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Rural Health
Resources by Topic: Primary care

The Future of Family Medicine and Implications for Rural Primary Care Physician Supply
Examines the rural physician shortage, the effect of recent trends in specialty choice on provider supply, and major trends that are changing the dynamics that shape the delivery of healthcare. Identifies policy options that could help increase the number of rural family medicine physicians.
Additional links: Policy Brief, June 2009
Author(s): Roger A. Rosenblatt, Frederick M. Chen, Denise M. Lishner, Mark P. Doescher
Date: 08/2010
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Increases in Primary Care Physician Income due to the Patient Protection and Affordable Care Act of 2010--Continued Tweaking of Physician Payment
Examines changes authorized by the Patient Protection and Affordable Care Act (ACA) to the Resource-Based Relative Value Scale (RBRVS) system aimed at increasing primary care physician personal income and reducing geographic variation in primary care payment. Looks at ACA-authorized primary care payment adjustments in a prototypical rural primary care practice to assess the potential impact on physician personal income and the likelihood that the changes will achieve the desired policy outcome.
Author(s): A. Clinton MacKinney
Date: 07/2010
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Developing the Rural Primary Care Workforce in Hawai'i - A 10-Point Plan
Describes initiatives focused on addressing physician shortages in Hawaii. Covers a ten point plan to lay the framework for improving the rural physician training pipeline. Highlights the impact of a rural family medicine residency program.
Author(s): Allen L. Hixon, Lee E. Buenconsejo-Lum
Citation: Hawaii Medical Journal, 69(6), 53-55
Date: 06/2010
Type: Document
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The Redesign of Primary Care with Implications of Training: Eighth Annual Report to the Secretary of the U.S. Department of Health and Human Services and to the U.S. Congress
Discusses funding medical training including directing funding for graduate medical education specifically to training in non-hospital sites that serve underserved and rural populations. Recommends the expansion of the National Health Service Corps loan repayment programs to address the severe primary care workforce shortages in medicine and dentistry.
Date: 05/2010
Type: Document
Sponsoring organization: Advisory Committee on Training in Primary Care Medicine and Dentistry
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Key Environmental Health Competencies for Rural Primary Care Providers
Identifies a set of basic environmental health competencies that are needed by all rural primary care providers in order to direct healthcare and education policy. Covers assessment, diagnosis, management, and evaluation. Describes the process used in developing the list of key competencies.
Additional links: Policy Brief
Author(s): Cynthia Armstrong Persily, Johnna S. Beane, Mary Glenn Rice
Date: 05/2010
Type: Document
Sponsoring organization: West Virginia Rural Health Research Center
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The 2010 Report to the Secretary: Rural Health and Human Services Issues
Report to the Secretary of the U.S. Department of Health and Human Services on issues related to rural America. Topics include home and community based care for rural seniors, rural primary care workforce, and rural health care provider integration.
Date: 05/2010
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Rural Primary Care Physician Payment 2006–2009: What a Difference Three Years Doesn't Make
Describes the impact of Medicare's Evaluation and Management physician services valuation adjustment, implemented January 1, 2007, on a typical rural primary care practice.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Mary Charlton
Date: 11/2009
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Care in the Country: A Historical Case Study of Long-Term Sustainability in Four Rural Health Centers
Explores the histories of four rural primary care health center programs and identifies factors that contributed to their sustainability, such as physician advocates, innovative practices, organizational flexibility, and community integration.
Author(s): D. Brad Wright
Citation: American Journal of Public Health, 99(9), 1612-1618
Date: 09/2009
Type: Document
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Distance Education Training in Behavioral Health: A Rural Primary Care Needs Assessment and Pilot Webcast
Examines the interest of rural primary care providers (PCPs) in learning about mental health issues, particularly through online distance education. Documents the most pressing self-identified behavioral health training needs in rural areas and reports on the effectiveness of providing tailored online training opportunities.
Author(s): Mimi McFaul, Dennis Mohatt, Jim Ciarlo, John M. Westfall
Date: 08/2009
Type: Document
Sponsoring organization: WICHE Center for Rural Mental Health Research
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Addressing Suicide Potential and Prevention in Rural and Frontier Areas: Suicide Prevention Toolkit for Rural Primary Care Providers
Provides an overview of suicide in rural areas and discusses the role of primary care providers in suicide prevention. Focuses on identifying high risk rural counties and equipping rural primary providers to care for suicidal patients. Includes suicide risk data for five states based on rurality.
Author(s): Mimi McFaul, Jim Ciarlo, Jean Demmler, Christa Smith, Tamara DeHay
Date: 08/2009
Type: Document
Sponsoring organization: WICHE Center for Rural Mental Health Research
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