Rural Health
Resources by Topic: Primary care
National Advisory Council on the National Health Service Corps (NACNHSC) Meeting Minutes, November 15-16, 2022
Minutes from the November 15-16, 2022 meeting, including presentations on collaborative care, shortage designation policy, HRSA's geriatrics programs, family caregivers, effects of COVID-19, and National Health Service Corps updates.
Additional links: Agenda, Caring for the Care Collaborator: Building and Sustaining the Competent Team, Health Resources and Services Administration's Geriatrics Programs, Leading In Challenging Times… Creating the Future We Want and Our Communities and Patients Need, Policy Updates, Preparing Clinicians to "R.A.I.S.E." Family Caregivers
Date: 11/2022
Type: Document
Sponsoring organization: National Advisory Council on the National Health Service Corps
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Minutes from the November 15-16, 2022 meeting, including presentations on collaborative care, shortage designation policy, HRSA's geriatrics programs, family caregivers, effects of COVID-19, and National Health Service Corps updates.
Additional links: Agenda, Caring for the Care Collaborator: Building and Sustaining the Competent Team, Health Resources and Services Administration's Geriatrics Programs, Leading In Challenging Times… Creating the Future We Want and Our Communities and Patients Need, Policy Updates, Preparing Clinicians to "R.A.I.S.E." Family Caregivers
Date: 11/2022
Type: Document
Sponsoring organization: National Advisory Council on the National Health Service Corps
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Urban–Rural Differences in Mental and Physical Health among Primary Care Patients with Multiple Chronic Conditions: A Secondary Analysis from a Randomized Clinical Trial
Presents a study on the differences in mental and physical health outcomes for people with multiple chronic conditions in rural and urban areas with access to primary care providers. Breaks down data by demographic characteristics, such as age, income, and chronic conditions, among others.
Author(s): Levi N. Bonnell, Jessica Clifton, Gail L. Rose, et al.
Citation: International Journal of Environmental Research and Public Health, 19(23), 15580
Date: 11/2022
Type: Document
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Presents a study on the differences in mental and physical health outcomes for people with multiple chronic conditions in rural and urban areas with access to primary care providers. Breaks down data by demographic characteristics, such as age, income, and chronic conditions, among others.
Author(s): Levi N. Bonnell, Jessica Clifton, Gail L. Rose, et al.
Citation: International Journal of Environmental Research and Public Health, 19(23), 15580
Date: 11/2022
Type: Document
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New Mexico Primary Care Alternative Payment Model Provider Readiness Assessment
Examines facilitators and barriers related to primary care stakeholders' readiness to implement an alternative payment model (APM) in New Mexico. Analyzes 2022 survey and focus group data from providers to gain feedback from Federally Qualified Health Centers (FQHCs), small- and medium-sized practices, hospitals, and interprofessional teams. Discusses issues such as care delivery, health information technology (HIT), financial and organizational readiness, and more, with information specific to small and rural facilities.
Date: 11/2022
Type: Document
Sponsoring organizations: Health Management Associates, New Mexico Human Services Department
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Examines facilitators and barriers related to primary care stakeholders' readiness to implement an alternative payment model (APM) in New Mexico. Analyzes 2022 survey and focus group data from providers to gain feedback from Federally Qualified Health Centers (FQHCs), small- and medium-sized practices, hospitals, and interprofessional teams. Discusses issues such as care delivery, health information technology (HIT), financial and organizational readiness, and more, with information specific to small and rural facilities.
Date: 11/2022
Type: Document
Sponsoring organizations: Health Management Associates, New Mexico Human Services Department
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Is Being There Enough? Postgraduate Nurse Practitioner Residencies in Rural Primary Care
Examines the characteristics of rural and rural-serving postgraduate nurse practitioner (NP) residency programs, and the practices they use to determine if and how they enable recruitment, transition, and retention of NPs in rural primary care practice. Interviews were conducted with residency program directors, clinic personnel, and current and former NP residents, and analyzed to identify key themes and variations in program structure.
Author(s): Louise Kaplan, Samantha W. Pollock, Susan M. Skillman, Davis G. Patterson
Citation: Journal of Rural Health, 39(3), 529-534
Date: 11/2022
Type: Document
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Examines the characteristics of rural and rural-serving postgraduate nurse practitioner (NP) residency programs, and the practices they use to determine if and how they enable recruitment, transition, and retention of NPs in rural primary care practice. Interviews were conducted with residency program directors, clinic personnel, and current and former NP residents, and analyzed to identify key themes and variations in program structure.
Author(s): Louise Kaplan, Samantha W. Pollock, Susan M. Skillman, Davis G. Patterson
Citation: Journal of Rural Health, 39(3), 529-534
Date: 11/2022
Type: Document
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Responding to One Rural Community's Primary Care Needs: Investing in Workforce and Broad Community Stakeholder Engagement
Commentary describing a model in which an academic health system in Rockingham County, North Carolina made targeted primary care investments to address rural health disparities while working to ensure sustainability within the health workforce. Examines challenges to improving rural health outcomes and offers suggestions for health systems seeking to replicate the Rockingham model.
Author(s): Sherry Hay, Emily M. Hawes, Alyssa Zamierowski, Stokes Ann Hunt, Cristen P. Page
Citation: North Carolina Medical Journal, 83(6), 435-439
Date: 11/2022
Type: Document
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Commentary describing a model in which an academic health system in Rockingham County, North Carolina made targeted primary care investments to address rural health disparities while working to ensure sustainability within the health workforce. Examines challenges to improving rural health outcomes and offers suggestions for health systems seeking to replicate the Rockingham model.
Author(s): Sherry Hay, Emily M. Hawes, Alyssa Zamierowski, Stokes Ann Hunt, Cristen P. Page
Citation: North Carolina Medical Journal, 83(6), 435-439
Date: 11/2022
Type: Document
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Relationships Matter: How Usual is the Usual Source of (Primary) Care?
Explores trends in usual source of care (USC), with statistics on patient characteristics associated with USC and percent of the U.S. population with a USC, with breakdowns by payer type, race/ethnicity, and types of USC. Discusses shortages of primary care physicians in rural areas, and strategies for attracting, retaining, and diversifying primary care physicians in rural and underserved areas.
Author(s): Yalda Jabbarpour, Ann Greiner, Anuradha Jetty, et al.
Date: 11/2022
Type: Document
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Explores trends in usual source of care (USC), with statistics on patient characteristics associated with USC and percent of the U.S. population with a USC, with breakdowns by payer type, race/ethnicity, and types of USC. Discusses shortages of primary care physicians in rural areas, and strategies for attracting, retaining, and diversifying primary care physicians in rural and underserved areas.
Author(s): Yalda Jabbarpour, Ann Greiner, Anuradha Jetty, et al.
Date: 11/2022
Type: Document
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Rural-Urban Prescribing Patterns by Primary Care and Behavioral Health Providers in Older Adults with Serious Mental Illness
Examines psychiatric prescription patterns by behavioral health specialists (BHSs) and primary care providers (PCPs) in older adults with serious mental illness (SMI). Analyzes 2018 Medicare data of 2,079,045 Medicare beneficiaries who received a prescription for their SMI diagnosis. Includes rural versus urban comparisons of psychiatric medication type and provider type.
Author(s): Ulrike Muench, Matthew Jura, Cindy Parks Thomas, Jennifer Perloff, Joanne Spetz
Citation: BMC Health Services Research, 22, 1440
Date: 11/2022
Type: Document
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Examines psychiatric prescription patterns by behavioral health specialists (BHSs) and primary care providers (PCPs) in older adults with serious mental illness (SMI). Analyzes 2018 Medicare data of 2,079,045 Medicare beneficiaries who received a prescription for their SMI diagnosis. Includes rural versus urban comparisons of psychiatric medication type and provider type.
Author(s): Ulrike Muench, Matthew Jura, Cindy Parks Thomas, Jennifer Perloff, Joanne Spetz
Citation: BMC Health Services Research, 22, 1440
Date: 11/2022
Type: Document
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Bridging the Digital Divide: Advancing Telehealth Equity
Describes the rise in telehealth use in Massachusetts since the onset of the COVID-19 pandemic and disparities in use across populations. Summarizes the access, quality, and experience factors associated with telehealth from the perspective of patients, providers, and community leaders. Identifies barriers and factors that promoted telehealth use. Offers recommendations for health plans to advance telehealth equity by addressing the root causes of the digital divide, promoting digital inclusion, removing structural and financial barriers to telehealth access, and supporting higher quality and more inclusive care delivery.
Date: 11/2022
Type: Document
Sponsoring organizations: Department of Population Medicine at Harvard Medical School, Harvard Pilgrim Health Care Institute, Massachusetts Association of Health Plans, Massachusetts Health Quality Partners
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Describes the rise in telehealth use in Massachusetts since the onset of the COVID-19 pandemic and disparities in use across populations. Summarizes the access, quality, and experience factors associated with telehealth from the perspective of patients, providers, and community leaders. Identifies barriers and factors that promoted telehealth use. Offers recommendations for health plans to advance telehealth equity by addressing the root causes of the digital divide, promoting digital inclusion, removing structural and financial barriers to telehealth access, and supporting higher quality and more inclusive care delivery.
Date: 11/2022
Type: Document
Sponsoring organizations: Department of Population Medicine at Harvard Medical School, Harvard Pilgrim Health Care Institute, Massachusetts Association of Health Plans, Massachusetts Health Quality Partners
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Increasing Knowledge of Palliative Care in South Dakota
Describes the creation of the South Dakota Palliative Care Network and discusses its work to increase knowledge of palliative care among rural healthcare professionals, nursing students, and community members in the state.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Describes the creation of the South Dakota Palliative Care Network and discusses its work to increase knowledge of palliative care among rural healthcare professionals, nursing students, and community members in the state.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Patterns of Health Care Use among Rural-Urban Medicare Beneficiaries Age 85 and Older, 2010-2017
Policy brief examining how rural and urban Medicare beneficiaries age 85+ differ in terms of their socioeconomic and health characteristics that may inform healthcare use. Features statistics on trends in healthcare use, including inpatient and emergency department care, outpatient and prescription services, specialists and dentists, and home health and durable medical equipment, with breakdowns by urban and rural location.
Author(s): Yvonne Jonk, Heidi O'Connor, Amanda Burgess, Carly Milkowski
Date: 11/2022
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Policy brief examining how rural and urban Medicare beneficiaries age 85+ differ in terms of their socioeconomic and health characteristics that may inform healthcare use. Features statistics on trends in healthcare use, including inpatient and emergency department care, outpatient and prescription services, specialists and dentists, and home health and durable medical equipment, with breakdowns by urban and rural location.
Author(s): Yvonne Jonk, Heidi O'Connor, Amanda Burgess, Carly Milkowski
Date: 11/2022
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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