Rural Health
Resources by Topic: Primary care
Integrated Care for Older Adults in Rural Communities
Assesses four types of organizational models for delivering integrated physical, behavioral health services, and long term services and supports to rural older adults. Each model has different strengths and drawbacks, weighing for and against implementation in rural areas. Reports that introducing an integrated care model in a rural community requires an investment in building relationships with local providers and adapting to local culture and services.
Author(s): Eileen Griffin, Andrew F. Coburn
Date: 05/2014
Sponsoring organization: Maine Rural Health Research Center
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Assesses four types of organizational models for delivering integrated physical, behavioral health services, and long term services and supports to rural older adults. Each model has different strengths and drawbacks, weighing for and against implementation in rural areas. Reports that introducing an integrated care model in a rural community requires an investment in building relationships with local providers and adapting to local culture and services.
Author(s): Eileen Griffin, Andrew F. Coburn
Date: 05/2014
Sponsoring organization: Maine Rural Health Research Center
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Barriers to Primary Care Physicians Prescribing Buprenorphine
Reports on a study of physicians in the State of Washington who participated in a Rural Opioid Addiction Management Project on the use of buprenorphine-naloxone in the treatment of opioid use disorders. Study determined the percentage of physicians who prescribed this treatment, the characteristics associated with the prescribing physicians, the number of patients treated, and the barriers found when integrating this treatment into their outreach practice.
Author(s): Eliza Hutchinson, Mary Catlin, C. Holly A. Andrilla, et al.
Citation: Annals of Family Medicine, 12(2), 128-133
Date: 03/2014
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Reports on a study of physicians in the State of Washington who participated in a Rural Opioid Addiction Management Project on the use of buprenorphine-naloxone in the treatment of opioid use disorders. Study determined the percentage of physicians who prescribed this treatment, the characteristics associated with the prescribing physicians, the number of patients treated, and the barriers found when integrating this treatment into their outreach practice.
Author(s): Eliza Hutchinson, Mary Catlin, C. Holly A. Andrilla, et al.
Citation: Annals of Family Medicine, 12(2), 128-133
Date: 03/2014
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Rural Veterans: A Special Concern for Rural Health Advocates
Policy brief describing the special healthcare needs of rural veterans. Offers policy recommendations to address these issues. Covers access to primary care, specialty care, physical therapy, women's health services, and mental health services focusing on traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD).
Author(s): J. Alison Alfers, Hilda R. Heady
Date: 02/2014
Sponsoring organization: National Rural Health Association
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Policy brief describing the special healthcare needs of rural veterans. Offers policy recommendations to address these issues. Covers access to primary care, specialty care, physical therapy, women's health services, and mental health services focusing on traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD).
Author(s): J. Alison Alfers, Hilda R. Heady
Date: 02/2014
Sponsoring organization: National Rural Health Association
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Rural, Suburban, and Urban Differences in Factors That Impact Physician Adherence to Clinical Preventive Service Guidelines
Highlights a qualitative study based on interviews with 29 primary care physicians from various areas in Missouri regarding barriers to following the clinical preventive service guidelines. Breaks down results by location and perceived barrier, such as outcome expectancy, patient health status, or evidence interpretation.
Author(s): Elaine C. Khoong, Wesley S. Gibbert, Jane M. Garbutt, Walton Sumner, Ross C. Brownson
Citation: Journal of Rural Health, 30(1), 7-16
Date: 01/2014
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Highlights a qualitative study based on interviews with 29 primary care physicians from various areas in Missouri regarding barriers to following the clinical preventive service guidelines. Breaks down results by location and perceived barrier, such as outcome expectancy, patient health status, or evidence interpretation.
Author(s): Elaine C. Khoong, Wesley S. Gibbert, Jane M. Garbutt, Walton Sumner, Ross C. Brownson
Citation: Journal of Rural Health, 30(1), 7-16
Date: 01/2014
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A Qualitative Study of Rural Primary Care Clinician Views on Remote Monitoring Technologies
Examines conclusions of a cross-sectional qualitative study based on interviews with primary care clinicians belonging to the Oregon Rural Practice-based Research Network (ORPRN) about the challenges of implementing remote monitoring technologies (RMT) as a means of increasing access and providing a more comprehensive level of care for older and/or less mobile patients in rural areas. Also discusses clinicians ability to use RMTs in coordination with the electronic health record (EHR) system.
Author(s): Melinda M. Davis, Jillian M. Currey, Sonya Howk, et al.
Citation: Journal of Rural Health, 30(1), 69-78
Date: 01/2014
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Examines conclusions of a cross-sectional qualitative study based on interviews with primary care clinicians belonging to the Oregon Rural Practice-based Research Network (ORPRN) about the challenges of implementing remote monitoring technologies (RMT) as a means of increasing access and providing a more comprehensive level of care for older and/or less mobile patients in rural areas. Also discusses clinicians ability to use RMTs in coordination with the electronic health record (EHR) system.
Author(s): Melinda M. Davis, Jillian M. Currey, Sonya Howk, et al.
Citation: Journal of Rural Health, 30(1), 69-78
Date: 01/2014
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The Four Pillars for Primary Care Physician Workforce Reform: A Blueprint for Future Activity
Presents a framework to guide efforts to increase the supply of primary care physicians. The framework covers four areas: workforce pipeline, medical education, practice transformation, and payment reform. The first pillar discusses the importance of the medical school admissions committee. Selecting applicants from rural backgrounds and those students with lower income expectations or from lower socioeconomic status is just one predictor of medical students who will eventually pursue a career in primary care.
Citation: Annals of Family Medicine, 12(1), 83-87
Date: 01/2014
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Presents a framework to guide efforts to increase the supply of primary care physicians. The framework covers four areas: workforce pipeline, medical education, practice transformation, and payment reform. The first pillar discusses the importance of the medical school admissions committee. Selecting applicants from rural backgrounds and those students with lower income expectations or from lower socioeconomic status is just one predictor of medical students who will eventually pursue a career in primary care.
Citation: Annals of Family Medicine, 12(1), 83-87
Date: 01/2014
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Rural Primary Care Physician Workforce Expansion: An Opportunity for Bipartisan Legislation
Recommends expansion of graduate medical education (GME) support in teaching health centers (THCs) as a way to address the shortage of rural primary care physicians. Proposes an expanded version of the community health center and academic medicine partnerships (CHAMP) model that would help in the development of rural THCs.
Author(s): Richard E. Rieselbach, Robert L. Phillips, Thomas J. Nasca, Byron J. Crouse
Citation: Journal of Graduate Medical Education, 5(4), 556-559
Date: 12/2013
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Recommends expansion of graduate medical education (GME) support in teaching health centers (THCs) as a way to address the shortage of rural primary care physicians. Proposes an expanded version of the community health center and academic medicine partnerships (CHAMP) model that would help in the development of rural THCs.
Author(s): Richard E. Rieselbach, Robert L. Phillips, Thomas J. Nasca, Byron J. Crouse
Citation: Journal of Graduate Medical Education, 5(4), 556-559
Date: 12/2013
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Helping Primary Care Practices Attain Patient-Centered Medical Home (PCMH) Recognition Through Collaboration With a University
Evaluates a model supporting rural primary care practices during their development to achieve recognition as a National Center for Quality Assurance patient-centered medical home (PCMH). This model was a collaboration between Community Care of North Carolina and Appalachian State University's College of Health Sciences where undergraduate healthcare management and preprofessional students were guided by the PCMH team to work directly with the practices.
Author(s): Sandi J. Lane, R.W. "Chip" Watkins
Citation: Journal of the American Board of Family Medicine, 26(6), 784-786
Date: 11/2013
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Evaluates a model supporting rural primary care practices during their development to achieve recognition as a National Center for Quality Assurance patient-centered medical home (PCMH). This model was a collaboration between Community Care of North Carolina and Appalachian State University's College of Health Sciences where undergraduate healthcare management and preprofessional students were guided by the PCMH team to work directly with the practices.
Author(s): Sandi J. Lane, R.W. "Chip" Watkins
Citation: Journal of the American Board of Family Medicine, 26(6), 784-786
Date: 11/2013
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Effects of Patient-Centered Medical Home Attributes on Patients' Perceptions of Quality in Federally Supported Health Centers
Analyzes patient survey results that rated the quality of care and the patient-centered medical home attributes provided at federally supported health centers in rural and urban locations.
Author(s): Lydie A. Lebrun-Harris, Leiyu Shi, Jinsheng Zhu, et al.
Citation: Annals of Family Medicine, 11(6), 508-516
Date: 11/2013
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Analyzes patient survey results that rated the quality of care and the patient-centered medical home attributes provided at federally supported health centers in rural and urban locations.
Author(s): Lydie A. Lebrun-Harris, Leiyu Shi, Jinsheng Zhu, et al.
Citation: Annals of Family Medicine, 11(6), 508-516
Date: 11/2013
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Projecting the Supply and Demand for Primary Care Practitioners Through 2020
Examines the adequacy of the future supply of primary care providers to meet the projected demand for primary care. Includes information on physician, nurse practitioner, and physician assistant supply and demand. Discusses likely causes of growth in demand for primary care, and potential impact of increased use of NPs and PAs on alleviating the primary care physician shortage. Section 8 of the full report discusses geographic disparities.
Date: 11/2013
Sponsoring organization: Health Resources and Services Administration
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Examines the adequacy of the future supply of primary care providers to meet the projected demand for primary care. Includes information on physician, nurse practitioner, and physician assistant supply and demand. Discusses likely causes of growth in demand for primary care, and potential impact of increased use of NPs and PAs on alleviating the primary care physician shortage. Section 8 of the full report discusses geographic disparities.
Date: 11/2013
Sponsoring organization: Health Resources and Services Administration
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