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Rural Health
Resources by Topic: Specialty care

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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Transformation Support Provided Remotely to a National Cohort of Optometry Practices
Describes the results of a practice transformation and quality improvement project for optometry practices. Compares cost-savings and emergency department avoidance data between rural and urban practices.
Author(s): Ronald N. Adler, Warren J. Ferguson, Hussein Antar, et al.
Citation: Annals of Family Medicine, 17(5), S33-S39
Date: 08/2019
Type: Document
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Barriers of Colorectal Cancer Screening in Rural USA: A Systematic Review
Explores barriers to colorectal cancer screening in rural areas, reviewing research between 1998–2017 and drawing data from 27 articles. Discusses commonly reported barriers, including cost and lack of insurance, perceptions of the screening procedure, and recommendation from providers to complete screening, among others.
Author(s): Hongmei Wang, Shreya Roy, Jungyoon Kim, et al.
Citation: Rural Remote Health, 19(3), 5181
Date: 08/2019
Type: Document
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Endoscopic Services in the United States: By Whom, for What, and Why?
Discusses the relevance of declining volume of endoscopic procedures in urban and rural areas, from the standpoint of healthcare delivery. Focuses on colorectal cancer screening, assessments of endoscopic quality, and possible solutions, including training in flexible endoscopy.
Author(s): James W. Feimster, John D. Mellinger
Citation: The Journal of the American Board of Family Medicine, 32(4), 454-456
Date: 07/2019
Type: Document
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Understanding Symptom Burden in Patients with Advanced Cancer Living in Rural Areas
Explores research methods for understanding differences in rural and urban cancer care, treatment, and symptom-based stressors. Discusses challenges in recruiting and retaining rural study participants and capturing differences between rural patients receiving local care and those receiving care in metro areas. Studies the severity of advanced cancer symptoms for 21 rural patients in Iowa, drawing data from patient surveys. Describes disparities in advanced cancer diagnosis and differences in treatment experiences.
Author(s): Stephanie Gilbertson-White, Yelena Perkhounkova, Seyedehtanaz Saeidzadeh, et al.
Citation: Oncology Nursing Forum, 46(4), 428-441
Date: 07/2019
Type: Document
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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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Geriatrician Roles and the Value of Geriatrics in an Evolving Healthcare System
Research report focusing on how geriatric roles are changing as healthcare systems and organizations reorganize care. Features information on ways telemedicine is used in geriatric care delivery in rural areas, including the TeleECHO (Extension for Community Health Outcomes) model.
Author(s): Timothy Bates, Aubri Kottek, Joanne Spetz
Date: 07/2019
Type: Document
Sponsoring organization: University of California San Francisco Health Workforce Research Center on Long-Term Care
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Access to Primary Care Clinics for Patients With Chronic Pain Receiving Opioids
Results of a study of 194 Michigan primary care clinics, to assess their willingness to continue prescribing opioids to new patients and to determine whether this differs across payer types. Includes statistics on characteristics of clinics accepting new patients currently taking opioids, with breakdowns by urban and rural location.
Author(s): Pooja A. Lagisetty, Nathaniel Healy, Claire Garpestad, et al.
Citation: JAMA Network Open, 2(7)
Date: 07/2019
Type: Document
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3 Questions to Integrate Substance Use Disorder Services into Primary Care
Fact sheet providing examples of tools and potential mentoring opportunities for providing substance use disorder treatment services in rural areas.
Date: 06/2019
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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At the Front Lines in Tennessee: Rural Clinic Offers Trauma-Informed Treatment for Substance Use Disorder
Describes the work of a rural Tennessee physician who uses medication-assisted treatment, cognitive behavioral therapy, and group therapy sessions to treat patients struggling with substance use disorder. Explores the connection between adverse childhood experiences and substance abuse, and stigma associated with seeking treatment.
Author(s): Mariel Gingrich
Date: 06/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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