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Radford, Andrea; Slifkin, Rebecca; King, Jennifer; Lampman, Michelle; Richardson, Indira; Rutledge, Steve – Journal of Rural Health, 2011
Purpose: To document sole community pharmacists' involvement with other local health care organizations, these pharmacies' current financial status, and to determine whether financial position was associated with the provision of pharmacy services to other local health care providers. Methods: We conducted semistructured interviews with…
Descriptors: Health Services, Pharmacy, Correlation, Economic Factors
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Hilsenrath, Peter; Woelfel, Joseph; Shek, Allen; Ordanza, Katrina – Journal of Rural Health, 2012
Purpose: The purpose of this paper is to explore better use of pharmacists in rural communities as a partial solution to scarcity of physicians and other health care providers. It discusses expected reduction in public subsidies for rural health care and the changing market for pharmacists. The paper emphasizes the use of pharmacists as a backdrop…
Descriptors: Rural Areas, Economics, Financial Support, Patients
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Wakefield, Douglas S.; Ward, Marcia M.; Loes, Jean L.; O'Brien, John; Abbas, Nancy – Journal of Rural Health, 2010
Purpose: This paper reports a case study of 7 Critical Access Hospitals' (CAH) and 1 rural referral hospital's successful collaboration to develop a shared formulary. Methods: Study methods included document reviews, interviews with key informants, and use of descriptive statistics. Findings: Through a systematic review and decision process, CAH…
Descriptors: Hospitals, Cooperation, Information Systems, Decision Making
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Klepser, Donald G.; Xu, Liyan; Ullrich, Fred; Mueller, Keith J. – Journal of Rural Health, 2011
Purpose: Medicare Part D provided 3.4 million American seniors with prescription drug insurance. It may also have had an unintended effect on pharmacy viability. This study compares trends in the number of pharmacies and rate of pharmacy closures before and after the implementation of Medicare Part D. Methods: This retrospective observational…
Descriptors: Pharmacy, Trend Analysis, Older Adults, Health Insurance
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Gadkari, Abhijit S.; Mott, David A.; Kreling, David H.; Bonnarens, Joseph K. – Journal of Rural Health, 2009
Context: Higher prevalence of chronic diseases and reduced access to other health professionals in rural areas suggest that rural Medicare enrollees will benefit from pharmacist-provided drug therapy services (DTS). Purpose: The purpose of this study was to describe non-metropolitan community pharmacy sites in Wisconsin, the provision of DTS at…
Descriptors: Health Personnel, Pharmacy, Patients, Rural Areas
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Scott, David M. – Journal of Rural Health, 2010
Context: Few studies have examined pharmacists' level of patient care competence and need for continuous professional development in rural areas. Purpose: To assess North Dakota pharmacists' practice setting, perceived level of patient care competencies, and the need for professional development in urban and rural areas. Methods: A survey was…
Descriptors: Urban Areas, Rural Areas, Professional Development, Rural Urban Differences
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MacDowell, Martin; Glasser, Michael; Fitts, Michael; Fratzke, Mel; Peters, Karen – Journal of Rural Health, 2009
Context: Past research has documented rural physician and health care professional shortages. Purpose: Rural hospital chief executive officers' (CEOs') reported shortages of health professionals and perceptions about recruiting and retention are compared in Illinois and Arkansas. Methods: A survey, previously developed and sent to 28 CEOs in…
Descriptors: Allied Health Occupations, Physicians, Nurses, Surgery
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Radford, Andrea; Slifkin, Rebecca; Fraser, Roslyn; Mason, Michelle; Mueller, Keith – Journal of Rural Health, 2007
Context: The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) created prescription drug coverage for Medicare beneficiaries through a new Part D program, the single largest addition to Medicare since its creation in 1965. Prior to program implementation in January 2006, concerns had been voiced as to how independent…
Descriptors: Program Implementation, Patients, Rural Areas, Federal Legislation
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Bigbee, Jeri L.; Abood, Richard; Landau, Sharon Cohen; Maderas, Nicole Monastersky; Foster, Diana Greene; Ravnan, Susan – Journal of Rural Health, 2007
Context: Timely access to emergency contraception (EC) has emerged as a major public health effort in the prevention of unintended pregnancies. The recent FDA decision to allow over-the-counter availability of emergency contraception for adult women presents important rural health implications. American women, especially those living in rural and…
Descriptors: Females, Public Health, Pregnancy, Pharmacy
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Menachemi, Nir; Burke, Darrell; Clawson, Art; Brooks, Robert G. – Journal of Rural Health, 2005
Context: The recent explosive growth of information technology in hospitals promises to improve hospital and patient outcomes. Financial barriers may cause rural hospitals to lag in adoption of information technology, however, formal studies that examine rural hospital adoption of information technology are lacking. Purpose: To determine the…
Descriptors: Pharmacy, Information Systems, Hospitals, Health Insurance
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Casey, Michelle M.; Moscovice, Ira S.; Davidson, Gestur – Journal of Rural Health, 2006
Context: Medication safety is clearly an important quality issue for rural hospitals. However, rural hospitals face special challenges implementing medication safety practices in terms of their staffing and financial and technical resources. Purpose: This study assessed the capacity of small rural hospitals to implement medication safety…
Descriptors: Staff Role, Technology, Safety, Rural Areas
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Glasser, Michael; Peters, Karen; MacDowell, Martin – Journal of Rural Health, 2006
Background: It is important to assess rural health professions workforce needs and identify variables in recruitment and retention of rural health professionals. Purpose: This study examined the perspectives of rural hospital chief executive officers (CEOs) regarding workforce needs and their views of factors in the recruitment and retention…
Descriptors: Administrators, Hospitals, Administrator Attitudes, Rural Areas
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Mueller, Keith J.; Coburn, Andrew F.; MacKinney, A. Clinton; McBride, Timothy D.; Slifkin, Rebecca T.; Wakefield, Mary K. – Journal of Rural Health, 2005
Sweeping changes to the Medicare program embodied in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), including a new prescription drug benefit, changes in payment policies, and reform of the Medicare managed-care program, have major implications for rural health care. The most efficient mechanism for research to…
Descriptors: Focus Groups, Policy, Access to Health Care, Pharmacy