An evaluation of subsidized rural primary care programs: I. A typology of practice organizations.

Sheps, C G; Wagner, Edward H.; Schonfeld, Warren H.; DeFriese, Gordon H.; Bachar, Miriam E.; Brooks, Edward F.; Gillings, Dennis B.; Guild, Priscilla A.; Konrad, Thomas R.; McLaughlin, Curtis P.; Ricketts, Thomas C.; Seipp, Conrad; Stein, Jane

doi:10.2105/ajph.73.1.38

Cited by 15 publications

(7 citation statements)

References 12 publications

(6 reference statements)

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“…Although transportation problems are a known barrier to primary care services, 35 there has been little documented about transportation problems and medication adherence. This finding may be salient primarily in rural areas where travel distances are greater, pharmacies are fewer, and public transportation is scarce.…”

Section: Discussionmentioning

confidence: 99%

Primary Medication Adherence in a Rural Population: The Role of the Patient-Physician Relationship and Satisfaction with Care

Wroth¹,

Pathman

2006

The Journal of the American Board of Family Medicine

120

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Introduction: Although correlates of overall medication adherence have been studied, little is known about primary medication non-adherence-patients' failing to fill a prescription provided by a practitioner-and whether it relates to how patients view their physician, satisfaction with their care, and how easy or hard it is for them to travel for care.Methods: This study uses telephone survey data from adults in 150 rural counties in 8 southeastern states. Bivariate and multivariable analyses were used to identify factors associated with adults' selfreports of delaying or not filling prescriptions.Results: Of the 3926 respondents who had received care in the previous year, 894 (21.6%) reported that they had delayed or did not fill a prescription over that time. In multivariate analysis, delaying or not filling prescriptions was more common among respondents who were under age 65, African American, reported incomes less than $25,000, and reported fair or poor health. Non-adherence was also more common among patients who reported transportation problems, a lack of confidence in their doctor's ability to help them, a lack of satisfaction with the concern shown them by their physicians, and a lack of satisfaction with how welcome and comfortable they are made to feel by office staff. Conclusions: Prescription primary non-adherence is prevalent in the rural

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Section: Discussionmentioning

confidence: 99%

Primary Medication Adherence in a Rural Population: The Role of the Patient-Physician Relationship and Satisfaction with Care

Wroth¹,

Pathman

2006

The Journal of the American Board of Family Medicine

120

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“…[4][5][6] The study sample includes 193 rural primary care organizations providing services since 1978 or earlier that received government or foundation financial support at some point in their history. These were randomly selected from 464 programs in the United States meeting our study criteria.…”

Section: Methodsmentioning

confidence: 99%

An evaluation of subsidized rural primary care programs: III. Stress and survival, 1981-82.

Ricketts¹,

Guild²,

Sheps³

et al. 1984

Am J Public Health

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“…( 1 987) A number of studies, based on 1979 data from the National Rural Primary Care Evaluation Project, have analyzed the differences between various primary care organizational forms, such as the differences between CHCs and organized group practices (Ricketts, Guild, Sheps & Wagner, 1984;Sheps & Bachar, 1981;Sheps, et al, 1983). These studies found that CHCs have higher costs and lower efficiency, when compared to organized group practices .…”

Section: Associated Group Practice (Agp)mentioning

confidence: 99%

Alternative Models for the Delivery of Rural Health Services*

Christianson¹,

Grogan²

1990

The Journal of Rural Health

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A number of alternatives to the solo, fee-for-service physician model have been pursued in an attempt to alleviate some of the specific problems associated with the delivery of primary care in rural areas. This article reviews and critiques the literature published in the 1980s for four alternative models: organized group practices, community health centers, community-oriented primary care and managed care systems. The review examines the strengths and shortcomings of the existing literature, and identifies high-priority research areas for each model. These four alternative models were introduced and promoted during the 1970s with little in the way of research evidence to support them. The subsequent literature pertaining to their performance was primarily descriptive. Of the quantitative studies, many utilized 1970s data. Therefore, the effects of the many environmental changes in rural areas during the 1980s on the viability of these models is unknown. In addition, little, if anything, is known about the life cycle of these models. While longitudinal, cross-organizational studies present several logistic difficulties and require considerable resources for data collection, they hold the promise of extending the existing knowledge concerning alternative models beyond its present states.

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An evaluation of subsidized rural primary care programs: I. A typology of practice organizations.

Cited by 15 publications

References 12 publications

Primary Medication Adherence in a Rural Population: The Role of the Patient-Physician Relationship and Satisfaction with Care

Primary Medication Adherence in a Rural Population: The Role of the Patient-Physician Relationship and Satisfaction with Care

An evaluation of subsidized rural primary care programs: III. Stress and survival, 1981-82.

Alternative Models for the Delivery of Rural Health Services*

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