Rural Health
Resources by Topic: Scope of practice
Exploring Healthcare Provider Retention in a Rural and Frontier Community in Northern Idaho
Examines factors related to healthcare provider retention in rural and remote areas of Idaho. Utilizes questionnaire data from 30 healthcare providers and focuses on themes such as geography, economics, scope of practice, medical support, and facility and community support.
Author(s): Jonathan D. Moore, Allie M. Lords, Madeline P. Casanova, et al.
Citation: BMC Health Services Research, 24, 381
Date: 03/2024
Type: Document
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Examines factors related to healthcare provider retention in rural and remote areas of Idaho. Utilizes questionnaire data from 30 healthcare providers and focuses on themes such as geography, economics, scope of practice, medical support, and facility and community support.
Author(s): Jonathan D. Moore, Allie M. Lords, Madeline P. Casanova, et al.
Citation: BMC Health Services Research, 24, 381
Date: 03/2024
Type: Document
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Perspectives on APRN Prescribing of Medications for Opioid Use Disorder: Key Barriers Remain
Interviewed 76 healthcare and industry workers across 4 states to identify themes related to nurse practitioner (NP) scope of practice regulations for medications for opioid use disorder (MOUD). Topics covered include access to care, rural needs, psychiatric NPs, and the nursing model of care. Discusses policy measures and other barriers to offering care.
Author(s): Susan A. Chapman, Leah Fraimow-Wong, Bethany J. Phoenix, Matthew Tierney, Joanne Spetz
Citation: Journal of Substance Use & Addiction Treatment, 157, 209215
Date: 02/2024
Type: Document
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Interviewed 76 healthcare and industry workers across 4 states to identify themes related to nurse practitioner (NP) scope of practice regulations for medications for opioid use disorder (MOUD). Topics covered include access to care, rural needs, psychiatric NPs, and the nursing model of care. Discusses policy measures and other barriers to offering care.
Author(s): Susan A. Chapman, Leah Fraimow-Wong, Bethany J. Phoenix, Matthew Tierney, Joanne Spetz
Citation: Journal of Substance Use & Addiction Treatment, 157, 209215
Date: 02/2024
Type: Document
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Bridging The Home-Based Primary Care Gap In Rural Areas
Discusses challenges with offering home-based primary care (HBPC) in rural communities for older adults and people with disabilities, notably workforce shortages, insufficient infrastructure, and funding. Offers HBPC redesign suggestions with these challenges in mind, discussing community health workers, technology and telehealth, leveraging community resources and partnerships, training, scope of practice laws, payment models, and infrastructure investments.
Author(s): Ginny Rogers, Montgomery Smith, Jonathan Gonzalez-Smith, Robert S. Saunders
Citation: Health Affairs Forefront
Date: 02/2024
Type: Document
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Discusses challenges with offering home-based primary care (HBPC) in rural communities for older adults and people with disabilities, notably workforce shortages, insufficient infrastructure, and funding. Offers HBPC redesign suggestions with these challenges in mind, discussing community health workers, technology and telehealth, leveraging community resources and partnerships, training, scope of practice laws, payment models, and infrastructure investments.
Author(s): Ginny Rogers, Montgomery Smith, Jonathan Gonzalez-Smith, Robert S. Saunders
Citation: Health Affairs Forefront
Date: 02/2024
Type: Document
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Expanding the Care Team: Leveraging a Broad Workforce to Improve Health Care in Kansas
Discusses challenges facing the healthcare landscape in Kansas, such as hospital closures and healthcare workforce shortages, and how expanding healthcare teams to include professions like community paramedics and community health workers can help alleviate these challenges. Includes data on demographics of the Kansas population and related hospital closures that impact rural areas in particular.
Author(s): Valentina Blanchard, Wyatt J. Beckman, Linda J. Sheppard
Date: 01/2024
Type: Document
Sponsoring organization: Kansas Health Institute
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Discusses challenges facing the healthcare landscape in Kansas, such as hospital closures and healthcare workforce shortages, and how expanding healthcare teams to include professions like community paramedics and community health workers can help alleviate these challenges. Includes data on demographics of the Kansas population and related hospital closures that impact rural areas in particular.
Author(s): Valentina Blanchard, Wyatt J. Beckman, Linda J. Sheppard
Date: 01/2024
Type: Document
Sponsoring organization: Kansas Health Institute
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Final Rule for CY 2024 Physician Fee Schedule: Fact Sheet
Fact sheet covering Centers for Medicare & Medicaid Services (CMS) telehealth policy changes for 2024 as outlined in the final calendar year (CY) 2024 Physician Fee Schedule. Covers eligible services that can be delivered by telehealth, remote monitoring services, physician supervision, diabetes self-management training (DSMT), and more.
Date: 11/2023
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Fact sheet covering Centers for Medicare & Medicaid Services (CMS) telehealth policy changes for 2024 as outlined in the final calendar year (CY) 2024 Physician Fee Schedule. Covers eligible services that can be delivered by telehealth, remote monitoring services, physician supervision, diabetes self-management training (DSMT), and more.
Date: 11/2023
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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First-Ever Rural Physician and Advanced Practice Provider Compensation Survey
Recording of an October 11, 2023, webinar discussing results of a January 2023 survey of rural hospitals regarding physician and advanced-practice provider compensation. Presents results for primary care and specialty care providers by provider type, hospital system affiliation, and region. Highlights factors that influence compensation and nurse practitioner practice environments by state. Transcript available in the video description.
Additional links: Presentation Slides
Date: 10/2023
Type: Video/Multimedia
Sponsoring organizations: National Rural Health Association, Stroudwater Associates
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Recording of an October 11, 2023, webinar discussing results of a January 2023 survey of rural hospitals regarding physician and advanced-practice provider compensation. Presents results for primary care and specialty care providers by provider type, hospital system affiliation, and region. Highlights factors that influence compensation and nurse practitioner practice environments by state. Transcript available in the video description.
Additional links: Presentation Slides
Date: 10/2023
Type: Video/Multimedia
Sponsoring organizations: National Rural Health Association, Stroudwater Associates
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An Examination of Practices and Barriers of Procedures Performed by Physicians in Rural Hawai'i
Surveys 47 rural Hawaiian physicians to evaluate their scope of practice for procedures and learn the barriers to performing procedures. Discusses specialty care, reimbursement, training, time management, resource access, and more.
Author(s): Joseph W. Turban, Eun Ah Cho, Weston McCue, Kelley Withy
Citation: Hawai'i Journal of Health & Social Welfare, 82(8), 183-187
Date: 08/2023
Type: Document
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Surveys 47 rural Hawaiian physicians to evaluate their scope of practice for procedures and learn the barriers to performing procedures. Discusses specialty care, reimbursement, training, time management, resource access, and more.
Author(s): Joseph W. Turban, Eun Ah Cho, Weston McCue, Kelley Withy
Citation: Hawai'i Journal of Health & Social Welfare, 82(8), 183-187
Date: 08/2023
Type: Document
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Tennessee Rural Health Care Task Force: Improving Rural Health Care Across Tennessee
Report from the Tennessee Rural Health Care Task Force. Offers recommendations to the state in the areas of access to care, workforce development, and social drivers of health. Discusses rural health research and advocacy, health insurance, telemedicine, workforce training, grants and loans, and more.
Author(s): Morgan McDonald, David Dill
Date: 06/2023
Type: Document
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Report from the Tennessee Rural Health Care Task Force. Offers recommendations to the state in the areas of access to care, workforce development, and social drivers of health. Discusses rural health research and advocacy, health insurance, telemedicine, workforce training, grants and loans, and more.
Author(s): Morgan McDonald, David Dill
Date: 06/2023
Type: Document
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The EMS and Community Paramedic Workforces Respond to COVID-19
Results of a study in which 17 key informant experts shared their perspectives on how the emergency medical services (EMS) and community paramedicine (CP) workforces responded to COVID-19 during the first year of the pandemic. Also describes how the pandemic has affected EMS and CP. Features statistics on participant characteristics, with breakdowns by rural and urban locations.
Author(s): Davis G. Patterson, Marieke S. van Eijk, Samantha W. Pollack, Benjamin A. Stubbs, Christopher Hanson
Date: 06/2023
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Results of a study in which 17 key informant experts shared their perspectives on how the emergency medical services (EMS) and community paramedicine (CP) workforces responded to COVID-19 during the first year of the pandemic. Also describes how the pandemic has affected EMS and CP. Features statistics on participant characteristics, with breakdowns by rural and urban locations.
Author(s): Davis G. Patterson, Marieke S. van Eijk, Samantha W. Pollack, Benjamin A. Stubbs, Christopher Hanson
Date: 06/2023
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Understanding and Overcoming Barriers to Rural Training in Family Medicine Obstetrics Fellowships
Highlights a study on access to rural-focused family medicine obstetrics (FM OB) fellowships for family medicine residency graduates. Explores the availability of rural-specific FM OB fellowships and the challenges programs face in providing rurally-oriented training to family medicine physicians. Breaks down data by fellowship type, training curriculum, and rurality of location, among other measures.
Date: 06/2023
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Highlights a study on access to rural-focused family medicine obstetrics (FM OB) fellowships for family medicine residency graduates. Explores the availability of rural-specific FM OB fellowships and the challenges programs face in providing rurally-oriented training to family medicine physicians. Breaks down data by fellowship type, training curriculum, and rurality of location, among other measures.
Date: 06/2023
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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