Rural Health
Resources by Topic: Specialty care
Utah Rural Health Plan
Describes Utah's rural healthcare system, the organizations comprising the healthcare safety net, and the environment in which those organizations provide healthcare services. Prioritizes specific rural health issues identified by hospital surveys, health assessments, and interviews with key rural health stakeholders.
Date: 02/2013
Sponsoring organization: Utah Office of Primary Care and Rural Health
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Describes Utah's rural healthcare system, the organizations comprising the healthcare safety net, and the environment in which those organizations provide healthcare services. Prioritizes specific rural health issues identified by hospital surveys, health assessments, and interviews with key rural health stakeholders.
Date: 02/2013
Sponsoring organization: Utah Office of Primary Care and Rural Health
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Rural Residence and Adoption of a Novel HIV Therapy in a National, Equal-Access Healthcare System
Reports the results of a study examining the use of raltegravir, the first HIV integrase inhibitor, in Veterans Affairs (VA) patients. Provides rural versus urban participant characteristic statistics by AIDS defining illness, substance abuse, and more. Includes a discussion of barriers to new forms of HIV treatment for rural residents, such as geographic distance, transportation, and limited access to specialists in the field.
Author(s): Michael Ohl, Brian Lund, Pamela S. Belperio, et al.
Citation: AIDS and Behavior, 17(1), 250-259
Date: 01/2013
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Reports the results of a study examining the use of raltegravir, the first HIV integrase inhibitor, in Veterans Affairs (VA) patients. Provides rural versus urban participant characteristic statistics by AIDS defining illness, substance abuse, and more. Includes a discussion of barriers to new forms of HIV treatment for rural residents, such as geographic distance, transportation, and limited access to specialists in the field.
Author(s): Michael Ohl, Brian Lund, Pamela S. Belperio, et al.
Citation: AIDS and Behavior, 17(1), 250-259
Date: 01/2013
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Evolving Trends in Maternal Fetal Medicine Referrals in a Rural State Using Telemedicine
Presents the results of a study using Arkansas Medicaid claims and birth certificate data from 2001-2006 to make an assessment of maternal fetal medicine (MFM) referrals and consultations from face-to-face interaction to telemedicine over time in a rural population. Discusses the formation of ANGELS (Antenatal and Neonatal Guidelines, Education and Learning Systems) to improve obstetrical care in rural Arkansas and to improve appropriate referrals to MFM specialists.
Author(s): Everett F. Magann, Janet Bronstein, Samantha S. McKelvey, et al.
Citation: Archives of Gynecology and Obstetrics, 286(6)
Date: 12/2012
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Presents the results of a study using Arkansas Medicaid claims and birth certificate data from 2001-2006 to make an assessment of maternal fetal medicine (MFM) referrals and consultations from face-to-face interaction to telemedicine over time in a rural population. Discusses the formation of ANGELS (Antenatal and Neonatal Guidelines, Education and Learning Systems) to improve obstetrical care in rural Arkansas and to improve appropriate referrals to MFM specialists.
Author(s): Everett F. Magann, Janet Bronstein, Samantha S. McKelvey, et al.
Citation: Archives of Gynecology and Obstetrics, 286(6)
Date: 12/2012
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Superior Outcomes for Rural Patients After Abdominal Aortic Aneurysm Repair Supports a Systematic Regional Approach to AAA Care
Examines the treatment experiences of intact abdominal aortic aneurysm patients living in rural versus urban areas across the U.S. Table 1 lists demographic information and Table 4 lists the primary outcomes after repair of intact abdominal aortic aneurysm by rural versus urban.
Author(s): Matthew W. Mell, Christie Bartels, Amy Kind, Glen Leverson, Maureen Smith
Citation: Journal of Vascular Surgery, 56(3), 608-613
Date: 09/2012
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Examines the treatment experiences of intact abdominal aortic aneurysm patients living in rural versus urban areas across the U.S. Table 1 lists demographic information and Table 4 lists the primary outcomes after repair of intact abdominal aortic aneurysm by rural versus urban.
Author(s): Matthew W. Mell, Christie Bartels, Amy Kind, Glen Leverson, Maureen Smith
Citation: Journal of Vascular Surgery, 56(3), 608-613
Date: 09/2012
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Missing the Handoff: Post-Hospitalization Follow-up Care Among Rural Medicare Beneficiaries With Diabetes
Presents findings of an analysis of urban – rural differences in 30 day post-discharge physician follow-up care for people with diabetes.
Author(s): Kevin Bennett, Janice Probst, Medha Vyavaharkar, Saundra Glover
Citation: Rural and Remote Health, 12(3), 2097
Date: 07/2012
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Presents findings of an analysis of urban – rural differences in 30 day post-discharge physician follow-up care for people with diabetes.
Author(s): Kevin Bennett, Janice Probst, Medha Vyavaharkar, Saundra Glover
Citation: Rural and Remote Health, 12(3), 2097
Date: 07/2012
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Project ECHO: A Model for Complex, Chronic Care in the Pacific Northwest Region of the United States
Describes Project ECHO, a telehealth program, involving weekly video conferences between rural providers and their colleagues at academic medical centers to discuss patient cases involving a variety of subjects, such as Hepatitis C, chronic pain, integrated addictions, psychiatry, and HIV/AIDS to receive management advice, and access to best practices. Figure 2 shows a map of participating sites and Table 1 lists the numbers of clinics, clinicians, and patients presented.
Author(s): John D. Scott, Kent T. Unruh, Mary C. Catlin, et al.
Citation: Journal of Telemedicine and Telecare, 18(8), 481-484
Date: 2012
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Describes Project ECHO, a telehealth program, involving weekly video conferences between rural providers and their colleagues at academic medical centers to discuss patient cases involving a variety of subjects, such as Hepatitis C, chronic pain, integrated addictions, psychiatry, and HIV/AIDS to receive management advice, and access to best practices. Figure 2 shows a map of participating sites and Table 1 lists the numbers of clinics, clinicians, and patients presented.
Author(s): John D. Scott, Kent T. Unruh, Mary C. Catlin, et al.
Citation: Journal of Telemedicine and Telecare, 18(8), 481-484
Date: 2012
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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
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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
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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
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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
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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
Sponsoring organization: RAND Corporation
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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
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
Sponsoring organization: Government Accountability Office
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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
Sponsoring organization: Government Accountability Office
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