Physicians
Completed Projects
Access to Physician Care for the Rural Medicare Elderly
Research center:
WWAMI Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Aging,
Chronic diseases and conditions,
Health services,
Medicare,
Physicians,
Poverty
This study described where Medicare beneficiaries in five states obtain their health care, how far they travel for that care, and the mix of physician specialties from which they obtain ambulatory care. Special attention was paid to beneficiaries who have dual Medicare-Medicaid status, who reside in poorer income areas, and who live in designated Health Professional Shortage Areas.
Chartbook of Family Practice Graduate Medical Education Programs in Rural America
Research center:
WWAMI Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Physicians,
Workforce
Little is known about the volume, location, and types of rural training for family physicians. This project will produce a chartbook that makes previously unreported information about family physician residency directors more fully available to medical educators and other policymakers.
Describing Geographic Access to Physicians in Rural America Using Statistical Applications in GIS
Research center:
North Carolina Rural Health Research and Policy Analysis Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Health services,
Physicians
This study will use a geographically weighted regression to assess the influence of distance and travel time on the distribution of physicians in rural America. The ultimate goal of the study will be to improve our measures of access by identifying the extent to which border resources can be considered in indices of access.
Describing the Health Care Infrastructure in Rural Towns
Research center:
North Carolina Rural Health Research and Policy Analysis Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Federally Qualified Health Centers (FQHCs),
Hospitals and clinics,
Mid-level practitioners,
Physicians,
Rural Health Clinics (RHCs),
Rural statistics and demographics
Distribution and Retention of General Surgeons in Rural Areas of the U.S.
Research center:
WWAMI Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Health services,
Physicians,
Workforce
Do Community Health Centers Substitute for or Attract Private Rural Physicians?
Research center:
WWAMI Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Federally Qualified Health Centers (FQHCs),
Physicians
Establishing a Fair Payment for Rural Physicians
Research center:
Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Health policy,
Physicians,
Workforce
This project will analyze differences in physician payment as a function of practice location and simulate policy choices that change the current payment formula.
Exploring the Black Box: Design and Implementation Issues of P4P for Rural Physicians
Research center:
Walsh Center for Rural Health Analysis
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Emergency medical services (EMS),
Health care financing,
Physicians
Information about how pay-for-performance (P4P) payment systems work in ambulatory care settings, and in particular, how rural physicians might be affected, is scarce. This study employs qualitative research methods to explore the design and implementation of P4P systems and to investigate effects of P4P on rural physicians in a variety of settings.
In What Types of Communities Do Rural Women Physicians Practice?
Research center:
WWAMI Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Physicians,
Women,
Workforce
Informing Primary Care Depression Intervention: A Comparison of Hospitalization Rates in Depressed Rural and Urban Patients
Research center:
WICHE Center for Rural Mental Health Research
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Mental health,
Physicians
The goal in this research was to examine whether or not there is a differential impact of enhanced depression care on patient outcomes in rural versus urban primary care settings and whether differences are mediated by receiving evidence-based care (pharmacotherapy and specialty care counseling).
Is Medicare Beneficiary Access to Primary Care Physicians At Risk?
Research center:
Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Medicare,
Physicians
This project examined the impact of changes in Medicare payment to physicians on access to care for rural beneficiaries.
Is Rural Residency Training of Family Physicians an Endangered Species? An Interim Follow-up to the 1999 National BBA Study
Research center:
WWAMI Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
International Medical Graduates (IMGs),
Physicians,
Workforce
This study examined the proportion of rural-based family medicine residencies that have ceased operations since 2000, the residency-match experiences of the surviving programs, the proportion of U.S. medical school graduates and international medical graduates, major issues confronting these rural residencies, and likely impacts of these changes on the preparation of future family physicians for rural America.
Medicare Bonus Payments for Physician Care in Health Professional Shortage Areas
Research center:
WWAMI Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Health care financing,
Medicare,
Physicians
National Changes in Physician Supply
Research center:
WWAMI Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
International Medical Graduates (IMGs),
Physicians,
Workforce
This project describes the supply of allopathic and osteopathic physicians in rural and urban areas of the US. Study results will provide a current picture of rural physician supply and its variation by state and by region.
National Rural General Surgeon Project
Research center:
WWAMI Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Health services,
Physicians,
Workforce
National Rural Hospital Flexibility Program Tracking Project: Perceptions of Community Physicians
Research center:
Walsh Center for Rural Health Analysis
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Critical Access Hospitals and Rural Hospital Flexibility Program,
Physicians
Physician Residency Rural Training Baseline Study
Research center:
WWAMI Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Physicians,
Workforce
Rural-Urban Physician Payment Differences Across the Nation: Methodological Changes
Research center:
Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Health policy,
Medicare,
Physicians,
Workforce
This project will simulate the effects of changes to the methodologies used to calculate the three geographic practice cost indices (GPCIs) currently used to adjust physician payment across the 89 Medicare payment areas in the U.S. and territories. Changes to the payment formula will be analyzed to determine potential impact on payment across areas and revenues for rural physician practices.
State Rural Health Workforce Monograph
Research center:
WWAMI Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Physicians,
Workforce
Stay or Leave: Evidence from a Cohort of Young Rural Physicians
Research center:
Walsh Center for Rural Health Analysis
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Physicians,
Workforce
This project aims to improve understanding of the dynamics of physician practice location decision making by examining and analyzing changes in practice locations for a sample of rural physicians.
The Rural/Urban Practice Location Patterns of Women Medical School Graduates
Research center:
WWAMI Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Physicians,
Women,
Workforce
While women are becoming an increasingly large percentage of the graduates of medical schools, they are much less likely to locate their practices in rural towns. This study involved a survey including questions about where the residents preferred to locate and how much they thought they would be practicing in the future.
Webcast: What Rural Primary Care Physicians Need to Know about Treating Patients with Mental Health Diagnoses
Research center:
WICHE Center for Rural Mental Health Research
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Frontier health,
Mental health,
Physicians,
Technology
Training via distance learning technology that promotes collaborative care models in primary care is consistent with federal and state policy recommendations.
Which Training Programs Produce Rural Physicians? A National Health Workforce Study
Research center:
WWAMI Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Physicians,
Workforce
This national study is using comprehensive, longitudinal data on medical schools and residency location to determine the extent to which the nation's medical schools and residency programs vary in their production of rural physicians by specialty.
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