Rural Health
Resources by Topic: Primary care
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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Supporting Family Physician Maternity Care Providers
Summarizes strategies, provides suggestions, and examines the role family physicians play in providing maternity care to the underserved. Also presents ideas for training and retaining family physician maternity care providers in rural areas.
Author(s): Jessica Taylor Goldstein, Scott G. Hartman, Matthew R. Meunier, et al.
Citation: Family Medicine, 50(9), 662-671
Date: 10/2018
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Summarizes strategies, provides suggestions, and examines the role family physicians play in providing maternity care to the underserved. Also presents ideas for training and retaining family physician maternity care providers in rural areas.
Author(s): Jessica Taylor Goldstein, Scott G. Hartman, Matthew R. Meunier, et al.
Citation: Family Medicine, 50(9), 662-671
Date: 10/2018
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Analysis of Indiana's Primary Care Physicians Providing Obstetric Services
Quantifies and describes the Indiana primary care physicians who report providing some level of obstetric care. Includes county-level maps with data on infant mortality rates from 2012-2016 and access to prenatal, labor and delivery, postnatal, and comprehensive obstetric services, with shadings indicating rural counties.
Author(s): Hannah Maxey, Sierra Vaughn, Courtney Randolph
Date: 09/2018
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Quantifies and describes the Indiana primary care physicians who report providing some level of obstetric care. Includes county-level maps with data on infant mortality rates from 2012-2016 and access to prenatal, labor and delivery, postnatal, and comprehensive obstetric services, with shadings indicating rural counties.
Author(s): Hannah Maxey, Sierra Vaughn, Courtney Randolph
Date: 09/2018
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Leveraging Technology to Promote Smoking Cessation in Urban and Rural Primary Care Medical Offices
Study examining use of telemedicine to promote smoking cessation in 8 New York counties, comparing the effectiveness of automated voice recognition (AVR) messages directed to residents of underserved areas. Analyzes data from 5812 participants based on sociodemographic characteristics, including residence in rural versus urban areas.
Author(s): Martin Mahoney, Deborah Erwin, Annamaria Twarozek, et al.
Citation: Preventative Medicine, 114, 102-106
Date: 09/2018
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Study examining use of telemedicine to promote smoking cessation in 8 New York counties, comparing the effectiveness of automated voice recognition (AVR) messages directed to residents of underserved areas. Analyzes data from 5812 participants based on sociodemographic characteristics, including residence in rural versus urban areas.
Author(s): Martin Mahoney, Deborah Erwin, Annamaria Twarozek, et al.
Citation: Preventative Medicine, 114, 102-106
Date: 09/2018
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Evaluation of ¡Vivir Mi Vida! To Improve Health and Wellness of Rural-Dwelling, Late Middle-aged Latino Adults: Results of a Feasibility and Pilot Study of a Lifestyle Intervention
Explores a study on the efficacy of a primary care intervention designed to improve the health and well-being of older rural Latino adults. Looks specifically at the ¡Vivir Mi Vida! program at a Rural Health Clinic in the Antelope Valley of California that was aimed specifically at participants age 50-64.
Author(s): Stacey L. Schepens Niemiec, Jeanine Blanchard, Cheryl L. P. Vigen, et al.
Citation: Primary Health Care Research and Development, 19(5), 448-463
Date: 09/2018
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Explores a study on the efficacy of a primary care intervention designed to improve the health and well-being of older rural Latino adults. Looks specifically at the ¡Vivir Mi Vida! program at a Rural Health Clinic in the Antelope Valley of California that was aimed specifically at participants age 50-64.
Author(s): Stacey L. Schepens Niemiec, Jeanine Blanchard, Cheryl L. P. Vigen, et al.
Citation: Primary Health Care Research and Development, 19(5), 448-463
Date: 09/2018
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Nurse Practitioners: A Solution to America's Primary Care Crisis
Examines trends in supply and demand of nurse practitioners (NPs), including projected supply of physicians and NPs in rural areas. Includes a table listing state-level scope-of-practice regulatory restrictions on NPs as of 2018.
Author(s): Peter Buerhaus
Date: 09/2018
Sponsoring organization: American Enterprise Institute
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Examines trends in supply and demand of nurse practitioners (NPs), including projected supply of physicians and NPs in rural areas. Includes a table listing state-level scope-of-practice regulatory restrictions on NPs as of 2018.
Author(s): Peter Buerhaus
Date: 09/2018
Sponsoring organization: American Enterprise Institute
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Addressing the Nation's Primary Care Shortage: Advanced Practice Clinicians and Innovative Care Delivery Models
Highlights gaps in primary care access and ways to address primary care shortages through advanced practice clinicians and care delivery models. Provides some data on nurse practitioners, physician assistants, certified nurse midwives, and nurse practitioner scope of practice laws.
Date: 09/2018
Sponsoring organization: UnitedHealth Group
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Highlights gaps in primary care access and ways to address primary care shortages through advanced practice clinicians and care delivery models. Provides some data on nurse practitioners, physician assistants, certified nurse midwives, and nurse practitioner scope of practice laws.
Date: 09/2018
Sponsoring organization: UnitedHealth Group
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Implementing Treatment of Opioid Use Disorder in Rural Settings: A Focus on HIV and Hepatitis C Prevention and Treatment
Provides an overview of the epidemiology of opioid use disorder (OUD) with a focus on HIV and Hepatitis C transmission in the rural U.S. and particularly in rural Indiana. Identifies evidence-based treatments for OUD and their effectiveness in reducing other health issues associated with OUD. Discusses barriers to care and policy and research issues for increasing access to treatment of OUD in rural areas.
Author(s): Jennifer R. Havens, Sharon L. Walsh, P. Todd Korthuis, David A. Fiellin
Citation: Current HIV/AIDS Reports,15(4), 315–323
Date: 08/2018
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Provides an overview of the epidemiology of opioid use disorder (OUD) with a focus on HIV and Hepatitis C transmission in the rural U.S. and particularly in rural Indiana. Identifies evidence-based treatments for OUD and their effectiveness in reducing other health issues associated with OUD. Discusses barriers to care and policy and research issues for increasing access to treatment of OUD in rural areas.
Author(s): Jennifer R. Havens, Sharon L. Walsh, P. Todd Korthuis, David A. Fiellin
Citation: Current HIV/AIDS Reports,15(4), 315–323
Date: 08/2018
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