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Rural Health
Resources by Topic: Pharmacy and prescription drugs

Expanding Pharmacists' Prescriptive Authority: Options for Reform
Explores why states may want to consider expanding pharmacists' prescriptive authority. Presents state policy options for expanding prescriptive authority for pharmacists, including advantages and disadvantages of each and examples from states. Also addresses potential concerns about the increased prescriptive authority of pharmacists.
Author(s): James Broughel, Elise Amez-Droz
Date: 12/2021
Sponsoring organization: Mercatus Center
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Practical Tools for Prescribing and Promoting Buprenorphine in Primary Care Settings
Offers evidence-based information to support primary care providers in prescribing buprenorphine to treat opioid use disorder (OUD). Addresses strategies and considerations for primary care providers and practices looking to implement the treatment, including the phases of care, training and education, and payment and pharmacy considerations. Chapter 2.7 covers buprenorphine prescribing in rural settings.
Date: 12/2021
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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The Tennessee Medicaid Medication Therapy Management Program: Early Stage Contextual Factors and Implementation Outcomes
Shares the results of a study examining a multi-faceted implementation strategy to support a medication therapy management (MTM) pilot program for TennCare, Tennessee's state Medicaid program, at both the organizational and individual levels. Describes contextual factors associated with the pilot program implementation based on the consolidated framework for implementation research (CFIR). Table 3 reports characteristics of organizations participating in the pilot program, including information on study participants located in a rural area.
Author(s): Kenneth C. Hohmeier, Chelsea Renfro, Kea Turner, et al.
Citation: BMC Health Services Research, 21, 1189
Date: 11/2021
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COVID-19 Contracting: Indian Health Service Used Flexibilities to Meet Increased Medical Supply Needs
Examines the Indian Health Service (IHS) National Supply Service Center (NSSC) contract obligations to obtain COVID-19-related products and medical supplies. Describes the contracting approaches used and challenges IHS officials faced.
Additional links: Full Report
Date: 10/2021
Sponsoring organization: Government Accountability Office
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Prescription Opioid Use Among Adults With Chronic Pain: United States, 2019
Study examining prescription opioid use to treat chronic pain in adults, breaking down data from the 2019 National Health Interview Survey by pain measures and demographics, including race/ethnicity, sex, veteran status, rurality, and more. Discusses trends in the data to identify population characteristics among users of prescription opioids, and addresses risk of prescription opioid misuse.
Author(s): James M. Dahlhamer, Eric M. Connor, Jonaki Bose, Jacqueline W. Lucas, Carla E. Zelaya
Citation: National Health Statistics Reports, 162, 1-8
Date: 08/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Rural Community Pharmacies' Preparedness for and Responses to COVID-19
Analyzes emergency preparedness for COVID-19 in rural, southeastern community pharmacies and how emergency preparedness responses varied by level of rurality. Utilizes survey data from 62 pharmacists part of the Rural Research Alliance of Community Pharmacies (RURAL-CP), examining COVID-19 information source use, interest in COVID-19 testing, infection control procedures, disaster preparedness training, medication supply impacts, and demographic characteristics, comparing responses from pharmacists located in large rural town, small rural town, and isolated rural town.
Additional links: Poster Presentation
Author(s): Delesha M. Carpenter, Tessa Hastings, Salisa Westrick, et al.
Citation: Research in Social and Administrative Pharmacy, 17, 1327-1331
Date: 07/2021
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American Rescue Plan Act of 2021 (P.L. 117-2): Public Health, Medical Supply Chain, Health Services, and Related Provisions
Provides an overview of the provisions of the American Rescue Plan Act of 2021 that relate to public health; behavioral health; medical supply chain; and health-related workforce, services, and support. Includes information related to funding for the National Health Service Corps and Nurse Corps, funding for graduate medical education, and emergency rural development grants for rural healthcare providers.
Date: 07/2021
Sponsoring organization: Congressional Research Service
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Clinical Knowledge and Trends in Physicians' Prescribing of Opioids for New Onset Back Pain, 2009-2017
Results of a study of 10,246 physicians to compare the association of clinical knowledge with opioid prescribing from the years 2009-2011 with 2015-2017, when guidelines shifted away from opioid prescribing. Features demographic statistics with breakdowns by rural location.
Author(s): Bradley M. Gray, Jonathan L. Vandergrift, Weifeng Weng, Rebecca S. Lipner, Michael L. Barnett
Citation: JAMA Network Open, 4(7), e2115328
Date: 07/2021
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Enrolling a Rural Community Pharmacy as a Vaccines for Children Provider to Increase HPV Vaccination: A Feasibility Study
Examines how the enrollment of a rural community pharmacy in Alabama in the Vaccines for Children program impacted the promotion and provision of HPV vaccines and other vaccinations to adolescents.
Author(s): Casey L. Daniel, Frances Lawson, Macy Vickers, et al.
Date: 06/2021
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2021
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Chapter 5 presents an interim report on Medicare beneficiaries' access to care in rural areas. Also includes chapters on Medicare Advantage benchmark policy, alternative payment models, private equity and Medicare, the skilled nursing facility value-based purchasing program, indirect medical education payments, Medicare coverage of vaccines, separately payable drugs in the hospital outpatient prospective payment system, clinical laboratory fee schedule payment rates, and the relationship between clinician services and other Medicare services.
Additional links: Executive Summary
Date: 06/2021
Sponsoring organization: Medicare Payment Advisory Commission
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