Rural Health
Resources by Topic: Primary care
Implementation of Substance Use Screening in Rural Federally-Qualified Health Center Clinics Identified High Rates of Unhealthy Alcohol and Cannabis Use among Adult Primary Care Patients
Examines the feasibility of integrating electronic health record (EHR) tools into the screening of primary care patients for substance use. Discusses the process of screening 3,749 patients at 3 rural Federally Qualified Health Centers (FQHCs) via EHR-integrated methods and the potential impacts of this screening method on reducing rural primary care provider burden.
Author(s): Jennifer McNeely, Bethany McLeman, Trip Gardner, et al.
Citation: Addiction Science & Clinical Practice, 18, 56
Date: 09/2023
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Examines the feasibility of integrating electronic health record (EHR) tools into the screening of primary care patients for substance use. Discusses the process of screening 3,749 patients at 3 rural Federally Qualified Health Centers (FQHCs) via EHR-integrated methods and the potential impacts of this screening method on reducing rural primary care provider burden.
Author(s): Jennifer McNeely, Bethany McLeman, Trip Gardner, et al.
Citation: Addiction Science & Clinical Practice, 18, 56
Date: 09/2023
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US Pediatric Primary Care Physician Workforce in Rural Areas, 2010 to 2020
Research letter assessing the growth and distribution of the general pediatrician and family medicine physician workforce from 2010-2020 across U.S. counties, and identifying sociodemographic characteristics of counties lacking these physicians. Features statistics with breakdowns by partly rural, entirely rural, and total counties.
Author(s): Tarun Ramesh, Hao Yu
Citation: JAMA Network Open, 6(9)
Date: 09/2023
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Research letter assessing the growth and distribution of the general pediatrician and family medicine physician workforce from 2010-2020 across U.S. counties, and identifying sociodemographic characteristics of counties lacking these physicians. Features statistics with breakdowns by partly rural, entirely rural, and total counties.
Author(s): Tarun Ramesh, Hao Yu
Citation: JAMA Network Open, 6(9)
Date: 09/2023
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Care Coordination Between Rural Primary Care and Telemedicine to Expand Medication Treatment for Opioid Use Disorder: Results from a Single-Arm, Multisite Feasibility Study
Examines the feasibility of expanding access to medication treatment for opioid use disorder (MOUD) in rural areas through the use of telemedicine. Analyzes 6 rural primary care sites and their care coordination model. Includes data on patients referred to telemedicine and total number of patient-days on MOUD.
Author(s): Yih-Ing Hser, Larissa J. Mooney, Laura-Mae Baldwin, et al.
Citation: Journal of Rural Health, 39(4), 780-788
Date: 09/2023
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Examines the feasibility of expanding access to medication treatment for opioid use disorder (MOUD) in rural areas through the use of telemedicine. Analyzes 6 rural primary care sites and their care coordination model. Includes data on patients referred to telemedicine and total number of patient-days on MOUD.
Author(s): Yih-Ing Hser, Larissa J. Mooney, Laura-Mae Baldwin, et al.
Citation: Journal of Rural Health, 39(4), 780-788
Date: 09/2023
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The State of Our Health: A Statewide Health Assessment of Pennsylvania, August 2023 Update
Identifies specific health challenges in Pennsylvania and indicates where the largest improvements can be made. Features sections on social determinants of health, access to care, substance use, chronic diseases, mental health, maternal and infant health, injury and violence prevention, infectious diseases and immunization, Health Professional Shortage Areas, and environmental health. Includes references to rural throughout.
Date: 08/2023
Sponsoring organization: Pennsylvania Department of Health
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Identifies specific health challenges in Pennsylvania and indicates where the largest improvements can be made. Features sections on social determinants of health, access to care, substance use, chronic diseases, mental health, maternal and infant health, injury and violence prevention, infectious diseases and immunization, Health Professional Shortage Areas, and environmental health. Includes references to rural throughout.
Date: 08/2023
Sponsoring organization: Pennsylvania Department of Health
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Who's Accountable? Low-Value Care Received By Medicare Beneficiaries Outside Of Their Attributed Health Systems
Examines how much low-volume care and health system spending can be attributed to fee-for-service Medicare beneficiaries aged 65-years-old and older receiving care outside of the health system between 2017-2018. Explores beneficiary and health system factors associated with receiving the thirty most common low-value services, including beneficiaries' rurality and whether the low-value services originated from primary care physicians or specialists.
Author(s): Ishani Ganguli, Maia L. Crawford, Benjamin Usadi, et al.
Citation: Health Affairs, 42(8), 1128-1139
Date: 08/2023
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Examines how much low-volume care and health system spending can be attributed to fee-for-service Medicare beneficiaries aged 65-years-old and older receiving care outside of the health system between 2017-2018. Explores beneficiary and health system factors associated with receiving the thirty most common low-value services, including beneficiaries' rurality and whether the low-value services originated from primary care physicians or specialists.
Author(s): Ishani Ganguli, Maia L. Crawford, Benjamin Usadi, et al.
Citation: Health Affairs, 42(8), 1128-1139
Date: 08/2023
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Use of Real Time Clinical Video Telehealth to Home by Primary Care Providers Within the Veterans Health Administration During the First Wave of the COVID-19 Pandemic: Variability Across VA Stations and with Time
Describes the extent to which Clinical Video Telehealth to Home (VT2H) was used for primary care licensed independent practitioner visits (PCLIPVs) across the Veterans Health Administration (VA) during the first 18 months of the COVID pandemic. Explores how VT2H use varied over time and by VA station characteristics, including rurality.
Author(s): Dennis H. Sullivan, Linda M. Sawyer, Bonnie D. Dawson, et al.
Citation: JAMIA Open, 6(3)
Date: 08/2023
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Describes the extent to which Clinical Video Telehealth to Home (VT2H) was used for primary care licensed independent practitioner visits (PCLIPVs) across the Veterans Health Administration (VA) during the first 18 months of the COVID pandemic. Explores how VT2H use varied over time and by VA station characteristics, including rurality.
Author(s): Dennis H. Sullivan, Linda M. Sawyer, Bonnie D. Dawson, et al.
Citation: JAMIA Open, 6(3)
Date: 08/2023
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Acceptability and Readiness to Promote Human Papillomavirus Vaccination at Ages 9–10 Years: A Feasibility Study among North Carolina Clinics
Examines the recommendation of vaccinating against the human papillomavirus (HPV) in children 9-10 years old. Analyzes feedback from providers in 2 rural North Carolina primary clinics about their perceptions regarding this recommendation.
Author(s): Nadja A. Vielot, Robyn M. Lane, Kaitlyn Loefstedt, et al.
Citation: Pilot and Feasibility Studies, 9,153
Date: 08/2023
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Examines the recommendation of vaccinating against the human papillomavirus (HPV) in children 9-10 years old. Analyzes feedback from providers in 2 rural North Carolina primary clinics about their perceptions regarding this recommendation.
Author(s): Nadja A. Vielot, Robyn M. Lane, Kaitlyn Loefstedt, et al.
Citation: Pilot and Feasibility Studies, 9,153
Date: 08/2023
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PREVENT Pandemics Act (P.L. 117-328, Division FF, Title II)
Provides a section-by-section overview of the Prepare for and Respond to Existing Viruses, Emerging New Threats, and Pandemics Act (PREVENT Pandemics Act), enacted as part of the Consolidated Appropriations Act, 2023. Describes the Continuing Education Support for Health Professionals Serving in Rural and Underserved Communities Program, which supports specialty training for primary care providers, as well as other rural-relevant provisions.
Date: 08/2023
Sponsoring organization: Congressional Research Service
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Provides a section-by-section overview of the Prepare for and Respond to Existing Viruses, Emerging New Threats, and Pandemics Act (PREVENT Pandemics Act), enacted as part of the Consolidated Appropriations Act, 2023. Describes the Continuing Education Support for Health Professionals Serving in Rural and Underserved Communities Program, which supports specialty training for primary care providers, as well as other rural-relevant provisions.
Date: 08/2023
Sponsoring organization: Congressional Research Service
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Bridging the Gaps in Women's Primary Care for Those Treated at a Residential Drug Treatment Facility in Southwest Ohio
Analyzes access to primary healthcare for women in a residential substance use disorder (SUD) facility in rural Southwest Ohio. Considers factors such as substance use, mental health, sexual transmitted infections (STIs), and reproductive health in relation to primary care needs.
Author(s): Anna Squibb, Bradley Subler, Tongfan Wu, Vijay K. Rings, Khadijah C. Collins
Citation: Ohio Journal of Public Health, 6(1)
Date: 08/2023
Sponsoring organization: Ohio Public Health Association
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Analyzes access to primary healthcare for women in a residential substance use disorder (SUD) facility in rural Southwest Ohio. Considers factors such as substance use, mental health, sexual transmitted infections (STIs), and reproductive health in relation to primary care needs.
Author(s): Anna Squibb, Bradley Subler, Tongfan Wu, Vijay K. Rings, Khadijah C. Collins
Citation: Ohio Journal of Public Health, 6(1)
Date: 08/2023
Sponsoring organization: Ohio Public Health Association
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Tracking The Elusive Medicaid Workforce To Improve Access
Discusses challenges to evaluating Medicaid enrollees' access to primary care providers. Describes how the Fitzhugh Mullan Institute for Health Workforce Equity used the Transformed Medicaid Statistical Information System (T-MSIS) to examine the primary care workforce providing healthcare to Medicaid enrollees. Outlines Medicaid workforce policy challenges, including federal regulations, workforce composition and supply, and community and market factors.
Author(s): Candice Chen, Qian "Eric" Luo, Mandar Bodas, et al.
Citation: Health Affairs Forefront
Date: 08/2023
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Discusses challenges to evaluating Medicaid enrollees' access to primary care providers. Describes how the Fitzhugh Mullan Institute for Health Workforce Equity used the Transformed Medicaid Statistical Information System (T-MSIS) to examine the primary care workforce providing healthcare to Medicaid enrollees. Outlines Medicaid workforce policy challenges, including federal regulations, workforce composition and supply, and community and market factors.
Author(s): Candice Chen, Qian "Eric" Luo, Mandar Bodas, et al.
Citation: Health Affairs Forefront
Date: 08/2023
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