Davis Patterson, PhD

Director, WWAMI Rural Health Research Center

Phone: 206.543.1892
Email: davisp@uw.edu

Department of Family Medicine
University of Washington
4311 Eleventh Ave NE, Suite 210
Seattle, WA 98105


Current Projects - (2)

  • Methamphetamine Use, Mental Health Comorbidities, and Treatment in Rural and Urban Areas
    This study will investigate methamphetamine (meth) use in rural versus urban areas - including meth use in combination with opioids and alcohol, mental health comorbidities, and perceived need for and receipt of treatment by meth users and those with meth use disorder - to identify hotspots for targeting of prevention and treatment resources.
    Research center: WWAMI Rural Health Research Center
    Topics: Mental and behavioral health, Substance use and treatment
  • 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.
    Research center: WWAMI Rural Health Research Center
    Topics: Allied health professionals, Emergency medical services and trauma, Health services, Workforce

Completed Projects - (8)

  • Family Medicine Rural Training Track Graduates: Determinants of Rural and Urban Practice
    This project will survey physicians trained in "1-2" Rural Training Track (RTT) family medicine residencies to understand the characteristics, experiences, and attitudes that influenced their rural or urban practice choices.
    Research center: WWAMI Rural Health Research Center
    Topic: Workforce
  • Influence of State Policies and Practices on J-1 Visa Waiver Physicians Service in Rural Areas
    This study will collect information from all states regarding their efforts to track IMG practice after their Conrad 30 program waiver obligations are satisfied, quantify long-term retention for states with available data, and assess how state policies shape IMG practice and long-term retention.
    Research center: WWAMI Rural Health Research Center
    Topics: International Medical Graduates (IMGs), Physicians, Workforce
  • Novel Master File of Rural Family Medicine Residency Training: Program Models and Graduate Outcomes
    This study expands current work by the WWAMI RHRC to establish a comprehensive database of rural-focused family medicine residency training programs. We will use this database to (1) create a typology of rural-focused family medicine training and (2) evaluate program graduates' outcomes and the success of different program models.
    Research center: WWAMI Rural Health Research Center
    Topics: Physicians, Workforce
  • Pre-hospital Emergency Medical Services Personnel in Rural and Urban Areas: Results from a Survey in Nine States
    This study uses a survey of all ground-based pre-hospital emergency medical services (EMS) agencies in nine states (AR, FL, KS, MA, MT, NM, OR, SC, WI) to examine supply and demand for emergency response personnel, the involvement of medical directors, and the availability of medical consultation, in rural and urban agencies.
    Research center: WWAMI Rural Health Research Center
    Topics: Emergency medical services and trauma, Workforce
  • Rural Training Track Technical Assistance Program
    This project looks into the Rural Training Track Technical Assistance (RTT-TA) Program which is a recognized model for addressing rural primary care physician shortages. The WWAMI RHRC has led the research component to investigate RTT program characteristics, graduate outcomes, and factors affecting RTT sustainability and resilience.
    Research center: WWAMI Rural Health Research Center
    Topics: Physicians, Workforce
  • The Supply and Rural-Urban Distribution of the Obstetrical Care Workforce in the U.S.
    This project will use multiple data sources to characterize the distribution of the obstetrical care workforce in the U.S., comparing health professional-to-population ratios in rural and urban areas. Health professionals examined in this study include obstetricians, family physicians, and certified nurse midwives.
    Research center: WWAMI Rural Health Research Center
    Topics: Healthcare access, Maternal health, Physicians, Workforce
  • 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 study aimed 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.
    Research center: WWAMI Rural Health Research Center
    Topic: Physicians
  • What Is the Potential of Community Paramedicine to Fill Rural Healthcare Gaps?
    Community paramedicine (CP) has been promoted as a strategy to help communities achieve the Triple Aim of improving healthcare and population health while lowering costs. This study proposes to collect descriptive information on CP programs that can be identified in the U.S., and for those programs with outcome data, compare rural with urban programs in terms of their goals, services offered, outcomes measured, and results, where available.
    Research center: WWAMI Rural Health Research Center
    Topics: Allied health professionals, Emergency medical services and trauma

Publications - (34)

2020

2019

2018

2016

  • What Is the Potential of Community Paramedicine to Fill Rural Healthcare Gaps?
    WWAMI Rural Health Research Center
    Date: 11/2016
    This study collected information on rural community paramedicine in the U.S. programs to describe their goals, target populations, services offered, connections with local community providers and resources, outcomes measured, and results, where available.
  • Community Factors and Outcomes of Home Health Care for High-Risk Rural Medicare Beneficiaries
    Policy Brief
    WWAMI Rural Health Research Center
    Date: 10/2016
    Outcomes of care vary by region of the country for rural Medicare beneficiaries receiving home health services for high-risk conditions such as heart failure. Those in the East South Central and West South Central Census Divisions had lower rates of community discharge and higher rates of hospital readmission and emergency department use.
  • Do Residencies that Aim to Produce Rural Family Physicians Offer Relevant Training?
    WWAMI Rural Health Research Center
    Date: 09/2016
    Examines the rural-centric family medicine residencies, their training locations, and rurally relevant skills training provided. Rural training can promote rural practice, but the number of family medicine residencies with a rural focus, geographic distribution of training, and training content are poorly understood.
  • Supply and Distribution of the Behavioral Health Workforce in Rural America
    Policy Brief
    WWAMI Rural Health Research Center
    Date: 09/2016
    This brief uses National Provider Identifier (NPI) data to report on the variability of the supply and provider to population ratios of five types of behavioral health workforce providers (psychiatrists, psychologists, social workers, psychiatric nurse practitioners, counselors) in Metropolitan, Micropolitan and Non-core rural areas across the U.S.
  • Graduates of Rural-centric Family Medicine Residencies: Determinants of Rural and Urban Practice
    Policy Brief
    WWAMI Rural Health Research Center
    Date: 07/2016
    This study of graduates of family medicine residencies seeking to produce rural physicians identified influences on rural practice choice, including significant others, residency, and practice communities. Findings point to the need to sustain the preferences of physicians interested in rural practice and encourage this interest in others.
  • Conrad 30 Waivers for Physicians on J-1 Visas: State Policies, Practices, and Perspectives
    Report
    WWAMI Rural Health Research Center
    Date: 03/2016
    States rely on international medical graduates (IMGs) to fill workforce gaps in rural and urban underserved areas. This study collected quantitative and qualitative information from states to assess how state policies and practices shape IMG recruitment and practice in underserved areas.
  • How Could Nurse Practitioners and Physician Assistants Be Deployed to Provide Rural Primary Care?
    Policy Brief
    WWAMI Rural Health Research Center
    Date: 03/2016
    New (2014) rural enrollees in the insurance plans on federal and state exchanges are expected to generate about 1.39 million primary care visits per year. At a national level, it would require 345 full-time equivalent physicians to provide those visits. This study examines how different mixes of physicians, PAs, and NPs might meet the increase.
  • Outcomes of Rural-Centric Residency Training to Prepare Family Medicine Physicians for Rural Practice
    Policy Brief
    WWAMI Rural Health Research Center
    Date: 03/2016
    Among those with eight or more weeks of rural training, no single program characteristic or model offered sustained advantages over any other type in producing high yields to rural practice.
  • Access to Rural Home Health Services: Views from the Field
    Report
    WWAMI Rural Health Research Center
    Date: 02/2016
    Access to home health care can be challenging for rural Medicare clients. Key informants for this study detailed obstacles, including financial, regulatory, workforce, and geographic issues. Rural communities will likely benefit from payment reforms that reward quality services while providing incentives to use best practices in home health care.
  • Family Medicine Rural Training Track Residencies: 2008-2015 Graduate Outcomes
    Policy Brief
    WWAMI Rural Health Research Center
    Date: 02/2016
    This policy brief is the latest in a series tracking the rural practice outcomes of family physicians who have completed graduate medical education in Rural Training Track (RTT) residency programs.

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