Rural Health
Resources by Topic: Primary care

Creating New Rural Residency Programs: Three Grantees Share Their Stories
Highlights three rural residency programs in Pennsylvania, Mississippi, and California. Discusses program accomplishments made possible through funding from the Federal Office of Rural Health Policy's Rural Residency Planning and Development Program.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 09/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Use of Electronic Health Records to Manage Tobacco Screening and Treatment in Rural Primary Care
Study examining the benefits of using electronic health records (EHR) in addressing tobacco dependence by primary care providers, comparing rural and urban data from the 2012-2015 National Ambulatory Medical Care Survey. Discusses the utility of EHR and barriers to EHR adoption in rural practices, and offers data tables covering patient characteristics and statistics related to primary care visits and smoking cessation.
Author(s): Jean A. Talbot, Erika C. Ziller, Carly M. Milkowski
Citation: Journal of Rural Health
Date: 09/2021
Type: Document
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Primary Care Mental Health Integration to Improve Early Treatment Engagement for Veterans Who Screen Positive for Depression
Analyzes the impact of mental health integration into primary care clinics (PC-MHI) among veterans diagnosed with depression. Examines 15,155 patients that screened positively for depression, with data broken down by PC-MHI reach, timeliness of depression treatment, patient sociodemographic variables and health status, and clinic characteristics, including rurality. Discusses patient location and its relationship to veteran mental health disparities.
Author(s): Lucinda B. Leung, Karen Chu, Danielle E. Rose, et al.
Citation: Health Services Research
Date: 08/2021
Type: Document
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Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas
Describes how Medicaid agencies in five states - Alabama, Colorado, Maine, Idaho, and Oklahoma - utilize primary care case management (PCCM) programs to strengthen primary care, particularly in rural areas. Identifies three strategies implemented by some or all of these states to support primary care providers, and highlights lessons learned for state Medicaid programs that want to strengthen primary care in rural areas.
Author(s): Neva Kaye
Date: 08/2021
Type: Document
Sponsoring organization: National Academy for State Health Policy
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West Virginia Primary Care Provider Shortage Areas, Certified Clinic Locations, and Blood Pressure Medication Nonadherence
County-level map showing locations of West Virginia Rural Health Clinics, Federally Qualified Health Centers, and Primary Care Health Professional Shortage Areas.
Date: 07/2021
Type: Map/Mapping System
Sponsoring organization: West Virginia Division of Primary Care
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Place Matters: Closing the Gap on Rural Primary Care Quality Improvement Capacity - The Healthy Hearts Northwest Study
Compares the primary care practices in rural and urban settings in Washington, Oregon, and Idaho. Looks at quality improvement capacity, performance metrics, and workforce issues, among other measures.
Author(s): Lyle J. Fagnan, Katrina Ramsey, Caitlin Dickinson, et al.
Citation: The Journal of the American Board of Family Medicine, 34 (4), 753-761
Date: 07/2021
Type: Document
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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
Type: Document
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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
Type: Document
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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
Type: Document
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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
Type: Document
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