Rural Health
Resources by Topic: Primary care
Preventing Medical Debt among Rural Residents: Example Programs from Hospitals in Minnesota and Montana
Highlights the ways some rural hospitals are working to reduce medical debt for their patients. Presents a number of strategies from hospitals in Minnesota and Montana that aim to reduce patient medical debts through financial assistance programs and cost-cutting measures. Features case-studies reviewing the structure of each hospital's debt reduction efforts.
Author(s): Katie Rydberg, Sushma Shankar, Mariana Tuttle, Carrie Henning-Smith
Date: 06/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Highlights the ways some rural hospitals are working to reduce medical debt for their patients. Presents a number of strategies from hospitals in Minnesota and Montana that aim to reduce patient medical debts through financial assistance programs and cost-cutting measures. Features case-studies reviewing the structure of each hospital's debt reduction efforts.
Author(s): Katie Rydberg, Sushma Shankar, Mariana Tuttle, Carrie Henning-Smith
Date: 06/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Primary Care Screening for Sexually Transmitted Infections in the United States from 2019 to 2021
Examines the impact of COVID-19 on sexually transmitted infection (STI) testing in primary care settings from 2019-2021. Analyzes data from 4,410,609 patient encounters recorded in the PRIME Registry and observes testing rates according to STI type, patient demographics, patient region and community type, and metropolitan, micropolitan, small town, or rural location.
Author(s): Shiying Hao, Esther E. Velásquez, William S. Pearson, et al.
Citation: PLOS ONE, 20(6)
Date: 06/2025
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Examines the impact of COVID-19 on sexually transmitted infection (STI) testing in primary care settings from 2019-2021. Analyzes data from 4,410,609 patient encounters recorded in the PRIME Registry and observes testing rates according to STI type, patient demographics, patient region and community type, and metropolitan, micropolitan, small town, or rural location.
Author(s): Shiying Hao, Esther E. Velásquez, William S. Pearson, et al.
Citation: PLOS ONE, 20(6)
Date: 06/2025
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North Carolina Primary Care - Health Professional Shortage Areas (HPSA)
County-level map of Primary Care Health Professional Shortage Areas (HPSAs) in North Carolina, with shadings showing ranges of HPSA scores.
Date: 06/2025
Sponsoring organization: North Carolina Office of Rural Health
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County-level map of Primary Care Health Professional Shortage Areas (HPSAs) in North Carolina, with shadings showing ranges of HPSA scores.
Date: 06/2025
Sponsoring organization: North Carolina Office of Rural Health
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North Carolina Health Professional Shortage Area: 2024 Profile
Fact sheet on Health Professional Shortage Areas (HPSAs) in North Carolina, covering primary, mental health, and dental HPSAs. Includes county-level maps showing population and geographic HPSA score ranges, and indicates counties that contain at least one HPSA facility.
Date: 06/2025
Sponsoring organization: North Carolina Office of Rural Health
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Fact sheet on Health Professional Shortage Areas (HPSAs) in North Carolina, covering primary, mental health, and dental HPSAs. Includes county-level maps showing population and geographic HPSA score ranges, and indicates counties that contain at least one HPSA facility.
Date: 06/2025
Sponsoring organization: North Carolina Office of Rural Health
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Iowa Community Health Centers and Value-Based Care
Describes how Iowa Primary Care Association (Iowa PCA) and two sister organizations, IowaHealth+ and INConcertCare, pursued value-based care opportunities before joining the Medicare Shared Savings Program. Discusses the network's Medicaid value-based care contract; a partnership with Main Street Health to expand value-based contracting and provide more comprehensive, integrated primary care to patients with Medicare Advantage; data analytics; strategic planning and roadmaps; and next steps.
Date: 06/2025
Sponsoring organization: Rural Health Value
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Describes how Iowa Primary Care Association (Iowa PCA) and two sister organizations, IowaHealth+ and INConcertCare, pursued value-based care opportunities before joining the Medicare Shared Savings Program. Discusses the network's Medicaid value-based care contract; a partnership with Main Street Health to expand value-based contracting and provide more comprehensive, integrated primary care to patients with Medicare Advantage; data analytics; strategic planning and roadmaps; and next steps.
Date: 06/2025
Sponsoring organization: Rural Health Value
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Health Care Vacancies and Turnover in Kansas
Provides data and trends of the Kansas healthcare workforce, including information on vacancies and turnover, data on nursing supply, hospital financial trends, projected job openings, and primary care physician Health Professional Shortage Areas (HPSAs) by county.
Date: 06/2025
Sponsoring organization: Kansas Hospital Association
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Provides data and trends of the Kansas healthcare workforce, including information on vacancies and turnover, data on nursing supply, hospital financial trends, projected job openings, and primary care physician Health Professional Shortage Areas (HPSAs) by county.
Date: 06/2025
Sponsoring organization: Kansas Hospital Association
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Environmental Scan on Reducing Barriers to Participation in Population-Based Total Cost of Care (PB-TCOC) Models and Supporting Primary and Specialty Care Transformation
Presents results of an environmental scan on reducing barriers to participation in population-based total cost of care (PB-TCOC) models and supporting primary and specialty care transformation. Discusses identifying pathways for maximizing participation of different kinds of organizations in PB-TCOC models; an assessment of and approaches to reducing organization-level barriers; approaches to support primary and specialty care transformation; an assessment of factors that influence the ability of PB-TCOC models to be competitive; and a summary of relevant features in previously submitted Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references throughout.
Date: 05/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Presents results of an environmental scan on reducing barriers to participation in population-based total cost of care (PB-TCOC) models and supporting primary and specialty care transformation. Discusses identifying pathways for maximizing participation of different kinds of organizations in PB-TCOC models; an assessment of and approaches to reducing organization-level barriers; approaches to support primary and specialty care transformation; an assessment of factors that influence the ability of PB-TCOC models to be competitive; and a summary of relevant features in previously submitted Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references throughout.
Date: 05/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural Ready Nurse Practitioner Scholars - HRSA: Advanced Nursing Education Workforce (ANEW)
Report highlights the Rural Ready Nurse Practitioner Program, funded through the HRSA: Advanced Nursing Education Workforce (ANEW) program. Discusses the program's goals of enhancing rural healthcare access, workforce retention, and strengthening rural healthcare systems in Montana.
Date: 05/2025
Sponsoring organizations: Montana Area Health Education Center, Montana Office of Rural Health
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Report highlights the Rural Ready Nurse Practitioner Program, funded through the HRSA: Advanced Nursing Education Workforce (ANEW) program. Discusses the program's goals of enhancing rural healthcare access, workforce retention, and strengthening rural healthcare systems in Montana.
Date: 05/2025
Sponsoring organizations: Montana Area Health Education Center, Montana Office of Rural Health
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Wait Times for Medical Appointments among Adults Age 50 and Older
Reports on wait times and distance to healthcare services in rural and urban communities, utilizing data from a February 2025 survey of 1,012 adults age 50 or older. Breaks down data by level of rurality, type of facility, and type of care provided.
Additional links: Annotated Questionnaire
Author(s): Teresa A. Keenan
Date: 05/2025
Sponsoring organization: AARP
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Reports on wait times and distance to healthcare services in rural and urban communities, utilizing data from a February 2025 survey of 1,012 adults age 50 or older. Breaks down data by level of rurality, type of facility, and type of care provided.
Additional links: Annotated Questionnaire
Author(s): Teresa A. Keenan
Date: 05/2025
Sponsoring organization: AARP
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Reflections of Rural Primary Care Physicians on the Impact of the COVID-19 Pandemic: A Qualitative Study
Describes the impact of the COVID-19 pandemic on rural primary care physicians' relationships with patients, other physicians, clinic staff, and their communities via interviews conducted between Oct 2022 and April 2023 with 12 Wisconsin physicians. Discusses elements including challenges in implementing new clinical practices, impacts of beliefs about the pandemic, strategies and coping mechanisms, and availability of staff and other resources.
Author(s): Mary F. Henningfield, Keelin McHugh, Sarina Schrager
Citation: BMC Primary Care, 26, 160
Date: 05/2025
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Describes the impact of the COVID-19 pandemic on rural primary care physicians' relationships with patients, other physicians, clinic staff, and their communities via interviews conducted between Oct 2022 and April 2023 with 12 Wisconsin physicians. Discusses elements including challenges in implementing new clinical practices, impacts of beliefs about the pandemic, strategies and coping mechanisms, and availability of staff and other resources.
Author(s): Mary F. Henningfield, Keelin McHugh, Sarina Schrager
Citation: BMC Primary Care, 26, 160
Date: 05/2025
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