Rural Health
Resources by Topic: Primary care
The Influence of the Degree of Rurality on EMR Adoption, by Physician Specialty
Study examining the adoption of electronic medical record (EMR) technology based on degree of rurality using Rural-Urban Continuum Codes. Analyzes 2012 data from over 270,000 physician practices on rates of EMR technology adoption and provider specializations. Presents data based on average daily patient volume and type of provider, including nurse practitioners and physician assistants.
Author(s): Brian E. Whitacre
Citation: Health Services Research, 52(2), 616-633
Date: 04/2017
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Study examining the adoption of electronic medical record (EMR) technology based on degree of rurality using Rural-Urban Continuum Codes. Analyzes 2012 data from over 270,000 physician practices on rates of EMR technology adoption and provider specializations. Presents data based on average daily patient volume and type of provider, including nurse practitioners and physician assistants.
Author(s): Brian E. Whitacre
Citation: Health Services Research, 52(2), 616-633
Date: 04/2017
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Preparing Family Physicians to Care for Underserved Populations: A Historical Perspective
Overview of family medicine residency models geared toward practice in rural and underserved urban areas. Also includes examination of behavioral science training and programs for the care of people with HIV and AIDS.
Author(s): Denise V. Rodgers, Andrea L. Wendling, George W. Saba, Megan Ruth Mahoney, Joedrecka S. Brown Speights
Citation: Family Medicine, 49(4), 304-310
Date: 04/2017
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Overview of family medicine residency models geared toward practice in rural and underserved urban areas. Also includes examination of behavioral science training and programs for the care of people with HIV and AIDS.
Author(s): Denise V. Rodgers, Andrea L. Wendling, George W. Saba, Megan Ruth Mahoney, Joedrecka S. Brown Speights
Citation: Family Medicine, 49(4), 304-310
Date: 04/2017
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The Association of Health Literacy and Blood Pressure Reduction in a Cohort of Patients with Hypertension: The Heart Healthy Lenoir Trial
Analyzes the impact of a multi-level quality improvement (QI) intervention, the Heart Healthy Lenoir (HHL) Study, with a focus on health literacy to improve systolic blood pressure (SBP) control in patients being treated in rural primary clinics of Eastern North Carolina. Discusses the components of the health literacy practice and patient level activities of the QI intervention. Offers a detailed table identifying the change in SBP by literacy level.
Author(s): Jacqueline R. Halladay, Katrina E. Donahue, Crystal W. Cené, et al.
Citation: Patient Education and Counseling, 100(3), 542-549
Date: 03/2017
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Analyzes the impact of a multi-level quality improvement (QI) intervention, the Heart Healthy Lenoir (HHL) Study, with a focus on health literacy to improve systolic blood pressure (SBP) control in patients being treated in rural primary clinics of Eastern North Carolina. Discusses the components of the health literacy practice and patient level activities of the QI intervention. Offers a detailed table identifying the change in SBP by literacy level.
Author(s): Jacqueline R. Halladay, Katrina E. Donahue, Crystal W. Cené, et al.
Citation: Patient Education and Counseling, 100(3), 542-549
Date: 03/2017
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Implementation and Outcomes of a Community-Based Pulmonary Rehabilitation Program in Rural Appalachia
Describes the implementation and outcomes of a community-based pulmonary rehabilitation program in rural Appalachia. Reports on data from three rural health centers and one large referral hospital for multiple measures, including pre- and post-exams, respiratory disease knowledge, smoking status, and more.
Author(s): Daniel Doyle, Chaffee Tommarello, Mike Broce, Mary Emmett, Cecil Pollard
Citation: Journal of Cardiopulmonary Rehabilitation and Prevention, 37(4), 295-298
Date: 03/2017
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Describes the implementation and outcomes of a community-based pulmonary rehabilitation program in rural Appalachia. Reports on data from three rural health centers and one large referral hospital for multiple measures, including pre- and post-exams, respiratory disease knowledge, smoking status, and more.
Author(s): Daniel Doyle, Chaffee Tommarello, Mike Broce, Mary Emmett, Cecil Pollard
Citation: Journal of Cardiopulmonary Rehabilitation and Prevention, 37(4), 295-298
Date: 03/2017
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Learning by Doing: The MD-PA Interprofessional Education Rural Rotation
Describes the Combined Medical-Physician Assistant Student Rural Rotation (Med-PARR) program at the Oregon Health & Science University, in which pairs of third-year MD students and second-year PA students spend 5 weeks together in a primary-care-focused clinical rotation in a rural area.
Author(s): Ryan Palmer, Curt Stilp
Citation: Rural and Remote Health, 17(1), 4167
Date: 03/2017
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Describes the Combined Medical-Physician Assistant Student Rural Rotation (Med-PARR) program at the Oregon Health & Science University, in which pairs of third-year MD students and second-year PA students spend 5 weeks together in a primary-care-focused clinical rotation in a rural area.
Author(s): Ryan Palmer, Curt Stilp
Citation: Rural and Remote Health, 17(1), 4167
Date: 03/2017
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Evaluation of Health Care Innovation Awards (HCIA): Primary Care Redesign Programs, Third Annual Report
Third annual evaluations for the Health Care Innovation Awards Round One projects focused on primary care redesign, addressing a range of intervention models, target populations, and organizational settings. Presents findings on program impacts related to quality of care, service use, and medical spending. Includes projects serving rural areas.
Additional links: Addendum, August 2017
Date: 03/2017
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Third annual evaluations for the Health Care Innovation Awards Round One projects focused on primary care redesign, addressing a range of intervention models, target populations, and organizational settings. Presents findings on program impacts related to quality of care, service use, and medical spending. Includes projects serving rural areas.
Additional links: Addendum, August 2017
Date: 03/2017
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Characteristics of Primary Care Physicians in Patient-Centered Medical Home Practices: United States, 2013
Describes the characteristics of primary care physicians participating in patient-centered medical home (PCMH) practices. Includes charts and graphs to help visualize the differences between PCMH practices and non-PCMH practices. Figure 2 presents data on the percentage of primary care physicians in PCMH practices, comparing them by location in metropolitan or non-metropolitan statistical area.
Author(s): Esther Hing, Ellen Kurtzman, Denys T. Lau, Caroline Taplin, Andrew B. Bindman
Date: 02/2017
Sponsoring organization: National Center for Health Statistics
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Describes the characteristics of primary care physicians participating in patient-centered medical home (PCMH) practices. Includes charts and graphs to help visualize the differences between PCMH practices and non-PCMH practices. Figure 2 presents data on the percentage of primary care physicians in PCMH practices, comparing them by location in metropolitan or non-metropolitan statistical area.
Author(s): Esther Hing, Ellen Kurtzman, Denys T. Lau, Caroline Taplin, Andrew B. Bindman
Date: 02/2017
Sponsoring organization: National Center for Health Statistics
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Vermont Hub-and-Spoke Model of Care For Opioid Use Disorder: Development, Implementation, and Impact
Discusses the development, application, and effectiveness of a hub-and-spoke system of care developed by addiction medicine physicians and public health officials to expand opioid use disorder (OUD) treatment due the continuous shortage of office-based opioid treatment (OBOT) providers in the rural state of Vermont.
Author(s): John R. Brooklyn, Stacey C. Sigmon
Citation: Journal of Addiction Medicine, 11(4), 286-292
Date: 2017
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Discusses the development, application, and effectiveness of a hub-and-spoke system of care developed by addiction medicine physicians and public health officials to expand opioid use disorder (OUD) treatment due the continuous shortage of office-based opioid treatment (OBOT) providers in the rural state of Vermont.
Author(s): John R. Brooklyn, Stacey C. Sigmon
Citation: Journal of Addiction Medicine, 11(4), 286-292
Date: 2017
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Alaska Health Workforce Coalition 2017-2021 Action Agenda
Outlines priorities and provides guidance on system and capacity building initiatives to address Alaska's healthcare workforce needs. Includes discussion on rural recruitment programs, such as loan repayment and incentives, and a rural professional recruiting network.
Date: 2017
Sponsoring organizations: Alaska Center for Rural Health and Health Workforce, University of Alaska Statewide Workforce Programs
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Outlines priorities and provides guidance on system and capacity building initiatives to address Alaska's healthcare workforce needs. Includes discussion on rural recruitment programs, such as loan repayment and incentives, and a rural professional recruiting network.
Date: 2017
Sponsoring organizations: Alaska Center for Rural Health and Health Workforce, University of Alaska Statewide Workforce Programs
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An Innovative Community-Based Model for Improving Preventive Care in Rural Counties
Describes the implementation and evaluation of a rural community-based patient outreach program to deliver preventive care through the use of a wellness coordinator, community health organizations, and primary care practices in rural Oklahoma.
Author(s): Zsolt J. Nagykaldi, Dewey Scheid, Daniel Zhao, Bhawani Mishra, Tracy Greever-Rice
Citation: Journal of the American Board of Family Medicine, 30(5), 583-591
Date: 2017
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Describes the implementation and evaluation of a rural community-based patient outreach program to deliver preventive care through the use of a wellness coordinator, community health organizations, and primary care practices in rural Oklahoma.
Author(s): Zsolt J. Nagykaldi, Dewey Scheid, Daniel Zhao, Bhawani Mishra, Tracy Greever-Rice
Citation: Journal of the American Board of Family Medicine, 30(5), 583-591
Date: 2017
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