Rural Health
Resources by Topic: Primary care
The Health of US Primary Care: A Baseline Scorecard Tracking Support for High-Quality Primary Care
Examines the support for implementing high-quality primary care in the United States across measures in five categories: financing, workforce, access, training, and research. Presents data on primary care financing trends from 2010 to 2020, the number of primary care physicians per capita in medically-underserved areas (MUAs) and non-MUAs by state, trends in financing primary care research, and more. Figure 7 shows the percentage of physician residents trained in an MUA or rural county by state in 2020. Appendix B includes data on the number and percentage of physician residents trained in an MUA, rural county, or both between the 2012-2013 academic year and the 2020-2021 academic year.
Additional links: Appendix B, Full Report
Date: 02/2023
Sponsoring organizations: Milbank Memorial Fund, Robert Graham Center, The Physicians Foundation
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Examines the support for implementing high-quality primary care in the United States across measures in five categories: financing, workforce, access, training, and research. Presents data on primary care financing trends from 2010 to 2020, the number of primary care physicians per capita in medically-underserved areas (MUAs) and non-MUAs by state, trends in financing primary care research, and more. Figure 7 shows the percentage of physician residents trained in an MUA or rural county by state in 2020. Appendix B includes data on the number and percentage of physician residents trained in an MUA, rural county, or both between the 2012-2013 academic year and the 2020-2021 academic year.
Additional links: Appendix B, Full Report
Date: 02/2023
Sponsoring organizations: Milbank Memorial Fund, Robert Graham Center, The Physicians Foundation
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Factors Contributing to Reductions in Patient Wait Times at Indian Health Service Emergency Department Facilities: A Mixed-Methods Assessment
Presents findings of a mixed-methods assessment of the change in emergency department wait times at Indian Health Service (IHS) facilities before and after the announcement of wait time standards in 2019. Describes challenges to providing timely access to emergency and primary care, strategies to overcome these challenges, and the impact of the COVID-19 pandemic on wait times.
Date: 02/2023
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Presents findings of a mixed-methods assessment of the change in emergency department wait times at Indian Health Service (IHS) facilities before and after the announcement of wait time standards in 2019. Describes challenges to providing timely access to emergency and primary care, strategies to overcome these challenges, and the impact of the COVID-19 pandemic on wait times.
Date: 02/2023
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Filling Behavioral Health Gaps in Rural Communities: A Unique Partnership in Washington State
Discusses a collaboration between a Critical Access Hospital (CAH) in Washington and state hospitals to accept patient transfers by utilizing swing beds to care for patients with complex behavioral health and social needs, such as substance use disorder, mental health, homelessness, and more. Includes data on swing bed admissions and information on incorporating behavioral health services into primary care.
Author(s): Sarah Klein, Martha Hostetter
Date: 02/2023
Sponsoring organization: The Commonwealth Fund
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Discusses a collaboration between a Critical Access Hospital (CAH) in Washington and state hospitals to accept patient transfers by utilizing swing beds to care for patients with complex behavioral health and social needs, such as substance use disorder, mental health, homelessness, and more. Includes data on swing bed admissions and information on incorporating behavioral health services into primary care.
Author(s): Sarah Klein, Martha Hostetter
Date: 02/2023
Sponsoring organization: The Commonwealth Fund
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Strategies to Recruit Rural Primary Care Providers to Implement a Medication for Opioid Use Disorder (MOUD) Focused Integrated Care Model
Highlights a study on an intervention aimed at addressing systemic barriers to accessing medications for opioid used disorder (MOUD) for rural patients via an integrated care model. Breaks down the intervention structure and discusses project replication and sustainability.
Author(s): Renee M. Cloutier, Evan S. Cole, Brianna L. McDonough, et al.
Citation: Implementation Research and Practice, 4, 1-12
Date: 01/2023
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Highlights a study on an intervention aimed at addressing systemic barriers to accessing medications for opioid used disorder (MOUD) for rural patients via an integrated care model. Breaks down the intervention structure and discusses project replication and sustainability.
Author(s): Renee M. Cloutier, Evan S. Cole, Brianna L. McDonough, et al.
Citation: Implementation Research and Practice, 4, 1-12
Date: 01/2023
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New Mexico School-Based Health Centers: Annual Status Report 2021-2022
Provides an overview of the school-based health centers (SBHCs) located in elementary, middle and high schools and the primary care and behavioral health services they provide. Offers a county map of SBHCs along with the county's social vulnerability as measured by the Social Vulnerability Index.
Date: 01/2023
Sponsoring organization: New Mexico Department of Health
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Provides an overview of the school-based health centers (SBHCs) located in elementary, middle and high schools and the primary care and behavioral health services they provide. Offers a county map of SBHCs along with the county's social vulnerability as measured by the Social Vulnerability Index.
Date: 01/2023
Sponsoring organization: New Mexico Department of Health
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A Novel Gap Staffing Metric for Primary Care in the Veterans Health Administration and Implications for Rural and Urban Clinics
Highlights a study on the metric for primary care provider staffing used by the Veterans Health Administration (VHA) from 2017-2021. Explores the staffing gaps in rural versus urban areas based on the VHA's staffing metric.
Author(s): Amy M. J. O'Shea, Bjarni Haraldsson, Ariana F. Shahnazi, et al.
Citation: Journal of Ambulatory Care Management 46(1), 25-33
Date: 01/2023
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Highlights a study on the metric for primary care provider staffing used by the Veterans Health Administration (VHA) from 2017-2021. Explores the staffing gaps in rural versus urban areas based on the VHA's staffing metric.
Author(s): Amy M. J. O'Shea, Bjarni Haraldsson, Ariana F. Shahnazi, et al.
Citation: Journal of Ambulatory Care Management 46(1), 25-33
Date: 01/2023
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COVID-19 Impacts on Primary Care Clinic Care Management Processes
Examines the relationship between COVID-19 primary care disruptions and worsened health outcomes for patients with chronic diseases. Analyzes 269 primary care clinics in Minnesota in 2017, 2019, and 2021 to observe changes in care management processes (CMPs). Presents rural versus urban clinic data related to CMPs reported on the Physician Practice Connections Readiness Survey (PPC-RS).
Author(s): Leif I. Solberg, Caroline S. Carlin, Kevin A. Peterson
Citation: The Annals of Family Medicine, 21(1), 40-45
Date: 01/2023
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Examines the relationship between COVID-19 primary care disruptions and worsened health outcomes for patients with chronic diseases. Analyzes 269 primary care clinics in Minnesota in 2017, 2019, and 2021 to observe changes in care management processes (CMPs). Presents rural versus urban clinic data related to CMPs reported on the Physician Practice Connections Readiness Survey (PPC-RS).
Author(s): Leif I. Solberg, Caroline S. Carlin, Kevin A. Peterson
Citation: The Annals of Family Medicine, 21(1), 40-45
Date: 01/2023
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Strengthening Mental Health Care in Southwest Virginia
Policy brief exploring mental health access in Southwest Virginia and the benefits of integrated primary care. Includes a section on rural care accessibility and provides insights on how to strengthen the mental health care system.
Author(s): Sety Abooali
Date: 01/2023
Sponsoring organization: Virginia State Office of Rural Health
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Policy brief exploring mental health access in Southwest Virginia and the benefits of integrated primary care. Includes a section on rural care accessibility and provides insights on how to strengthen the mental health care system.
Author(s): Sety Abooali
Date: 01/2023
Sponsoring organization: Virginia State Office of Rural Health
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State Telehealth Policy: Summary and Findings from the Fall 2022 Webinar Series
Offers a summary of presentations included in the Center for Connected Health Policy's (CCHP) Fall 2022 webinar series. Topics focus on telehealth policy after the public health emergency (PHE) environment and include licensure laws and legal considerations when providers practice across state lines, the use of telehealth by Medicare beneficiaries, and the expansion and effectiveness of telemedicine in primary care settings.
Date: 01/2023
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Offers a summary of presentations included in the Center for Connected Health Policy's (CCHP) Fall 2022 webinar series. Topics focus on telehealth policy after the public health emergency (PHE) environment and include licensure laws and legal considerations when providers practice across state lines, the use of telehealth by Medicare beneficiaries, and the expansion and effectiveness of telemedicine in primary care settings.
Date: 01/2023
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Assessing the Effectiveness of Policies to Improve Access to Primary Care for Underserved Populations: A Case Study Analysis of Columbia County, Arkansas
Case study of policy initiatives to increase access to primary care, focusing on Columbia County, Arkansas. Discusses workforce shortages, a lack of training opportunities, issues of healthcare access and poverty, mitigating policies, and more.
Author(s): Maanasa Kona, Megan Houston, Jalisa Cark, Emma Walsh-Alker
Date: 01/2023
Sponsoring organization: Milbank Memorial Fund
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Case study of policy initiatives to increase access to primary care, focusing on Columbia County, Arkansas. Discusses workforce shortages, a lack of training opportunities, issues of healthcare access and poverty, mitigating policies, and more.
Author(s): Maanasa Kona, Megan Houston, Jalisa Cark, Emma Walsh-Alker
Date: 01/2023
Sponsoring organization: Milbank Memorial Fund
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