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Rural Health
Resources by Topic: Scope of practice

Rural And Nonrural Primary Care Physician Practices Increasingly Rely On Nurse Practitioners
Details a study comparing rural and urban reliance on nurse practitioners as providers of primary care. Discusses the role of Medicaid expansion and scope of practice in findings.
Author(s): Hilary Barnes, Michael R. Richards, Matthew D. McHugh, Grant Martsolf
Citation: Health Affairs, 37(6)
Date: 06/2018
Type: Document
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Rural Family Physicians in Patient Centered Medical Homes Have a Broader Scope of Practice
Results of a study to determine whether rural family physicians in Patient Centered Medical Home (PCMH) practices have a broader scope of practice than those in non-PCMH practices. Features statistics including physician characteristics and scope of clinical services, with breakdowns by PCMH and non-PCMH and by large rural, small rural, and frontier areas.
Author(s): Lars E. Peterson, Bo Fang
Date: 02/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Rural Family Physicians Have a Broader Scope of Practice than Urban Family Physicians
Results of a study to determine differences between rural and urban family physicians in scope of practice for clinical and procedural care in 2014 and 2015. Features statistics including physician characteristics and percentages of physicians providing various types of services and care, with breakdowns by metropolitan, large rural, small rural, and frontier areas.
Author(s): Lars E. Peterson, Bo Fang
Date: 02/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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The Impact of Nurse Practitioner Scope-of-Practice Regulations in Primary Care
Examines the current and projected role of Nurse Practitioners (NPs) in rural and primary care settings, and discusses how changes in scope-of-practice (SOP) regulations for NPs may help alleviate healthcare access issues caused by a limited supply of physicians.
Author(s): Aziza Arifkhanova
Date: 2018
Type: Document
Sponsoring organization: RAND Corporation
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Rural Curricular Guidelines Based on Practice Scope of Recent Residency Graduates Practicing in Small Communities
Study using data from surveys self-administered between 2007-2014, exploring scope of practice of 586 recent graduates practicing in rural areas. Features statistics on demographics and various types of clinical activities, with breakdowns by small, medium, or large practice community size.
Author(s): Joe M. Skariah, Carl Rasmussen, Joyce Hollander-Rodriguez, et al.
Citation: Family Medicine, 49(8), 594-599
Date: 09/2017
Type: Document
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Development and Deployment of Community Health Workers in Delaware
A guide for establishing a Community Health Worker program in the state of Delaware. Includes information about certification requirements and reimbursement mechanisms, along with model programs from other states.
Date: 06/2017
Type: Document
Sponsoring organizations: Delaware Center for Health Innovation, Delaware Health and Social Services
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Projecting Demand for the Services of Primary Care Doctors
Estimates the expected growth in demand for primary care medical services in the U.S. between 2013 and 2023. Projections are based on an analysis of historical trends between 2003 and 2013, and factor in the following variables: population growth, population age, health insurance coverage status, and other sources of growth in volume and intensity. Also examines legislative and non-legislative ways to increase the supply of primary care services, including in rural areas and facilities.
Author(s): Noelia Duchovny, Sam Trachtman, Ellen Werble
Date: 05/2017
Type: Document
Sponsoring organization: Congressional Budget Office
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Dental Therapy Toolkit: A Resource for Potential Employers
A toolkit designed to provide prospective employers of dental therapists a history and understanding of the field and how to implement them into their practices in the state of Minnesota. Includes regulations and scope of practice details, education and training requirements, and examples of successful dental therapy models, among other topics.
Date: 02/2017
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Community Health Workers: Recommendations for Bridging Healthcare Gaps in Rural America
Policy brief reviewing research findings on community health worker (CHW) integration, and discussing how CHWs can help bridge healthcare gaps in rural communities. Also reviews various state policies related to CHWs, identifies a number of care settings where CHWs are working in rural areas, and makes policy recommendations to support the continued integration of CHWs into the rural healthcare delivery system.
Author(s): Kailyn Dorhauer Mock, Tracy Morton, Prisci Quijada, Julie St. John
Date: 02/2017
Type: Document
Sponsoring organization: National Rural Health Association
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A Guide for Emerging Professions: Tips for Stakeholders and Advocates of Emerging Professions to Professionalize and Integrate with the Health Care System
Provides background information and constructive knowledge to help stakeholders develop strategies to change policies and structures to integrate the profession into the existing healthcare system.
Date: 2017
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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