Rural Health
Resources by Topic: Primary care
Access to Care: Health Centers and Providers in Underserved Communities
Recording of a January 29, 2019, Senate Committee on Health, Education, Labor and Pensions hearing on the importance of community health centers and National Health Service Corps providers in helping to address issues of access to primary care for rural and urban underserved communities.
Additional links: Andrea Anderson Testimony, Dennis Freeman, Cherokee Health Systems Testimony, John B. Waits, Cahaba Medical Care FQHC Testimony
Date: 01/2019
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Recording of a January 29, 2019, Senate Committee on Health, Education, Labor and Pensions hearing on the importance of community health centers and National Health Service Corps providers in helping to address issues of access to primary care for rural and urban underserved communities.
Additional links: Andrea Anderson Testimony, Dennis Freeman, Cherokee Health Systems Testimony, John B. Waits, Cahaba Medical Care FQHC Testimony
Date: 01/2019
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Strengthening Healthcare Along the Gulf Coast: The Gulf Region Health Outreach Program's Primary Care Capacity Project
Reports on the Primary Care Capacity Project, which expanded primary care access to Gulf Coast counties through community health centers as part of the Deepwater Horizon settlement. Addresses initiatives targeting expanded access for rural areas, a pilot Community-Centered Health Home (CCHH) model intended to address social determinants of health through community collaborations, and more.
Date: 01/2019
Sponsoring organization: Louisiana Public Health Institute
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Reports on the Primary Care Capacity Project, which expanded primary care access to Gulf Coast counties through community health centers as part of the Deepwater Horizon settlement. Addresses initiatives targeting expanded access for rural areas, a pilot Community-Centered Health Home (CCHH) model intended to address social determinants of health through community collaborations, and more.
Date: 01/2019
Sponsoring organization: Louisiana Public Health Institute
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Opioid Prescribing Rates in Nonmetropolitan and Metropolitan Counties Among Primary Care Providers Using an Electronic Health Record System — United States, 2014–2017
Examines opioid prescribing rates among primary care providers for six urban-rural classification categories of counties, before and after the March 2016 release of CDC's Guideline for Prescribing Opioids for Chronic Pain.
Author(s): Macarena C. García, Charles M. Heilig, Scott H. Lee, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(2), 25-30
Date: 01/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Examines opioid prescribing rates among primary care providers for six urban-rural classification categories of counties, before and after the March 2016 release of CDC's Guideline for Prescribing Opioids for Chronic Pain.
Author(s): Macarena C. García, Charles M. Heilig, Scott H. Lee, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(2), 25-30
Date: 01/2019
Sponsoring organization: Centers for Disease Control and Prevention
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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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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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