WWAMI Rural Health Research Center
Assessing Potential Unmet Need for Home Healthcare in Rural Areas
This study will estimate potential unmet need for home healthcare in rural areas for fee-for-service Medicare beneficiaries. We will compare rates of home healthcare utilization in rural areas with urban areas, accounting for acute hospital discharges and utilization of inpatient rehabilitation facilities and skilled nursing facilities.
Topics: Health policy, Health services, Home health, Hospitals and clinics, Medicare
Geographic Access to Healthcare for Rural Medicare Beneficiaries: An Update and National Look
This objective of this study is to compare, at a national and census division level, where rural and urban Medicare beneficiaries receive ambulatory care, which types of specialists they utilize and how far beneficiaries are traveling to obtain care.
Topics: Aging, Chronic diseases and conditions, Health policy, Health services, Medicare, Workforce
Increasing the Supply of Providers with a Drug Enforcement Agency Waiver to Treat Opioid Addiction in Rural America – Possible Effects of Permitting Physician Assistants and Nurse Practitioners to Prescribe Buprenorphine
This study will investigate the possible effects on rural access to treatment for opioid use disorder if Drug Enforcement Administration (DEA) waivers to prescribe buprenorphine as an office-based outpatient treatment for opioid addiction are available to Physician Assistants (PAs) and Nurse Practitioners (NPs).
Topics: Health policy, Legislation and regulation, Nurse practitioners, Physician assistants, Physicians, Substance abuse, Workforce
International Medical Graduates on J-1 and H-1B Visas: Understanding Trends in their Contributions to Health Care Delivery for Rural Underserved Populations
This study will identify trends and data needs regarding the contributions of international medical graduates' on J-1 and H-1B visas (IMGs) to rural health care delivery. A workgroup of IMG research and policy stakeholders will be established to help identify IMG supply data trends, needs, and pressing policy issues, lay the groundwork for potential areas of study, data integration and data collection, as well as strengthen the policy-relevance of our work.
Topic: International Medical Graduates (IMGs)
Prehospital Emergency Medical Services Personnel: Comparing Rural and Urban Provider Experience and Provision of Evidence-based Care
This study will describe the relationship between prehospital emergency medical services (EMS) providers’ accumulated experience and provision of evidence-based care for rural and urban populations using newly available data on EMS agencies, personnel, and patient care.
Topics: Allied health professionals, Emergency medical services (EMS), Health services, Workforce
Use of Home Health Services among High Risk Rural Medicare Patients: Patient, Service, and Community Factors Associated with Outcomes of Care
This study will examine outcomes of care for rural Medicare patients who were discharged from hospitals and admitted to home health care for post-acute services. Outcomes will include emergent care use and re-hospitalization during the home health admission and community discharge.
Topics: Health services, Home health, Medicare
What Impact Will Unified GME Accreditation Have on Rural-focused Physician Residencies
The impending unification of allopathic and osteopathic graduate medical education (GME) under a single accreditation system has uncertain implications for small and rural-focused residency programs. This proposed study aims to (1) quantify the rural practice outcomes of residencies in rurally-relevant specialties such as pediatrics, internal medicine, obstetrics/gynecology, emergency medicine, surgery, anesthesia, and psychiatry, and (2) interview key stakeholders to identify anticipated challenges of the accreditation merger and potential policies to strengthen vulnerable rural-focused residencies during the transition.
What Makes Physician Assistant Programs Successful at Training Rural PAs?
A current WWAMI RHRC study has identified the physician assistant (PA ) training programs that have reduced high numbers and high proportions of graduates working in rural areas. The proposed study will extend that work through a physician assistant program survey, identifying key characteristics, admission, and training strategies, and missions of successful rural programs.
Topics: Physician assistants, Workforce