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Rural Health
Resources by Topic: Scope of practice

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. 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
Toolkit designed to provide prospective employers of dental therapists a history and understanding of the field and offer information on how to integrate dental therapists 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 organizations: Health Reform Minnesota, Minnesota Department of Health - Office of Rural Health and Primary Care, Minnesota Department of Human Services
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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 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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State Law Fact Sheet: A Summary of State Community Health Worker Laws
Details the state laws pertaining to Community Health Workers as of June 30, 2016. Includes laws defining scope of practice, team-based care models, reimbursement, and the core certification process.
Date: 2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Maternity Care Services Provided by Family Physicians in Rural Hospitals
Describes current supply of maternal care providers in 437 rural hospitals, including statistics on cesarean delivery rates and provision of services, hospital size, community size, and requirements for procedural privileges.
Author(s): Richard A. Young
Citation: Journal of the American Board of Family Medicine, 30(1), 71-77
Date: 2017
Type: Document
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Impact of a Rural Regional Myocardial Infarction System of Care in Wyoming
Study of time-to-treatment for patients experiencing ST-segment elevation myocardial infarction heart attacks in Wyoming, a rural, frontier state. Examines data from 11 hospitals capable of providing primary percutaneous coronary intervention (PCI), 4 of which are in Wyoming and 7 in surrounding states, looking at rates of PCI and other treatment strategies. Discusses cooperation between hospitals and emergency medical services and implications for statewide efforts in rural areas.
Author(s): James R. Langabeer II, Derek T. Smith, Marylou Cardenas-Turanzas, et al.
Citation: Journal of the American Heart Association, 5(5), e003392
Date: 05/2016
Type: Document
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Understanding Scope and Competencies: A Contemporary Look at the United States Community Health Worker Field
Reports on the progress of the Community Health Worker Core Consensus (C3) Project in developing a national consensus regarding community health worker core roles and competencies. The C3 Advisory Committee charged with developing the standards included representation from urban, rural, and tribal communities.
Author(s): E. Lee Rosenthal, Carl H. Rush, Caitlin G. Allen
Date: 04/2016
Type: Document
Sponsoring organization: Institute for Health Policy, University of Texas School of Public Health
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