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Research Studies is a monthly compilation of research articles funded by AHRQ or authored by AHRQ researchers and recently published in journals or newsletters.
Results1 to 2 of 2 Research Studies Displayed
Spees LP, Wheeler SB, Varia M
Evaluating the urban-rural paradox: the complicated relationship between distance and the receipt of guideline-concordant care among cervical cancer patients.
A recent study suggests that the distance to reach care may affect urban and rural cancer patients differentially; the authors of this article examined whether or not this urban-rural paradox exists among cervical cancer patients. Patients diagnosed with cervical cancer from 2004 to 2013 were identified via a statewide cancer registry linked to multi-payer insurance claims. 62% of the cervical cancer patients received guideline-concordant care. The association between distance and receipt of care differed by type of treatment. The authors conclude that there is evidence supporting the urban-rural paradox.
Citation: Spees LP, Wheeler SB, Varia M . Evaluating the urban-rural paradox: the complicated relationship between distance and the receipt of guideline-concordant care among cervical cancer patients. Gynecol Oncol 2019 Jan;152(1):112-18. doi: 10.1016/j.ygyno.2018.11.010.
Keywords: Access to Care, Cancer: Cervical Cancer, Disparities, Evidence-Based Practice, Rural Health, Urban Health
Shaikh U, Nettiksimmons J, Joseph JG
Collaborative practice improvement for childhood obesity in rural clinics: the Healthy Eating Active Living Telehealth Community of Practice (HEALTH COP).
The authors assessed the impact of participation in a virtual quality improvement (QI) learning network on adherence to clinical guidelines for childhood obesity prevention in rural clinics. They found that children who received care from clinicians who led the implementation of the intervention at their clinic showed significant improvements in nutrition and physical activity. Virtual QI learning networks in geographically dispersed clinics can significantly increase clinicians' adherence to guidelines for childhood obesity and improve access to recommended care for rural and underserved children.
Citation: Shaikh U, Nettiksimmons J, Joseph JG . Collaborative practice improvement for childhood obesity in rural clinics: the Healthy Eating Active Living Telehealth Community of Practice (HEALTH COP). Am J Med Qual 2014 Nov-Dec;29(6):467-75. doi: 10.1177/1062860613506252.
Keywords: Children/Adolescents, Evidence-Based Practice, Health Information Technology (HIT), Lifestyle Changes, Nutrition, Obesity, Prevention, Quality Improvement, Rural Health, Telehealth