Claudia Schur, PhD


Completed Projects - (2)

Public Health System Performance Measurement: Are Standards Applicable to Rural Communities?
This project aims to increase understanding of how public health governance affects the structure of public health services, and how this in turn influences the strategies adopted for meeting community public health needs in rural areas.
Research center: NORC Walsh Center for Rural Health Analysis
Topics: Legislation and regulation, Public health
Rural Hospital Participation in the 340B Drug Discount Program
The 340B drug discount program enables certain types of safety net organizations to obtain deeply discounted medications, at prices below the 'best price' typically offered to Medicaid agencies. This study used telephone interviews and mail surveys to explore the experiences that rural hospitals have had in seeking 340B eligibility status.
Research centers: NORC Walsh Center for Rural Health Analysis, North Carolina Rural Health Research and Policy Analysis Center
Topics: Hospitals and clinics, Pharmacy and prescription drugs

Publications - (6)

  • 340B Drug Pricing Program: Results of a Survey of Eligible but Non-Participating Rural Hospitals
    NORC Walsh Center for Rural Health Analysis, North Carolina Rural Health Research and Policy Analysis Center
    Date: 01/2007
    Summarizes the results of a 2006 survey of pharmacy directors at rural hospitals that are eligible but currently not participating in the 340B Drug Pricing Program, which enables certain types of safety-net organizations to obtain discounted outpatient medications.
  • 340B Drug Pricing Program: Results of a Survey of Participating Hospitals
    NORC Walsh Center for Rural Health Analysis, North Carolina Rural Health Research and Policy Analysis Center
    Date: 05/2007
    Presents the results of a survey of pharmacy directors at rural hospitals currently buying discounted outpatient drugs through the 340B program. The purpose was to understand the perspectives of pharmacy directors on the 340B program in general, the financial impact of the program, and which specific program features presented barriers to its broader implementation.
  • Perspectives Of Rural Hospitals On Bioterrorism Preparedness Planning
    NORC Walsh Center for Rural Health Analysis
    Date: 04/2004
    Representatives from several rural hospitals met to discuss various aspects of bioterrorist preparedness in terms of workforce and training, physical capacity and supplies, communication, and coordination with other entities. Three main themes emerged from the discussion: 1) Bioterrorism resources have the potential to improve the rural health care delivery system, 2) A "cookie-cutter" model does not work for rural hospitals, and 3) Strategies for coping with a bioterrorist event need to be practical and have dual use.
  • Rural Hospitals' Experience with the 340B Drug Pricing Program
    NORC Walsh Center for Rural Health Analysis, North Carolina Rural Health Research and Policy Analysis Center
    Date: 09/2007
    Policy brief describing the results of surveys of rural hospitals participating in the 340B drug pricing program and of rural eligible but non-participating hospitals. Includes information on factors affecting participation in the program and the benefits and challenges of participation.
  • Satisfaction with Practice and Decision to Relocate: An Examination of Rural Physicians
    NORC Walsh Center for Rural Health Analysis
    Date: 05/2009
    The goal of this project was to improve our understanding of the dynamics of physician practice location decision making. The inability of rural areas to attract and retain physicians has been of concern to health services researchers and policymakers for many years. This project tracked practice locations of a cohort of physicians using information on physicians who were identified during the early stages of their medical careers as part of the National Survey of Rural Physicians (NSRP), conducted in 1993-1994 with funding from the Robert Wood Johnson Foundation. These data were supplemented with information on the current practice locations of physicians in the cohort, and with data from a follow-up survey that also asked a battery of satisfaction questions. For the subset of sampled physicians who responded to the NSRP, we identified factors correlated with the decision to maintain a rural practice. Contingency tables were used to test a variety of hypotheses concerning factors affecting the physician's decision to continue practice in a rural community, along with statistical analyses to examine relationships between these factors.
  • Understanding The Role Of The Rural Hospital Emergency Department In Responding To Bioterrorist Attacks And Other Emergencies: A Review Of The Literature And Guide To The Issues
    NORC Walsh Center for Rural Health Analysis
    Date: 04/2004
    Reviews issues affecting rural hospitals' level of readiness for bioterrorist attack. Issues examined include physical capacity, sufficiency of health personnel, preparedness plans, disease surveillance systems, and communication/coordination. Concerns about funding cut across all the issues of preparedness.