Primary Care Issues in Rural Populations

Deligiannidis, Konstantinos

doi:10.1016/j.pop.2016.09.003

Cited by 17 publications

(24 citation statements)

References 10 publications

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“…Rural populations might have higher COPD risk because these populations have a greater proportion with a history of smoking ( 3 ), more secondhand smoke exposure but less access to smoking cessation programs, §§ and higher proportions of uninsured or lower socioeconomic residents, which might have limited access to early diagnosis, treatment, and management of COPD. ¶¶ Rural respiratory exposures might include mold spores, organic toxic dust, and nitrogen dioxide, which are associated with COPD risk ( 7 ).…”

Section: Discussionmentioning

confidence: 99%

Urban-Rural County and State Differences in Chronic Obstructive Pulmonary Disease — United States, 2015

Croft

Wheaton

Liu

et al. 2018

MMWR Morb. Mortal. Wkly. Rep.

166

119

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Section: Discussionmentioning

confidence: 99%

Urban-Rural County and State Differences in Chronic Obstructive Pulmonary Disease — United States, 2015

Croft

Wheaton

Liu

et al. 2018

MMWR Morb. Mortal. Wkly. Rep.

166

119

View full text Add to dashboard Cite

“…16 Rural and urban areas are the most commonly affected by the maldistribution of primary care physicians. 16,17 Socioeconomic Factors. Socioeconomic status (SES), which is commonly defined by lower education achievement, substandard income attainment, low occupational status, or all of the above, has directly been linked to health status.…”

Section: Access To Health Carementioning

confidence: 99%

“…The solution to increasing health equality and improving health outcomes for medically underserved areas and populations will require a network of health care providers and community-based organizations. 17,22 Many ATs, especially those in the secondary school setting, have had to develop networks of providers to ensure their patients are receiving effective and efficient care. Like primary care providers, ATs are often the first contact with the health care system and can effectively manage patient care as care coordinators.…”

Section: Health Care Deliverymentioning

confidence: 99%

Medically Underserved Populations: The Athletic Trainer's Role

Wetherington

Pecha

2020

Athletic Training Education Journal

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Context Health care cost continues to rise; the US continues to spend dramatically more money than other developed nations per individual without increased health outcomes. More individuals are finding it harder to get access to a health care provider, especially those in medically underserved areas and populations. Objective To increase the knowledge of the athletic training educator about medically underserved populations and the roles athletic trainers (ATs) play as leaders in health care delivery. Background Current and future physician shortages are known and are only going to increase as more than one-third of current primary care physicians are expected to retire in the next 10 years. Forty percent of the population lives in areas that are medically underserved and designated by the government as areas of professional medical shortage; patients in these areas are primarily served by primary care physicians. Synthesis As with access to physicians, access to ATs has been shown to be based upon socioeconomic status and presents more challenges for the medically underserved. Early access to health care providers has shown to be important in adolescents, as negative health behaviors can carry into adulthood, leading to poorer health-related outcomes throughout life. Recommendation(s) To ensure that athletic training educational programs include opportunities to provide service to the medically underserved, education on social determinates of health, and the means by which ATs can fill critical holes in providing care for these patients. More research is needed to validate ATs' roles in providing quality health care. Additionally, more research is needed around how AT education can help meet patient needs. Conclusion(s) As the athletic training profession continues to evolve and responds to the growing demands of the complex health care system, access to an AT may provide a vital bridge to overall health care for patients within medically underserved populations.

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“…It is illustrated by examples and two types of studies: association study used to estimate a risk or a benefit, and validation of disease identification algorithm studies. shown that rural populations have more prevalent asthma, untreated chronic pulmonary disease, have less vaccination or medical care provider (23,24). Otherwise, patient selection did not include younger nor elderly and frailty patients of whom behaviour and access to care are specific but also more complex to follow in the SNDS database (parents' health insurance affiliation for children; accommodation in nursing home for frailty people…).…”

Section: Thérapiementioning

confidence: 99%

French administrative health care database (SNDS): The value of its enrichment

et al. 2019

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SNIIRAM/SNDS, the French administrative health care database, covers around 99 % of the population. Its main limitation is the absence of clinical information and biological results. This report exposes the value of SNIIRAM/SNDS enrichment by external databases, and the linkage issues. It is illustrated by examples: the well-known population-based cohort CONSTANCES created to answer to epidemiological research questions with a specific interest on occupational and social factors, chronic diseases, and aging; the CANARI study, a regional-based study that collected Gleason score in all pathology laboratories in Brittany and then, linked pathology results to an ad hoc extraction from SNIIRAM database; the goal was to investigate the risk of high grade prostate cancer in patients treated by 5-alphareductase inhibitors for a symptomatic benign prostatic hyperplasia; the SACHA study, that identified and medically validated major bleeding event referred to emergency wards, then linked those clinical data to SNIIRAM; the goal was to minimize misclassification bias when estimating bleeding risk in patients who were prescribed antithrombotic drugs; the ISO-PSY study linked the SNIIRAM with the national cause of death registry (CépiDc) and the nationwide emergency department surveillance system (OSCOUR® Network) to investigate the potential link between isotretinoin and suicidal risk; the EFEMERIS cohort that assesses drugs prescriptions in French pregnant women who delivered in the Haute-Garonne region; the EPI-GETB-AM study that derived a SNIIRAM/SNDS-based algorithm to identify venous thromboembolism and linked SNIIRAM/SNDS to the EPI-GETBO-III survey for validation. Another perspective of SNDS enrichment is clinical trials' data for medico-economic assessment, and extended follow-up without attrition bias. Linkage is not straightforward. Apart from regulatory approbation and authorized data center issues, which could be solved by the Health Data Hub Initiative, a multidisciplinary team with medical, pharmacological and methodological knowledge, as well as with technical skills is essential to handle the whole process.

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Primary Care Issues in Rural Populations

Cited by 17 publications

References 10 publications

Urban-Rural County and State Differences in Chronic Obstructive Pulmonary Disease — United States, 2015

Urban-Rural County and State Differences in Chronic Obstructive Pulmonary Disease — United States, 2015

Medically Underserved Populations: The Athletic Trainer's Role

French administrative health care database (SNDS): The value of its enrichment

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