Rural Health
Resources by Topic: Primary care
The Association Between Primary Care Use and Potentially-Preventable Hospitalization Among Dual Eligibles Age 65 and Over
Examines the relationship between primary care and ambulatory care sensitive condition (ACSC) hospitalization among people age 65 and older who are dually-enrolled in Medicare and Medicaid. Features statistics with breakdowns by urban or rural location.
Author(s): N. Loren Oh, Andrew J. Potter, Lindsay M. Sabik, et al.
Citation: BMC Health Services Research, 22(927)
Date: 07/2022
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Examines the relationship between primary care and ambulatory care sensitive condition (ACSC) hospitalization among people age 65 and older who are dually-enrolled in Medicare and Medicaid. Features statistics with breakdowns by urban or rural location.
Author(s): N. Loren Oh, Andrew J. Potter, Lindsay M. Sabik, et al.
Citation: BMC Health Services Research, 22(927)
Date: 07/2022
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Behavioral Health and Primary Care Integration in Rural Health Facilities: Policy Brief and Recommendations to the Secretary
Provides an overview of the prevalence of mental illness and substance use disorders in rural areas. Discusses the role of rural primary care providers in treating these conditions. Outlines federal programs and resources to support behavioral health and primary care integration. Offers policy recommendations related to access to care; workforce recruitment and retention; telehealth, technology, and broadband; and reimbursement and sustainable revenue.
Date: 06/2022
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of the prevalence of mental illness and substance use disorders in rural areas. Discusses the role of rural primary care providers in treating these conditions. Outlines federal programs and resources to support behavioral health and primary care integration. Offers policy recommendations related to access to care; workforce recruitment and retention; telehealth, technology, and broadband; and reimbursement and sustainable revenue.
Date: 06/2022
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Telemedicine Versus In-Person Primary Care: Impact on Visit Completion Rate in a Rural Appalachian Population
Explores telemedicine use in a primary care clinic in rural West Virginia and its impact on patient access and visit completion rates. Examines visit completion rates of 110,999 patients from January 2019 to November 2020, with patient data broken down by sex, age, marital status, and distance in miles from facility.
Author(s): Treah Haggerty, Heather M. Stephens, Shaylee A. Peckens, et al.
Citation: The Journal of the American Board of Family Medicine, 35(3), 475-484
Date: 05/2022
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Explores telemedicine use in a primary care clinic in rural West Virginia and its impact on patient access and visit completion rates. Examines visit completion rates of 110,999 patients from January 2019 to November 2020, with patient data broken down by sex, age, marital status, and distance in miles from facility.
Author(s): Treah Haggerty, Heather M. Stephens, Shaylee A. Peckens, et al.
Citation: The Journal of the American Board of Family Medicine, 35(3), 475-484
Date: 05/2022
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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Fourth Annual Report
Reports on the first four program years of the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort. Discusses CPC+ participating practices, payer partners, and health information technology (HIT) vendors supporting the program. Describes practice changes regarding care delivery and outcomes for Medicare fee-for-service beneficiaries.
Additional links: Appendices, Findings at a Glance
Date: 05/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Reports on the first four program years of the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort. Discusses CPC+ participating practices, payer partners, and health information technology (HIT) vendors supporting the program. Describes practice changes regarding care delivery and outcomes for Medicare fee-for-service beneficiaries.
Additional links: Appendices, Findings at a Glance
Date: 05/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Assessing the Effectiveness of Policies to Improve Access to Primary Care for Underserved Populations: Case Study Analysis: Grant County, New Mexico
Case study of policy initiatives to increase access to primary care, focusing on rural Grant County, New Mexico. Discusses challenges to expanding the primary care workforce, bringing outpatient clinics into communities, mobile clinics and telehealth, affordability, and more.
Author(s): Maanasa Kona, Megan Houston, Jalisa Clark, Emma Walsh-Alker
Date: 05/2022
Sponsoring organization: Milbank Memorial Fund
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Case study of policy initiatives to increase access to primary care, focusing on rural Grant County, New Mexico. Discusses challenges to expanding the primary care workforce, bringing outpatient clinics into communities, mobile clinics and telehealth, affordability, and more.
Author(s): Maanasa Kona, Megan Houston, Jalisa Clark, Emma Walsh-Alker
Date: 05/2022
Sponsoring organization: Milbank Memorial Fund
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Supporting Community-Based Family Medicine Residency Training Programs in North Carolina and their Potential Impact on Healthy NC 2030
Examines ways in which training family medicine residents in rural North Carolina communities can address disparities in healthcare access and improve rural population health metrics for all subsets of the population. Describes Healthy NC 2030, a public health initiative that seeks to bridge healthcare disparities in North Carolina. Features a county-level map showing locations of training programs in rural settings and urban settings, and statistics on the distribution of family medicine residency positions in North Carolina, with breakdowns by rural or urban setting.
Author(s): Audy G. Whitman, Geniene Jones, Danny Pate, et al.
Citation: North Carolina Medical Journal, 83(3), 173-177
Date: 05/2022
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Examines ways in which training family medicine residents in rural North Carolina communities can address disparities in healthcare access and improve rural population health metrics for all subsets of the population. Describes Healthy NC 2030, a public health initiative that seeks to bridge healthcare disparities in North Carolina. Features a county-level map showing locations of training programs in rural settings and urban settings, and statistics on the distribution of family medicine residency positions in North Carolina, with breakdowns by rural or urban setting.
Author(s): Audy G. Whitman, Geniene Jones, Danny Pate, et al.
Citation: North Carolina Medical Journal, 83(3), 173-177
Date: 05/2022
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Exploration of Remote Didactics at Rural Family Medicine Training Programs
Results of an electronic survey of rural family medicine residency site directors across the United States. Includes analyses through statistics with an emphasis on descriptions of current didactic practices, facilitators, and challenges to implementation. Features statistics with breakdowns by urban or rural location.
Author(s): Ying Zhang, Tessa E. Moore, Amanda Weidner, et al.
Citation: Family Medicine, 54(5), 362-363
Date: 05/2022
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Results of an electronic survey of rural family medicine residency site directors across the United States. Includes analyses through statistics with an emphasis on descriptions of current didactic practices, facilitators, and challenges to implementation. Features statistics with breakdowns by urban or rural location.
Author(s): Ying Zhang, Tessa E. Moore, Amanda Weidner, et al.
Citation: Family Medicine, 54(5), 362-363
Date: 05/2022
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Primary Care Clinicians in Low-Access Counties
Evaluates the weighted contribution of advanced practice providers to the primary care workforce in well-served and underserved counties in North Carolina. Features statistics on population per primary care clinician by North Carolina county and composition of the North Carolina primary care workforce from 2017-2019, and a county-level map with shadings showing percentages of nurse practitioners, physician assistants, and certified nurse-midwives in 2017-2019.
Author(s): Adam J. Zolotor, Evan Galloway, Margaret Beal, Erin P. Fraher
Citation: North Carolina Medical Journal, 83(3), 163-168
Date: 05/2022
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Evaluates the weighted contribution of advanced practice providers to the primary care workforce in well-served and underserved counties in North Carolina. Features statistics on population per primary care clinician by North Carolina county and composition of the North Carolina primary care workforce from 2017-2019, and a county-level map with shadings showing percentages of nurse practitioners, physician assistants, and certified nurse-midwives in 2017-2019.
Author(s): Adam J. Zolotor, Evan Galloway, Margaret Beal, Erin P. Fraher
Citation: North Carolina Medical Journal, 83(3), 163-168
Date: 05/2022
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Behavioral Health Screening and Care Coordination for Rural Veterans in a Federally Qualified Health Center
Highlights the VA's nurse-led Collaborative System of Care (CSC) program's work in connecting veterans at rural Federally Qualified Health Centers (FQHCs) to the VA's behavioral health services and discusses the role care coordination can play in connecting rural veterans to other healthcare services. Details the efficacy of the CSC program and outlines the program's structure and screening process.
Author(s): M. Bryant Howren, Debra Kazmerzak, Sheryl Pruin, et al.
Citation: Journal of Behavioral Health Services and Research, 49, 50-60
Date: 05/2022
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Highlights the VA's nurse-led Collaborative System of Care (CSC) program's work in connecting veterans at rural Federally Qualified Health Centers (FQHCs) to the VA's behavioral health services and discusses the role care coordination can play in connecting rural veterans to other healthcare services. Details the efficacy of the CSC program and outlines the program's structure and screening process.
Author(s): M. Bryant Howren, Debra Kazmerzak, Sheryl Pruin, et al.
Citation: Journal of Behavioral Health Services and Research, 49, 50-60
Date: 05/2022
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Primary Care Practice Patterns of UNR Med Graduates – 2005 to 2018
Examines the practice types and locations of 776 primary care graduates from the University of Nevada, Reno School of Medicine undergraduate medical education between 2005 and 2018. Figure 7 contrasts the number of graduates practicing primary care in Nevada overall with the number working in rural Nevada.
Author(s): Jesse Barnes, Tabor Griswold, John Packham
Date: 04/2022
Sponsoring organization: Nevada Health Workforce Research Center
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Examines the practice types and locations of 776 primary care graduates from the University of Nevada, Reno School of Medicine undergraduate medical education between 2005 and 2018. Figure 7 contrasts the number of graduates practicing primary care in Nevada overall with the number working in rural Nevada.
Author(s): Jesse Barnes, Tabor Griswold, John Packham
Date: 04/2022
Sponsoring organization: Nevada Health Workforce Research Center
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