Impact of Cancer Survivorship Care Training on Rural Primary Care Practice Teams: a Mixed Methods Approach

2020 ◽  
Author(s):  
Betsy Risendal ◽  
◽  
John M. Westfall ◽  
Linda Zittleman ◽  
Carol Hodgson ◽  
...  
Keyword(s):  
Primary Care ◽  
Mixed Methods ◽  
Cancer Survivorship ◽  
Primary Care Practice ◽  
Care Practice ◽  
Survivorship Care ◽  
Mixed Methods Approach ◽  
Rural Primary Care ◽  
Care Training

Screening for depression within a rural primary care practice by a self-rating depression scale

2000 ◽  
Vol 6 (2) ◽  
pp. 73-76 ◽  
Author(s):  
Joshua E. Lane ◽  
Sylvia Shellenberger ◽  
Kenneth W . Gresen ◽  
Norman C. Moore
Keyword(s):  
Primary Care ◽  
Primary Care Practice ◽  
Depression Scale ◽  
Care Practice ◽  
Rural Primary Care ◽  
Self Rating

Implementing the Chronic Care Model for Improvements in Diabetes Care and Education in a Rural Primary Care Practice

2005 ◽  
Vol 31 (2) ◽  
pp. 225-234 ◽  
Author(s):  
Linda M. Siminerio ◽  
Gretchen Piatt ◽  
Janice C. Zgibor
Keyword(s):  
Primary Care ◽  
Patient Outcomes ◽  
Chronic Care ◽  
Primary Care Practice ◽  
Self Management ◽  
Standards Of Care ◽  
Care Practice ◽  
Practice Setting ◽  
Care Model ◽  
Rural Primary Care

Purpose The purpose of this pilot study was to determine the impact of implementing elements of the chronic care model (CCM; decision support, self-management, and delivery system redesign) on providers' diabetes care practices and patient outcomes in a rural practice setting. Methods In this pilot study, 104 patients with type 2 diabetes and 6 providers in a rural primary care practice were involved in an intervention that included a certified diabetes educator (CDE) who educated and supported providers on diabetes management and adherence to the American Diabetes Association (ADA) Standards of Care over the year of the project. The CDE also provided diabetes self-management education (DSME) at the office site for 29 of the 104 patients who received their care in the practice. The following variables were evaluated: provider perceived barriers to care and adherence to ADA standards of care and patient A1C, blood pressure, cholesterol, knowledge, and empowerment levels. Results Provider adherence to ADA Standards of Care increased significantly across all process measures. Patients who received DSME at point of service in the primary care practice setting gained improvements in knowledge, empowerment, A1C, and high-density lipoprotein cholesterol levels. Conclusions Implementing systems to support decision support, selfmanagement education, and delivery system redesign has a positive influence on practices and patient outcomes in outlying rural communities.

A new mixed methods approach to uncover multi-level barriers and facilitators of cancer survivorship.

2018 ◽  
Vol 36 (7_suppl) ◽  
pp. 36-36
Author(s):  
Autumn Kieber-Emmons ◽  
Benjamin F Crabtree ◽  
William Miller
Keyword(s):  
Primary Care ◽  
Mixed Methods ◽  
Cancer Survivorship ◽  
Cancer Mortality ◽  
Qualitative Inquiry ◽  
Barriers And Facilitators ◽  
Assessment Process ◽  
Survivorship Care ◽  
Multi Level ◽  
Multiple Levels

36 Background: As healthcare becomes increasingly complex, research needs to take into account multi-level interactions that contribute to public health issues. One such area ripe for multi-level investigation is cancer survivorship care, illuminated in the 2006 Lost in Transition Institute of Medicine report on cancer survivors. We have developed a novel method that aims to understand barriers and facilitators of cancer survivorship from multiple levels, including community factors, medical system features, and policy and environmental influences. Methods: Our method, focused Rapid Assessment Process (fRAP), utilizes mixed methods at multiple levels to better understand cancer survivorship care with a primary care lens. fRAP begins with Geographic Information Systems (GIS) to map variables relevant to cancer survivorship care, such as cancer mortality rates, insurance coverage, and oncology and primary care provider sites. Qualitative participant observation and semi-structured interviews of informants from each level are then undertaken to better understand how cancer survivorship care is delivered within a county or census tract. Lastly, modifiable contextual factors from all levels are identified, as potential future environmental policy change targets. Results: As a development and pilot of our novel fRAP, we have designed, tested, revised and retested our methods over the last 3 years within the framework of two national grant-funded studies on cancer survivorship in primary care. Preliminary modifiable factors of interest affecting cancer survivorship care have been identified for future dissemination. The newest and current iteration of our methods has focused on utilizing GIS specifically to identify hot spots of cervical cancer mortality disparities in order to provide the richest contextual environment for subsequent qualitative inquiry into survivorship care. Conclusions: fRAP is a novel mixed method that has potential to identify modifiable barriers and facilitators of high-quality cancer survivorship care nationally, and may aid in policy improvements in health and healthcare delivery for survivors.

The Growth and Evolution of Rural Primary Care Practice

Medical Care ◽  
1978 ◽  
Vol 16 (10) ◽  
pp. 819-827 ◽  
Author(s):  
Roger Rosenblatt ◽  
Ira Moscovice
Keyword(s):  
Primary Care ◽  
Primary Care Practice ◽  
Care Practice ◽  
Rural Primary Care

The Case for Integration of Social Work Psychosocial Services into Rural Primary Care Practice

1997 ◽  
Vol 22 (1) ◽  
pp. 20-29 ◽  
Author(s):  
L. W. Badger ◽  
B. Ackerson ◽  
F. Buttell ◽  
E. H. Rand
Keyword(s):  
Primary Care ◽  
Social Work ◽  
Primary Care Practice ◽  
Care Practice ◽  
Psychosocial Services ◽  
Rural Primary Care

scholarly journals A multifaceted primary care practice-based intervention to reduce ED visits and hospitalization for complex medical patients: A mixed methods study

PLoS ONE ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. e0209241 ◽  
Author(s):  
Tara O’Brien ◽  
Noah Ivers ◽  
Onil Bhattacharyya ◽  
Andrew Calzavara ◽  
Laura Pus ◽  
...  
Keyword(s):  
Primary Care ◽  
Mixed Methods ◽  
Primary Care Practice ◽  
Mixed Methods Study ◽  
Care Practice ◽  
Medical Patients ◽  
Ed Visits

scholarly journals Collaborating with Rural Practice Patners to Address the Need for RNs in Primary Care

2020 ◽  
Vol 20 (2) ◽  
pp. 179-193
Author(s):  
Robin Brown ◽  
Heidi Mennenga ◽  
Alham Abuatiq ◽  
Linda Burdette ◽  
Leann Horsley ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Practice ◽  
Needs Assessment ◽  
Registered Nurses ◽  
Primary Care Practice ◽  
Rural Practice ◽  
Care Practice ◽  
Rural Primary Care ◽  
Assessment Survey ◽  
Needs Assessment Survey

Abstract Purpose: Primary care in rural areas of the U.S. urgently need competent healthcare providers, especially registered nurses (RNs). Registered nurses are ideal team members to help meet the primary care needs in rural communities, yet RNs are underutilized in primary care settings and rarely practice to the full scope of their license in these settings. The purpose of the project was to conduct a needs assessment with rural primary care practice partners to address the need for RNs in primary care. Sample: A needs assessment was sent to nurse leaders at 13 rural primary care facilities via an online survey in December 2018. Methods: This descriptive exploratory study utilized an online needs assessment survey to gather information from 13 rural clinical practice partners regarding their knowledge, interest, and use of RNs in primary care. Results: Twelve of the 13 rural clinical practice partners completed the needs assessment survey. A majority of the clinical partners indicated they felt knowledgeable about the RN full scope of license and expressed a high interest in the expanded role of the RN in primary care. The clinical practice partners reported interest in providing independent RN chronic and acute care visits, care management, medication management, and collaborative provider and RN visits. Conclusion: Conducting a needs assessment and collaborating with rural primary care practice partners to address the need for RNs in primary care is the first step in developing policies and utilizing RNs to the full scope of their license.             Keywords: primary care, rural, registered nurses    

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