Rural Health
Research Gateway

Shailendra Prasad, MBBS, MPH

University of Minnesota Rural Health Research Center

Email: shailey@umn.edu

University of Minnesota
Division of Health Policy and Management
2221 University Ave SE, #350
Minneapolis, MN 55455

Publications - (22)

2020

  • Nurse Practitioner Autonomy and Complexity of Care in Rural Primary Care
    Journal Article
    University of Minnesota Rural Health Research Center
    Date: 07/2020
    The increasing number of nurse practitioners (NPs) in the rural U.S. has the potential to help alleviate primary care shortages. Using a nationwide source of claims and Electronic Health Record data from 2017, this study constructs measures of NP clinical autonomy and complexity of care.
  • Rural and Urban Differences in Primary Care Pain Treatment by Clinician Type
    Policy Brief
    University of Minnesota Rural Health Research Center
    Date: 04/2020
    In this brief, we compare 2017 opioid prescribing rates among physicians and nurse practitioners within primary care practices and how these differ for rural versus urban areas.

2018

2017

  • Barriers to Nursing Home Care for Nonelderly Rural Residents
    Journal Article
    University of Minnesota Rural Health Research Center
    Date: 12/2017
    This study uses data from 23 semi-structured interviews with rural hospital discharge planners in five states to identify specific barriers to finding nursing home care for nonelderly rural residents. We found three primary themes—payment status, fit, and medical complexity—as well as two minor themes—caregivers and bureaucratic processes.
  • Rural-Urban Differences in Medicare Quality Outcomes and the Impact of Risk Adjustment
    Journal Article
    University of Minnesota Rural Health Research Center
    Date: 09/2017
    This study examined the differences in quality of care outcomes between rural and urban Medicare beneficiaries. It concluded that rurality should be considered when discussing risk-adjustment procedures.
  • Identifying Adverse Drug Events in Rural Hospitals: An Eight-State Study
    Policy Brief
    University of Minnesota Rural Health Research Center
    Date: 05/2017
    Analyzes the prevalence of Adverse Drug Events (ADEs) in rural hospitals, including both CAHs and rural PPS hospitals, related to four categories of drugs: steroids, antibiotics, opiates / narcotics, and anticoagulants in 2013 for eight states. It also examines whether or not these hospitals' ADE rates varied based on hospital characteristics.
  • Medical Barriers to Nursing Home Care for Rural Residents
    Policy Brief
    University of Minnesota Rural Health Research Center
    Date: 05/2017
    This policy brief describes barriers rural residents with complex medical care needs may face when seeking placement in a nursing home and identifies potential policy strategies to overcome them.
  • Resources to Reduce Adverse Drug Events in Rural Hospitals
    Policy Brief
    University of Minnesota Rural Health Research Center
    Date: 05/2017
    This policy brief provides resources that could be used to decrease Adverse Drug Events (ADEs) in rural hospitals.
  • Rural Hospital Employment of Physicians and Use of Cesareans and Nonindicated Labor Induction
    Journal Article
    University of Minnesota Rural Health Research Center
    Date: 03/2017
    Findings are shared from a study that discovered the types of doctors employed at rural hospitals may make a difference in the rates of cesarean births.

2016

2015

2014

2013

2010

  • The Effect of Health Information Technology on Quality in U.S. Hospitals
    Journal Article
    University of Minnesota Rural Health Research Center
    Date: 04/2010
    This study examines changes in quality of care following adoption of electronic health records among a national sample of U.S. hospitals from 2004 to 2007. The use of computerized physician order entry and electronic health records resulted in significant improvements in two quality measures; larger effects in academic than nonacademic hospitals.