Rural Health
Resources by Topic: Primary care
MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2014
Includes chapters on synchronizing Medicare policy across payment models; improving risk adjustment; measuring quality of care; financial assistance for low-income beneficiaries; per beneficiary payment for primary care; site-neutral payments for select conditions treated in inpatient rehabilitation facilities and skilled nursing facilities; and measuring the effects of medication adherence for the Medicare population. Mentions rural throughout.
Date: 06/2014
Sponsoring organization: Medicare Payment Advisory Commission
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Includes chapters on synchronizing Medicare policy across payment models; improving risk adjustment; measuring quality of care; financial assistance for low-income beneficiaries; per beneficiary payment for primary care; site-neutral payments for select conditions treated in inpatient rehabilitation facilities and skilled nursing facilities; and measuring the effects of medication adherence for the Medicare population. Mentions rural throughout.
Date: 06/2014
Sponsoring organization: Medicare Payment Advisory Commission
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The Association Between Managed Care Enrollments and Potentially Preventable Hospitalization among Adult Medicaid Recipients in Florida
Examines the spillover effect of Medicaid managed care into Medicaid patients in traditional fee-for-service plans. Analyzes the interaction on the preventable hospitalizations in both rural and urban settings at the patient and county levels.
Author(s): Jungwon Park, Keon-Hyung Lee
Citation: BMC Health Services Research, 14, 247
Date: 06/2014
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Examines the spillover effect of Medicaid managed care into Medicaid patients in traditional fee-for-service plans. Analyzes the interaction on the preventable hospitalizations in both rural and urban settings at the patient and county levels.
Author(s): Jungwon Park, Keon-Hyung Lee
Citation: BMC Health Services Research, 14, 247
Date: 06/2014
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Preventing Rural Workforce by Design
Argues that the lack of primary care physicians in rural America could have been and can still be avoided. Discusses how policies aimed to attract recent graduates to primary healthcare, rather than specialty healthcare, can help address disparities between rural and urban healthcare.
Author(s): Robert Bowman, Michael Halasy
Citation: Rural and Remote Health, 14(2), 2852
Date: 06/2014
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Argues that the lack of primary care physicians in rural America could have been and can still be avoided. Discusses how policies aimed to attract recent graduates to primary healthcare, rather than specialty healthcare, can help address disparities between rural and urban healthcare.
Author(s): Robert Bowman, Michael Halasy
Citation: Rural and Remote Health, 14(2), 2852
Date: 06/2014
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Integrated Care Management in Rural Communities
Reviews the opportunities and challenges reform initiatives under the Affordable Care Act present for rural communities. Assesses 4 types of organizational models for delivering integrated care management, including long-term services and support. Each model has different strengths and drawbacks, weighing for and against implementation in rural areas.
Author(s): Eileen Griffin, Andrew F. Coburn
Date: 05/2014
Sponsoring organization: Maine Rural Health Research Center
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Reviews the opportunities and challenges reform initiatives under the Affordable Care Act present for rural communities. Assesses 4 types of organizational models for delivering integrated care management, including long-term services and support. Each model has different strengths and drawbacks, weighing for and against implementation in rural areas.
Author(s): Eileen Griffin, Andrew F. Coburn
Date: 05/2014
Sponsoring organization: Maine Rural Health Research Center
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Integrating Primary Care Practices and Community-Based Resources to Manage Obesity: A Bridge-building Toolkit for Rural Primary Care Practices
Provides resources to help rural primary care practices connect patients to community-based obesity management resources. Outlines a step-by-step process, as well as sample worksheets, surveys, brochures and other materials. Based on the experiences of six rural Oregon primary care practices and developed by the Oregon Rural Practice-based Research Network.
Author(s): Paul McGinnis, Melinda M. Davis, Sonya Howk, Molly DeSordi, Michelle Thomas
Date: 05/2014
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides resources to help rural primary care practices connect patients to community-based obesity management resources. Outlines a step-by-step process, as well as sample worksheets, surveys, brochures and other materials. Based on the experiences of six rural Oregon primary care practices and developed by the Oregon Rural Practice-based Research Network.
Author(s): Paul McGinnis, Melinda M. Davis, Sonya Howk, Molly DeSordi, Michelle Thomas
Date: 05/2014
Sponsoring organization: Agency for Healthcare Research and Quality
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Primary Care, Behavioral Health, Provider Colocation, and Rurality
Results of a study regarding the colocation of behavioral health and primary care service delivery as related to rural. Discusses challenges to colocation, including payment policies separating physical and behavioral health care, workforce distribution, and supply deficiencies, particularly in rural areas.
Author(s): Benjamin F. Miller, Stephen Petterson, Shandra M. Brown Levey, et al.
Citation: Journal of the American Board of Family Medicine, 27(3), 367-374
Date: 05/2014
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Results of a study regarding the colocation of behavioral health and primary care service delivery as related to rural. Discusses challenges to colocation, including payment policies separating physical and behavioral health care, workforce distribution, and supply deficiencies, particularly in rural areas.
Author(s): Benjamin F. Miller, Stephen Petterson, Shandra M. Brown Levey, et al.
Citation: Journal of the American Board of Family Medicine, 27(3), 367-374
Date: 05/2014
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State Variability in Supply of Office-based Primary Care Providers: United States, 2012
Data brief covering the supply of primary care providers. Includes national rural-urban comparisons for primary care providers per 100,000 population and for use of physician assistants and nurse practitioners in physician practices. See Figure 4.
Author(s): Esther Hing, Chun-Ju Hsiao
Date: 05/2014
Sponsoring organization: National Center for Health Statistics
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Data brief covering the supply of primary care providers. Includes national rural-urban comparisons for primary care providers per 100,000 population and for use of physician assistants and nurse practitioners in physician practices. See Figure 4.
Author(s): Esther Hing, Chun-Ju Hsiao
Date: 05/2014
Sponsoring organization: National Center for Health Statistics
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Integrated Care for Older Adults in Rural Communities
Assesses four types of organizational models for delivering integrated physical, behavioral health services, and long term services and supports to rural older adults. Each model has different strengths and drawbacks, weighing for and against implementation in rural areas. Reports that introducing an integrated care model in a rural community requires an investment in building relationships with local providers and adapting to local culture and services.
Author(s): Eileen Griffin, Andrew F. Coburn
Date: 05/2014
Sponsoring organization: Maine Rural Health Research Center
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Assesses four types of organizational models for delivering integrated physical, behavioral health services, and long term services and supports to rural older adults. Each model has different strengths and drawbacks, weighing for and against implementation in rural areas. Reports that introducing an integrated care model in a rural community requires an investment in building relationships with local providers and adapting to local culture and services.
Author(s): Eileen Griffin, Andrew F. Coburn
Date: 05/2014
Sponsoring organization: Maine Rural Health Research Center
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Barriers to Primary Care Physicians Prescribing Buprenorphine
Reports on a study of physicians in the State of Washington who participated in a Rural Opioid Addiction Management Project on the use of buprenorphine-naloxone in the treatment of opioid use disorders. Study determined the percentage of physicians who prescribed this treatment, the characteristics associated with the prescribing physicians, the number of patients treated, and the barriers found when integrating this treatment into their outreach practice.
Author(s): Eliza Hutchinson, Mary Catlin, C. Holly A. Andrilla, et al.
Citation: Annals of Family Medicine, 12(2), 128-133
Date: 03/2014
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Reports on a study of physicians in the State of Washington who participated in a Rural Opioid Addiction Management Project on the use of buprenorphine-naloxone in the treatment of opioid use disorders. Study determined the percentage of physicians who prescribed this treatment, the characteristics associated with the prescribing physicians, the number of patients treated, and the barriers found when integrating this treatment into their outreach practice.
Author(s): Eliza Hutchinson, Mary Catlin, C. Holly A. Andrilla, et al.
Citation: Annals of Family Medicine, 12(2), 128-133
Date: 03/2014
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Rural Veterans: A Special Concern for Rural Health Advocates
Policy brief describing the special healthcare needs of rural veterans. Offers policy recommendations to address these issues. Covers access to primary care, specialty care, physical therapy, women's health services, and mental health services focusing on traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD).
Author(s): J. Alison Alfers, Hilda R. Heady
Date: 02/2014
Sponsoring organization: National Rural Health Association
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Policy brief describing the special healthcare needs of rural veterans. Offers policy recommendations to address these issues. Covers access to primary care, specialty care, physical therapy, women's health services, and mental health services focusing on traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD).
Author(s): J. Alison Alfers, Hilda R. Heady
Date: 02/2014
Sponsoring organization: National Rural Health Association
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