Rural Health
Resources by Topic: Primary care
First-Ever Rural Physician and Advanced Practice Provider Compensation Survey
Recording of an October 11, 2023, webinar discussing results of a January 2023 survey of rural hospitals regarding physician and advanced-practice provider compensation. Presents results for primary care and specialty care providers by provider type, hospital system affiliation, and region. Highlights factors that influence compensation and nurse practitioner practice environments by state. Transcript available in the video description.
Additional links: Presentation Slides
Date: 10/2023
Type: Video/Multimedia
Sponsoring organizations: National Rural Health Association, Stroudwater Associates
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Recording of an October 11, 2023, webinar discussing results of a January 2023 survey of rural hospitals regarding physician and advanced-practice provider compensation. Presents results for primary care and specialty care providers by provider type, hospital system affiliation, and region. Highlights factors that influence compensation and nurse practitioner practice environments by state. Transcript available in the video description.
Additional links: Presentation Slides
Date: 10/2023
Type: Video/Multimedia
Sponsoring organizations: National Rural Health Association, Stroudwater Associates
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South Dakota Health Professional Shortage Areas: Primary Medical Care
South Dakota map showing geographic, population, and automatic primary medical care Health Professional Shortage Areas (HPSAs).
Date: 09/2023
Type: Map/Mapping System
Sponsoring organization: South Dakota Office of Rural Health
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South Dakota map showing geographic, population, and automatic primary medical care Health Professional Shortage Areas (HPSAs).
Date: 09/2023
Type: Map/Mapping System
Sponsoring organization: South Dakota Office of Rural Health
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Oregon Areas of Unmet Health Care Need Report, 2023
Covers nine variables that describe areas of unmet healthcare need in Oregon and measure access to primary care, mental, and oral healthcare services. Areas of unmet need are scored based on variables within the following categories: availability of providers, ability to afford care, and utilization. Includes statistics and county-level information by service areas.
Date: 09/2023
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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Covers nine variables that describe areas of unmet healthcare need in Oregon and measure access to primary care, mental, and oral healthcare services. Areas of unmet need are scored based on variables within the following categories: availability of providers, ability to afford care, and utilization. Includes statistics and county-level information by service areas.
Date: 09/2023
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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Implementation of Substance Use Screening in Rural Federally-Qualified Health Center Clinics Identified High Rates of Unhealthy Alcohol and Cannabis Use among Adult Primary Care Patients
Examines the feasibility of integrating electronic health record (EHR) tools into the screening of primary care patients for substance use. Discusses the process of screening 3,749 patients at 3 rural Federally Qualified Health Centers (FQHCs) via EHR-integrated methods and the potential impacts of this screening method on reducing rural primary care provider burden.
Author(s): Jennifer McNeely, Bethany McLeman, Trip Gardner, et al.
Citation: Addiction Science & Clinical Practice, 18, 56
Date: 09/2023
Type: Document
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Examines the feasibility of integrating electronic health record (EHR) tools into the screening of primary care patients for substance use. Discusses the process of screening 3,749 patients at 3 rural Federally Qualified Health Centers (FQHCs) via EHR-integrated methods and the potential impacts of this screening method on reducing rural primary care provider burden.
Author(s): Jennifer McNeely, Bethany McLeman, Trip Gardner, et al.
Citation: Addiction Science & Clinical Practice, 18, 56
Date: 09/2023
Type: Document
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US Pediatric Primary Care Physician Workforce in Rural Areas, 2010 to 2020
Research letter assessing the growth and distribution of the general pediatrician and family medicine physician workforce from 2010-2020 across U.S. counties, and identifying sociodemographic characteristics of counties lacking these physicians. Features statistics with breakdowns by partly rural, entirely rural, and total counties.
Author(s): Tarun Ramesh, Hao Yu
Citation: JAMA Network Open, 6(9)
Date: 09/2023
Type: Document
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Research letter assessing the growth and distribution of the general pediatrician and family medicine physician workforce from 2010-2020 across U.S. counties, and identifying sociodemographic characteristics of counties lacking these physicians. Features statistics with breakdowns by partly rural, entirely rural, and total counties.
Author(s): Tarun Ramesh, Hao Yu
Citation: JAMA Network Open, 6(9)
Date: 09/2023
Type: Document
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Care Coordination Between Rural Primary Care and Telemedicine to Expand Medication Treatment for Opioid Use Disorder: Results from a Single-Arm, Multisite Feasibility Study
Examines the feasibility of expanding access to medication treatment for opioid use disorder (MOUD) in rural areas through the use of telemedicine. Analyzes 6 rural primary care sites and their care coordination model. Includes data on patients referred to telemedicine and total number of patient-days on MOUD.
Author(s): Yih-Ing Hser, Larissa J. Mooney, Laura-Mae Baldwin, et al.
Citation: Journal of Rural Health, 39(4), 780-788
Date: 09/2023
Type: Document
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Examines the feasibility of expanding access to medication treatment for opioid use disorder (MOUD) in rural areas through the use of telemedicine. Analyzes 6 rural primary care sites and their care coordination model. Includes data on patients referred to telemedicine and total number of patient-days on MOUD.
Author(s): Yih-Ing Hser, Larissa J. Mooney, Laura-Mae Baldwin, et al.
Citation: Journal of Rural Health, 39(4), 780-788
Date: 09/2023
Type: Document
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Who's Accountable? Low-Value Care Received By Medicare Beneficiaries Outside Of Their Attributed Health Systems
Examines how much low-volume care and health system spending can be attributed to fee-for-service Medicare beneficiaries aged 65-years-old and older receiving care outside of the health system between 2017-2018. Explores beneficiary and health system factors associated with receiving the thirty most common low-value services, including beneficiaries' rurality and whether the low-value services originated from primary care physicians or specialists.
Author(s): Ishani Ganguli, Maia L. Crawford, Benjamin Usadi, et al.
Citation: Health Affairs, 42(8), 1128-1139
Date: 08/2023
Type: Document
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Examines how much low-volume care and health system spending can be attributed to fee-for-service Medicare beneficiaries aged 65-years-old and older receiving care outside of the health system between 2017-2018. Explores beneficiary and health system factors associated with receiving the thirty most common low-value services, including beneficiaries' rurality and whether the low-value services originated from primary care physicians or specialists.
Author(s): Ishani Ganguli, Maia L. Crawford, Benjamin Usadi, et al.
Citation: Health Affairs, 42(8), 1128-1139
Date: 08/2023
Type: Document
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Advisory Committee on Training in Primary Care Medicine and Dentistry (ACTPCMD) Meeting Minutes, August 17, 2023
Summarizes the Advisory Committee on Training in Primary Care Medicine and Dentistry (ACTPCMD) meeting held August 17, 2023. Features updates from the Bureau of Health Workforce on programs to address healthcare workforce shortages and Title VII funding opportunities planned for 2024, including the Primary Care Training and Enhancement (PCTE) - Physician Assistant Rural Training in Mental and Behavioral Health and the Rural Community Program Directors programs.
Additional links: Presentations
Date: 08/2023
Type: Document
Sponsoring organization: Advisory Committee on Training in Primary Care Medicine and Dentistry
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Summarizes the Advisory Committee on Training in Primary Care Medicine and Dentistry (ACTPCMD) meeting held August 17, 2023. Features updates from the Bureau of Health Workforce on programs to address healthcare workforce shortages and Title VII funding opportunities planned for 2024, including the Primary Care Training and Enhancement (PCTE) - Physician Assistant Rural Training in Mental and Behavioral Health and the Rural Community Program Directors programs.
Additional links: Presentations
Date: 08/2023
Type: Document
Sponsoring organization: Advisory Committee on Training in Primary Care Medicine and Dentistry
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Iowa Community Health Centers and Value-Based Care
Describes how Iowa Primary Care Association (Iowa PCA) and two sister organizations, IowaHealth+ and INConcertCare, pursued value-based care opportunities before joining the Medicare Shared Savings Program. Discusses the network's Medicaid value-based care contract; a partnership with Main Street Health to expand value-based contracting and provide more comprehensive, integrated primary care to patients with Medicare Advantage; data analytics; strategic planning and roadmaps; and next steps.
Date: 08/2023
Type: Document
Sponsoring organization: Rural Health Value
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Describes how Iowa Primary Care Association (Iowa PCA) and two sister organizations, IowaHealth+ and INConcertCare, pursued value-based care opportunities before joining the Medicare Shared Savings Program. Discusses the network's Medicaid value-based care contract; a partnership with Main Street Health to expand value-based contracting and provide more comprehensive, integrated primary care to patients with Medicare Advantage; data analytics; strategic planning and roadmaps; and next steps.
Date: 08/2023
Type: Document
Sponsoring organization: Rural Health Value
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Use of Real Time Clinical Video Telehealth to Home by Primary Care Providers Within the Veterans Health Administration During the First Wave of the COVID-19 Pandemic: Variability Across VA Stations and with Time
Describes the extent to which Clinical Video Telehealth to Home (VT2H) was used for primary care licensed independent practitioner visits (PCLIPVs) across the Veterans Health Administration (VA) during the first 18 months of the COVID pandemic. Explores how VT2H use varied over time and by VA station characteristics, including rurality.
Author(s): Dennis H. Sullivan, Linda M. Sawyer, Bonnie D. Dawson, et al.
Citation: JAMIA Open, 6(3)
Date: 08/2023
Type: Document
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Describes the extent to which Clinical Video Telehealth to Home (VT2H) was used for primary care licensed independent practitioner visits (PCLIPVs) across the Veterans Health Administration (VA) during the first 18 months of the COVID pandemic. Explores how VT2H use varied over time and by VA station characteristics, including rurality.
Author(s): Dennis H. Sullivan, Linda M. Sawyer, Bonnie D. Dawson, et al.
Citation: JAMIA Open, 6(3)
Date: 08/2023
Type: Document
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