Rural Health
Resources by Topic: Primary care
Strengthening the Entry-Level Health Care Workforce: Finding a Path
Examines gaps in the existing healthcare workforce, challenges facing entry-level healthcare workers (EHCW), current EHCW training programs and contexts where training programs are used effectively, and strategies and policy opportunities to strengthen the EHCW. Includes rural references throughout and case studies for programs in rural Alaska and Washington. Provides an interactive inventory of existing policies and programs that support EHCW training, recruitment, and retention.
Additional links: Entry-Level Health Care Workforce: Information and Programs Visualization Tool
Author(s): Shira H. Fischer, Ryan K. McBain, Laura J. Faherty, et al.
Date: 12/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Examines gaps in the existing healthcare workforce, challenges facing entry-level healthcare workers (EHCW), current EHCW training programs and contexts where training programs are used effectively, and strategies and policy opportunities to strengthen the EHCW. Includes rural references throughout and case studies for programs in rural Alaska and Washington. Provides an interactive inventory of existing policies and programs that support EHCW training, recruitment, and retention.
Additional links: Entry-Level Health Care Workforce: Information and Programs Visualization Tool
Author(s): Shira H. Fischer, Ryan K. McBain, Laura J. Faherty, et al.
Date: 12/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Case Study: Exploring Options to Deploy Capitated Payments to Enhance Primary Care in Rural Settings
Discusses the need for primary care services in rural areas. Provides an overview of healthcare delivery models that utilize capitated payments. Presents examples of capitated payment agreements aimed at increasing the use and quality of primary care services in rural communities, and offers lessons learned.
Date: 12/2020
Sponsoring organization: American Hospital Association
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Discusses the need for primary care services in rural areas. Provides an overview of healthcare delivery models that utilize capitated payments. Presents examples of capitated payment agreements aimed at increasing the use and quality of primary care services in rural communities, and offers lessons learned.
Date: 12/2020
Sponsoring organization: American Hospital Association
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Utah's Physician Workforce, 2020
Study of Utah's physician workforce, based on a 2019 survey by the Utah Medical Education Council. Discusses supply and demand, demographics, geographic distribution, practice characteristics, projected supply and demand, and specialty profiles including primary care and specialty care. Features statistics with breakdowns by rural and urban areas.
Author(s): Jared Staheli, Clark Ruttinger
Date: 11/2020
Sponsoring organization: Utah Health Workforce Information Center
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Study of Utah's physician workforce, based on a 2019 survey by the Utah Medical Education Council. Discusses supply and demand, demographics, geographic distribution, practice characteristics, projected supply and demand, and specialty profiles including primary care and specialty care. Features statistics with breakdowns by rural and urban areas.
Author(s): Jared Staheli, Clark Ruttinger
Date: 11/2020
Sponsoring organization: Utah Health Workforce Information Center
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Rural Challenges, Strategies, and Recommendations to Advance Value-Based Payment and Care During and Beyond the COVID-19 Crisis
Describes the key challenges rural primary care and behavioral health providers have faced in delivering care since COVID-19, in addition to the policy changes implemented in response to those challenges. Offers state-level policy recommendations for improving rural primary care and behavioral health services.
Author(s): Angel Bourgoin, Jim Maxwell, Yvette Cho, Rachel Tobey
Date: 11/2020
Sponsoring organization: Delta Center for a Thriving Safety Net
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Describes the key challenges rural primary care and behavioral health providers have faced in delivering care since COVID-19, in addition to the policy changes implemented in response to those challenges. Offers state-level policy recommendations for improving rural primary care and behavioral health services.
Author(s): Angel Bourgoin, Jim Maxwell, Yvette Cho, Rachel Tobey
Date: 11/2020
Sponsoring organization: Delta Center for a Thriving Safety Net
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Health Care Delivery System Reform: Six Policy Imperatives
Presents six recommendations for healthcare delivery system reform in order to improve quality, advance equity, and increase the affordability of healthcare in the United States. Includes specific policy recommendations for small and rural providers throughout.
Date: 11/2020
Sponsoring organization: Commonwealth Fund
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Presents six recommendations for healthcare delivery system reform in order to improve quality, advance equity, and increase the affordability of healthcare in the United States. Includes specific policy recommendations for small and rural providers throughout.
Date: 11/2020
Sponsoring organization: Commonwealth Fund
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Chartbook on Healthcare for Veterans
Explores the disparities in access to, and healthcare received by, veterans. Describes disparities between veterans and non-veterans, within the veteran population, and among users of the Veterans Health Administration (VHA). Includes rural-urban comparisons throughout.
Date: 11/2020
Sponsoring organizations: Agency for Healthcare Research and Quality, U.S. Department of Veterans Affairs
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Explores the disparities in access to, and healthcare received by, veterans. Describes disparities between veterans and non-veterans, within the veteran population, and among users of the Veterans Health Administration (VHA). Includes rural-urban comparisons throughout.
Date: 11/2020
Sponsoring organizations: Agency for Healthcare Research and Quality, U.S. Department of Veterans Affairs
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Pipeline Programs Can Support Reforms in Medical Education: A Cohort Study of Alabama's Rural Health Leaders Pipeline to Engage Community Leaders
Presents a study examining the efficacy of a medical education pipeline program to provide healthcare professionals for rural communities in Alabama. Details the distributions of graduates throughout the state and highlights the counties by the percentage of their populations that are rural, poor, and Black, among other measures.
Author(s): John R. Wheat, James D. Leeper
Citation: Journal of Rural Health
Date: 11/2020
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Presents a study examining the efficacy of a medical education pipeline program to provide healthcare professionals for rural communities in Alabama. Details the distributions of graduates throughout the state and highlights the counties by the percentage of their populations that are rural, poor, and Black, among other measures.
Author(s): John R. Wheat, James D. Leeper
Citation: Journal of Rural Health
Date: 11/2020
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Psychiatrist and Psychologist Experiences with Telehealth and Remote Collaborative Care in Primary Care: A Qualitative Study
Discusses delivery of mental health services to rural patients through telehealth referral and remote collaborative care based on focus group sessions with 10 telepsychiatrists and 4 telepsychologists working in primary care clinics in Washington, Michigan, and Arkansas. Summarizes participant experiences of challenges and successes with telehealth delivery models.
Author(s): Molly Howland, McKenna Tennant, Deborah J. Bowen, et al.
Citation: Journal of Rural Health, 37(4), 780-787
Date: 10/2020
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Discusses delivery of mental health services to rural patients through telehealth referral and remote collaborative care based on focus group sessions with 10 telepsychiatrists and 4 telepsychologists working in primary care clinics in Washington, Michigan, and Arkansas. Summarizes participant experiences of challenges and successes with telehealth delivery models.
Author(s): Molly Howland, McKenna Tennant, Deborah J. Bowen, et al.
Citation: Journal of Rural Health, 37(4), 780-787
Date: 10/2020
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Louisiana Primary Care Needs Assessment: Closing the Gap on Healthcare Disparities and Workforce Shortages
Identifies unmet needs and disparities in health outcomes in Louisiana, explores health workforce concerns, and discusses barriers to accessing healthcare. Includes a section on Health Professional Shortage Areas and mentions rural throughout.
Author(s): Hayley Alexander, Barrie Black, Nicole Coarsey, Kimberly Brent
Date: 09/2020
Sponsoring organization: Well-Ahead Louisiana
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Identifies unmet needs and disparities in health outcomes in Louisiana, explores health workforce concerns, and discusses barriers to accessing healthcare. Includes a section on Health Professional Shortage Areas and mentions rural throughout.
Author(s): Hayley Alexander, Barrie Black, Nicole Coarsey, Kimberly Brent
Date: 09/2020
Sponsoring organization: Well-Ahead Louisiana
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A Sustainable Model for Preventive Services in Rural Counties: The Healthier Together Study
Describes a study of a patient outreach program in rural Oklahoma that brought together wellness coordinators, primary care providers, county health departments, health information exchange (HIE) networks, and rural hospitals to provide preventive services. Examines the return on investment for coordinated preventive services and the sustainability of outreach programs to support rural healthcare.
Author(s): Zsolt Nagykaldi, Dewey Scheid, Yan D. Zhao, Bhawani Mishra, Tracy Greever-Rice
Citation: The Journal of the American Board of Family Medicine, 33(5), 698-706
Date: 09/2020
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Describes a study of a patient outreach program in rural Oklahoma that brought together wellness coordinators, primary care providers, county health departments, health information exchange (HIE) networks, and rural hospitals to provide preventive services. Examines the return on investment for coordinated preventive services and the sustainability of outreach programs to support rural healthcare.
Author(s): Zsolt Nagykaldi, Dewey Scheid, Yan D. Zhao, Bhawani Mishra, Tracy Greever-Rice
Citation: The Journal of the American Board of Family Medicine, 33(5), 698-706
Date: 09/2020
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