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Rural Health
Resources by Topic: Specialty care

Report to the 2020 Legislature: Annual Report on Findings from the Hawai'i Physician Workforce Assessment Project
Reports on shortages of physicians in Hawaii by county and specialty. Summarizes the activities supported in the past year to help address these shortages including workforce pipeline programs, loan repayment contracts, increasing state shortage designations, continuing education through Project ECHO, and a tax credit for health preceptors.
Author(s): Kelley Withy
Date: 12/2019
Type: Document
Sponsoring organization: Hawaii and Pacific Basin Area Health Education Centers
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Access to Specialty Care for Medicare Beneficiaries in Rural Communities
Findings from a voluntary online survey conducted in 2019 of 111 Rural Health Clinic (RHC) staff, from 27 states, to identify the most difficult specialty healthcare service to access, and why it is the most difficult to access. Conducts an analysis of RHC distance to the nearest hospital or clinic to determine variation in difficulty accessing specialty services.
Author(s): Megan Lahr, Hannah Neprash, Carrie Henning-Smith, Mariana S. Tuttle, Ashley M. Hernandez
Date: 12/2019
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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The Value Initiative Members in Action: Dartmouth-Hitchcock Medical Center - Lebanon, N.H
Describes how the Dartmouth-Hitchcock Medical Center partners with rural and community hospitals to provide telehealth specialty care services across northern New England through the Dartmouth-Hitchcock Connected Care program. Discusses clinical outcomes and patient satisfaction with the telehealth programs. Examines how telehealth services impact staffing and services offered in small and rural hospitals.
Date: 12/2019
Type: Document
Sponsoring organization: American Hospital Association
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Issue Brief: Integrated Behavioral Health is High-value Care
Highlights the advantages of behavioral health integration. Addresses costs and healthcare outcomes and presents several models for integration in healthcare settings.
Date: 12/2019
Type: Document
Sponsoring organization: American Hospital Association
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Veterans Health Care: Services for Substance Use Disorders, and Efforts to Address Access Issues in Rural Areas
Identifies and compares the differences in the number of veterans, and the expenditures for veterans receiving substance use disorder (SUD) services, and specialty SUD services in rural and urban areas. Veterans Health Administration (VHA) policies were reviewed, interviews were conducted with agency officials, and Department of Veterans Affairs (VA) data from 2014 to 2018 was analyzed to develop the report.
Additional links: Full Report
Date: 12/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Georgia Physician Workforce Report: Based on 2017-2018 Licensure Renewal Data and New Licensees, Primary Care and Core Specialties
Measures and tracks trends in physician demographics, supply, and distribution, using data from January 2017 to December 2018. Features county-level maps and statistics for all Georgia physicians and those specializing in family medicine, internal medicine, pediatrics, OB/GYN, general surgery, psychiatry, and emergency medicine, with breakdowns by metropolitan and nonmetropolitan areas.
Date: 10/2019
Type: Document
Sponsoring organization: Georgia Board of Health Care Workforce
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Expanding HIV Care Through Telehealth
Discusses how telehealth programs benefit Health Resources and Services Administration (HRSA) Ryan White HIV/AIDS Program (RWHAP) recipients. Discusses the benefits for rural patients of provider-specialist programs like Project ECHO that offer telementoring to primary care providers and of programs that provide care directly to rural patients via telemedicine.
Citation: CAREAction Newsletter
Date: 10/2019
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Russell County Hospital Listens to their Community to Improve Transitions of Care
Highlights quality improvement activities underway at a 25-bed Critical Access Hospital (CAH) in rural Kentucky. Discusses community collaboration efforts, expansion of specialty services, renovations, a focus on staff satisfaction, and care coordination activities.
Date: 09/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Georgia Physician Assistant Workforce Report: Based on 2017-2018 Licensure Renewal Data
Measures and tracks trends in physician assistant demographics, supply, and distribution. Features county-level maps and statistics for Georgia physician assistants, with breakdowns by primary care or core specialty and location in metropolitan and nonmetropolitan practice settings.
Date: 07/2019
Type: Document
Sponsoring organization: Georgia Board of Health Care Workforce
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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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