Health services

Journal Articles

Listed by publication date. You can also view these publications alphabetically.

2019

2018

  • Service Provision and Quality Outcomes in Home Health for Rural Medicare Beneficiaries at High Risk for Unplanned Care
    WWAMI Rural Health Research Center
    Date: 06/2018
    This study examined service provision and quality outcomes among rural Medicare beneficiaries who used home health from 2011-2013 and were at high risk for unplanned care. More skilled nursing visits and visits by more types of providers were associated with higher hospital readmission and emergency department use and lower community discharge.
  • Telepharmacy Rules and Statutes: A 50-State Survey (Journal Article)
    RUPRI Center for Rural Health Policy Analysis
    Date: 05/2018
    Peer-reviewed paper identifying state-enacted regulations and legislation authorizing use of community telepharmacy initiatives and describing implications for patients in underserved rural communities. Also provides a table listing states that permit telepharmacy, and pilot programs and waivers that enable telepharmacy initiatives.

2017

2016

2015

  • Rural Bypass for Elective Surgeries
    RUPRI Center for Rural Health Policy Analysis
    Date: 11/2015
    Describes the elective surgical bypass rate, the procedures most commonly bypassed by rural residents, the distribution of volume among Critical Access Hospitals (CAHs) that offer elective surgical services, and factors predictive of bypass.

2008

  • Access to Specialty Health Care for Rural American Indians in Two States
    WWAMI Rural Health Research Center
    Date: 06/2008
    Examines access to specialty services among rural Indian populations in Montana and New Mexico, based on a survey sent to primary care providers addressing access to specialty physicians, perceived barriers to access, and access to nonphysician clinical services.
  • Access to Cancer Services for Rural Colorectal Cancer Patients
    WWAMI Rural Health Research Center
    Date: 2008
    Includes findings from a study to determine how far rural and urban colorectal cancer (CRC) patients travel to three types of specialty cancer care services-surgery, medical oncology consultation, and radiation oncology consultation.

2007

  • Intensive Care in Critical Access Hospitals
    North Carolina Rural Health Research and Policy Analysis Center
    Date: 2007
    Describes the facilities, equipment, and staffing used by Critical Access Hospitals (CAHs) for intensive care, the types of patients receiving ICU care, and the perceived impact of closing the ICU on CAH staff and the local community.
  • Patient Bypass Behavior and Critical Access Hospitals: Implications for Patient Retention
    FORHP-funded Individual Grantees
    Date: 2007
    Describes the results of a study to assess the extent of bypass for inpatient care among patients living in Critical Access Hospital (CAH) service areas, and to determine factors associated with bypass, the reasons for bypass, and what CAHs can do to retain patients locally.

2006

2005

  • Are Primary Care Services a Substitute or Complement for Specialty and Inpatient Services?
    WICHE Center for Rural Mental Health Research
    Date: 2005
    Analyses show primary care service use increases were associated with increases in all specialty outpatient services and inpatient services, as well as increases in inpatient/outpatient costs. Results show that health systems can implement strategies encouraging members to use more primary care services without driving up physical health costs.
  • Delivery Complications Associated With Prenatal Care Access for Medicaid-Insured Mothers in Rural and Urban Hospitals
    Rural and Minority Health Research Center
    Date: 2005
    Examined access to healthcare during pregnancy for mothers insured by Medicaid as well as the risks of potentially avoidable maternity complications among rural and urban hospital deliveries for groups of mothers defined by race or ethnicity.
  • Does Improving Geographic Access to VA Primary Care Services Impact Patients' Patterns of Utilization and Costs?
    WICHE Center for Rural Mental Health Research
    Date: 2005
    This article examines whether the establishment of community-based outpatient clinics has affected access, use, and costs for the Department of Veterans Affairs.
  • The Effects of Rural Residence and Other Social Vulnerabilities on Subjective Measures of Unmet Need
    North Carolina Rural Health Research and Policy Analysis Center
    Date: 2005
    Are self-reports of unmet need a biased measure of access to healthcare? We examined the relationship between rural residence and perceived need for physician services and the likelihood of reporting a need for routine preventive care and/or specialty care using data from the National Survey of Children with Special Health Care Needs.
  • Explaining Black-White Differences in Receipt of Recommended Colon Cancer Treatment
    WWAMI Rural Health Research Center
    Date: 2005

    Black-white disparities exist in receipt of recommended medical care, including colorectal cancer treatment. This retrospective cohort study examines the degree to which health systems (e.g., physician, hospital) factors explain black-white disparities in colon cancer care. Black and white Medicare-insured colon cancer patients have an equal opportunity to learn about adjuvant chemotherapy from a medical oncologist but do not receive chemotherapy equally. Little disparity was explained by health systems; more was explained by illness severity, social support, and environment. Further qualitative research is needed to understand the factors that influence the lower receipt of chemotherapy by black patients.

  • More May Be Better: Evidence of a Negative Relationship Between Physician Supply and Hospitalization for Ambulatory Care Sensitive Conditions
    Rural and Minority Health Research Center
    Date: 2005
    The authors conducted an empirical test of the relationship between physician supply and hospitalization for ambulatory care sensitive conditions.
  • Providing Hospice Care in Rural Areas: Challenges and Strategies to Address Them
    University of Minnesota Rural Health Research Center
    Date: 2005

    Hospices in rural settings face challenges in the provision of hospice care as a result of their location and the size of their service area population. To ascertain the challenges that hospices face in serving rural communities, researchers conducted in-depth case studies of four different models of hospice care in rural areas. The authors describe strategies used by the case study hospices and recommend policies that could increase access to hospice care for rural Medicare beneficiaries and other rural residents. National initiatives to improve end-of-life care need to consider the special challenges faced by rural hospices.

1997