Rural Health
Resources by Topic: Health workforce
Availability of Buprenorphine Treatment in Kentucky
Describes availability of opioid addiction treatment in Kentucky, with breakdowns by metropolitan, micropolitan, and other non-metropolitan areas, and distribution of various medical specialists authorized to prescribe buprenorphine in these areas.
Author(s): Elijah T. Myers, Tyrone F. Borders
Date: 11/2016
Sponsoring organization: University of Kentucky Institute for Rural Health Policy
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Describes availability of opioid addiction treatment in Kentucky, with breakdowns by metropolitan, micropolitan, and other non-metropolitan areas, and distribution of various medical specialists authorized to prescribe buprenorphine in these areas.
Author(s): Elijah T. Myers, Tyrone F. Borders
Date: 11/2016
Sponsoring organization: University of Kentucky Institute for Rural Health Policy
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Federal Requirement for Physician Supervision of CRNAs
Discusses the federal requirement affecting participation in the Medicare program by Critical Access Hospitals (CAHs) or Ambulatory Surgical Centers (ASCs) regarding physician supervision of Certified Registered Nurse Anesthetists (CRNAs). Addresses the conditions for states to opt out of the physician supervision Medicare rule if they meet certain conditions and the research comparing the outcomes between states that opt-out and those that do not.
Author(s): Steve Barnett, John H Everett, Pat Schou
Date: 11/2016
Sponsoring organization: National Rural Health Association
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Discusses the federal requirement affecting participation in the Medicare program by Critical Access Hospitals (CAHs) or Ambulatory Surgical Centers (ASCs) regarding physician supervision of Certified Registered Nurse Anesthetists (CRNAs). Addresses the conditions for states to opt out of the physician supervision Medicare rule if they meet certain conditions and the research comparing the outcomes between states that opt-out and those that do not.
Author(s): Steve Barnett, John H Everett, Pat Schou
Date: 11/2016
Sponsoring organization: National Rural Health Association
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Pennsylvania Mobile Team Addresses Substance Use Disorders
Features the Addiction Recovery Mobile Outreach Team (ARMOT) program, which supports patients in the recovery process and educates medical staff on addiction and recovery. ARMOT is a collaboration of three hospitals, two substance abuse providers, and the Armstrong-Indiana-Clarion Drug and Alcohol Commission.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2016
Sponsoring organization: Rural Health Information Hub
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Features the Addiction Recovery Mobile Outreach Team (ARMOT) program, which supports patients in the recovery process and educates medical staff on addiction and recovery. ARMOT is a collaboration of three hospitals, two substance abuse providers, and the Armstrong-Indiana-Clarion Drug and Alcohol Commission.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2016
Sponsoring organization: Rural Health Information Hub
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Evaluation of Policy Options for Increasing the Availability of Primary Care Services in Rural Washington State
Analyzes policy options that the Washington state legislature has considered to address a perceived shortage of primary care physicians in rural Washington. Provides background on the rural primary care workforce within the state and projects the impacts each policy option would have through 2025. Policy options considered include: opening a new medical school at Washington State University (WSU), increasing the number of residency positions in the state, increasing loan repayment incentives to encourage rural practice, increasing Medicaid payment rates for rural physicians, and encouraging the use of alternative primary care models.
Additional links: Summary and Key Findings
Author(s): Mark W. Friedberg, Grant R. Martsolf, Chapin White, et al.
Date: 11/2016
Sponsoring organization: RAND Corporation
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Analyzes policy options that the Washington state legislature has considered to address a perceived shortage of primary care physicians in rural Washington. Provides background on the rural primary care workforce within the state and projects the impacts each policy option would have through 2025. Policy options considered include: opening a new medical school at Washington State University (WSU), increasing the number of residency positions in the state, increasing loan repayment incentives to encourage rural practice, increasing Medicaid payment rates for rural physicians, and encouraging the use of alternative primary care models.
Additional links: Summary and Key Findings
Author(s): Mark W. Friedberg, Grant R. Martsolf, Chapin White, et al.
Date: 11/2016
Sponsoring organization: RAND Corporation
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Wisconsin Physicians: Distribution by Specialty, Demographics, Population to Provider Ratios, Retirement
Provides detailed data on Wisconsin's physicians by specialty for different health service areas. Includes information summarized by region, and by urban and rural service area.
Date: 11/2016
Sponsoring organization: Wisconsin Area Health Education Center System
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Provides detailed data on Wisconsin's physicians by specialty for different health service areas. Includes information summarized by region, and by urban and rural service area.
Date: 11/2016
Sponsoring organization: Wisconsin Area Health Education Center System
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Estimate the Economic Impact of a Rural Primary Care Physician
Provides estimates of, and the methodology used to determine, the economic impact of a primary care physician on a rural community. Shows that the economic impact is greater in communities that have a local hospital, where the physician can refer patients and provide inpatient services.
Author(s): Fred C Eilrich, Gerald A. Doeksen, Cheryl F. St. Clair
Date: 10/2016
Sponsoring organization: National Center for Rural Health Works
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Provides estimates of, and the methodology used to determine, the economic impact of a primary care physician on a rural community. Shows that the economic impact is greater in communities that have a local hospital, where the physician can refer patients and provide inpatient services.
Author(s): Fred C Eilrich, Gerald A. Doeksen, Cheryl F. St. Clair
Date: 10/2016
Sponsoring organization: National Center for Rural Health Works
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Economic Impact of Rural Health Care
Presents the economic impacts that various healthcare components have on rural communities. Covers topics such as Critical Access Hospitals (CAHs), rural hospital closures, prospective payment system (PPS) hospitals, Rural Health Clinics (RHCs), primary care physicians, and more.
Author(s): Gerald A. Doeksen, Cheryl F. St. Clair, Fred C. Eilrich
Date: 10/2016
Sponsoring organization: National Center for Rural Health Works
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Presents the economic impacts that various healthcare components have on rural communities. Covers topics such as Critical Access Hospitals (CAHs), rural hospital closures, prospective payment system (PPS) hospitals, Rural Health Clinics (RHCs), primary care physicians, and more.
Author(s): Gerald A. Doeksen, Cheryl F. St. Clair, Fred C. Eilrich
Date: 10/2016
Sponsoring organization: National Center for Rural Health Works
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Most U.S. School Districts Have Low Access to School Counselors: Poor, Diverse, and City School Districts Exhibit Particularly High Student-to-Counselor Ratios
Examines trends in school counselor access. Discusses health-related roles counselors play, including meeting students' personal and social needs, supporting wellness programs, and advocating for students with disabilities. Includes data for rural areas.
Author(s): Douglas J. Gagnon, Marybeth J. Mattingly
Date: 10/2016
Sponsoring organization: Carsey School of Public Policy
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Examines trends in school counselor access. Discusses health-related roles counselors play, including meeting students' personal and social needs, supporting wellness programs, and advocating for students with disabilities. Includes data for rural areas.
Author(s): Douglas J. Gagnon, Marybeth J. Mattingly
Date: 10/2016
Sponsoring organization: Carsey School of Public Policy
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Rural Opioid Use Disorder Treatment Depends on Family Physicians
Brief description of a study examining distribution of physicians approved to prescribe buprenorphine for opioid use disorder, by specialty and rurality. Features breakdowns by family medicine, emergency medicine, internal medicine, psychiatry, and all other specialties, and by urban or rural location.
Author(s): Peter Wingrove, Brian Park, Andrew Bazemore
Citation: American Family Physician, 94(7), 546
Date: 10/2016
Sponsoring organization: Robert Graham Center
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Brief description of a study examining distribution of physicians approved to prescribe buprenorphine for opioid use disorder, by specialty and rurality. Features breakdowns by family medicine, emergency medicine, internal medicine, psychiatry, and all other specialties, and by urban or rural location.
Author(s): Peter Wingrove, Brian Park, Andrew Bazemore
Citation: American Family Physician, 94(7), 546
Date: 10/2016
Sponsoring organization: Robert Graham Center
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Indian Health Service Hospitals: Longstanding Challenges Warrant Focused Attention to Support Quality Care
Study completed in response to concerns over inadequate quality of care being provided in Indian Health Service (IHS) hospitals. Included in the report are findings from a series of leadership and staff interviews, questionnaires, and document reviews. Recommendations for improving quality of care are made to IHS and the Office of the Secretary of Health and Human Services. Additional recommendations for improving quality through oversight measures can be found in the companion report: Indian Health Service Hospitals: More Monitoring Needed to Ensure Quality Care Addresses healthcare access difficulties, health workforce challenges, and more.
Date: 10/2016
Sponsoring organization: Office of Inspector General (HHS)
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Study completed in response to concerns over inadequate quality of care being provided in Indian Health Service (IHS) hospitals. Included in the report are findings from a series of leadership and staff interviews, questionnaires, and document reviews. Recommendations for improving quality of care are made to IHS and the Office of the Secretary of Health and Human Services. Additional recommendations for improving quality through oversight measures can be found in the companion report: Indian Health Service Hospitals: More Monitoring Needed to Ensure Quality Care Addresses healthcare access difficulties, health workforce challenges, and more.
Date: 10/2016
Sponsoring organization: Office of Inspector General (HHS)
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