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Health Serv Res. 1989 February; 23(6): 931–974.
PMCID: PMC1065543

Primary health care in rural areas: an agenda for research.

Abstract

The confluence of forces slowing the growth of the physician supply despite a continued shortage of primary care physicians, the encouragement of competitive medical practices that centralize resources in larger places, and the changing of the rural population's character to one of more dependence on medical care may bring on another "rural health crisis" in the decade ahead.

Full text

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Selected References

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  • Aiken LH, Lewis CE, Craig J, Mendenhall RC, Blendon RJ, Rogers DE. The contribution of specialists to the delivery of primary care. N Engl J Med. 1979 Jun 14;300(24):1363–1370. [PubMed]
  • Andersen RM, McCutcheon A, Aday LA, Chiu GY, Bell R. Exploring dimensions of access to medical care. Health Serv Res. 1983 Spring;18(1):49–74. [PMC free article] [PubMed]
  • Banahan BF, 3rd, Sharpe TR. Evaluation of the use of rural health clinics: knowledge, attitudes, and behaviors of consumers. Public Health Rep. 1982 May-Jun;97(3):261–268. [PMC free article] [PubMed]
  • Boyd EW, Konrad TR, Seipp C. In and out of the mainstream: the miners' medical program, 1946-78. J Public Health Policy. 1982 Dec;3(4):432–444. [PubMed]
  • Bradham DD, McLaughlin CP, Ricketts TC. The ability of aggregate data to predict self-sufficiency levels in subsidized rural primary care practices. J Rural Health. 1985 Jul;1(2):56–68. [PubMed]
  • Brooks EF, Bernstein JD, DeFriese GH, Graham RM. New health practitioners in rural satellite health centers: the past and future. J Community Health. 1981 Summer;6(4):246–256. [PubMed]
  • Brooks EF, Johnson SL. Nurse practitioner and physician assistant satellite health centers. The pending demise of an organizational form? Med Care. 1986 Oct;24(10):881–890. [PubMed]
  • Cales RH, Trunkey DD. Preventable trauma deaths. A review of trauma care systems development. JAMA. 1985 Aug 23;254(8):1059–1063. [PubMed]
  • Cawley JF. The physician assistant profession: current status and future trends. J Public Health Policy. 1985 Mar;6(1):78–99. [PubMed]
  • Cherkin DC, Phillips WR, Berg AO. A method for estimating the population at risk in primary care practices by applying correction factors to the active patient census. J Fam Pract. 1984 Sep;19(3):355–363. [PubMed]
  • Cromwell J, Mitchell JB, Calore KA, Iezzoni L. Sources of hospital cost variation by urban-rural location. Med Care. 1987 Sep;25(9):801–829. [PubMed]
  • Davidson RA, Fletcher SW, Retchin S, Duh S. A nurse-initiated reminder system for the periodic health examination. Implementation and evaluation. Arch Intern Med. 1984 Nov;144(11):2167–2170. [PubMed]
  • Deprez RD, Pennell BE, Libby MA. The substitutability of outpatient primary care in rural community health centers for inpatient hospital care. Health Serv Res. 1987 Jun;22(2):207–233. [PMC free article] [PubMed]
  • Demers RY, Altamore R, Mustin H, Kleinman A, Leonardi D. An exploration of the dimensions of illness behavior. J Fam Pract. 1980 Dec;11(7):1085–1092. [PubMed]
  • Farrow S, Harrison W, Kaluzny A, Newsome K. An empirical definition of "primary care". J Community Health. 1980 Winter;6(2):92–102. [PubMed]
  • Feldman R, Deitz DM, Brooks EF. The financial viability of rural primary health care centers. Am J Public Health. 1978 Oct;68(10):981–988. [PubMed]
  • Ford AS, Ford WS. The need for cooperative health education: some survey findings. Int J Health Educ. 1981;24(2):83–94. [PubMed]
  • Hafferty FW. Physician oversupply as a socially constructed reality. J Health Soc Behav. 1986 Dec;27(4):358–369. [PubMed]
  • Hansluwka HE. Measuring the health of populations, indicators and interpretations. Soc Sci Med. 1985;20(12):1207–1224. [PubMed]
  • JOHNSTON HL. Rural health cooperatives. Public Health Rep. 1950 Oct 27;65(43):1383–1397. [PMC free article] [PubMed]
  • Kane R, Dean M, Solomon M. An evaluation of rural health care research. Eval Q. 1979 May;3(2):139–189. [PubMed]
  • Kleinman JC, Wilson RW. Are "medically underserved areas" medically underserved? Health Serv Res. 1977 Summer;12(2):147–162. [PMC free article] [PubMed]
  • Langwell K, Nelson S, Calvin D, Drabek J. Characteristics of rural communities and the changing geographic distribution of physicians. J Rural Health. 1985 Jul;1(2):42–55. [PubMed]
  • Lawrence RS, DeFriese GH, Putnam SM, Pickard CG, Cyr AB, Whiteside SW. Physician receptivity to nurse practitioners: a study of the correlates of the delegation of clinical responsibility. Med Care. 1977 Apr;15(4):298–310. [PubMed]
  • Lee RC. Designation of health manpower shortage areas for use by public health service programs. Public Health Rep. 1979 Jan-Feb;94(1):48–59. [PMC free article] [PubMed]
  • Levin LS. The layperson as the primary health care practitioner. Public Health Rep. 1976 May-Jun;91(3):206–210. [PMC free article] [PubMed]
  • Logsdon DN, Rosen MA, Demak MM. The INSURE project on lifecycle preventive health services. Public Health Rep. 1982 Jul-Aug;97(4):308–317. [PMC free article] [PubMed]
  • Madison DL. Managing a chronic problem: the rural physician shortage. Ann Intern Med. 1980 Jun;92(6):852–854. [PubMed]
  • Madison DL, Combs CD. Location patterns of recent physician settlers in rural America. J Community Health. 1981 Summer;6(4):267–274. [PubMed]
  • Mendenhall RC, Girard RA, Abrahamson S. A national study of medical and surgical specialties. I. Background purpose, and methodology. JAMA. 1978 Sep 1;240(9):848–852. [PubMed]
  • Miller MK, Stokes CS, Clifford WB. A comparison of the rural-urban mortality differential for deaths from all causes, cardiovascular disease and cancer. J Rural Health. 1987 Jul;3(2):23–34. [PubMed]
  • Nelson EC, Kirk JW, Bise BW, Chapman RJ, Hale FA, Stamps PL, Wasson JH. The Cooperative Information Project: Part 1: A sentinel practice network for service and research in primary care. J Fam Pract. 1981 Oct;13(5):641–649. [PubMed]
  • Newhouse JP, Williams AP, Bennett BW, Schwartz WB. Where have all the doctors gone? JAMA. 1982 May 7;247(17):2392–2396. [PubMed]
  • Paul JR. PRESIDENT'S ADDRESS CLINICAL EPIDEMIOLOGY. J Clin Invest. 1938 Sep;17(5):539–541. [PMC free article] [PubMed]
  • Ricketts TC, DeFriese GH, Wilson G. Trends in the growth of family practice residency training programs. Health Aff (Millwood) 1986 Winter;5(4):84–96. [PubMed]
  • Ricketts TC, Guild PA, Sheps CG, Wagner EH. An evaluation of subsidized rural primary care programs: III. Stress and survival, 1981-82. Am J Public Health. 1984 Aug;74(8):816–819. [PubMed]
  • Romm FJ, Fletcher SW, Hulka BS. The periodic health examination: comparison of recommendations and internists' performance. South Med J. 1981 Mar;74(3):265–271. [PubMed]
  • Rosenblatt R, Moscovice I. The growth and evolution of rural primary care practice: the National Health Service Corps experience in the Northwest. Med Care. 1978 Oct;16(10):819–827. [PubMed]
  • Schwartz WB, Newhouse JP, Bennett BW, Williams AP. The changing geographic distribution of board-certified physicians. N Engl J Med. 1980 Oct 30;303(18):1032–1038. [PubMed]
  • Sheps CG, Wagner EH, Schonfeld WH, DeFriese GH, Bachar M, Brooks EF, Gillings DB, Guild PA, Konrad TR, McLaughlin CP, et al. An evaluation of subsidized rural primary care programs: I. A typology of practice organizations. Am J Public Health. 1983 Jan;73(1):38–49. [PubMed]
  • Slesinger DP, Christenson BA, Cautley E. Health and mortality of migrant farm children. Soc Sci Med. 1986;23(1):65–74. [PubMed]
  • Spiegel JS, Rubenstein LV, Scott B, Brook RH. Who is the primary physician? N Engl J Med. 1983 May 19;308(20):1208–1212. [PubMed]
  • Starfield B. Primary care in the United States. Int J Health Serv. 1986;16(2):179–198. [PubMed]
  • Sytkowski PA, D'Agostino RB, Belanger AJ, Bettencourt KS, Stokes J., 3rd Testing a model that evaluates options for rural Emergency Medical Service development. Med Care. 1984 Mar;22(3):202–215. [PubMed]
  • Urdaneta LF, Miller BK, Ringenberg BJ, Cram AE, Scott DH. Role of an emergency helicopter transport service in rural trauma. Arch Surg. 1987 Sep;122(9):992–996. [PubMed]
  • WALLER JA, CURRAN R, NOYES F. TRAFFIC DEATHS. A PRELIMINARY STUDY OF URBAN AND RURAL FATALITIES IN CALIFORNIA. Calif Med. 1964 Oct;101:272–276. [PMC free article] [PubMed]
  • Wechsler H, Levine S, Idelson RK, Rohman M, Taylor JO. The physician's role in health promotion--a survey of primary-care practitioners. N Engl J Med. 1983 Jan 13;308(2):97–100. [PubMed]
  • Williams AP, Schwartz WB, Newhouse JP, Bennett BW. How many miles to the doctor? N Engl J Med. 1983 Oct 20;309(16):958–963. [PubMed]
  • Winickoff RN, Coltin KL, Morgan MM, Buxbaum RC, Barnett GO. Improving physician performance through peer comparison feedback. Med Care. 1984 Jun;22(6):527–534. [PubMed]
  • Wright DD. Recent rural health research. J Community Health. 1976 Fall;2(1):60–72. [PubMed]

Articles from Health Services Research are provided here courtesy of Health Research & Educational Trust