Rural Health
Resources by Topic: Specialty care
Improving Accessibility: VISN 11 Mobile Prosthetics Van Program
Describes a mobile program that provides prosthetic and orthotic services to veterans in areas of Michigan, Indiana, northwest Ohio, and eastern Illinois that did not previously offer them and that may be many miles away from the nearest veteran medical center (VAMC).
Author(s): Sherri DeLoof, Guadalupe Bravo, Ernest Howard, Michael Rilenge
Date: 2013
Type: Document
Sponsoring organizations: U.S. Department of Veterans Affairs, Veterans Rural Health Resource Centers
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Describes a mobile program that provides prosthetic and orthotic services to veterans in areas of Michigan, Indiana, northwest Ohio, and eastern Illinois that did not previously offer them and that may be many miles away from the nearest veteran medical center (VAMC).
Author(s): Sherri DeLoof, Guadalupe Bravo, Ernest Howard, Michael Rilenge
Date: 2013
Type: Document
Sponsoring organizations: U.S. Department of Veterans Affairs, Veterans Rural Health Resource Centers
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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
Type: Document
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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
Type: Document
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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
Type: Document
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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
Type: Document
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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
Type: Document
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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
Type: Document
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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
Type: Document
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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
Type: Document
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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
Type: Document
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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
Type: Document
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Impact of Tele-ICU Coverage on Patient Outcomes: A Systematic Review and Meta-Analysis
A literature review and meta-analysis on 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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A literature review and meta-analysis on 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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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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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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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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