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Rural Health
Resources by Topic: Primary care

Advancing Primary Care Delivery: Practical, Proven, and Scalable Approaches
Describes the U.S. primary care system and suggests several approaches for improving value and capacity. Includes rural-specific workforce and healthcare facility statistics.
Date: 09/2014
Type: Document
Sponsoring organization: UnitedHealth Group
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An Examination of New York State's Integrated Primary and Mental Health Care Services for Adults with Serious Mental Illness
Describes the RAND Corporation's examination of approaches to integrated care for adults with serious mental illness (SMI) implemented by New York state community mental health centers. Page 29 includes a description of the additional barriers to integrated care in rural areas compared with clinics in urban areas.
Author(s): Deborah M. Scharf, Joshua Breslau, Nicole Schmidt Hackbarth, et al.
Date: 09/2014
Type: Document
Sponsoring organization: New York Health Foundation
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Controlling Hypertension: Focusing on "Why" Makes "How" a Lot Easier
Overview of a quality improvement project initiated by a group of 5 small rural practices and designed to improve the outcomes of patients with hypertension.
Author(s): Jennifer L. Brull
Citation: Family Practice Management, 21(5), 23-27
Date: 09/2014
Type: Document
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The New Blue H: A Report on the Findings of the 2014 Rural Health Workgroup, a Partner Project Between the Washington State Department of Health and the Washington State Hospital Association
Outlines a comprehensive proposal addressing access to healthcare for rural populations in Washington. Considers the entire continuum of care from wellness and prevention to acute and long-term care, and includes a focus on hospitals and new models of healthcare delivery.
Date: 08/2014
Type: Document
Sponsoring organization: Washington State Department of Health
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The Effect of Medicare Payment Policy Changes on Rural Primary Care Practice Revenue
Discusses the effect of Medicare payment adjustments on Medicare-derived revenues to rural primary care providers.
Additional links: Supplemental Table
Author(s): Paula Weigel, A. Clinton MacKinney, Fred Ullrich, Keith J. Mueller
Date: 07/2014
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2014
Includes chapters on synchronizing Medicare policy across payment models; improving risk adjustment; measuring quality of care; financial assistance for low-income beneficiaries; per beneficiary payment for primary care; site-neutral payments for select conditions treated in inpatient rehabilitation facilities and skilled nursing facilities; and measuring the effects of medication adherence for the Medicare population. Mentions rural throughout.
Date: 06/2014
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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The Association Between Managed Care Enrollments and Potentially Preventable Hospitalization among Adult Medicaid Recipients in Florida
Examines the spillover effect of Medicaid managed care into Medicaid patients in traditional fee-for-service plans. Analyzes the interaction on the preventable hospitalizations in both rural and urban settings at the patient and county levels.
Author(s): Jungwon Park, Keon-Hyung Lee
Citation: BMC Health Services Research, 14, 247
Date: 06/2014
Type: Document
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Preventing Rural Workforce by Design
Argues that the lack of primary care physicians in rural America could have been and can still be avoided. Discusses how policies aimed to attract recent graduates to primary healthcare, rather than specialty healthcare, can help address disparities between rural and urban healthcare.
Author(s): Robert Bowman, Michael Halasy
Citation: Rural and Remote Health, 14(2), 2852
Date: 06/2014
Type: Document
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Integrating Primary Care Practices and Community-Based Resources to Manage Obesity: A Bridge-building Toolkit for Rural Primary Care Practices
Provides resources to help rural primary care practices connect patients to community-based obesity management resources. Outlines a step-by-step process, as well as sample worksheets, surveys, brochures and other materials. Based on the experiences of six rural Oregon primary care practices and developed by the Oregon Rural Practice-based Research Network.
Author(s): Paul McGinnis, Melinda M. Davis, Sonya Howk, Molly DeSordi, Michelle Thomas
Date: 05/2014
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Rural Practice, Keeping Physicians In
Discusses recruitment, retention, and training of rural physicians. Includes recommendations and key legislative and government issues addressing this issue.
Date: 05/2014
Type: Document
Sponsoring organization: American Academy of Family Physicians
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