Rural Health
Resources by Topic: Primary care
Primary Care Health Professional Shortage Area Designations Before and After the Affordable Care Act's Shortage Designation Modernization Project
Results of a study using Health Resources and Services Administration files and county-level Primary Care Health Professional Shortage Area (PC-HPSA) designations, population, and primary care physician (PCP) counts from 2010 to 2018, to determine HPSA trends and population-to-PCP ratios. Features county-level maps showing geographic distribution of PC-HPSA designations in 2010 and 2018, and statistics on temporal changes in PC-HPSA designations and population-to-PCP ratios.
Author(s): Christopher A. Scannell, Jacob Q. Quinton, Nicholas J. Jackson, Yusuke Tsugawa
Citation: JAMA Network Open, 4(7)
Date: 07/2021
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Results of a study using Health Resources and Services Administration files and county-level Primary Care Health Professional Shortage Area (PC-HPSA) designations, population, and primary care physician (PCP) counts from 2010 to 2018, to determine HPSA trends and population-to-PCP ratios. Features county-level maps showing geographic distribution of PC-HPSA designations in 2010 and 2018, and statistics on temporal changes in PC-HPSA designations and population-to-PCP ratios.
Author(s): Christopher A. Scannell, Jacob Q. Quinton, Nicholas J. Jackson, Yusuke Tsugawa
Citation: JAMA Network Open, 4(7)
Date: 07/2021
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Association of the Extension for Community Healthcare Outcomes Project With Use of Direct-Acting Antiviral Treatment Among US Adults With Hepatitis C
Results of a study of 267,908 patients to examine the association between Project ECHO and use of direct-acting antiviral (DAA) treatment in patients with hepatitis C virus (HCV) infection. Features statistics with breakdowns by urban or rural location.
Author(s): Linh Tran, Roger Feldman, Thomas Riley, Jeah Jung
Citation: JAMA Network Open, 4(7)
Date: 07/2021
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Results of a study of 267,908 patients to examine the association between Project ECHO and use of direct-acting antiviral (DAA) treatment in patients with hepatitis C virus (HCV) infection. Features statistics with breakdowns by urban or rural location.
Author(s): Linh Tran, Roger Feldman, Thomas Riley, Jeah Jung
Citation: JAMA Network Open, 4(7)
Date: 07/2021
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Adoption of Health System Innovations: Evidence of Urban-Rural Disparities from the Ohio Primary Care Marketplace
Examines the market penetration of Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs), patient-centered medical homes (PCMHs), and the meaningful use of electronic health records (EHRs) among primary care providers (PCPs) in Ohio between 2011 and 2015. Compares the percentage of PCPs who are affiliated with ACOs, PCMHs, and meaningful use by urban and rural county status.
Author(s): Joseph E. Tanenbaum, Mark Votruba, Douglas Einstadter, Thomas E. Love, Randall D. Cebul
Citation: Journal of General Internal Medicine, 36(6), 1584–1590
Date: 06/2021
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Examines the market penetration of Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs), patient-centered medical homes (PCMHs), and the meaningful use of electronic health records (EHRs) among primary care providers (PCPs) in Ohio between 2011 and 2015. Compares the percentage of PCPs who are affiliated with ACOs, PCMHs, and meaningful use by urban and rural county status.
Author(s): Joseph E. Tanenbaum, Mark Votruba, Douglas Einstadter, Thomas E. Love, Randall D. Cebul
Citation: Journal of General Internal Medicine, 36(6), 1584–1590
Date: 06/2021
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Veterans' Use of Veterans Health Administration Primary Care in an Era of Expanding Choice
Characterizes and compares veterans' use of Veterans Health Administration (VA) primary care services at VA facilities and through a VA community care network (VA-CCN) provider, using data from fiscal years 2015-2018. Features statistics including patient characteristics by primary care venue and odds of having any VA-CCN primary care, with breakdowns by urban, rural, or highly rural location.
Author(s): Denise M. Hynes, Samuel Edwards, Alex Hickok, et al.
Citation: Medical Care, 59(6), S292-S300
Date: 06/2021
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Characterizes and compares veterans' use of Veterans Health Administration (VA) primary care services at VA facilities and through a VA community care network (VA-CCN) provider, using data from fiscal years 2015-2018. Features statistics including patient characteristics by primary care venue and odds of having any VA-CCN primary care, with breakdowns by urban, rural, or highly rural location.
Author(s): Denise M. Hynes, Samuel Edwards, Alex Hickok, et al.
Citation: Medical Care, 59(6), S292-S300
Date: 06/2021
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County-level Predictors of Growth in Community-based Primary Care Use Among Veterans
Measures county-level growth in Veterans Health Administration (VA) community-based primary care (CBPC) penetration following enactment of the Veterans Access, Choice, and Accountability Act, and assesses whether CBPC penetration increased in rural counties with limited access to VA facilities. Features statistics on county-level CBCP rates and characteristics of counties with high or low growth in penetration rates, with breakdowns by urban, rural, and highly rural locations.
Author(s): Sarah H. Gordon, Erin Beilstein-Wedel, Amy K. Rosen, et al.
Citation: Medical Care, 59(6), S301-S306
Date: 06/2021
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Measures county-level growth in Veterans Health Administration (VA) community-based primary care (CBPC) penetration following enactment of the Veterans Access, Choice, and Accountability Act, and assesses whether CBPC penetration increased in rural counties with limited access to VA facilities. Features statistics on county-level CBCP rates and characteristics of counties with high or low growth in penetration rates, with breakdowns by urban, rural, and highly rural locations.
Author(s): Sarah H. Gordon, Erin Beilstein-Wedel, Amy K. Rosen, et al.
Citation: Medical Care, 59(6), S301-S306
Date: 06/2021
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Vermont Baseline Needs Assessment: Rural and Non-Rural Practitioners
Report details a needs assessment of Vermont's practitioners' capacity to treat substance use disorder (SUD) and compares rural and urban counties. Breaks down workforce distribution by county, by rural versus urban, and by the type of SUD treatment they are able to provide, as well as their MAT waiver status, among other measures.
Date: 06/2021
Sponsoring organization: University of Vermont Center on Rural Addiction
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Report details a needs assessment of Vermont's practitioners' capacity to treat substance use disorder (SUD) and compares rural and urban counties. Breaks down workforce distribution by county, by rural versus urban, and by the type of SUD treatment they are able to provide, as well as their MAT waiver status, among other measures.
Date: 06/2021
Sponsoring organization: University of Vermont Center on Rural Addiction
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Partnership Forum: The Role of Research in the Transformation of Veterans Affairs Community Care
Discusses how research has shaped the Veterans Affairs' Office of Community Care since its inception in 2015. Highlights the effect research has had on care coordination, quality of care, and network adequacy, among other measures, for all veterans including those in rural areas.
Author(s): Michelle A. Mengeling, Kristin M. Mattocks, Denise M. Hynes, et al.
Citation: Medical Care, 59, (6, Suppl3), 232-241
Date: 06/2021
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Discusses how research has shaped the Veterans Affairs' Office of Community Care since its inception in 2015. Highlights the effect research has had on care coordination, quality of care, and network adequacy, among other measures, for all veterans including those in rural areas.
Author(s): Michelle A. Mengeling, Kristin M. Mattocks, Denise M. Hynes, et al.
Citation: Medical Care, 59, (6, Suppl3), 232-241
Date: 06/2021
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National Health Service Corps: Program Directs Funding to Areas with Greatest Provider Shortages
Provides an overview of the National Health Service Corps (NHSC) programs. Examines data for fiscal year 2020 on the number of NHSC providers and where they served, the number and characteristics of applicants that did not receive funding, the number of NHSC sites with vacancies, and information about the effectiveness of NHSC programs at alleviating provider shortages.
Additional links: Full Report
Date: 06/2021
Sponsoring organization: Government Accountability Office
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Provides an overview of the National Health Service Corps (NHSC) programs. Examines data for fiscal year 2020 on the number of NHSC providers and where they served, the number and characteristics of applicants that did not receive funding, the number of NHSC sites with vacancies, and information about the effectiveness of NHSC programs at alleviating provider shortages.
Additional links: Full Report
Date: 06/2021
Sponsoring organization: Government Accountability Office
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VA Community Care: Understanding Veterans' Access, Utilization, and Satisfaction
Supplemental journal features a wide variety articles pertaining to veterans' access to care, utilization, and the VA's Community Care Network (CCN). Discusses the CCN's relationship with the MISSION Act, telehealth, and challenges facing rural veterans, among other issues.
Citation: Medical Care, 59, (6, Suppl 3)
Date: 06/2021
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Supplemental journal features a wide variety articles pertaining to veterans' access to care, utilization, and the VA's Community Care Network (CCN). Discusses the CCN's relationship with the MISSION Act, telehealth, and challenges facing rural veterans, among other issues.
Citation: Medical Care, 59, (6, Suppl 3)
Date: 06/2021
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Challenges Faced by Rural Primary Care Providers When Caring for COPD Patients in the Western United States
Results of a survey of 71 rural primary care providers in 7 states, including Colorado and Kansas, to examine challenges faced when caring for chronic obstructive pulmonary disease (COPD) patients. Features demographic statistics with breakdowns by age, degree, rural or non-rural practice location, practice type, and state, and survey answers by provider type and location.
Additional links: Online Supplement
Author(s): Fernando Diaz del Valle, Patricia B. Koff, Sung-Joon Min, et al.
Citation: Chronic Obstructive Pulmonary Diseases, 8(3), 336-349
Date: 05/2021
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Results of a survey of 71 rural primary care providers in 7 states, including Colorado and Kansas, to examine challenges faced when caring for chronic obstructive pulmonary disease (COPD) patients. Features demographic statistics with breakdowns by age, degree, rural or non-rural practice location, practice type, and state, and survey answers by provider type and location.
Additional links: Online Supplement
Author(s): Fernando Diaz del Valle, Patricia B. Koff, Sung-Joon Min, et al.
Citation: Chronic Obstructive Pulmonary Diseases, 8(3), 336-349
Date: 05/2021
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