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Rural Health
Resources by Topic: Primary care

Estimating the Residency Expansion Required to Avoid Projected Primary Care Physician Shortages by 2035
Discusses the projected shortage of primary care physicians by 2035. Briefly mentions expanding graduate medical education training through the use of teaching health centers and rural training tracks to increase those who choose primary care.
Author(s): Stephen M. Petterson, Winston R. Liaw, Carol Tran, Andrew W. Bazemore
Citation: Annals of Family Medicine, 13(2), 107-114
Date: 03/2015
Type: Document
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The 21st Century Rural Hospital: A Chart Book
Presents an extensive overview of the rural hospital of the 21st century. Discusses how rural hospitals have transformed from a traditional inpatient and emergency department facility to an integrated health system providing a wide variety of services. Contains sections with data about U.S. rural hospitals, the patient population, inpatient and outpatient services and finance.
Author(s): Victoria A. Freeman, Kristie Thompson, H. Ann Howard, Randy Randolph, G. Mark Holmes
Date: 03/2015
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Screening and Follow-Up Monitoring for Substance Use in Primary Care: An Exploration of Rural-Urban Variations
Investigates the urban-rural differences in screening primary care-based patients for substance use, and monitoring the symptoms of substance abuse for patients who screen positive. Uses data derived from the Washington State Mental Health Integration Program (MHIP), a state-wide integrated care program serving underserved populations at community health clinics in the state of Washington.
Author(s): Ya-Fen Chan, Shou-En Lu, Bill Howe, et al.
Citation: Journal of General Internal Medicine, 31(2), 215-222
Date: 02/2015
Type: Document
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Family Medicine Graduate Proximity to Their Site of Training: Policy Options for Improving the Distribution of Primary Care Access
Assesses the geographic relationship between graduate practice location and family medicine graduate medical education training sites. Results show an uneven geographic distribution between urban and rural primary care physicians. Report also states that family physicians are more likely to work in rural areas.
Author(s): Ernest Blake Fagan, Claire Gibbons, Sean C. Finnegan, et al.
Citation: Family Medicine, 47(2), 124-130
Date: 02/2015
Type: Document
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Intra Rural and Urban Primary Care Physician Findings: AAMC 2009 Physician Survey of Primary Care Chartbook
Analyzes primary care physician survey data that was assembled by the Association of American Medical Colleges (AAMC) in 2009/2010 prior to passage of the Affordable Care Act (ACA) to provide baseline measures in which to compare potential post ACA application studies.
Author(s): Gary Hart
Date: 02/2015
Type: Document
Sponsoring organization: Rural Health Reform Policy Research Center
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Finding and Keeping Health Care Providers in Rural Communities: Culture Change in Recruitment at Rural Health Group
Discusses the importance of developing a team-based, patient-centered care culture that emphasizes relational, interpersonal, and leadership skills as a method for the effective recruitment of healthcare providers in rural communities.
Author(s): Brian O. Harris
Citation: North Carolina Medical Journal, 76(1), 29-33
Date: 01/2015
Type: Document
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CPC Practice Spotlights
A collection of short features on primary care practices that participated in the CMS Comprehensive Primary Care (CPC) initiative, a multi-payer initiative that offered population-based care management fees and shared savings opportunities to participating practices. Includes examples of practices serving rural areas.
Date: 01/2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Providing Whole-Person Care: Integrating Behavioral Health Into Primary Care
Discusses how a patient-centered medical home in rural North Carolina is integrating primary care with mental health treatment to meet the core health needs of patients, while recognizing the need for making referrals to specialty care for more severe mental illness. Also discusses the benefits of telebehavioral health.
Author(s): Jan Sweet Freeman
Citation: North Carolina Medical Journal, 1(76), 24-28
Date: 01/2015
Type: Document
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Rural Health Care: Redefining Access
Discusses collaboration, recruitment and retention, providing specialty services and quality of care as methods to strengthen the health of North Carolina's rural communities.
Author(s): Chris Collins
Citation: North Carolina Medical Journal, 76(1), 20-23
Date: 01/2015
Type: Document
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Rural Health Clinic Readiness for Patient-Centered Medical Home Recognition: Preparing for the Evolving Healthcare Marketplace
Discusses the results from a survey of Rural Health Clinics (RHCs) that identified their capability to be eligible as a NCQA Patient-Centered Medical Home (PCMH) and examines the need for technical assistance and support of RHCs in the development of the PCMH model.
Additional links: Research & Policy Brief
Author(s): John Gale, Zach Croll, David Hartley, Andrew F. Coburn
Date: 01/2015
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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