Rural Health
Resources by Topic: Primary care
Family Physicians' Contributions to Rural Emergency Care and Urban Urgent Care
Presents a study on the role of family physicians play in rural versus urban emergency departments. Compares rates in urban, large rural, small rural, and frontier facilities.
Author(s): Lars E. Peterson, James C. Puffer, Urooj Nasim, Stephen Petterson, Warren P. Newton
Citation: Journal of the American Board of Family Medicine, 32(3), 295-296
Date: 05/2019
Type: Document
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Presents a study on the role of family physicians play in rural versus urban emergency departments. Compares rates in urban, large rural, small rural, and frontier facilities.
Author(s): Lars E. Peterson, James C. Puffer, Urooj Nasim, Stephen Petterson, Warren P. Newton
Citation: Journal of the American Board of Family Medicine, 32(3), 295-296
Date: 05/2019
Type: Document
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Promising Practice: Innovative Program Teaches Colorado Providers to Be Rural Leaders
Highlights the Colorado Rural Health Center's (CRHC) Rural Colorado Primary Care Leaders (RCPCL) Program that works to educate rural primary care providers to become advocates for their rural patients and communities. Discusses program funding, and RCPCL training and education requirements. Provides details on the RCPCL Capstone project involving meetings at the state capital with local representatives and the state health committee.
Author(s): Beth Blevins
Date: 05/2019
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Highlights the Colorado Rural Health Center's (CRHC) Rural Colorado Primary Care Leaders (RCPCL) Program that works to educate rural primary care providers to become advocates for their rural patients and communities. Discusses program funding, and RCPCL training and education requirements. Provides details on the RCPCL Capstone project involving meetings at the state capital with local representatives and the state health committee.
Author(s): Beth Blevins
Date: 05/2019
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Race-Specific Patterns of Treatment Intensification Among Hypertensive Patients Using Home Blood Pressure Monitoring: Analysis Using Defined Daily Doses in the Heart Healthy Lenoir Study
Presents the results of a cohort study to compare racial disparities in blood pressure control with a focus on identifying any racial differences in antihypertensive medication intensification (AMI). Participants in the study included 217 adult patients (57% Black and 66% women) from six rural primary care practices and who engage in home blood pressure monitoring (HBPM) and documentation.
Author(s): Doyle M. Cummings, Alyssa Adams, Jacquie Halladay, et al.
Citation: Annals of Pharmacotherapy, 53(4), 333-340
Date: 04/2019
Type: Document
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Presents the results of a cohort study to compare racial disparities in blood pressure control with a focus on identifying any racial differences in antihypertensive medication intensification (AMI). Participants in the study included 217 adult patients (57% Black and 66% women) from six rural primary care practices and who engage in home blood pressure monitoring (HBPM) and documentation.
Author(s): Doyle M. Cummings, Alyssa Adams, Jacquie Halladay, et al.
Citation: Annals of Pharmacotherapy, 53(4), 333-340
Date: 04/2019
Type: Document
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Collaborative Models for Medication-Assisted Treatment: Key Elements of Vermont's Hub-and Spoke System
Describes the collaborative effort of three health-related organizations who partnered to develop and implement a medication assisted therapy (MAT) treatment practice using the hub and spoke model. This system was supported through a Centers for Medicare & Medicaid Services Health Home State Plan amendment for Vermont, a mostly rural state, to modify their current MAT services to increase access to addiction treatment, integrate health and addictions care, improve health outcomes, and promote recovery.
Date: 04/2019
Type: Document
Sponsoring organization: Medicaid Innovation Accelerator Program (IAP)
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Describes the collaborative effort of three health-related organizations who partnered to develop and implement a medication assisted therapy (MAT) treatment practice using the hub and spoke model. This system was supported through a Centers for Medicare & Medicaid Services Health Home State Plan amendment for Vermont, a mostly rural state, to modify their current MAT services to increase access to addiction treatment, integrate health and addictions care, improve health outcomes, and promote recovery.
Date: 04/2019
Type: Document
Sponsoring organization: Medicaid Innovation Accelerator Program (IAP)
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Geographic Variation in Spatial Accessibility of U.S. Healthcare Providers
Examines spatial accessibility and other factors of accessibility for key physician and non-physician groups, including primary care physicians, specialists, nurse practitioners, and chiropractors in rural and urban locations, using geospatial methods. Population data, Medicare claims, provider location, professional school location, and U.S. Census ZIP Code Tabulation Areas (ZCTAs) were used in the analyses.
Author(s): Keith B. Naylor, Joshua Tooto, Olga Yakusheva, et al.
Citation: PLoS One, 14(4)
Date: 04/2019
Type: Document
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Examines spatial accessibility and other factors of accessibility for key physician and non-physician groups, including primary care physicians, specialists, nurse practitioners, and chiropractors in rural and urban locations, using geospatial methods. Population data, Medicare claims, provider location, professional school location, and U.S. Census ZIP Code Tabulation Areas (ZCTAs) were used in the analyses.
Author(s): Keith B. Naylor, Joshua Tooto, Olga Yakusheva, et al.
Citation: PLoS One, 14(4)
Date: 04/2019
Type: Document
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Testing and Improving the Acceptability of a Web-Based Platform for Collective Intelligence to Improve Diagnostic Accuracy in Primary Care Clinics
Explores use of the Human Dx collective intelligence tool among 13 primary care providers in community-based clinics, including 3 in rural areas. Includes statistics on characteristics of participating clinicians, with breakdown by urban or rural location.
Author(s): Valy Fontil, Kate Radcliffe, Helena C. Lyson, et al.
Citation: JAMIA Open, 2(1), 40-48
Date: 04/2019
Type: Document
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Explores use of the Human Dx collective intelligence tool among 13 primary care providers in community-based clinics, including 3 in rural areas. Includes statistics on characteristics of participating clinicians, with breakdown by urban or rural location.
Author(s): Valy Fontil, Kate Radcliffe, Helena C. Lyson, et al.
Citation: JAMIA Open, 2(1), 40-48
Date: 04/2019
Type: Document
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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): First Annual Report
Provides an overview of first-year findings for CPC+, including who participated, the supports practices received, how practices implemented CPC+, and the impacts on cost, service use, and outcomes for Medicare beneficiaries. Features statistics with breakdowns by rural, suburban, or urban location.
Additional links: Appendices to the Supplemental Volume, Findings at a Glance, Supplemental Volume
Author(s): Deborah Peikes, Grace Anglin, Mary Harrington, et al.
Date: 04/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Provides an overview of first-year findings for CPC+, including who participated, the supports practices received, how practices implemented CPC+, and the impacts on cost, service use, and outcomes for Medicare beneficiaries. Features statistics with breakdowns by rural, suburban, or urban location.
Additional links: Appendices to the Supplemental Volume, Findings at a Glance, Supplemental Volume
Author(s): Deborah Peikes, Grace Anglin, Mary Harrington, et al.
Date: 04/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Primary Care Clinician Participation in the CMS Quality Payment Program
Analyzes primary care clinician participation in the Centers for Medicare and Medicaid Services (CMS) Quality Payment Program (QPP). Provides data by provider type, specialty, practice location for metro and nonmetro areas, and Advanced Alternative Payment Model (A-APM) or Merit-Based Incentive Payment System (MIPS) program participation.
Author(s): A. Clinton MacKinney, Fred Ullrich, Keith J. Mueller
Date: 04/2019
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Analyzes primary care clinician participation in the Centers for Medicare and Medicaid Services (CMS) Quality Payment Program (QPP). Provides data by provider type, specialty, practice location for metro and nonmetro areas, and Advanced Alternative Payment Model (A-APM) or Merit-Based Incentive Payment System (MIPS) program participation.
Author(s): A. Clinton MacKinney, Fred Ullrich, Keith J. Mueller
Date: 04/2019
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Rising from the Ashes: How Trauma-Informed Care Nurtures Healing in Rural America
Provides an overview of trauma-informed care and how it is provided in rural communities. Highlights the provision of trauma-informed care in a rural California community after wildfires, in a Wyoming pediatrician's clinic, and by rural nurses providing assault exams with support from experts via telehealth.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 04/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Provides an overview of trauma-informed care and how it is provided in rural communities. Highlights the provision of trauma-informed care in a rural California community after wildfires, in a Wyoming pediatrician's clinic, and by rural nurses providing assault exams with support from experts via telehealth.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 04/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Indiana Primary Care Needs Assessment, 2019
Summarizes 2015-2018 efforts to identify gaps in healthcare access and allocate resources to communities in greatest need. Lists Primary Care, Mental, and Dental Health Professional Shortage Area (HPSA) designations obtained between 2015 and 2018. Identifies population health priorities related to infant mortality, obesity, smoking, and substance misuse in Indiana.
Author(s): Chipo Chavanduka, Sierra Vaughn, Hannah Maxey
Date: 03/2019
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Summarizes 2015-2018 efforts to identify gaps in healthcare access and allocate resources to communities in greatest need. Lists Primary Care, Mental, and Dental Health Professional Shortage Area (HPSA) designations obtained between 2015 and 2018. Identifies population health priorities related to infant mortality, obesity, smoking, and substance misuse in Indiana.
Author(s): Chipo Chavanduka, Sierra Vaughn, Hannah Maxey
Date: 03/2019
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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