Rural Health
Resources by Topic: Primary care
Participation in a Medicare Advanced Primary Care Model and the Delivery of High-Value Services
Examines if participation in the Comprehensive Primary Care Plus Initiative (CPC+) impacted the high-value services delivered by primary care providers. Utilizes multiple national data sets to estimate the association of CPC+ and services such as annual wellness visits (AWVs), advance care planning (ACP), flu shots, tobacco prevention counseling, and depression screening. Provides data on intervention groups and comparison groups by patient demographics as well as provider demographics, specialty, and location, including urban, large rural, small rural, and isolated rural.
Author(s): Fang He, Angela Gasdaska, Lindsay White, Yan Tang, Chris Beadles
Citation: Health Services Research, 58(6), 1266-1291
Date: 12/2023
Type: Document
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Examines if participation in the Comprehensive Primary Care Plus Initiative (CPC+) impacted the high-value services delivered by primary care providers. Utilizes multiple national data sets to estimate the association of CPC+ and services such as annual wellness visits (AWVs), advance care planning (ACP), flu shots, tobacco prevention counseling, and depression screening. Provides data on intervention groups and comparison groups by patient demographics as well as provider demographics, specialty, and location, including urban, large rural, small rural, and isolated rural.
Author(s): Fang He, Angela Gasdaska, Lindsay White, Yan Tang, Chris Beadles
Citation: Health Services Research, 58(6), 1266-1291
Date: 12/2023
Type: Document
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VA Versus Non-VA Quality of Care: A Systematic Review
Presents a review of healthcare quality for veterans in VA and non-VA settings. Analyzes 42 studies of non-surgical care and 19 studies of surgical care. Highlights studies focusing on rural veterans and details rural veterans' reported satisfaction with the care they received.
Additional links: Executive Summary
Author(s): Paul Shekelle, Melinda Maggard-Gibbons, Mariah Blegen, et al.
Date: 12/2023
Type: Document
Sponsoring organization: U.S. Department of Veterans Affairs
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Presents a review of healthcare quality for veterans in VA and non-VA settings. Analyzes 42 studies of non-surgical care and 19 studies of surgical care. Highlights studies focusing on rural veterans and details rural veterans' reported satisfaction with the care they received.
Additional links: Executive Summary
Author(s): Paul Shekelle, Melinda Maggard-Gibbons, Mariah Blegen, et al.
Date: 12/2023
Type: Document
Sponsoring organization: U.S. Department of Veterans Affairs
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2023 Indiana Family Medicine Residencies Exit Survey Report
Results of a survey of 114 final-year residents from the 14 Indiana Family Medicine residency programs, to determine what they plan to do after graduation and where they plan to practice. Includes feedback on the residents' training and their programs' curricula, as well as suggestions for improvement. Mentions rural and underserved populations throughout.
Author(s): Komal Kochhar, Monling Ho
Date: 11/2023
Type: Document
Sponsoring organization: Indiana University School of Medicine
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Results of a survey of 114 final-year residents from the 14 Indiana Family Medicine residency programs, to determine what they plan to do after graduation and where they plan to practice. Includes feedback on the residents' training and their programs' curricula, as well as suggestions for improvement. Mentions rural and underserved populations throughout.
Author(s): Komal Kochhar, Monling Ho
Date: 11/2023
Type: Document
Sponsoring organization: Indiana University School of Medicine
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Management of Fall Risk Among Older Adults in Diverse Primary Care Settings
Discusses fall prevention resources integrated into sustainable computerized clinical decision support (CCDS) technology to support urban and rural primary care staff working with older adults. Provides feedback from 24 staff regarding fall risk factors, prevention strategies, patient-provider communication, available resources and training, and more.
Author(s): Kristen Shear, Hannah Rice, Pamela M. Garabedian, et al.
Citation: Journal of Applied Gerontology, 42(11), 2219-2232
Date: 11/2023
Type: Document
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Discusses fall prevention resources integrated into sustainable computerized clinical decision support (CCDS) technology to support urban and rural primary care staff working with older adults. Provides feedback from 24 staff regarding fall risk factors, prevention strategies, patient-provider communication, available resources and training, and more.
Author(s): Kristen Shear, Hannah Rice, Pamela M. Garabedian, et al.
Citation: Journal of Applied Gerontology, 42(11), 2219-2232
Date: 11/2023
Type: Document
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Farmworker Health Network: 2023 Key Resources for Agricultural Worker Health
Highlights several resources on agricultural worker health, including a toolkit to encourage ag worker participation on health center boards and model programs to address specific health conditions. Provides a summary for each resource and links to more information on each sponsoring program's website.
Date: 11/2023
Type: Document
Sponsoring organizations: Farmworker Justice Fund, Inc., Health Outreach Partners, MHP Salud, Migrant Clinicians Network, National Association of Community Health Centers, National Center for Farmworker Health
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Highlights several resources on agricultural worker health, including a toolkit to encourage ag worker participation on health center boards and model programs to address specific health conditions. Provides a summary for each resource and links to more information on each sponsoring program's website.
Date: 11/2023
Type: Document
Sponsoring organizations: Farmworker Justice Fund, Inc., Health Outreach Partners, MHP Salud, Migrant Clinicians Network, National Association of Community Health Centers, National Center for Farmworker Health
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Improving Access to Primary Care for Underserved Populations: A Review of Findings from Five Case Studies and Recommendations
Summarizes and synthesizes the findings from a series of five case studies that explored the impact of policy initiatives that aim to improve access to primary care. Covers increasing the availability of primary care providers, improving underserved communities' access to outpatient clinics, removing structural barriers to care, making primary care affordable, and improving comfort and communication between providers and patients. Presents recommendations for federal and state policymakers, primary care practices, medical schools, and other relevant stakeholders. Includes rural examples and considerations throughout.
Additional links: Executive Summary
Author(s): Maanasa Kona, Jalisa Clark, Emma Walsh-Alker
Date: 11/2023
Type: Document
Sponsoring organizations: Center on Health Insurance Reforms, Milbank Memorial Fund, National Institute for Health Care Reform
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Summarizes and synthesizes the findings from a series of five case studies that explored the impact of policy initiatives that aim to improve access to primary care. Covers increasing the availability of primary care providers, improving underserved communities' access to outpatient clinics, removing structural barriers to care, making primary care affordable, and improving comfort and communication between providers and patients. Presents recommendations for federal and state policymakers, primary care practices, medical schools, and other relevant stakeholders. Includes rural examples and considerations throughout.
Additional links: Executive Summary
Author(s): Maanasa Kona, Jalisa Clark, Emma Walsh-Alker
Date: 11/2023
Type: Document
Sponsoring organizations: Center on Health Insurance Reforms, Milbank Memorial Fund, National Institute for Health Care Reform
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HHS is Taking Action to Strengthen Primary Care
Describes the importance of primary care to improving access to healthcare, the health and well-being of individuals and communities, and health equity. Discusses challenges facing primary care and outlines actions taken by the U.S. Department of Health and Human Services (HHS) to address these challenges. Covers primary care payment, workforce, access, health information technology, and research and practice improvement support.
Date: 11/2023
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Describes the importance of primary care to improving access to healthcare, the health and well-being of individuals and communities, and health equity. Discusses challenges facing primary care and outlines actions taken by the U.S. Department of Health and Human Services (HHS) to address these challenges. Covers primary care payment, workforce, access, health information technology, and research and practice improvement support.
Date: 11/2023
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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The U.S. Department of Health and Human Services Is Taking Action to Strengthen Primary Care
Commentary describing challenges facing primary care in the United States and actions the U.S. Department of Health and Human Services (HHS) is taking to address these challenges and strengthen primary care.
Author(s): Rachel Levine, R. Burciaga Valdez, Chiquita Brooks-LaSure, et al.
Date: 11/2023
Type: Document
Sponsoring organization: National Academy of Medicine
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Commentary describing challenges facing primary care in the United States and actions the U.S. Department of Health and Human Services (HHS) is taking to address these challenges and strengthen primary care.
Author(s): Rachel Levine, R. Burciaga Valdez, Chiquita Brooks-LaSure, et al.
Date: 11/2023
Type: Document
Sponsoring organization: National Academy of Medicine
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Health is Primary: Charting a Path to Equity and Sustainability
Examines factors driving the downward trends in primary care, including fewer clinicians practicing primary care, fewer available appointments, lower spending on primary care, and fewer adults reporting that they have a usual source of primary care. Features a literature review, supply and demand analysis, and recommendations for potential solutions. Mentions rural throughout.
Additional links: Slide Presentation
Author(s): Alison Huffstetler, Ann Greiner, Anam Siddiqi, et al.
Date: 11/2023
Type: Document
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Examines factors driving the downward trends in primary care, including fewer clinicians practicing primary care, fewer available appointments, lower spending on primary care, and fewer adults reporting that they have a usual source of primary care. Features a literature review, supply and demand analysis, and recommendations for potential solutions. Mentions rural throughout.
Additional links: Slide Presentation
Author(s): Alison Huffstetler, Ann Greiner, Anam Siddiqi, et al.
Date: 11/2023
Type: Document
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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First-Ever Rural Physician and Advanced Practice Provider Compensation Survey
Recording of an October 11, 2023, webinar discussing results of a January 2023 survey of rural hospitals regarding physician and advanced-practice provider compensation. Presents results for primary care and specialty care providers by provider type, hospital system affiliation, and region. Highlights factors that influence compensation and nurse practitioner practice environments by state. Transcript available in the video description.
Additional links: Presentation Slides
Date: 10/2023
Type: Video/Multimedia
Sponsoring organizations: National Rural Health Association, Stroudwater Associates
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Recording of an October 11, 2023, webinar discussing results of a January 2023 survey of rural hospitals regarding physician and advanced-practice provider compensation. Presents results for primary care and specialty care providers by provider type, hospital system affiliation, and region. Highlights factors that influence compensation and nurse practitioner practice environments by state. Transcript available in the video description.
Additional links: Presentation Slides
Date: 10/2023
Type: Video/Multimedia
Sponsoring organizations: National Rural Health Association, Stroudwater Associates
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