structured interviews and focus groups.
Author(s): Claire Snell-Rood, Elizabeth Carpenter-Song
Citation: Social Science & Medicine, 219: 78-86
Date: 12/2018
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Factors Influencing Rural Physician Retention Following Completion of a Rural Training Track Family Medicine Residency Program
Examines the survey results of 16 graduates from a rural family medicine training track program in Wisconsin to determine what factors influence rural physician retention and practice location decisions. Includes statistics on physician retention and mobility, including reasons for leaving.
Author(s): Colleen Morken, Kimberly Bruksch-Meck, Byron Crouse, Kara Traxler
Citation: Wisconsin Medical Journal, 117(5), 208-210
Date: 12/2018
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Examines the survey results of 16 graduates from a rural family medicine training track program in Wisconsin to determine what factors influence rural physician retention and practice location decisions. Includes statistics on physician retention and mobility, including reasons for leaving.
Author(s): Colleen Morken, Kimberly Bruksch-Meck, Byron Crouse, Kara Traxler
Citation: Wisconsin Medical Journal, 117(5), 208-210
Date: 12/2018
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America's Health Rankings Annual Report 2018
Provides a national and state-by-state overview of population health by analyzing 35 measures to describe health outcomes in the U.S. Provides rural specific information and statistics by residence, obesity, excessive alcohol use, physical inactivity, smoking, diabetes, health status, mental and physical distress.
Additional links: Executive Summary
Date: 12/2018
Sponsoring organization: United Health Foundation
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Provides a national and state-by-state overview of population health by analyzing 35 measures to describe health outcomes in the U.S. Provides rural specific information and statistics by residence, obesity, excessive alcohol use, physical inactivity, smoking, diabetes, health status, mental and physical distress.
Additional links: Executive Summary
Date: 12/2018
Sponsoring organization: United Health Foundation
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Buprenorphine and the Opioid Crisis: A Primer for Congress
Discusses the use of buprenorphine in Medication-Assisted Treatment (MAT) of opioid addiction. Report addresses questions for U.S. lawmakers to craft opioid treatment policy. Looks at the effectiveness, demand, and access of buprenorphine.
Date: 12/2018
Sponsoring organization: Congressional Research Service
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Discusses the use of buprenorphine in Medication-Assisted Treatment (MAT) of opioid addiction. Report addresses questions for U.S. lawmakers to craft opioid treatment policy. Looks at the effectiveness, demand, and access of buprenorphine.
Date: 12/2018
Sponsoring organization: Congressional Research Service
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Practice Rurality of Family Physicians Enrolled in a Practice Transformation Network
An analysis of the enrollment of small and rural practices in the Transforming Clinical Practice Initiative (TCPI), supporting nationwide, collaborative and peer-based learning, to determine if a greater proportion of rural practices are enrolled in Practice Transformation Networks (PTNs) than are found among non-enrolled practices. In addition, the analysis includes the enrollment of family physicians across states and PTNs. Rural Urban Commuting Area (RUCA, version 2.0) codes were used to determine rurality. TCPI enrollment variation within rural practices is discussed.
Author(s): Robert L. Phillips, Elizabeth M. Bishop, Lars E. Peterson, et al.
Citation: Journal of the American Board of Family Medicine, 31(6), 952-956
Date: 11/2018
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An analysis of the enrollment of small and rural practices in the Transforming Clinical Practice Initiative (TCPI), supporting nationwide, collaborative and peer-based learning, to determine if a greater proportion of rural practices are enrolled in Practice Transformation Networks (PTNs) than are found among non-enrolled practices. In addition, the analysis includes the enrollment of family physicians across states and PTNs. Rural Urban Commuting Area (RUCA, version 2.0) codes were used to determine rurality. TCPI enrollment variation within rural practices is discussed.
Author(s): Robert L. Phillips, Elizabeth M. Bishop, Lars E. Peterson, et al.
Citation: Journal of the American Board of Family Medicine, 31(6), 952-956
Date: 11/2018
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A Regional Analysis of Hepatitis C Virus Collaborative Care with Pharmacists in Indian Health Service Facilities
Reports on an Indian Health Service (IHS) review to identify and address gaps in hepatitis C virus (HCV) treatment of American Indian/Alaska Natives (AI/ANs). The study took place at 11 separate healthcare facilities in mostly rural Oklahoma and Kansas. The HCV treatment included a strong pharmacy component with a collaborative practice agreement, and HCV telehealth services for specialist support.
Author(s): Rebecca Geiger, Jessica Steinert, Grant McElwee,et al.
Citation: Journal of Primary Care & Community Health, 9, 1-5
Date: 10/2018
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Reports on an Indian Health Service (IHS) review to identify and address gaps in hepatitis C virus (HCV) treatment of American Indian/Alaska Natives (AI/ANs). The study took place at 11 separate healthcare facilities in mostly rural Oklahoma and Kansas. The HCV treatment included a strong pharmacy component with a collaborative practice agreement, and HCV telehealth services for specialist support.
Author(s): Rebecca Geiger, Jessica Steinert, Grant McElwee,et al.
Citation: Journal of Primary Care & Community Health, 9, 1-5
Date: 10/2018
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Utilization and Adherence in Medical Homes: An Assessment of Rural-Urban Differences for People with Severe Mental Illness
Discusses whether enrollment in medical homes improves care in rural versus urban settings for people with severe mental illness (SMI). Examines utilization measures of primary care, mental health, emergency department, inpatient hospitalizations, and medication adherence using data derived from North Carolina Medicaid claims from 2004–2007.
Author(s): Mona Kilany, Joseph P. Morrissey, Marisa Elena Domino, et al.
Citation: Medical Care, 56(10), 870-876
Date: 10/2018
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Discusses whether enrollment in medical homes improves care in rural versus urban settings for people with severe mental illness (SMI). Examines utilization measures of primary care, mental health, emergency department, inpatient hospitalizations, and medication adherence using data derived from North Carolina Medicaid claims from 2004–2007.
Author(s): Mona Kilany, Joseph P. Morrissey, Marisa Elena Domino, et al.
Citation: Medical Care, 56(10), 870-876
Date: 10/2018
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