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Rural Health
Resources by Topic: Specialty care

Project ECHO: A Model for Complex, Chronic Care in the Pacific Northwest Region of the United States
Describes Project ECHO, a telehealth program, involving weekly video conferences between rural providers and their colleagues at academic medical centers to discuss patient cases involving a variety of subjects, such as Hepatitis C, chronic pain, integrated addictions, psychiatry, and HIV/AIDS to receive management advice, and access to best practices. Figure 2 shows a map of participating sites and Table 1 lists the numbers of clinics, clinicians, and patients presented.
Author(s): John D. Scott, Kent T. Unruh, Mary C. Catlin, et al.
Citation: Journal of Telemedicine and Telecare, 18(8), 481-484
Date: 2012
Type: Document
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Outcomes of Hepatitis C Treatment by Primary Care Providers
Examines the effectiveness of the Extension for Community Healthcare Outcomes (ECHO) model to improve access to specialty care for complex health conditions such as hepatitis C virus (HCV) by training and supporting primary care clinicians who work with underserved populations in rural areas and prisons in New Mexico.
Author(s): Sanjeev Arora, Karla Thornton, Glen Murata,1 Paulina Deming, et al.
Citation: New England Journal of Medicine, 364, 2199-2207
Date: 06/2011
Type: Document
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Impact of Tele-ICU Coverage on Patient Outcomes: A Systematic Review and Meta-Analysis
A literature review and meta-analysis on the impact of tele-ICU care. Discusses the potential of tele-ICU coverage to extend resources to rural hospitals with limited access to critical care specialists.
Author(s): Lance Brendan Young, Paul S. Chan, Xin Lu, et al.
Date: 2011
Type: Document
Sponsoring organizations: U.S. Department of Veterans Affairs, Veterans Rural Health Resource Centers
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What Happens After an Elevated PSA Test: The Experience of 13,591 Veterans
Details a study on the time between prostate-specific antigen (PSA) testing and a biopsy-confirmed cancer diagnosis in veterans. Compares rural and urban areas.
Author(s): Steven B. Zeliadt, Richard M. Hoffman, Ruth Etzioni, Van Anh T. Ginger, Daniel W. Lin
Citation: Journal of General Internal Medicine, 25(11), 1205-1210
Date: 11/2010
Type: Document
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An Analysis of the Labor Markets for Anesthesiology
Examines the supply and demand of anesthesiologists (ANs) and certified registered nurse anesthetists (CRNAs). Includes information on demographics, income, differences in rural areas, demand by state, and more. Compares employment of CRNAs and ANs by rural and urban facilities. Analyzes earnings and hours worked for CRNAs in rural versus urban areas.
Author(s): Lindsay Daugherty, Raquel Fonseca, Krishna B. Kumar, Pierre-Carl Michaud
Date: 2010
Type: Document
Sponsoring organization: RAND Corporation
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Physician Workforce: Supply Increased in Metropolitan and Nonmetropolitan Areas but Geographic Disparities Persisted
Describes the change in supply of physicians from 1991 to 2001. Includes data nationally and by state on physicians in nonmetropolitan areas and on the number of specialists versus generalists. Includes a list of Health Resources and Services Administration programs that address the supply and distribution of health professionals, with 1991 and 2001 expenditures for each program.
Additional links: Full Report
Date: 10/2003
Type: Document
Sponsoring organization: Government Accountability Office
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Wisconsin Coverdell Stroke Program: Stroke Transfer Map
Provides interactive maps showing transfer patterns of stroke patients between community hospitals and tertiary hospitals in Wisconsin in order to improve hospital and EMS access and identify gaps in care. Provides data on driving times and distances.
Type: Map/Mapping System
Sponsoring organization: Wisconsin Department of Health Services
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HHS emPOWER Map
Map system displaying the number of Medicare beneficiaries who have had a claim for one or more types of electricity-dependent durable medical and assistive equipment (DME) and devices, as well as at-risk combinations data for people who rely on essential healthcare services and electricity-dependent DME and devices. Users can access data to inform emergency preparedness, response, recovery, and mitigation public health activities.
Type: Website
Sponsoring organization: U.S. Department of Health and Human Services
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Autism Toolkit
Toolkit aims to improve rural autism care through guided feedback and informed expertise. Features a partnership between community members and researchers in Georgia and offers answers to questions about treatments, medications, and common beliefs about autism.
Type: Website
Sponsoring organization: Mercer University School of Medicine
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Platform Accelerating Rural Access to Distributed and InteGrated Medical Care (PARADIGM)
Provides information on the Advanced Research Projects Agency for Health (ARPA-H) Platform Accelerating Rural Access to Distributed and InteGrated Medical Care (PARADIGM) program, which aims to develop a mobile platform that can provide advanced medical services outside of a hospital setting in underserved rural areas.
Type: Website
Sponsoring organization: Advanced Research Projects Agency for Health (ARPA-H)
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