Research Topics
| L Gary HartSummaryAffiliation: University of Washington Country: USA Publications
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Detail Information
Publications
Measuring participant rurality in Web-based interventionsBrian G Danaher
Oregon Research Institute, 1715 Franklin Boulevard, Eugene, OR 97403 USA
BMC Public Health 7:228. 2007..Rurality analysis can also help evaluate the effectiveness of interventions across population groupings...
Rural definitions for health policy and researchL Gary Hart
WWAMI Rural Health Research Center, Department of Family Medicine, University of Washington, Box 354982, Seattle, WA, 98195 4982, USA
Am J Public Health 95:1149-55. 2005..Careful attention to the definition of "rural" is required for effectively targeting policy and research aimed at improving the health of rural Americans...
Modeling the mental health workforce in Washington State: using state licensing data to examine provider supply in rural and urban areasLaura Mae Baldwin
Department of Family Medicine, University of Washington, Seattle, WA 98195, USA
J Rural Health 22:50-8. 2006..Ensuring an adequate mental health provider supply in rural and urban areas requires accessible methods of identifying provider types, practice locations, and practice productivity...
Access to cancer services for rural colorectal cancer patientsLaura Mae Baldwin
Department of Family Medicine, University of Washington, Seattle, WA 98195, USA
J Rural Health 24:390-9. 2008..Cancer care requires specialty surgical and medical resources that are less likely to be found in rural areas...
Shortages of medical personnel at community health centers: implications for planned expansionRoger A Rosenblatt
WWAMI Rural Health Research Center, Department of Family Medicine, University of Washington, Seattle 98195 4696, USA
JAMA 295:1042-9. 2006..The US government is expanding the capacity of community health centers (CHCs) to provide care to underserved populations...
Perinatal and infant health among rural and urban American Indians/Alaska NativesLaura-Mae Baldwin
Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI) Rural Health Research Center, Department of Family Medicine, University of Washington, Seattle, WA 98195-4696, USA
Am J Public Health 92:1491-7. 2002..AI/AN postneonatal death rates (rural = 6.7 per 1000; urban = 5.4 per 1000) were more than twice that of Whites (2.6 per 1000). CONCLUSIONS: Preventable disparities between AI/ANs and Whites in maternal and infant health status persist...
Growth and change in the physician assistant workforce in the United States, 1967-2000Eric H Larson
MEDEX Northwest, University of Washington, Seattle, WA 98195, USA
J Allied Health 36:121-30. 2007..Whether the historical contribution of PAs to primary care for rural and underserved populations can be sustained in the face of increasing specialization and higher-level academic credentialing is not clear...
Access to specialty health care for rural American Indians in two statesLaura Mae Baldwin
Department of Family Medicine, University of Washington School of Medicine, Seattle, Washington 98195 4982, USA
J Rural Health 24:269-78. 2008..Specialty services, largely funded through contracts with outside practitioners, may be limited by low IHS funding levels...
An analysis of Medicare's Incentive Payment program for physicians in health professional shortage areasLeighton Chan
Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, Wash, USA
J Rural Health 20:109-17. 2004..Medicare's Incentive Payment (MIP) program provides a 10% bonus payment to providers who treat Medicare patients in rural and urban areas where there is a shortage of generalist physicians...
Quality of care for myocardial infarction in rural and urban hospitalsLaura Mae Baldwin
WWAMI Rural Health Research Center, Department of Family Medicine, University of Washington School of Medicine, Seattle, WA 98195, USA
J Rural Health 26:51-7. 2010..Since then, overall AMI care quality has improved. This study uses more recent data to determine whether rural-urban AMI quality gaps have persisted...
Attitudes of family physicians in Washington state toward physician-assisted suicideL Gary Hart
Department of Family Medicine, University of Washington, Box 354696, Seattle, WA 98195 4696, USA
J Rural Health 19:461-9. 2003..With recent laws allowing physicians to assist in a terminally ill patient's suicide under certain circumstances, the debate concerning the appropriate and ethical role for physicians has intensified...
The University of Washington Pacific Islands Continuing Clinical Education Program (PICCEP): Guam Conference on structure and content of continuing clinical education programs in the U.S.-associated jurisdictionsMatthew J Thompson
WWAI Center for Health Workforce Studies and Department of Family Medicine, University of Washington, Seattle, WA 98195-4696, USA
Pac Health Dialog 9:119-22. 2002
Which medical schools produce rural physicians? A 15-year updateFrederick Chen
Department of Family Medicine, University of Washington School of Medicine, Seattle, Washington 98195 4982, USA
Acad Med 85:594-8. 2010..The authors examined the training of the rural physician workforce in the United States...
Osteopathic physicians and international medical graduates in the rural primary care physician workforceMeredith A Fordyce
WWAMI Rural Health Research Center, Department of Family Medicine, University of Washington, USA
Fam Med 44:396-403. 2012..This study describes the 2005 supply of two important components of the rural PCP workforce: rural osteopathic (DO) and international medical graduate (IMG) PCPs...
Problem drinking: rural and urban trends in America, 1995/1997 to 2003J Elizabeth Jackson
Department of Family Medicine, University of Washington, Seattle, WA 98195, USA
Prev Med 43:122-4. 2006..Studies examining trends in problem alcohol use for U.S. adults residing in rural locations are lacking. This study examines recent trends in heavy and binge drinking in urban counties and three types of rural counties...
The changing geography of Americans graduating from foreign medical schoolsKarin Johnson
Center for Health Studies, Group Health Cooperative, 1730 Minor Avenue, Suite 1600, Seattle, WA 98101, USA
Acad Med 81:179-84. 2006..To study U.S.-born international medical graduates in order to analyze changes in their numbers and countries of training from the 1960s and before until the early 2000s...
Trends in perinatal and infant health disparities between rural American Indians and Alaska natives and rural WhitesLaura Mae Baldwin
Department of Family Medicine, University of Washington, Seattle, WA 98195 4982, USA
Am J Public Health 99:638-46. 2009..We examined disparities in perinatal care, birth outcomes, and infant health between rural American Indian and Alaska Native (AIAN) persons and rural Whites over time...
Updating hospital reference resources in the United States-associated Pacific Basin: efforts of the Pacific Islands Continuing Clinical Education Program (PICCEP)Karin E Johnson
Center for Health Workforce Studies, University of Washington, Box 354982, Seattle 98195-4982, USA
J Med Libr Assoc 92:495-7. 2004
A longitudinal analysis of the general surgery workforce in the United States, 1981-2005Dana Christian Lynge
Department of Surgery, University of Washington, Seattle, USA
Arch Surg 143:345-50; discussion 351. 2008....
The productivity of Washington State's obstetrician-gynecologist workforce: does gender make a difference?Thomas J Benedetti
Department of Obstetrics and Gynecology, University of Washington, Box 356460, Seattle, WA 98195 6460, USA
Obstet Gynecol 103:499-505. 2004..To compare the practice productivity of female and male obstetrician-gynecologists in Washington State...
Geographic access to health care for rural Medicare beneficiariesLeighton Chan
Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, Washington 98195 6490, USA
J Rural Health 22:140-6. 2006..Patients in rural areas may use less medical care than those living in urban areas. This could be due to differences in travel distance and time and a utilization of a different mix of generalists and specialists for their care...
Characteristics of registered nurses in rural versus urban areas: implications for strategies to alleviate nursing shortages in the United StatesSusan M Skillman
Center for Health Workforce Studies, University of Washington, Seattle, Washington 98105 4982, USA
J Rural Health 22:151-7. 2006..RNs in 3 types of rural areas are examined using the rural-urban commuting area taxonomy...
Quality of care for acute myocardial infarction in rural and urban US hospitalsLaura Mae Baldwin
University of Washington, Department of Family Medicine, Box 354982, Seattle, WA 98195, USA
J Rural Health 20:99-108. 2004..Acute myocardial infarction (AMI) is a common and important cause of admission to US rural hospitals, as transport of patients with AMI to urban settings can result in unacceptable delays in care...
The characteristics of registered nurses whose licenses expire: why they leave nursing and implications for retention and re-entrySusan M Skillman
WWAMI Center for Health Workforce Studies, University of Washington, Seattle, WA, USA
Nurs Econ 28:181-9. 2010....
Gender-related factors in the recruitment of physicians to the rural NorthwestKathleen E Ellsbury
Department of Family Medicine, University of Washington, Seattle 98195-6390, USA
J Am Board Fam Pract 15:391-400. 2002..If they want to achieve a gender-balanced physician workforce, rural communities and practices recruiting physicians should place high priority on practice scheduling, spouse-partner, and interpersonal issues in the recruitment process...
The contribution of nurse practitioners and physician assistants to generalist care in Washington StateEric H Larson
WWAMI Rural Health Research Center, Department of Family Medicine, University of Washington School of Medicine, Seattle 98195-4696, USA
Health Serv Res 38:1033-50. 2003..Actual productivity data or empirically derived adjustment factors must be used for accurate estimation of provider shortages...
Wyoming physicians are significant providers of safety net careSharon A Dobie
Rural Health Research Center, Department of Family Medicine, University of Washington, Box 356390, Seattle, WA 98195 6390, USA
J Am Board Fam Pract 18:470-7. 2005..This study describes the contributions of family and general practice physicians from Wyoming to the health care safety net...
Trends in professional advice to lose weight among obese adults, 1994 to 2000J Elizabeth Jackson
Department of Sociology, University of Washington, Seattle, Washington 98195-4696, USA
J Gen Intern Med 20:814-8. 2005..There is a need for mechanisms that allow health care professionals to devote sufficient attention to weight control and to link with evidence-based weight loss interventions, especially those that target groups most at risk for obesity...
Accounting for graduate medical education funding in family practice trainingFrederick M Chen
Robert Wood Johnson Clinical Scholars Program, WWAMI Rural Health Research Center, Department of Family Medicine, University of Washington, USA
Fam Med 34:663-8. 2002..Medicare provides the majority of funding to support graduate medical education (GME). Following the flow of these funds from hospitals to training programs is an important step in accounting for GME funding...
The effects of the 1997 Balanced Budget Act on family practice residency training programsRonald Schneeweiss
WWAMI Rural Health Research Center, Department of Family Medicine, University of Washington, Seattle 98195 4696, USA
Fam Med 35:93-9. 2003..This study assessed the impact of the Balanced Budget Act (BBA) of 1997 on family practice residency training programs in the United States...
Disparities in infant health among American Indians and Alaska natives in US metropolitan areasDavid C Grossman
Department of Pediatrics, University of Washington, Seattle, Washington, USA
Pediatrics 109:627-33. 2002..To determine geographic variation in urban American Indian and Alaska Native (AI/AN) rates of infant mortality, low birth weight, prenatal care use, and maternal-child health care service availability...
Characterizing the general surgery workforce in rural AmericaMatthew J Thompson
Department of Family Medicine, Washington, Wyoming, Alaska, Montana, Idaho Rural Health Research Center, University of Washington, Seattle 98195-8280, USA
Arch Surg 140:74-9. 2005..Many rural residents have limited access to surgical services. Steps to reverse this trend are needed to preserve the viability of health care in many parts of rural America...
Barriers to autonomous practiceLouise Kaplan
Washington State University Vancouver Intercollegiate College of Nursing, University of Washington, USA
Nurse Pract 31:57-63. 2006
The role of international medical graduates in America's small rural critical access hospitalsAmy Hagopian
Department of Family Medicine, University of Washington s WWAMI, Rural Health Research Center, University of Washington School of Public Health and Community Medicine, Seattle, Wash, USA
J Rural Health 20:52-8. 2004..Critical access hospitals (CAHs) are a federal Medicare category for isolated rural facilities with 15 or fewer acute care beds that receive cost-based reimbursement from Medicare...
Assessing physicians' continuing medical education (CME) needs in the U.S.-associated Pacific jurisdictionsMatthew J Thompson
WWAMI Center for Health Workforce Studies and Department of Family Medicine, University of Washington, Seattle, WA, 98195 4696, USA
Pac Health Dialog 9:11-6. 2002....
A national study of obesity prevalence and trends by type of rural countyJ Elizabeth Jackson
Department of Family Medicine, University of Washington School of Medicine, Seattle, Wash 98195 4696, USA
J Rural Health 21:140-8. 2005..Obesity is epidemic in the United States, but information on this trend by type of rural locale is limited...
Characteristics of licensed acupuncturists, chiropractors, massage therapists, and naturopathic physiciansDaniel C Cherkin
Center for Health Studies, Group Health Cooperative, Seattle, WA 98101, USA
J Am Board Fam Pract 15:378-90. 2002..Interstate differences were small. CONCLUSIONS: This characterization of CAM providers will help inform decisions about the future role of CAM providers in the health care system...
Rural health care providers in the United StatesL Gary Hart
Rural Health Research Center, University of Washington, Seattle 98195 4696, USA
J Rural Health 18:211-32. 2002..No vision of the future of rural health can come to fruition if it does not promote stable, rewarding, and fulfilling professional and personal lives for rural health care providers...
Family medicine training in rural areasRoger A Rosenblatt
JAMA 288:1063-4. 2002
Small town health care safety nets: report on a pilot studyPat Taylor
J Rural Health 19:125-34. 2003..Very little is known about the health care safety net in small towns, especially in towns where there is no publicly subsidized safety-net health care...
Who is caring for the underserved? A comparison of primary care physicians and nonphysician clinicians in California and WashingtonKevin Grumbach
Center for California Health Workforce Studies, University of California, San Francisco, Calif, USA
Ann Fam Med 1:97-104. 2003..The objective of this study was to compare the geographic distribution and patient populations of physician and nonphysician primary care clinicians...
Another look at rural healthFrederick Chen
Health Aff (Millwood) 25:570-1; author reply 571. 2006
Health departments' use of international medical graduates in physician shortage areasAmy Hagopian
University of Washington's School of Public Health and Community Medicine, USA
Health Aff (Millwood) 22:241-9. 2003..After the exit of the U.S. Department of Agriculture as a sponsor for physician J-1 visa waivers, Congress expanded the Conrad Program, signaling a continued reliance on IMGs to serve in shortage areas...
International medical graduate physicians in the United States: changes since 1981L Gary Hart
Rural Health Office, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA
Health Aff (Millwood) 26:1159-69. 2007..IMGs are an important source of primary care physicians in rural and underserved areas...
Characteristics of visits to licensed acupuncturists, chiropractors, massage therapists, and naturopathic physiciansDaniel C Cherkin
Center for Health Studies, Group Health Cooperative, Seattle 98101, USA
J Am Board Fam Pract 15:463-72. 2002..CONCLUSIONS: This information will help inform discussions of the roles CAM practitioners will play in the health care system of the future...
The Washington State Nurse Anesthetist Workforce: a case studyLouise Kaplan
Washington State University Vancouver College of Nursing, USA
AANA J 75:37-42. 2007..Workforce data may assist CRNAs when negotiating with employers and institutions and in resolving interprofessional conflicts and can have implications for scope of practice, policy, and legislative issues...
