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Rural Health
Resources by Topic: Primary care

The Influence of the Degree of Rurality on EMR Adoption, by Physician Specialty
Study examining the adoption of electronic medical record (EMR) technology based on degree of rurality using Rural-Urban Continuum Codes. Analyzes 2012 data from over 270,000 physician practices on rates of EMR technology adoption and provider specializations. Presents data based on average daily patient volume and type of provider, including nurse practitioners and physician assistants.
Author(s): Brian E. Whitacre
Citation: Health Services Research, 52(2), 616-633
Date: 04/2017
Type: Document
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Preparing Family Physicians to Care for Underserved Populations: A Historical Perspective
Overview of family medicine residency models geared toward practice in rural and underserved urban areas. Also includes examination of behavioral science training and programs for the care of people with HIV and AIDS.
Author(s): Denise V. Rodgers, Andrea L. Wendling, George W. Saba, Megan Ruth Mahoney, Joedrecka S. Brown Speights
Citation: Family Medicine, 49(4), 304-310
Date: 04/2017
Type: Document
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The Association of Health Literacy and Blood Pressure Reduction in a Cohort of Patients with Hypertension: The Heart Healthy Lenoir Trial
Analyzes the impact of a multi-level quality improvement (QI) intervention, the Heart Healthy Lenoir (HHL) Study, with a focus on health literacy to improve systolic blood pressure (SBP) control in patients being treated in rural primary clinics of Eastern North Carolina. Discusses the components of the health literacy practice and patient level activities of the QI intervention. Offers a detailed table identifying the change in SBP by literacy level.
Author(s): Jacqueline R. Halladay, Katrina E. Donahue, Crystal W. Cené, et al.
Citation: Patient Education and Counseling, 100(3), 542-549
Date: 03/2017
Type: Document
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Rural Promising Practice Issue Brief: Transforming Advance Care Planning into an Atmosphere of Support and Communication
Features a promising Advanced Care Planning (ACP) practice for VA or non-VA facilities that serve rural veterans. Features an example from central Arkansas.
Additional links: Overview
Date: 03/2017
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Implementation and Outcomes of a Community-Based Pulmonary Rehabilitation Program in Rural Appalachia
Describes the implementation and outcomes of a community-based pulmonary rehabilitation program in rural Appalachia. Reports on data from three rural health centers and one large referral hospital for multiple measures, including pre- and post-exams, respiratory disease knowledge, smoking status, and more.
Author(s): Daniel Doyle, Chaffee Tommarello, Mike Broce, Mary Emmett, Cecil Pollard
Citation: Journal of Cardiopulmonary Rehabilitation and Prevention, 37(4), 295-298
Date: 03/2017
Type: Document
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Learning by Doing: The MD-PA Interprofessional Education Rural Rotation
Describes the Combined Medical-Physician Assistant Student Rural Rotation (Med-PARR) program at the Oregon Health & Science University, in which pairs of third-year MD students and second-year PA students spend 5 weeks together in a primary-care-focused clinical rotation in a rural area.
Author(s): Ryan Palmer, Curt Stilp
Citation: Rural and Remote Health, 17(1), 4167
Date: 03/2017
Type: Document
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Evaluation of Health Care Innovation Awards (HCIA): Primary Care Redesign Programs, Third Annual Report
Third annual evaluations for the Health Care Innovation Awards Round One projects focused on primary care redesign, addressing a range of intervention models, target populations, and organizational settings. Presents findings on program impacts related to quality of care, service use, and medical spending. Includes projects serving rural areas.
Additional links: Addendum, August 2017
Date: 03/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Rural Promising Practice Issue Brief: Rural OsteoPorosis Evaluation Service (ROPES)
Highlights the Rural Osteoporosis Evaluation Service (ROPES) as a promising practice for evaluating and treating osteoporosis in rural veterans. Features implementation information and results from the Durham VAMC in North Carolina.
Additional links: Overview
Date: 02/2017
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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California's Primary Care Workforce: Current Supply, Characteristics, and Pipeline of Trainees
Describes the supply, distribution, and characteristics of California's primary care clinicians with rural-relevant information included throughout. Addresses primary care residency program distribution and training.
Additional links: Executive Summary
Author(s): Janet Coffman, Igor Geyn, Kristine Himmerick
Date: 02/2017
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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Characteristics of Primary Care Physicians in Patient-Centered Medical Home Practices: United States, 2013
Describes the characteristics of primary care physicians participating in patient-centered medical home (PCMH) practices. Includes charts and graphs to help visualize the differences between PCMH practices and non-PCMH practices. Figure 2 presents data on the percentage of primary care physicians in PCMH practices, comparing them by location in metropolitan or non-metropolitan statistical area.
Author(s): Esther Hing, Ellen Kurtzman, Denys T. Lau, Caroline Taplin, Andrew B. Bindman
Date: 02/2017
Type: Document
Sponsoring organization: National Center for Health Statistics
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