Rural Health
Resources by Topic: Primary care

An Overview of the Patient-Centered Medical Home for Rural Patients, Caregivers, and Healthcare Stakeholders
Summary of a project designed to prepare rural stakeholders to participate in comparative effectiveness research (CER), obtain baseline information to learn more about patient-centered medical homes from a rural perspective, select an area in need of CER, and create channels for sharing those results.
Date: 05/2015
Type: Document
Sponsoring organization: University of Kansas School of Social Welfare Center for Children and Families
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HERO: New Mexico's Health Extension as a Model for Primary Care Transformation
Describes the benefits and lessons learned of a New Mexico state-wide primary care improvement infrastructure program - Health Extension Rural Offices (HERO) - to address social determinants of health. Through the use of extension agents (HEROs) information about patient centered medical homes (PCMH) and university resources was provided to 34 participating small primary care clinics of which half were rural. Program was funded by the Agency for Healthcare Research and Quality (AHRQ) Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants.
Author(s): Arthur Kaufman
Date: 04/2015
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Adjacent Border Analysis for Direct Patient Care Physicians
Provides an analysis of direct patient care physicians practicing along the North Dakota border using 2011 data from the American Medical Association physician master file.
Author(s): Gary Hart, Mandi-Leigh Peterson, Abdimajid Ahmed
Date: 04/2015
Type: Document
Sponsoring organization: University of North Dakota Center for Rural Health
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A Guidebook of Professional Practices for Behavioral Health and Primary Care Integration: Observations from Exemplary Sites
Assists primary care and behavioral health practices in identifying professional practices that have developed a successful workforce model of integrated care. Several primary care organizations with effective integrated behavioral health and primary care participated in the study including 3 in rural areas.
Author(s): Deborah J. Cohen, Melinda M. Davis, Jennifer D. Hall, Emma C. Gilchrist, Benjamin F. Miller
Date: 03/2015
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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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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