Rural Health
Resources by Topic: Primary care
New Hampshire Statewide Primary Care Needs Assessment
Identifies the New Hampshire communities with the greatest unmet healthcare needs, disparities, and health workforce shortages, and also identifies the key barriers to accessing healthcare for these communities. Features statistics on demographics, barriers to care, workforce, preventive care, substance use and mental health, maternal health, and outcomes, with breakdowns by rural and nonrural locations. Data in this report represents the New Hampshire landscape from 2013-2019, prior to COVID-19 impacts.
Date: 03/2021
Sponsoring organization: New Hampshire Rural Health & Primary Care
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Identifies the New Hampshire communities with the greatest unmet healthcare needs, disparities, and health workforce shortages, and also identifies the key barriers to accessing healthcare for these communities. Features statistics on demographics, barriers to care, workforce, preventive care, substance use and mental health, maternal health, and outcomes, with breakdowns by rural and nonrural locations. Data in this report represents the New Hampshire landscape from 2013-2019, prior to COVID-19 impacts.
Date: 03/2021
Sponsoring organization: New Hampshire Rural Health & Primary Care
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Projections of Supply and Demand for Women's Health Service Providers: 2018-2030
Presents projections of supply and demand for obstetricians/gynecologists, certified nurse midwives, nurse practitioners, and physician assistants, and discusses the contribution of family medicine physicians in the delivery of women's health services. Features statistics with breakdowns by metropolitan and nonmetropolitan location.
Date: 03/2021
Sponsoring organizations: Bureau of Health Workforce, National Center for Health Workforce Analysis
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Presents projections of supply and demand for obstetricians/gynecologists, certified nurse midwives, nurse practitioners, and physician assistants, and discusses the contribution of family medicine physicians in the delivery of women's health services. Features statistics with breakdowns by metropolitan and nonmetropolitan location.
Date: 03/2021
Sponsoring organizations: Bureau of Health Workforce, National Center for Health Workforce Analysis
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Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration
Explores how primary and behavioral healthcare integration can overcome the unmet needs for mental health and substance use services. Discusses barriers to integrated care delivery. Offers policy recommendations to improve the integration of primary and behavioral healthcare services through enhanced payments, training, and technical assistance, and improving access to behavioral health providers for consultation and referral.
Additional links: Infographic
Date: 03/2021
Sponsoring organization: Bipartisan Policy Center
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Explores how primary and behavioral healthcare integration can overcome the unmet needs for mental health and substance use services. Discusses barriers to integrated care delivery. Offers policy recommendations to improve the integration of primary and behavioral healthcare services through enhanced payments, training, and technical assistance, and improving access to behavioral health providers for consultation and referral.
Additional links: Infographic
Date: 03/2021
Sponsoring organization: Bipartisan Policy Center
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Geographic Expansion of Medicaid Managed Care Organizations: Assessing Access to Primary Care in Nonmetropolitan Counties
Presents a study on primary care access for Medicaid beneficiaries in nonmetropolitan counties who were enrolled through managed care organizations (MCOs) from 2012 to 2018. Details the level of access to primary care in the nonmetropolitan counties of 15 states and compares the rates of access for beneficiaries enrolled through MCOs established before 2012 and after 2012. Discusses findings and makes recommendations for policy makers.
Author(s): Linda Li, Matthew Najarian, Abigail R. Barker, et al.
Date: 03/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Presents a study on primary care access for Medicaid beneficiaries in nonmetropolitan counties who were enrolled through managed care organizations (MCOs) from 2012 to 2018. Details the level of access to primary care in the nonmetropolitan counties of 15 states and compares the rates of access for beneficiaries enrolled through MCOs established before 2012 and after 2012. Discusses findings and makes recommendations for policy makers.
Author(s): Linda Li, Matthew Najarian, Abigail R. Barker, et al.
Date: 03/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Primary Care in the United States: A Chartbook of Facts and Statistics
Examines aspects of primary care in the United States, including facts and figures on patient contact with primary care, frequency and range of conditions seen in primary care, care coordination, scope of practice, payment models, and preventive care visit utilization. Features statistics on percentage of primary care physicians by geography, with breakdowns by urban, large rural, small rural, and isolated rural location.
Author(s): Brian Antono, Andrew Bazemore, Irene Dankwa-Mullan, et al.
Date: 02/2021
Sponsoring organization: Robert Graham Center
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Examines aspects of primary care in the United States, including facts and figures on patient contact with primary care, frequency and range of conditions seen in primary care, care coordination, scope of practice, payment models, and preventive care visit utilization. Features statistics on percentage of primary care physicians by geography, with breakdowns by urban, large rural, small rural, and isolated rural location.
Author(s): Brian Antono, Andrew Bazemore, Irene Dankwa-Mullan, et al.
Date: 02/2021
Sponsoring organization: Robert Graham Center
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Impact of a Targeted Rural and Underserved Track on Medical Student Match Into Family Medicine and Other Needed Workforce Specialties
Assesses student participation in the University of Washington School of Medicine's Targeted Rural Underserved Track (TRUST) program as a predictor for residency match into family medicine or needed rural physician workforce specialty.
Author(s): Kimberly Kardonsky, David V. Evans, Jay Erickson, Amanda Kost
Citation: Family Medicine, 53(2), 111-117
Date: 02/2021
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Assesses student participation in the University of Washington School of Medicine's Targeted Rural Underserved Track (TRUST) program as a predictor for residency match into family medicine or needed rural physician workforce specialty.
Author(s): Kimberly Kardonsky, David V. Evans, Jay Erickson, Amanda Kost
Citation: Family Medicine, 53(2), 111-117
Date: 02/2021
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The Essential Role of Family Physicians in Providing Cesarean Sections in Rural Communities
Policy brief describing percentages of family physicians (FPs) providing obstetric services and cesarean deliveries as the primary surgeon, using data from the 2017 and 2018 American Board of Family Medicine's Family Medicine Certification Examination registration questionnaire for FPs seeking to continue their certification. Features statistics with breakdowns by urban, micropolitan, large rural, and small rural locations.
Author(s): Sebastian T. Tong, Aimee R. Eden, Zachary J. Morgan, Andrew W. Bazemore, Lars E. Peterson
Citation: Journal of the American Board of Family Medicine, 34(1), 10-11
Date: 01/2021
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Policy brief describing percentages of family physicians (FPs) providing obstetric services and cesarean deliveries as the primary surgeon, using data from the 2017 and 2018 American Board of Family Medicine's Family Medicine Certification Examination registration questionnaire for FPs seeking to continue their certification. Features statistics with breakdowns by urban, micropolitan, large rural, and small rural locations.
Author(s): Sebastian T. Tong, Aimee R. Eden, Zachary J. Morgan, Andrew W. Bazemore, Lars E. Peterson
Citation: Journal of the American Board of Family Medicine, 34(1), 10-11
Date: 01/2021
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Physician Density by Specialty Type in Urban and Rural Counties in the US, 2010 to 2017
Examines trends in physician density in rural and urban counties among primary care physicians, medical specialists, surgical specialists, or other specialists. Features statistics with breakdowns by large metropolitan, medium or small metropolitan, or rural counties.
Author(s): Sara R. Machado, Sahan Jayawardana, Elias Mossialos, Muthiah Vaduganathan
Citation: JAMA Network Open, 4(1)
Date: 01/2021
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Examines trends in physician density in rural and urban counties among primary care physicians, medical specialists, surgical specialists, or other specialists. Features statistics with breakdowns by large metropolitan, medium or small metropolitan, or rural counties.
Author(s): Sara R. Machado, Sahan Jayawardana, Elias Mossialos, Muthiah Vaduganathan
Citation: JAMA Network Open, 4(1)
Date: 01/2021
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Vaccine Hesitancy in Rural Pediatric Primary Care
Examines whether identifying vaccine hesitancy (VH) early on by using the Parent Attitudes about Childhood Vaccines survey and implementing targeted interventions reduces VH among rural caregivers of children 2 months to 5 years of age. Includes data on VH before and after intervention.
Author(s): Robyn Mical, Julia Martin-Velez, Thomas Blackstone, Anne Derouin
Citation: Journal of Pediatric Health Care, 35(1), 16-22
Date: 01/2021
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Examines whether identifying vaccine hesitancy (VH) early on by using the Parent Attitudes about Childhood Vaccines survey and implementing targeted interventions reduces VH among rural caregivers of children 2 months to 5 years of age. Includes data on VH before and after intervention.
Author(s): Robyn Mical, Julia Martin-Velez, Thomas Blackstone, Anne Derouin
Citation: Journal of Pediatric Health Care, 35(1), 16-22
Date: 01/2021
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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Third Annual Report
Reports on the first three 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 and outcomes for Medicare fee-for-service beneficiaries.
Additional links: Appendices, Findings at a Glance
Date: 01/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Reports on the first three 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 and outcomes for Medicare fee-for-service beneficiaries.
Additional links: Appendices, Findings at a Glance
Date: 01/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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