Rural Health
Resources by Topic: Primary care
Comparing Two Telehealth Approaches for Treating Complex Psychiatric Disorders in Primary Care -- The SPIRIT Study
Details a study on the use of telepsychiatry and telepsychology to treat complex psychiatric disorders in rural primary care settings. Discusses a trials done in 24 primary care clinics without behavioral health services. Compares models of care and draws conclusions from survey data.
Additional links: Audio Abstract Recording, En Español, Research Summary
Author(s): John C. Fortney, Jürgen Unützer
Date: 2022
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Details a study on the use of telepsychiatry and telepsychology to treat complex psychiatric disorders in rural primary care settings. Discusses a trials done in 24 primary care clinics without behavioral health services. Compares models of care and draws conclusions from survey data.
Additional links: Audio Abstract Recording, En Español, Research Summary
Author(s): John C. Fortney, Jürgen Unützer
Date: 2022
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Does Primary Care Availability Mediate the Relationship Between Rurality and Lower Life Expectancy in the United States?
Analyzes if the availability of primary care providers (PCPs) is a factor in life expectancy outcomes in rural areas. Utilizes county-level statistics for the years 2010, 2015, and 2017 to see if rural counties with higher PCP density trended toward higher life expectancy. Includes descriptive statistics that show rural versus urban comparisons for life expectancy, race/ethnicity, education level, income, insurance and employment status, rate of elderly residents, and access to/cost of medical care.
Author(s): Arjun Sharma, Sanjay Basu
Citation: Journal of Primary Care & Community Health, 13
Date: 2022
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Analyzes if the availability of primary care providers (PCPs) is a factor in life expectancy outcomes in rural areas. Utilizes county-level statistics for the years 2010, 2015, and 2017 to see if rural counties with higher PCP density trended toward higher life expectancy. Includes descriptive statistics that show rural versus urban comparisons for life expectancy, race/ethnicity, education level, income, insurance and employment status, rate of elderly residents, and access to/cost of medical care.
Author(s): Arjun Sharma, Sanjay Basu
Citation: Journal of Primary Care & Community Health, 13
Date: 2022
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Georgia Farmworker Health Program: Health Services Needs Assessment
Provides a demographic description of people served by the 6 Georgia Farmworker Health Program sites, descriptions of the most frequent diagnoses for migrant farmworkers and their dependents, an assessment of the health services provided to the farmworker population, and recommendations for improving access to care and services provided. Features statistics with breakdowns for years 2018-2021.
Author(s): Ashley Walker, Bettye A. Apenteng, Charles Owens, Angela Peden
Date: 2022
Sponsoring organization: Georgia State Office of Rural Health
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Provides a demographic description of people served by the 6 Georgia Farmworker Health Program sites, descriptions of the most frequent diagnoses for migrant farmworkers and their dependents, an assessment of the health services provided to the farmworker population, and recommendations for improving access to care and services provided. Features statistics with breakdowns for years 2018-2021.
Author(s): Ashley Walker, Bettye A. Apenteng, Charles Owens, Angela Peden
Date: 2022
Sponsoring organization: Georgia State Office of Rural Health
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Attitudes and Perceived Barriers Toward Store-and-Forward Teledermatology among Primary Care Providers of the Rural Mississippi
Explores the utilization of teledermatology to make dermatology care accessible in rural and underserved areas of Mississippi. Discusses perceived barriers based on 34 primary care provider surveys, such as time investment to learn the technology and time required to submit a teledermatology consult.
Author(s): Summer Morrissette, Ross L. Pearlman, Margaret Kovar, et al.
Citation: Archives of Dermatological Research, 314, 37-40
Date: 2022
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Explores the utilization of teledermatology to make dermatology care accessible in rural and underserved areas of Mississippi. Discusses perceived barriers based on 34 primary care provider surveys, such as time investment to learn the technology and time required to submit a teledermatology consult.
Author(s): Summer Morrissette, Ross L. Pearlman, Margaret Kovar, et al.
Citation: Archives of Dermatological Research, 314, 37-40
Date: 2022
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Utah Primary Care Needs Assessment 2021
Assesses the primary care needs in the state of Utah. Reviews indicators of healthcare access, health status, social determinants of health, and the primary care workforce shortages in Utah. Includes information and maps on primary care, dental, and mental Health Professional Shortage Areas (HPSAs).
Date: 12/2021
Sponsoring organization: Utah Office of Primary Care and Rural Health
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Assesses the primary care needs in the state of Utah. Reviews indicators of healthcare access, health status, social determinants of health, and the primary care workforce shortages in Utah. Includes information and maps on primary care, dental, and mental Health Professional Shortage Areas (HPSAs).
Date: 12/2021
Sponsoring organization: Utah Office of Primary Care and Rural Health
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Medical School Impact on the Primary Care Physician Shortage in Pennsylvania: Staff Study
Describes training required to become a physician in Pennsylvania and examines issues contributing to primary care physician shortages, including student debt burden, burnout, and low investment in primary care. Features information on primary care initiatives from Pennsylvania's medical schools, including health workforce pipeline programs, and statistics including average number of graduates matching into primary care specialties from each institution, estimates of how many graduates intend to specialize in primary care, and how many are retained by the state. Mentions rural throughout.
Author(s): Bryan W. DeWalt, Stephen J. Kramer, Wendy L. Baker
Date: 12/2021
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Describes training required to become a physician in Pennsylvania and examines issues contributing to primary care physician shortages, including student debt burden, burnout, and low investment in primary care. Features information on primary care initiatives from Pennsylvania's medical schools, including health workforce pipeline programs, and statistics including average number of graduates matching into primary care specialties from each institution, estimates of how many graduates intend to specialize in primary care, and how many are retained by the state. Mentions rural throughout.
Author(s): Bryan W. DeWalt, Stephen J. Kramer, Wendy L. Baker
Date: 12/2021
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Planning a Reentry Program: A Toolkit for Tribal Communities
Toolkit provides information and guidance for developing a reentry program for American Indians and Alaska Natives who are transitioning from the criminal justice system to civilian life. Highlights evidence-based practices for reentry programs, including partnerships to connect returning citizens to housing, job training and placement, and medical, mental health, and/or substance use treatment, among other services.
Date: 12/2021
Sponsoring organizations: Bureau of Justice Assistance, Center for Court Innovation, Community Justice & Safety For All, U.S. Department of Justice
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Toolkit provides information and guidance for developing a reentry program for American Indians and Alaska Natives who are transitioning from the criminal justice system to civilian life. Highlights evidence-based practices for reentry programs, including partnerships to connect returning citizens to housing, job training and placement, and medical, mental health, and/or substance use treatment, among other services.
Date: 12/2021
Sponsoring organizations: Bureau of Justice Assistance, Center for Court Innovation, Community Justice & Safety For All, U.S. Department of Justice
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Association Between Area-Level Socioeconomic Deprivation and Diabetes Care Quality in US Primary Care Practices
Results of a study examining the association between deprived and rural areas and optimal diabetes care, using data from patients who received care at Mayo Clinic or Mayo Clinic Health System primary care practices in Minnesota, Iowa, and Wisconsin in 2019. Features statistics with breakdowns by urban, rural, and highly rural areas.
Author(s): Shaheen Shiraz Kurani, Michelle A. Lampman, Shealeigh A. Funni, et al.
Citation: JAMA Network Open, 4(12)
Date: 12/2021
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Results of a study examining the association between deprived and rural areas and optimal diabetes care, using data from patients who received care at Mayo Clinic or Mayo Clinic Health System primary care practices in Minnesota, Iowa, and Wisconsin in 2019. Features statistics with breakdowns by urban, rural, and highly rural areas.
Author(s): Shaheen Shiraz Kurani, Michelle A. Lampman, Shealeigh A. Funni, et al.
Citation: JAMA Network Open, 4(12)
Date: 12/2021
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Disparities in the Use of In-Person and Telehealth Primary Care Among High- and Low-Risk Medicare Beneficiaries During COVID-19
Study examining telehealth and in-person primary care for low-risk and high-risk Medicare beneficiaries, assessing telehealth's ability to compensate for fewer in-person clinical visits due to the COVID-19 pandemic. Describes rural and urban differences in health risk and telehealth utilization. Analyzes data from Medicare beneficiaries from an Accountable Care Organization (ACO) in Wisconsin.
Author(s): Ying Jessica Cao, Dandi Chen, Yao Liu, Maureen Smith
Citation: Journal of Patient Experience, 8, 1-10
Date: 12/2021
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Study examining telehealth and in-person primary care for low-risk and high-risk Medicare beneficiaries, assessing telehealth's ability to compensate for fewer in-person clinical visits due to the COVID-19 pandemic. Describes rural and urban differences in health risk and telehealth utilization. Analyzes data from Medicare beneficiaries from an Accountable Care Organization (ACO) in Wisconsin.
Author(s): Ying Jessica Cao, Dandi Chen, Yao Liu, Maureen Smith
Citation: Journal of Patient Experience, 8, 1-10
Date: 12/2021
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Understanding the "Tool-ish-ness" of Telehealth: Q&A with Dr. Jonathan Neufeld
An interview with clinical psychologist and program director for the Great Plains Telehealth Resource & Assistance Center, Dr. Jonathan Neufeld. Discusses the role of telehealth in healthcare delivery. Describes how telecommunications tools can be used by providers to bring quality care to rural areas.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 12/2021
Sponsoring organization: Rural Health Information Hub
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An interview with clinical psychologist and program director for the Great Plains Telehealth Resource & Assistance Center, Dr. Jonathan Neufeld. Discusses the role of telehealth in healthcare delivery. Describes how telecommunications tools can be used by providers to bring quality care to rural areas.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 12/2021
Sponsoring organization: Rural Health Information Hub
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