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Rural Health
Resources by Topic: Specialty care

Outcomes of Hepatitis C Treatment by Primary Care Providers
Examines the effectiveness of the Extension for Community Healthcare Outcomes (ECHO) model to improve access to specialty care for complex health conditions such as hepatitis C virus (HCV) by training and supporting primary care clinicians who work with underserved populations in rural areas and prisons in New Mexico.
Author(s): Sanjeev Arora, Karla Thornton, Glen Murata,1 Paulina Deming, et al.
Citation: New England Journal of Medicine, 364, 2199-2207
Date: 06/2011
Type: Document
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Impact of Tele-ICU Coverage on Patient Outcomes: A Systematic Review and Meta-Analysis
Contains a literature review of the impact of tele-ICU care. Discusses the potential of tele-ICU coverage to extend resources to rural hospitals with limited access to critical care specialists.
Author(s): Lance Brendan Young, Paul S. Chan, Xin Lu, et al.
Date: 2011
Type: Document
Sponsoring organizations: U.S. Department of Veterans Affairs, Veterans Rural Health Resource Centers
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What Happens After an Elevated PSA Test: The Experience of 13,591 Veterans
Details a study on the time between prostate-specific antigen (PSA) testing and a biopsy-confirmed cancer diagnosis in veterans. Compares rural and urban areas.
Author(s): Steven B. Zeliadt, Richard M. Hoffman, Ruth Etzioni, Van Anh T. Ginger, Daniel W. Lin
Citation: Journal of General Internal Medicine, 25(11), 1205-1210
Date: 11/2010
Type: Document
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An Analysis of the Labor Markets for Anesthesiology
Examines the supply and demand of anesthesiologists (ANs) and certified registered nurse anesthetists (CRNAs). Includes information on demographics, income, differences in rural areas, demand by state, and more. Compares employment of CRNAs and ANs by rural and urban facilities. Analyzes earnings and hours worked for CRNAs in rural versus urban areas.
Author(s): Lindsay Daugherty, Raquel Fonseca, Krishna B. Kumar, Pierre-Carl Michaud
Date: 2010
Type: Document
Sponsoring organization: RAND Corporation
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Physician Workforce: Supply Increased in Metropolitan and Nonmetropolitan Areas but Geographic Disparities Persisted
Describes the change in supply of physicians from 1991 to 2001. Includes data nationally and by state on physicians in nonmetropolitan areas and on the number of specialists versus generalists. Includes a list of Health Resources and Services Administration programs that address the supply and distribution of health professionals, with 1991 and 2001 expenditures for each program.
Additional links: Full Report
Date: 10/2003
Type: Document
Sponsoring organization: Government Accountability Office
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Indian Country ECHO
Provides learning opportunities for clinicians and staff working in American Indian and Alaska Native communities to receive specialized care training in a variety of topics including behavioral health, COVID-19, diabetes, hepatitis C, maternal and child health, substance use disorders, and more.
Type: Tutorial/Training
Sponsoring organization: Northwest Portland Area Indian Health Board
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UT Health San Antonio ECHO
Program partnering healthcare workers in underserved, remote, and rural areas with providers to expand knowledge and support specialty care in local communities through the Extension for Community Healthcare Outcomes (ECHO) model.
Type: Tutorial/Training
Sponsoring organization: UT Health San Antonio
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UNC Project ECHO
Offers live, web-based sessions where clinical specialists work with healthcare providers, and community and state partners to develop learning communities, facilitate reflective assessment, discuss evidence-based care and methods to address barriers to treatment, and expand access to life saving MAT in North Carolina. Continuing medical education (CME) credits are provided to participants and free DATA 2000 waiver training.
Type: Tutorial/Training
Sponsoring organization: University of North Carolina at Chapel Hill
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Wisconsin Project ECHO Series
A statewide educational initiative connecting clinical experts with primary care providers and medication assisted treatment prescribers across Wisconsin in an effort to reduce substance-related complications. Via a regularly scheduled videoconference, a multidisciplinary panel of specialists provide education and lead a collaborative discussion on submitted patient cases.
Type: Tutorial/Training
Sponsoring organizations: Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health
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UW Medicine Connect with a Provider
Offers consultation and medical education to healthcare professionals and specialized clinical care to patients through telehealth. Includes a section on telehealth provider education services listing several Project ECHO videoconferencing sessions covering a variety of health topics. Also, a physician liaison program serves as a resource for referring physicians and other healthcare professionals to address questions and concerns. Programs focus on supporting all communities in the WWAMI region (Washington, Wyoming, Alaska, Montana and Idaho).
Type: Tutorial/Training
Sponsoring organization: University of Washington School of Medicine
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