Rural Health
Resources by Topic: Pharmacy and prescription drugs
Trends in Opioids Prescribed at Discharge From Emergency Departments Among Adults: United States, 2006–2017
Examines trends in emergency department (ED) discharge opioid prescribing for adults from 2006–2007 through 2016–2017. Provides data by selected patient and hospital characteristics and the type of opioids prescribed. Table 1 includes data on the percent of ED patients prescribed an opioid at discharge by location of patient residence for metropolitan and nonmetropolitan areas.
Author(s): Pinyao Rui, Loredana Santo, Jill J. Ashman
Date: 01/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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Examines trends in emergency department (ED) discharge opioid prescribing for adults from 2006–2007 through 2016–2017. Provides data by selected patient and hospital characteristics and the type of opioids prescribed. Table 1 includes data on the percent of ED patients prescribed an opioid at discharge by location of patient residence for metropolitan and nonmetropolitan areas.
Author(s): Pinyao Rui, Loredana Santo, Jill J. Ashman
Date: 01/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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Acceptability of Buprenorphine as A Treatment for Opioid Use Disorders: Experiences of Health Providers In Indiana Rural Counties
Slides from a presentation at the 2020 American Public Health Association conference focused on utilizing buprenorphine for Medication Assisted Treatment (MAT). Examines 29 semi-structured interviews of medical and non-medical professionals from rural counties in Indiana about barriers and facilitators of buprenorphine use.
Author(s): Josephine Mwangi
Date: 2020
Type: Presentation Slides
Sponsoring organization: Indiana University Bloomington
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Slides from a presentation at the 2020 American Public Health Association conference focused on utilizing buprenorphine for Medication Assisted Treatment (MAT). Examines 29 semi-structured interviews of medical and non-medical professionals from rural counties in Indiana about barriers and facilitators of buprenorphine use.
Author(s): Josephine Mwangi
Date: 2020
Type: Presentation Slides
Sponsoring organization: Indiana University Bloomington
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The Rural Health Care Coordination Network Partnership Program: Avera St. Mary's Completing the Circle Project
Describes and examines the impact of a care coordination program developed by Avera St. Mary's located in Pierre, South Dakota. Used a Patient Centered Medical Home (PCMH) model, providing services to patients with type 2 diabetes, one-third of whom were American Indian. The program's care team connected patients to resources and coordinated the patient's primary care providers, medications, specialists, other health care services, and a variety of social services. Funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018.
Date: 2020
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Minnesota Rural Health Research Center
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Describes and examines the impact of a care coordination program developed by Avera St. Mary's located in Pierre, South Dakota. Used a Patient Centered Medical Home (PCMH) model, providing services to patients with type 2 diabetes, one-third of whom were American Indian. The program's care team connected patients to resources and coordinated the patient's primary care providers, medications, specialists, other health care services, and a variety of social services. Funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018.
Date: 2020
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Minnesota Rural Health Research Center
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Opioid Prescribing Among Adults With Disabilities in the United States After the 2014 Federal Hydrocodone Rescheduling Regulation
Examines the impact of the 2014 federal rescheduling regulation regarding hydrocodone-combination products on Medicare beneficiaries with disabilities. Provides maps of prolonged opioid use by Medicare beneficiaries with disabilities by state before and after the regulation was implemented. Includes data analysis of beneficiaries in metropolitan, urban, and rural areas.
Author(s): Victor Law, Yong-Fang Kuo, Mukaila A. Raji, Jacques Baillargeon
Citation: Public Health Reports, 135(1), 114-123
Date: 12/2019
Type: Document
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Examines the impact of the 2014 federal rescheduling regulation regarding hydrocodone-combination products on Medicare beneficiaries with disabilities. Provides maps of prolonged opioid use by Medicare beneficiaries with disabilities by state before and after the regulation was implemented. Includes data analysis of beneficiaries in metropolitan, urban, and rural areas.
Author(s): Victor Law, Yong-Fang Kuo, Mukaila A. Raji, Jacques Baillargeon
Citation: Public Health Reports, 135(1), 114-123
Date: 12/2019
Type: Document
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340B Drug Discount Program: Increased Oversight Needed to Ensure Nongovernmental Hospitals Meet Eligibility Requirements
Provides an overview of the Government Accountability Office's (GAO) review of 258 nongovernmental hospitals that participate in the 340B Drug Pricing Program and their contracts with state and local governments. Evaluates the contracts to determine if they meet the eligibility requirement to serve low-income individuals. Outlines weaknesses in the Health Resources and Services Administration's review of the hospital contracts and offers six recommendations to improve the contract review process.
Additional links: Full Report
Date: 12/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Provides an overview of the Government Accountability Office's (GAO) review of 258 nongovernmental hospitals that participate in the 340B Drug Pricing Program and their contracts with state and local governments. Evaluates the contracts to determine if they meet the eligibility requirement to serve low-income individuals. Outlines weaknesses in the Health Resources and Services Administration's review of the hospital contracts and offers six recommendations to improve the contract review process.
Additional links: Full Report
Date: 12/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Comparison of Rural vs Urban Direct-to-Physician Commercial Promotion of Medications for Treating Opioid Use Disorder
Results of a cross-sectional county-level study using all reported direct-to-physician pharmaceutical payments from manufacturers of opioid use disorder medications from 2014-2017, as well as demographic and economic data from 3,140 counties. Features statistics with breakdowns by metropolitan, micropolitan, and rural areas.
Author(s): Thuy Nguyen, Barbara Andraka-Christou, Kosali Simon, W. David Bradford
Citation: JAMA Network Open, 2(12)
Date: 12/2019
Type: Document
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Results of a cross-sectional county-level study using all reported direct-to-physician pharmaceutical payments from manufacturers of opioid use disorder medications from 2014-2017, as well as demographic and economic data from 3,140 counties. Features statistics with breakdowns by metropolitan, micropolitan, and rural areas.
Author(s): Thuy Nguyen, Barbara Andraka-Christou, Kosali Simon, W. David Bradford
Citation: JAMA Network Open, 2(12)
Date: 12/2019
Type: Document
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Opioid-Related Hospitalization and Its Association With Chronic Diseases: Findings From the National Inpatient Sample, 2011-2015
Results of a study examining whether opioid-related hospitalization is associated with cancer, stroke, obesity, asthma, liver or spinal disease, and arthritis. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Janani Rajbhandari-Thapa, Donglan Zhang, Heather M. Padilla, Sae Rom Chung
Citation: Preventing Chronic Disease, 16
Date: 11/2019
Type: Document
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Results of a study examining whether opioid-related hospitalization is associated with cancer, stroke, obesity, asthma, liver or spinal disease, and arthritis. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Janani Rajbhandari-Thapa, Donglan Zhang, Heather M. Padilla, Sae Rom Chung
Citation: Preventing Chronic Disease, 16
Date: 11/2019
Type: Document
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Analysis of Buprenorphine Prescribing Patterns Among Advanced Practitioners in Medicaid
Presentation slides from an October/November 2019 public meeting, describing the effects of the Comprehensive Addiction and Recovery Act of 2016 on access to opioid use disorder treatment for Medicaid beneficiaries. Includes information on urban and rural trends in prescribing.
Author(s): John Wedeles
Date: 10/2019
Type: Presentation Slides
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Presentation slides from an October/November 2019 public meeting, describing the effects of the Comprehensive Addiction and Recovery Act of 2016 on access to opioid use disorder treatment for Medicaid beneficiaries. Includes information on urban and rural trends in prescribing.
Author(s): John Wedeles
Date: 10/2019
Type: Presentation Slides
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Electronic Prescribing of Controlled Substances among Office-Based Physicians, 2017
Examines rates of electronic prescribing of controlled substances (EPCS), with information by type of physician practice, including rural or urban location, practice size, practice ownership, physician specialty, and technology available. EPCS is mandated for Medicare Part D providers by 2021, through the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act.
Author(s): Sonal Parasrampuria, Martin Blanco, Wesley Barker
Date: 09/2019
Type: Document
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Examines rates of electronic prescribing of controlled substances (EPCS), with information by type of physician practice, including rural or urban location, practice size, practice ownership, physician specialty, and technology available. EPCS is mandated for Medicare Part D providers by 2021, through the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act.
Author(s): Sonal Parasrampuria, Martin Blanco, Wesley Barker
Date: 09/2019
Type: Document
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Dismantling Buprenorphine Policy Can Provide More Comprehensive Addiction Treatment
Commentary focused on the impact buprenorphine prescribing policy has on access to opioid addiction treatment. Discusses the lack of providers waivered to prescribe buprenorphine in rural areas. Includes a map showing counties that lack providers who can prescribe medications for opioid use disorder.
Author(s): Alex E. Woodruff, Mary Tomanovich, Leo Beletsky, et al.
Date: 09/2019
Type: Document
Sponsoring organization: National Academy of Medicine
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Commentary focused on the impact buprenorphine prescribing policy has on access to opioid addiction treatment. Discusses the lack of providers waivered to prescribe buprenorphine in rural areas. Includes a map showing counties that lack providers who can prescribe medications for opioid use disorder.
Author(s): Alex E. Woodruff, Mary Tomanovich, Leo Beletsky, et al.
Date: 09/2019
Type: Document
Sponsoring organization: National Academy of Medicine
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