Rural Health
Resources by Topic: Primary care
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
Type: Document
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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
Type: Document
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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
Type: Document
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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
Type: Document
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Running the Numbers: The Maldistribution of Health Care Providers in Rural and Underserved Areas in North Carolina
Discusses the maldistribution of health care professionals related to population needs in rural North Carolina. Highlights physician workforce shortages in primary care, general surgery, psychiatry, licensed nurse practitioners, and physician assistants.
Author(s): Julie C. Spero, Erin P. Fraher
Citation: North Carolina Medical Journal, 75(1), 74-79
Date: 01/2014
Type: Document
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Discusses the maldistribution of health care professionals related to population needs in rural North Carolina. Highlights physician workforce shortages in primary care, general surgery, psychiatry, licensed nurse practitioners, and physician assistants.
Author(s): Julie C. Spero, Erin P. Fraher
Citation: North Carolina Medical Journal, 75(1), 74-79
Date: 01/2014
Type: Document
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Addressing the Health Care Needs of Rural Veterans: A Guide for State Offices of Rural Health
Acts as a manual to assist the State Offices of Rural Health (SORHs) in addressing the healthcare needs of rural veterans. Includes information from the Veterans Health Administration (VHA) and the U.S. Department of Veterans Affairs (VA) rural health programs. Covers statistics on the healthcare needs of rural veterans and recommends actions for SORHs to support the healthcare needs of rural veterans.
Date: 01/2014
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Acts as a manual to assist the State Offices of Rural Health (SORHs) in addressing the healthcare needs of rural veterans. Includes information from the Veterans Health Administration (VHA) and the U.S. Department of Veterans Affairs (VA) rural health programs. Covers statistics on the healthcare needs of rural veterans and recommends actions for SORHs to support the healthcare needs of rural veterans.
Date: 01/2014
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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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
Type: Document
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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
Type: Document
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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
Type: Document
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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
Type: Document
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Assessing the Impact of Rural Provider Service Mix on the Primary Care Incentive Payment Program
Examines calendar year 2009 Medicare claims data to assess the impact of rural providers' service mix on Primary Care Incentive Payment Program (PCIP) qualifications and payments. Also estimates the financial impact of PCIP payments on rural providers, and evaluates whether the PCIP is fairly applied to rural and urban providers, whose service mixes are likely to differ. The PCIP program lasted from 2011-2015.
Author(s): Dan Shane, A. Clinton MacKinney, Fred Ullrich, Keith J. Mueller, Paula Weigel
Date: 12/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines calendar year 2009 Medicare claims data to assess the impact of rural providers' service mix on Primary Care Incentive Payment Program (PCIP) qualifications and payments. Also estimates the financial impact of PCIP payments on rural providers, and evaluates whether the PCIP is fairly applied to rural and urban providers, whose service mixes are likely to differ. The PCIP program lasted from 2011-2015.
Author(s): Dan Shane, A. Clinton MacKinney, Fred Ullrich, Keith J. Mueller, Paula Weigel
Date: 12/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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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
Type: Document
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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
Type: Document
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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
Type: Document
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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
Type: Document
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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
Type: Document
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
Type: Document
Sponsoring organization: Health Resources and Services Administration
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