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Research Studies is a compilation of published research articles funded by 大象视频or authored by 大象视频researchers.

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1 to 5 of 5 Research Studies Displayed
Holtrop JS, Mullen R, Curcija K
Increasing medication assisted treatment in rural primary care practice: a qualitative comparative analysis from IT MATTTRs Colorado.
The purpose of this mixed-methods study was to investigate conditions behind an increase in medication assisted treatment (MAT) in primary care practices in rural Colorado. Researchers used data from interviews, observations, surveys, and practice-reports. Participants were staff members from rural primary care practices in Colorado. The results indicated that having a MAT-waivered prescribing clinician on staff and a MAT system in place were necessary conditions for providing MAT. Practice size was also associated with differences in conditions for MAT provision. The researchers concluded that implementation of MAT in rural primary care is a complex task that may benefit from behavioral health resources and clinicians with prior MAT experience.
AHRQ-funded; HS025056.
Citation: Holtrop JS, Mullen R, Curcija K . Increasing medication assisted treatment in rural primary care practice: a qualitative comparative analysis from IT MATTTRs Colorado. Frontiers in Medicine 2024 Oct 2; 11:1450672. doi: 10.3389/fmed.2024.1450672..
Keywords: Medication, Primary Care, Rural Health, Rural/Inner-City Residents, Opioids, Substance Abuse, Behavioral Health
Turi E, McMenamin AL, Courtwright S
Nurse practitioner work environment and rural primary care for substance use.
This study explored how the work environment of nurse practitioners (NPs) affects access to primary care for rural older adults with substance use disorders (SUD). Analysis of NP survey data combined with Medicare claims showed that a one-unit improvement in the NP work environment increased the odds of treating older adults with SUD by 20% (adjusted odds ratio=1.20, p=0.04). Supportive environments for NPs lead to better access to care for these patients.
AHRQ-funded; HS029435.
Citation: Turi E, McMenamin AL, Courtwright S . Nurse practitioner work environment and rural primary care for substance use. J Nurse Pract 2024 Oct; 20(9). doi: 10.1016/j.nurpra.2024.105152..
Keywords: Primary Care, Rural Health, Rural/Inner-City Residents, Substance Abuse, Behavioral Health, Provider: Nurse
Shear K, Rice H, Garabedian PM
Management of fall risk among older adults in diverse primary care settings.
The purpose of this study was to describe how urban and rural primary care staff and older adults manage fall risk and factors relevant to the application of computerized clinical decision support (CCDS). METHODS: Interviews, contextual inquiries, and workflow observations were analyzed. The study found that participants valued fall prevention and described similar approaches. Variations in available resources existed between rural and urban locations. Participants wanted evidence-based guidance incorporated into workflows to bridge gaps in skills.
AHRQ-funded; HS027557.
Citation: Shear K, Rice H, Garabedian PM . Management of fall risk among older adults in diverse primary care settings. J Appl Gerontol 2023 Nov; 42(11):2219-32. doi: 10.1177/07334648231185757..
Keywords: Falls, Elderly, Primary Care, Rural Health, Rural/Inner-City Residents
Bridges NC, Taber R, Foulds AL
Medications for opioid use disorder in rural primary care practices: patient and provider experiences.
This study鈥檚 purpose was to gain a better understanding of the barriers and facilitators operating at multiple levels to access or provide medications for opioid use disorder (MOUD) in rural Pennsylvania. The authors interviewed patients and providers who were involved in the Rural Access to Medication Assisted Treatment in Pennsylvania (RAMP) Project, which facilitated adoption of MOUD in rural primary care clinics. The study conducted 35 semi-structured interviews with MOUD patients and MOUD providers participating in RAMP. The interviews were coded by the study team. Themes from the qualitative interviews were organized in five nested levels: individual, interpersonal, health care setting, community, and public policy. Patients and providers agreed on many barriers (such as lack of providers, lack of transportation, insufficient rapport and trust in patient-provider relationship, and cost, etc.); however, their interpretation of the barrier, or indicated solution, diverged in meaningful ways. Patients described their experiences in broad terms pointing to the social determinants of health while providers focused on their professional roles, responsibilities, and operations within the primary care setting.
AHRQ-funded; HS025072.
Citation: Bridges NC, Taber R, Foulds AL . Medications for opioid use disorder in rural primary care practices: patient and provider experiences. J Subst Use Addict Treat 2023 Nov; 154:209133. doi: 10.1016/j.josat.2023.209133..
Keywords: Rural Health, Rural/Inner-City Residents, Opioids, Medication, Substance Abuse, Behavioral Health, Primary Care
Hatch BA, Kenzie E, Ramalingam N
Impact of the COVID-19 vaccination mandate on the primary care workforce and differences between rural and urban settings to inform future policy decision-making.
The purpose of this cross-sectional study was to determine how vaccine mandates affect the healthcare workforce. Between October 28, 2021- November 18, 2021, following implementation of a COVID-19 vaccination mandate for healthcare personnel, the researchers conducted a survey of Oregon primary care clinic staff. The survey included 19 questions that assessed the clinic-level effects of the vaccination mandate. Study outcomes included job loss among staff, receipt of an approved vaccination waiver, new vaccination among staff, and the perceived significance of the policy on clinic staffing. Staff from 80 clinics across 28 counties completed surveys, representing 38 rural and 42 urban clinics. The study found that clinics reported job loss (46%), use of vaccination waivers (51%), and newly vaccinated staff (60%). Significantly more rural clinics (compared to urban) used medical and/or religious vaccination waivers (71% vs 33%) and reported significant impact on clinic staffing (45% vs 21%). There was also a non-significant trend toward more job loss for rural compared to urban clinics (53% vs. 41%). Qualitative analysis revealed a decrease in clinic morale and mixed opinions of the vaccination mandate.
AHRQ-funded; HS027080.
Citation: Hatch BA, Kenzie E, Ramalingam N . Impact of the COVID-19 vaccination mandate on the primary care workforce and differences between rural and urban settings to inform future policy decision-making. PLoS One 2023 Jun 27; 18(6):e0287553. doi: 10.1371/journal.pone.0287553..
Keywords: COVID-19, Vaccination, Primary Care, Policy, Rural Health, Urban Health, Rural/Inner-City Residents

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