Rural Health
Resources by Topic: Primary care
Report to Congress: Teaching Health Center Graduate Medical Education Direct and Indirect Training Expenses Report
Provides an overview of the Teaching Health Center Graduate Medical Education (THCGME) program and describes costs involved in its efforts to improve distribution of primary care providers in rural and underserved areas. Features statistics including estimated costs of training a THC resident in FY 2017 dollars, with breakdowns by rural and nonrural location.
Date: 2019
Type: Document
Sponsoring organization: Bureau of Health Workforce
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Provides an overview of the Teaching Health Center Graduate Medical Education (THCGME) program and describes costs involved in its efforts to improve distribution of primary care providers in rural and underserved areas. Features statistics including estimated costs of training a THC resident in FY 2017 dollars, with breakdowns by rural and nonrural location.
Date: 2019
Type: Document
Sponsoring organization: Bureau of Health Workforce
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Depression in a Depressed Area: Deservingness, Mental Illness, and Treatment in the Contemporary Rural U.S.
Examines the concepts of health-related deservingness and local moral economics to understand the diversity of moral responses to depression for rural women living in Appalachian Kentucky, where economic distress has contributed to poor mental health. Women from a variety of ages, treatment encounters, work experiences, and family sizes, along with healthcare professionals from a variety of backgrounds and settings, participated in semi-structured interviews and focus groups.
Author(s): Claire Snell-Rood, Elizabeth Carpenter-Song
Citation: Social Science & Medicine, 219: 78-86
Date: 12/2018
Type: Document
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Examines the concepts of health-related deservingness and local moral economics to understand the diversity of moral responses to depression for rural women living in Appalachian Kentucky, where economic distress has contributed to poor mental health. Women from a variety of ages, treatment encounters, work experiences, and family sizes, along with healthcare professionals from a variety of backgrounds and settings, participated in semi-structured interviews and focus groups.
Author(s): Claire Snell-Rood, Elizabeth Carpenter-Song
Citation: Social Science & Medicine, 219: 78-86
Date: 12/2018
Type: Document
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Factors Influencing Rural Physician Retention Following Completion of a Rural Training Track Family Medicine Residency Program
Examines the survey results of 16 graduates from a rural family medicine training track program in Wisconsin to determine what factors influence rural physician retention and practice location decisions. Includes statistics on physician retention and mobility, including reasons for leaving.
Author(s): Colleen Morken, Kimberly Bruksch-Meck, Byron Crouse, Kara Traxler
Citation: Wisconsin Medical Journal, 117(5), 208-210
Date: 12/2018
Type: Document
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Examines the survey results of 16 graduates from a rural family medicine training track program in Wisconsin to determine what factors influence rural physician retention and practice location decisions. Includes statistics on physician retention and mobility, including reasons for leaving.
Author(s): Colleen Morken, Kimberly Bruksch-Meck, Byron Crouse, Kara Traxler
Citation: Wisconsin Medical Journal, 117(5), 208-210
Date: 12/2018
Type: Document
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America's Health Rankings Annual Report 2018
Provides a national and state-by-state overview of population health by analyzing 35 measures to describe health outcomes in the U.S. Provides rural specific information and statistics by residence, obesity, excessive alcohol use, physical inactivity, smoking, diabetes, health status, mental and physical distress.
Additional links: Executive Summary
Date: 12/2018
Type: Document
Sponsoring organization: United Health Foundation
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Provides a national and state-by-state overview of population health by analyzing 35 measures to describe health outcomes in the U.S. Provides rural specific information and statistics by residence, obesity, excessive alcohol use, physical inactivity, smoking, diabetes, health status, mental and physical distress.
Additional links: Executive Summary
Date: 12/2018
Type: Document
Sponsoring organization: United Health Foundation
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Buprenorphine and the Opioid Crisis: A Primer for Congress
Discusses the use of buprenorphine in Medication-Assisted Treatment (MAT) of opioid addiction. Report addresses questions for U.S. lawmakers to craft opioid treatment policy. Looks at the effectiveness, demand, and access of buprenorphine.
Date: 12/2018
Type: Document
Sponsoring organization: Congressional Research Service
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Discusses the use of buprenorphine in Medication-Assisted Treatment (MAT) of opioid addiction. Report addresses questions for U.S. lawmakers to craft opioid treatment policy. Looks at the effectiveness, demand, and access of buprenorphine.
Date: 12/2018
Type: Document
Sponsoring organization: Congressional Research Service
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Practice Rurality of Family Physicians Enrolled in a Practice Transformation Network
An analysis of the enrollment of small and rural practices in the Transforming Clinical Practice Initiative (TCPI), supporting nationwide, collaborative and peer-based learning, to determine if a greater proportion of rural practices are enrolled in Practice Transformation Networks (PTNs) than are found among non-enrolled practices. In addition, the analysis includes the enrollment of family physicians across states and PTNs. Rural Urban Commuting Area (RUCA, version 2.0) codes were used to determine rurality. TCPI enrollment variation within rural practices is discussed.
Author(s): Robert L. Phillips, Elizabeth M. Bishop, Lars E. Peterson, et al.
Citation: Journal of the American Board of Family Medicine, 31(6), 952-956
Date: 11/2018
Type: Document
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An analysis of the enrollment of small and rural practices in the Transforming Clinical Practice Initiative (TCPI), supporting nationwide, collaborative and peer-based learning, to determine if a greater proportion of rural practices are enrolled in Practice Transformation Networks (PTNs) than are found among non-enrolled practices. In addition, the analysis includes the enrollment of family physicians across states and PTNs. Rural Urban Commuting Area (RUCA, version 2.0) codes were used to determine rurality. TCPI enrollment variation within rural practices is discussed.
Author(s): Robert L. Phillips, Elizabeth M. Bishop, Lars E. Peterson, et al.
Citation: Journal of the American Board of Family Medicine, 31(6), 952-956
Date: 11/2018
Type: Document
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A Regional Analysis of Hepatitis C Virus Collaborative Care with Pharmacists in Indian Health Service Facilities
Reports on an Indian Health Service (IHS) review to identify and address gaps in hepatitis C virus (HCV) treatment of American Indian/Alaska Natives (AI/ANs). The study took place at 11 separate healthcare facilities in mostly rural Oklahoma and Kansas. The HCV treatment included a strong pharmacy component with a collaborative practice agreement, and HCV telehealth services for specialist support.
Author(s): Rebecca Geiger, Jessica Steinert, Grant McElwee,et al.
Citation: Journal of Primary Care & Community Health, 9, 1-5
Date: 10/2018
Type: Document
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Reports on an Indian Health Service (IHS) review to identify and address gaps in hepatitis C virus (HCV) treatment of American Indian/Alaska Natives (AI/ANs). The study took place at 11 separate healthcare facilities in mostly rural Oklahoma and Kansas. The HCV treatment included a strong pharmacy component with a collaborative practice agreement, and HCV telehealth services for specialist support.
Author(s): Rebecca Geiger, Jessica Steinert, Grant McElwee,et al.
Citation: Journal of Primary Care & Community Health, 9, 1-5
Date: 10/2018
Type: Document
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Utilization and Adherence in Medical Homes: An Assessment of Rural-Urban Differences for People with Severe Mental Illness
Discusses whether enrollment in medical homes improves care in rural versus urban settings for people with severe mental illness (SMI). Examines utilization measures of primary care, mental health, emergency department, inpatient hospitalizations, and medication adherence using data derived from North Carolina Medicaid claims from 2004–2007.
Author(s): Mona Kilany, Joseph P. Morrissey, Marisa Elena Domino, et al.
Citation: Medical Care, 56(10), 870-876
Date: 10/2018
Type: Document
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Discusses whether enrollment in medical homes improves care in rural versus urban settings for people with severe mental illness (SMI). Examines utilization measures of primary care, mental health, emergency department, inpatient hospitalizations, and medication adherence using data derived from North Carolina Medicaid claims from 2004–2007.
Author(s): Mona Kilany, Joseph P. Morrissey, Marisa Elena Domino, et al.
Citation: Medical Care, 56(10), 870-876
Date: 10/2018
Type: Document
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Supporting Family Physician Maternity Care Providers
Summarizes strategies, provides suggestions, and examines the role family physicians play in providing maternity care to the underserved. Also presents ideas for training and retaining family physician maternity care providers in rural areas.
Author(s): Jessica Taylor Goldstein, Scott G. Hartman, Matthew R. Meunier, et al.
Citation: Family Medicine, 50(9), 662-671
Date: 10/2018
Type: Document
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Summarizes strategies, provides suggestions, and examines the role family physicians play in providing maternity care to the underserved. Also presents ideas for training and retaining family physician maternity care providers in rural areas.
Author(s): Jessica Taylor Goldstein, Scott G. Hartman, Matthew R. Meunier, et al.
Citation: Family Medicine, 50(9), 662-671
Date: 10/2018
Type: Document
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Analysis of Indiana's Primary Care Physicians Providing Obstetric Services
Quantifies and describes the Indiana primary care physicians who report providing some level of obstetric care. Includes county-level maps with data on infant mortality rates from 2012-2016 and access to prenatal, labor and delivery, postnatal, and comprehensive obstetric services, with shadings indicating rural counties.
Author(s): Hannah Maxey, Sierra Vaughn, Courtney Randolph
Date: 09/2018
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Quantifies and describes the Indiana primary care physicians who report providing some level of obstetric care. Includes county-level maps with data on infant mortality rates from 2012-2016 and access to prenatal, labor and delivery, postnatal, and comprehensive obstetric services, with shadings indicating rural counties.
Author(s): Hannah Maxey, Sierra Vaughn, Courtney Randolph
Date: 09/2018
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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