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Rural Health
Resources by Topic: Scope of practice

The Behavioral Health Workforce in Rural America: Developing a National Recruitment Strategy
Describes successful strategies to recruit and retain behavioral health workers in rural areas, based on phone interviews with state-level experts in rural health and behavioral health. Explores financial incentives, education and training programs, telehealth, licensure or scope of practice changes, innovative state approaches, and policy considerations.
Author(s): Nancy Baum, Jaque King
Date: 02/2020
Type: Document
Sponsoring organization: Center for Health and Research Transformation
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Health Disparities in Rural America: Current Challenges and Future Solutions
Describes health risks experienced by rural people and the problems they face in accessing healthcare in shortage areas, and offers possible solutions. Includes a map showing Primary Care Health Professional Shortage Areas by county, and a list of states allowing full practice authority for nurse practitioners as of 2019.
Author(s): Theresa Capriotti, Tiffany Pearson, Lillian Dufour
Date: 02/2020
Type: Document
Sponsoring organization: Clinical Advisor
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California's Midwives: How Scope of Practice Laws Impact Care
Compares the scope of practice, professional licensures, regulatory systems, and educational requirements for licensed midwives (LMs) and nurse-midwives (NMs) in California. Appendix provides per capita distribution data for midwives by county within the state.
Author(s): Connie Kwong, Margot Brooks, Kim Q. Dau, Joanne Spetz
Date: 10/2019
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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Enhancing Career Paths for Tomorrow's Radiation Oncologists
Presents several alternative or additional career paths for radiation oncologists. Details global health, radiation epidemiology, and frontier medicine among other paths.
Author(s): Neha Vapiwala, Charles R. Thomas, Jr, Surbhi Grover, et al.
Citation: International Journal of Radiation Oncology, Biology, and Physics, 105(1), 52-63
Date: 09/2019
Type: Document
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Minnesota's Dental Therapist Workforce
Provides an overview of the dental therapist workforce in Minnesota, including the history of the profession in the state, educational programs, scope of practice, and licensing requirements. Reports results of a March 2019 survey of the state's dental therapist workforce, with data on demographics, education, employment, work settings, and geographic distribution. Includes data on work location by level of rurality.
Date: 09/2019
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Rural America Has a Maternal Mortality Problem. Midwives Might Help Solve It.
Highlights the role of certified professional midwives in providing access to maternal and newborn care using an example from an Amish area of Tennessee. Discusses differences in state policies and integration with local health systems. Includes a map identifying maternal mortality rates by state.
Author(s): April Simpson
Date: 08/2019
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Declining Endoscopic Care by Family Physicians in Both Rural and Urban Areas
Results of a study using data from 2014-2016 to determine whether the percentage of family physicians providing endoscopic services has declined in rural as well as urban areas. Features statistics with breakdowns by 3 types of procedures and urban or rural location.
Author(s): Lars E. Peterson, Urooj Nasim, Vashisht Madabhushi
Citation: Journal of the American Board of Family Medicine, 32(4), 460-461
Date: 07/2019
Type: Document
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Briefing - Expanding the Role of Nurse Practitioners
Provides a webinar recording and slides on expanding the role of nurse practitioners, focusing on models from Nevada, Colorado, and New Mexico, and what California can learn from them. Includes some information on nurse practitioners providing care in rural and frontier areas, as well as what they are doing to help combat the opioid epidemic.
Date: 05/2019
Type: Video/Multimedia
Sponsoring organization: California Health Care Foundation
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Buprenorphine Prescribing by Nurse Practitioners, Physician Assistants and Physicians After CARA 2016
Investigates the differences in buprenorphine prescribing patterns among nurse practitioners (NPs), physician assistants (PAs) and physicians in Medicaid following implementation of the Comprehensive Addiction and Recovery Act (CARA) addressing opioid use disorder (OUD). Retail pharmacy claims from July 2017 to June 2018 were analyzed to identify prescriber type, number of patients, payer type, rural and urban differences, and Medicaid trends for FDA-approved buprenorphine drugs for the treatment of OUD.
Author(s): Rekha Varghese, Karin Johnson, Bo Feng, et al.
Date: 04/2019
Type: Document
Sponsoring organizations: IMPAQ International, LLC, Medicaid and CHIP Payment and Access Commission
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Opioid Use Disorder: Challenges and Opportunities in Rural Communities
Discusses challenges rural communities face in providing access to evidence-based treatment for opioid use disorder (OUD). Identifies federal and state strategies to address treatment capacity, including expanding the workforce authorized to prescribe buprenorphine and using technology to provide treatment. Highlights how Scott County, Indiana responded to an HIV outbreak related to OUD by addressing the barriers to care faced by people with OUD and HIV.
Date: 02/2019
Type: Document
Sponsoring organization: Pew Charitable Trusts
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