Rural Health
Resources by Topic: Primary care
Primary Care Collaborative 2024 Evidence Report: An Evaluation of Primary Care in Medicare Accountable Care Organizations
Examines the role of primary care in Accountable Care Organizations (ACOs) in the Medicare Shared Savings Program (MSSP), and includes 3 case studies of MSSP ACOs that are primary care centric. Explores how the performance of ACOs may be affected by serving beneficiaries with high economic and social need. Mentions rural throughout.
Author(s): Ann Greiner, David Muhlestein, Ann Kempski, Melissa K. Fillippi, Alison N. Huffstetler
Date: 11/2024
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center, Simple Healthcare
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Examines the role of primary care in Accountable Care Organizations (ACOs) in the Medicare Shared Savings Program (MSSP), and includes 3 case studies of MSSP ACOs that are primary care centric. Explores how the performance of ACOs may be affected by serving beneficiaries with high economic and social need. Mentions rural throughout.
Author(s): Ann Greiner, David Muhlestein, Ann Kempski, Melissa K. Fillippi, Alison N. Huffstetler
Date: 11/2024
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center, Simple Healthcare
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Nurse Practitioner Race and Ethnicity and Interest in Independent Primary Care Practice and Serving Medicaid Enrollees
Surveyed California nurse practitioners (NPs) to determine the current practice and practice intentions following scope of practice regulation changes in California. Presents 2023 data showing rurality of NPs by amount of primary care offered and Medicaid patient caseload currently and those considering independent primary care practice, among other characteristics.
Author(s): Ulrike Muench, Amy Quan, Rosalind de Lisser, Timothy Bates, Joanne Spetz
Citation: Health Affairs Scholar, 2(12)
Date: 11/2024
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Surveyed California nurse practitioners (NPs) to determine the current practice and practice intentions following scope of practice regulation changes in California. Presents 2023 data showing rurality of NPs by amount of primary care offered and Medicaid patient caseload currently and those considering independent primary care practice, among other characteristics.
Author(s): Ulrike Muench, Amy Quan, Rosalind de Lisser, Timothy Bates, Joanne Spetz
Citation: Health Affairs Scholar, 2(12)
Date: 11/2024
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State of the Primary Care Workforce, 2024
Offers data on the current state and projected estimates of the future supply of physicians, nurse practitioners, and physician assistants offering primary care. Includes demographics as well as current and projected shortages with comparison and metropolitan and nonmetropolitan projections. Discusses challenges impacting the workforce and the impact of primary care on population health. Includes state by state data on the primary care physician workforce.
Date: 11/2024
Sponsoring organizations: Health Resources and Services Administration, National Center for Health Workforce Analysis
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Offers data on the current state and projected estimates of the future supply of physicians, nurse practitioners, and physician assistants offering primary care. Includes demographics as well as current and projected shortages with comparison and metropolitan and nonmetropolitan projections. Discusses challenges impacting the workforce and the impact of primary care on population health. Includes state by state data on the primary care physician workforce.
Date: 11/2024
Sponsoring organizations: Health Resources and Services Administration, National Center for Health Workforce Analysis
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Strengthening Independent Primary Care Practice in California: Understanding Small Practice Perspectives
Examines business and financial factors influencing independent primary care practice in California through interviews with physicians in California's Riverside, San Bernardino, and Humboldt counties and other healthcare leaders and subject matter experts. Identifies common concerns and provides recommendations related to healthcare economics, reimbursement, and policy. Discusses topics related to rural practice, including the Rural Health Clinic designation.
Author(s): Jill M. Yegian
Date: 11/2024
Sponsoring organization: California Health Care Foundation
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Examines business and financial factors influencing independent primary care practice in California through interviews with physicians in California's Riverside, San Bernardino, and Humboldt counties and other healthcare leaders and subject matter experts. Identifies common concerns and provides recommendations related to healthcare economics, reimbursement, and policy. Discusses topics related to rural practice, including the Rural Health Clinic designation.
Author(s): Jill M. Yegian
Date: 11/2024
Sponsoring organization: California Health Care Foundation
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Improving Screening, Brief Intervention and Referral to Treatment for Unhealthy Alcohol Use in Diverse, Low-Resourced Primary Care Clinics
Examines primary care clinics participating in a practice-facilitator led implementation study aimed at improving screening brief intervention and referral to treatment (SBIRT) as well as medication-assisted treatment for alcohol use disorder (MAUD). Analyzes 66 clinics located in the northwestern U.S. from 2019-2022 and the supportive activities they used to improve SBIRT and MAUD. Includes commentary on rural and low-resourced primary care clinics.
Author(s): Melinda M. Davis, Jennifer Coury, Victoria Sanchez, et al.
Citation: BMC Health Services Research, 24, 1384
Date: 11/2024
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Examines primary care clinics participating in a practice-facilitator led implementation study aimed at improving screening brief intervention and referral to treatment (SBIRT) as well as medication-assisted treatment for alcohol use disorder (MAUD). Analyzes 66 clinics located in the northwestern U.S. from 2019-2022 and the supportive activities they used to improve SBIRT and MAUD. Includes commentary on rural and low-resourced primary care clinics.
Author(s): Melinda M. Davis, Jennifer Coury, Victoria Sanchez, et al.
Citation: BMC Health Services Research, 24, 1384
Date: 11/2024
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Community Responses and Adaptations Following the Closure of a Rural Pharmacy and Primary Care Facility
Uses interviews with 26 community members to identify the impact of a pharmacy and primary healthcare facility closure in a rural Pennsylvania community. Discusses challenges for vulnerable populations, distance to care, social networks, delayed treatment, emergency medical services, alternative medicine, and more.
Author(s): Hazel Velasco Palacios, Kristina Brant, Danielle Rhubart, Jorden Jackson
Citation: Journal of Rural Health 41(2), e12896
Date: 11/2024
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Uses interviews with 26 community members to identify the impact of a pharmacy and primary healthcare facility closure in a rural Pennsylvania community. Discusses challenges for vulnerable populations, distance to care, social networks, delayed treatment, emergency medical services, alternative medicine, and more.
Author(s): Hazel Velasco Palacios, Kristina Brant, Danielle Rhubart, Jorden Jackson
Citation: Journal of Rural Health 41(2), e12896
Date: 11/2024
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Minnesota Chartbook Section 8B Health Care Providers and Service Availability: Clinics, Imaging and Other Facilities
Provides information on availability of physician clinic services, diagnostic imaging services, and freestanding outpatient surgical services in Minnesota. Includes number and distribution of physicians practicing by isolated rural, small town rural, large rural city, and urban location, as well as regional data and state maps on primary care and specialty care clinics, imaging services, and outpatient surgical services.
Date: 11/2024
Sponsoring organization: Minnesota Department of Health
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Provides information on availability of physician clinic services, diagnostic imaging services, and freestanding outpatient surgical services in Minnesota. Includes number and distribution of physicians practicing by isolated rural, small town rural, large rural city, and urban location, as well as regional data and state maps on primary care and specialty care clinics, imaging services, and outpatient surgical services.
Date: 11/2024
Sponsoring organization: Minnesota Department of Health
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Increasing Medication Assisted Treatment in Rural Primary Care Practice: A Qualitative Comparative Analysis from IT MATTTRs Colorado
Examines how the characteristics of rural primary care practices in Colorado affect their ability to provide medication assisted treatment (MAT) for opioid use disorder (OUD), utilizing data from the Implementing Technology and Medication Assisted Treatment Team Training in Rural Colorado (IT MATTTRs) intervention. Analyzes practice characteristics including practice size, behavioral health availability, MAT prescriber staffing, clinicians with MAT experience, private or non-private practice, and leadership buy-in.
Author(s): Jodi Summers Holtrop, Rebecca Mullen, Kristen Curcija, et al.
Citation: Frontiers in Medicine, 11, 1450672
Date: 10/2024
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Examines how the characteristics of rural primary care practices in Colorado affect their ability to provide medication assisted treatment (MAT) for opioid use disorder (OUD), utilizing data from the Implementing Technology and Medication Assisted Treatment Team Training in Rural Colorado (IT MATTTRs) intervention. Analyzes practice characteristics including practice size, behavioral health availability, MAT prescriber staffing, clinicians with MAT experience, private or non-private practice, and leadership buy-in.
Author(s): Jodi Summers Holtrop, Rebecca Mullen, Kristen Curcija, et al.
Citation: Frontiers in Medicine, 11, 1450672
Date: 10/2024
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Trends in the Health Workforce Supply in the Rural U.S.
Describes trends in the supply and distribution of clinicians in primary care, behavioral health, and obstetrical care, as well as dentists, surgeons, community health workers, and home health aides. Examines the availability of workforce data for professions important for rural communities, and discusses the advantages and disadvantages of using various health workforce data sources for rural health research. Features statistics with breakdowns by 5 levels of population density.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, et al.
Date: 10/2024
Sponsoring organization: WWAMI Rural Health Research Center
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Describes trends in the supply and distribution of clinicians in primary care, behavioral health, and obstetrical care, as well as dentists, surgeons, community health workers, and home health aides. Examines the availability of workforce data for professions important for rural communities, and discusses the advantages and disadvantages of using various health workforce data sources for rural health research. Features statistics with breakdowns by 5 levels of population density.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, et al.
Date: 10/2024
Sponsoring organization: WWAMI Rural Health Research Center
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Beneficiary and Clinician Perspectives on Medicare and Other Issues: Findings from 2024 Focus Groups in Select States
Summarizes findings from 24 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between May and June 2024, including three virtual focus groups of rural Medicare beneficiaries. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 10/2024
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
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Summarizes findings from 24 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between May and June 2024, including three virtual focus groups of rural Medicare beneficiaries. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 10/2024
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
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