Rural Health
Resources by Topic: Primary care
Training the Primary Care Workforce to Deliver Team-Based Care in Underserved Areas: The Teaching Health Center Program
Provides an overview of the Teaching Health Center Graduate Medical Education (THCGME) program. Describes the THCGME program's outcomes in training primary care medical and dental providers, the practice settings of THCGME family medicine graduates, and services provided by program graduates. Profiles four THCGME programs, including three programs that serve tribal or rural areas. Discusses challenges facing Teaching Health Centers, proposed solutions, and key takeaways and recommendations for policymakers.
Author(s): Emily Hawes, Jacob Rains, Candice Chen, Erin Fraher
Date: 06/2023
Sponsoring organization: Milbank Memorial Fund
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Provides an overview of the Teaching Health Center Graduate Medical Education (THCGME) program. Describes the THCGME program's outcomes in training primary care medical and dental providers, the practice settings of THCGME family medicine graduates, and services provided by program graduates. Profiles four THCGME programs, including three programs that serve tribal or rural areas. Discusses challenges facing Teaching Health Centers, proposed solutions, and key takeaways and recommendations for policymakers.
Author(s): Emily Hawes, Jacob Rains, Candice Chen, Erin Fraher
Date: 06/2023
Sponsoring organization: Milbank Memorial Fund
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Understanding and Overcoming Barriers to Rural Training in Family Medicine Obstetrics Fellowships
Highlights a study on access to rural-focused family medicine obstetrics (FM OB) fellowships for family medicine residency graduates. Explores the availability of rural-specific FM OB fellowships and the challenges programs face in providing rurally-oriented training to family medicine physicians. Breaks down data by fellowship type, training curriculum, and rurality of location, among other measures.
Date: 06/2023
Sponsoring organization: WWAMI Rural Health Research Center
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Highlights a study on access to rural-focused family medicine obstetrics (FM OB) fellowships for family medicine residency graduates. Explores the availability of rural-specific FM OB fellowships and the challenges programs face in providing rurally-oriented training to family medicine physicians. Breaks down data by fellowship type, training curriculum, and rurality of location, among other measures.
Date: 06/2023
Sponsoring organization: WWAMI Rural Health Research Center
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New Hampshire Primary Care HPSAs
County-level map showing primary care Health Professional Shortage Areas in New Hampshire.
Date: 06/2023
Sponsoring organization: New Hampshire Rural Health & Primary Care
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County-level map showing primary care Health Professional Shortage Areas in New Hampshire.
Date: 06/2023
Sponsoring organization: New Hampshire Rural Health & Primary Care
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Arizona Primary Care HPSAs
County-level map of Primary Care Health Professional Shortage Areas (HPSAs) in Arizona, with shadings showing ranges of HPSA scores.
Date: 05/2023
Sponsoring organization: Arizona Department of Health Services
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County-level map of Primary Care Health Professional Shortage Areas (HPSAs) in Arizona, with shadings showing ranges of HPSA scores.
Date: 05/2023
Sponsoring organization: Arizona Department of Health Services
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Integrating Behavioral Health and Primary Care in Rural America
Recording of a May 2023 webinar discussing behavioral health and primary care integration in rural areas. Explores the importance of integration in rural areas, the barriers to integration, and opportunities for policies that can improve access to care. Features opening remarks from Tom Morris, Associate Administrator for Rural Health Policy at the Health Resources and Services Administration (HRSA), and a panel of providers from Missouri, New Hampshire, and Texas. Transcript available in the video description.
Date: 05/2023
Sponsoring organization: Bipartisan Policy Center
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Recording of a May 2023 webinar discussing behavioral health and primary care integration in rural areas. Explores the importance of integration in rural areas, the barriers to integration, and opportunities for policies that can improve access to care. Features opening remarks from Tom Morris, Associate Administrator for Rural Health Policy at the Health Resources and Services Administration (HRSA), and a panel of providers from Missouri, New Hampshire, and Texas. Transcript available in the video description.
Date: 05/2023
Sponsoring organization: Bipartisan Policy Center
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Medical Assistants' Telehealth Roles and Skills in Primary Care During the COVID-19 Pandemic
Study examining the role of medical assistants (MAs) in providing primary care via telehealth during the COVID-19 pandemic. 10 key informants from national and state primary care organizations were interviewed. Results include discussion about the variation in roles being dependent on organization size and rurality.
Author(s): Samantha W. Pollack, Susan M. Skillman, Tracy M. Mroz, Bianca K. Frogner
Date: 05/2023
Sponsoring organization: UW Center for Health Workforce Studies
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Study examining the role of medical assistants (MAs) in providing primary care via telehealth during the COVID-19 pandemic. 10 key informants from national and state primary care organizations were interviewed. Results include discussion about the variation in roles being dependent on organization size and rurality.
Author(s): Samantha W. Pollack, Susan M. Skillman, Tracy M. Mroz, Bianca K. Frogner
Date: 05/2023
Sponsoring organization: UW Center for Health Workforce Studies
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Achieving Behavioral Health Care Integration in Rural America
Provides an overview of behavioral health and primary care integration and how integration may be different in rural areas than in urban and suburban areas. Examines the barriers to integration in rural areas and opportunities for policies that can improve access to care. Offers policy recommendations to better coordinate and integrate primary care and behavioral health services for high-risk groups and expand the ability of primary care providers to handle the lower-acuity behavioral health needs of patients through enhanced payments, training, and improved access to behavioral health providers for consultation and referral. Builds on the March 2021 report, Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration.
Author(s): Kendall Strong, Michele Gilbert, Julia Harris, et al.
Date: 05/2023
Sponsoring organization: Bipartisan Policy Center
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Provides an overview of behavioral health and primary care integration and how integration may be different in rural areas than in urban and suburban areas. Examines the barriers to integration in rural areas and opportunities for policies that can improve access to care. Offers policy recommendations to better coordinate and integrate primary care and behavioral health services for high-risk groups and expand the ability of primary care providers to handle the lower-acuity behavioral health needs of patients through enhanced payments, training, and improved access to behavioral health providers for consultation and referral. Builds on the March 2021 report, Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration.
Author(s): Kendall Strong, Michele Gilbert, Julia Harris, et al.
Date: 05/2023
Sponsoring organization: Bipartisan Policy Center
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Service-Obligated Providers in New York State
Research brief profiling the health professionals fulfilling service obligations in New York State through federal or state provider incentive programs as of March 2022. Discusses Health Professional Shortage Area placements and J-1 visa waivers. Features statistics including the number and per capita rate of service-obligated providers by region of practice and a list of New York State counties with breakdowns by urban or rural status.
Additional links: Overview: Service-Obligated Providers in New York State
Author(s): Robert Martiniano, Alexandra Romero, Jean Moore
Date: 05/2023
Sponsoring organization: Center for Health Workforce Studies
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Research brief profiling the health professionals fulfilling service obligations in New York State through federal or state provider incentive programs as of March 2022. Discusses Health Professional Shortage Area placements and J-1 visa waivers. Features statistics including the number and per capita rate of service-obligated providers by region of practice and a list of New York State counties with breakdowns by urban or rural status.
Additional links: Overview: Service-Obligated Providers in New York State
Author(s): Robert Martiniano, Alexandra Romero, Jean Moore
Date: 05/2023
Sponsoring organization: Center for Health Workforce Studies
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Sparta Community Hospital Spotlight
Describes how the Sparta Community Hospital worked to identify the social determinants of health in its community. Discusses the addition of a mobile clinic to increase access to primary care, address barriers, and advance health equity. Transcript available below description.
Date: 05/2023
Sponsoring organization: National Rural Health Resource Center
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Describes how the Sparta Community Hospital worked to identify the social determinants of health in its community. Discusses the addition of a mobile clinic to increase access to primary care, address barriers, and advance health equity. Transcript available below description.
Date: 05/2023
Sponsoring organization: National Rural Health Resource Center
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Challenges and Recommendations for Improving Access to Evidence-Based COPD Management among Rural Veterans: Rural Primary Care Provider Perspectives
Highlights a study on the perspectives of primary care providers serving rural veterans on the challenges of providing evidence-based COPD management care in rural communities. Details key barriers and makes policy recommendations.
Author(s): Talitha Wilson, R. Adams Dudley, Ken M. Kunisaki, et al.
Citation: Journal of General Internal Medicine, 38, 2843-2845
Date: 04/2023
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Highlights a study on the perspectives of primary care providers serving rural veterans on the challenges of providing evidence-based COPD management care in rural communities. Details key barriers and makes policy recommendations.
Author(s): Talitha Wilson, R. Adams Dudley, Ken M. Kunisaki, et al.
Citation: Journal of General Internal Medicine, 38, 2843-2845
Date: 04/2023
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