Publications and Reports

Publications June 2007 – July 2008

Coburn, A., MacKinney, C., McBride, T., Mueller, K., Slifkin, R., Wakefield, M. “Medicare Advantage Plans in Rural America” October 2007. RUPRI Rural Health Panel Issue Brief #3.

Coburn, A., MacKinney, C., McBride, T., Mueller, K., Slifkin, R., Wakefield, M. “Implementing a new USDA Rural Development Program Targeting Small Rural Hospitals and their Communities” March 2008. RUPRI Rural Health Panel.

Fraher EP, Belsky D, Carpenter J, Gaul K. “A Study of Associate Degree Nursing Program Success: Evidence from the 2002 Cohort”. NC Health Professions Data System, Cecil G. Sheps Center for Health Services Research. October 2008.

Fraher EP, McKethan A, Broome SJ, Haygood MK, Heilig KE. “ North Carolina Hospital Workforce Trend Analysis, 2004-2006.” North Carolina Hospital Association. July 2008.

Fraher EF, King J. Ricketts TC, 2007. History of AHEC and University Collaboration for Workforce Assessment. The National AHEC Bulletin. Volume 23 No. 2:15-17.

Freeman V, Slifkin R, Patterson D. Rural-Urban Differences in Characteristics of Local EMS Agencies. Findings Brief No. 84. Chapel Hill, NC: ORHP, North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 2008.

Freeman V, Slifkin R, Patterson, D. Challenges for Rural Emergency Medical Services: Medical Oversight. Findings Brief No. 85. Chapel Hill, NC: ORHP, North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 2008.

Gaul K, Fraher E, Guild P, Ricketts T, Hadley H, Darter J. “Trends in Licensed Health Professions in North Carolina, 1979-2005.” NC Health Professions Data System, Cecil G. Sheps Center for Health Services Research, June 2007.

Haaland W, Hadley HL, Groves J, Gaul K, Fraher EP, and de la Varre C. A Special Report on Health Care Resources in North Carolina: North Carolina Health Professions 2006 Data Book. Cecil G. Sheps Center for Health Services Research. September 2007.

King J, Holmes GM. Shaping Health Workforce Policy Through Data-Driven Analyses: The North Carolina Health Professions Data System North Carolina Medical Journal. Mar/Apr 2008. Volume 69(2), 139-141.

King J, Gaul K, Hadley H, Haaland W. Physician Medical and Residency Training Fact Sheet, 2005 . Cecil G. Sheps Center for Health Services Research and the Southeast Regional Center for Health Workforce Studies. August 2007.

King J, Fraher E, Ricketts TC. History of AHEC and University Collaboration for Workforce Assessment. National AHEC Bulletin. 2007; 23(2): 15-17.

Landry MD, Ricketts TC, Verrier MC. The precarious supply of physical therapists across Canada: Exploring national trends in health human resources (1991 to 2005). Human Resources and Health 2007 Sep 25;5(1):23

Pink GH, GM Holmes, RE Thompson, and RT Slifkin. Variations in financial performance among peer groups of critical access hospitals. Journal of Rural Health Fall 2007; 23(4): 299-305.

Radford, A., Slifkin, R. Schur, C., Cheung K., Baernholdt, M. "Rural hospitals are you missing out on savings?" HFM Magazine, 2008; 62(6):82-85.

Radford, A., Slifkin, R., Fraser, R., Mason, M., Mueller, K. The experience of rural independent pharmacies with Medicare Part D: Reports from the field. Journal of Rural Health 2007:23(4).

Radford A, Pink G. Ricketts TC (2007). A comparative performance scorecard for federally funded CHCs. Journal of Healthcare Management. 52(1):20-31.

Rajan S, GH Pink, and WL Dow. Determinants of international versus domestic charitable giving, Nonprofit and Voluntary Sector Quarterly, 2008, In Press.

Reiter, K., Slifkin, R., Holmes, G.M. The occupational mix adjustment to the Medicare Hospital Wage Index: Why the rural impact is less than expected” Journal of Rural Health, 2008; 24(2): 148-153.

Ricketts TC. 2008. Preparing the HSR Workforce. Invited submission to Health Services Research, July 2008.

Ricketts TC, Holmes GM. (2007) Mortality and physician supply, does region hold the key to the paradox. Health Services Research, Volume 42 No. 5. 2233-2250.

Ricketts TC, Randolph R. Urban-rural flows of physicians. Journal of Rural Health 2007 Fall;23(4):277-85.

Ricketts TC, Goldsmith LJ, Randolph R, Lee R, Taylor DH, Ostermann J (2007) Designating places and populations as medically underserved: A proposal for a new approach. Journal of Health Care for the Poor and Underserved. Volume 18 No. 3: 567-589.

Ricketts TC, Fraher E, King J. AHECs, Health Workforce Planning and Analysis. National AHEC Bulletin. 2007; 23(2): 10-12.

Ricketts, TC. Brain Drain: Affecting the Pull Factors in the American Sun Belt. In: Moore JM, Dal Poz MR, Perfileva G, Doan BDH, eds National Health Workforce: The Growth of Challenging Trends. Paris: Centre de Sociologie et de Demographie Medicales, 2008 (pp.199-212.)

Ricketts, TC. Healthcare Workforce Planning. In: Fried, BJ; Fottler, M and Johnson, JA., eds. Human Resources in Healthcare: Managing for Success. 3 nd Edition. Chicago, AUPHA/HAP, 2008.

Ricketts, TC. 2008 Innovative approaches to research and policy in health workforce (La recherché et l’action en quete de pistes nouvelles). Cahiers de socilogie et de demographie medicales Vol 48 No. 2. April-Juin 2008. Pp. 266-9.

Ricketts TC. Health Services Researchers of the Future. Prepared for the AcademyHealth Summit on the Future of Health Services Research. Washington, DC: AcademyHealth, 2007

Ricketts TC. 2007. Geography and Health Disparity. Washington, DC. Woodrow Wilson Center Conference Proceedings. www.wilsoncenter.org/index.cfm?topic_id=116811&fuseaction=topics.documents&group_id=347153

Ricketts TC, Fraher EF, King J. 2007. AHECs, Health Workforce Planning and Analysis. The National AHEC Bulletin. Volume 23 No. 2:10-12.

Silberman P, Ricketts TC. 2007. The U.S. Healthcare system and the need for patient advocacy. In: Gilkey MB, Earp JL, French EA, eds Patient Advocacy for Health Care Quality. Boston: Jones and Bartlett. (pp. 29-58).

Thaker S, Pathman D, Mark B, Ricketts T. Service-linked scholarships, loan and loan-repayment programs for nurses in the southeast. Journalof Professional Nursing. January 2008.

Vanasse A, Ricketts TC, Courteau J, Orzanco MG, Randolph R, Asghari S. (2007). Long term regional migration patterns of physicians over the course of their active practice careers. Rural and Remote Health. 7:812 (Online).

Peer Reviewed Journals (July 1, 2006 - June 30, 2007)

Freeman VA, Walsh J, Rudolf M, Slifkin RT, Skinner AC. Intensive care in critical access hospitals. Journal Rural Health 2007; 23(2):116-23.

Pathman DE, Fryer GE Jr, Phillips RL, Smucny J, Miyoshi T, Green LA. National Health Service Corps staffing and the growth of the local rural non-NHSC primary care physician workforce. Journal of Rural Health 2006; 22(4):285-93.

Pink GH, Holmes GM, D’Alpe C, Strunk LA, McGee P, Slifkin RT. Financial indicators for critical access hospitals. Journal of Rural Health 2006; 22(3):229-36.

Pink GH, Daniel I, McGilis Hall L, McKillop I. Selection of key financial indicators: A literature, panel and survey approach. Healthcare Quarterly 2007; 10(1).

Radford A, Pink G, Ricketts T. A comparative performance scorecard for federally funded community health centers in North Carolina. Journal of Healthcare Management 2007; 52(1):20-31; discussion 32-3.

Radford A, Slifkin R, Fraser R, Mason M, Mueller K. The experience of rural independent pharmacies with Medicare Part D: Reports from the field. Journal of Rural Health (in press).

Skinner AC, Slifkin RT. Rural/urban differences in barriers to and burden of care for children with special health care needs. Journal of Rural Health 2007; 23(2):150-7.

Skinner AC, Slifkin RT, Mayer ML. The effect of rural residence on dental unmet need for children with special health care needs. Journal of Rural Health 2006; 22(1):36-42.

Wroth TH, Pathman DE. Primary medication adherence in a rural population: The role of the patient-physician relationship and satisfaction with care. Journal of the American Board of Family Medicine 2006; 19(5):478-86.

Reports and Other Publications (July1, 2006 - June 30, 2007)

Flex Monitoring Team. CAH Financial Indicators Report: Summary of Indicator Medians by State. Chapel Hill, NC: North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 2006.

Flex Monitoring Team. Impact of Conversion to Criticial Access Hospital Status on Hospital Financial Performance and Condition. Policy Brief No. 1. Chapel Hill, NC: North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 2006. Available at: http://www.flexmonitoring.org/new.shtml.

King J, Geiger L, Silberman P, Slifkin R. State Profiles of Medicaid and SCHIP in Rural and Urban Areas. Final Report No. 91. Chapel Hill, NC: ORHP, North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 2007. Available at: http://www.shepscenter.unc.edu/research_programs/rural_program/wp.html.

Pathman DE, Chuang Y, Weiner BJ. Helping One and One Yield Three in Grant-Funded Programs: Promoting Synergy in the Robert Wood Johnson Foundation’s Southern Rural Access Program. Chapel Hill, NC: Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 2006.

Patterson PD, Freeman VA, Moore CG, Slifkin RT. Becoming an Emergency Medical Technician: Urban-Rural Differences in Motivation and Job Satisfaction. Working Paper Series No. 89. Chapel Hill, NC: ORHP, North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 2007. Available at: http://www.shepscenter.unc.edu/research_programs/rural_program/wp.html.

Radford A, Mason M, Richardson I, Rutledge S, Poley S, Mueller K, Slifkin R. One Year In: Sole Community Rural Independent Pharmacies and Medicare Part D. Findings Brief No. 83. Chapel Hill, NC: ORHP, North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 2007. Available at: http://www.shepscenter.unc.edu/research_programs/rural_program/find.html.

Radford A, Mason M, Richardson I, Rutledge S, Poley S, Mueller K, Slifkin R. One Year In: Sole Community Rural Independent Pharmacies and Medicare Part D. Final Report No. 92. Chapel Hill, NC: ORHP, North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 2007. Available at: http://www.shepscenter.unc.edu/research_programs/rural_program/wp.html.

Radford A, Slifkin R, Baernholdt M, Schur C, Cheung K. 340B Drug Pricing Program, Results of a Survey of Eligible but Non-Participating Rural Hospitals. Working Paper Series No. 88. Chapel Hill, NC: ORHP, North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 2007. Available at: http://www.shepscenter.unc.edu/research_programs/rural_program/wp.html.

Radford A, Slifkin R, Fraser R, Mason M, Mueller K. The Experience of Sole Community Rural Independent Pharmacies with Medicare Part D: Reports from the Field. Working Paper Series No. 87. Chapel Hill, NC: ORHP, North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 2006. Available at: http://www.shepscenter.unc.edu/research_programs/rural_program/wp.html.

Reiter K, Slifkin R, Holmes M. A Primer on the Occupational Mix Adjustment to the Medicare Wage Index. Working Paper Series No. 86. Chapel Hill, NC: North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 2006. Available at: http://www.shepscenter.unc.edu/research_programs/rural_program/wp.html.

Schur C, Cheung K, Radford A, Slifkin R, Baernholdt M. 340B Drug Pricing Program, Results of a Survey of Participating Hospitals. Final Report No. 90. Chapel Hill, NC: ORHP, North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 2007. Available at: http://www.shepscenter.unc.edu/research_programs/rural_program/wp.html.

Silberman P, Brogan L, Moore C, Slifkin R. Premium Assistance has Mixed Results in Rural Areas. State Health Notes 2006; 27(478).

Peer Reviewed Journals (July 1, 2005 - June 30, 2006)

Dalton K, Park J, Howard A, Slifkin RT. Trends in Skilled Nursing and Swing-bed Use in Rural Areas, 1996-2003. WP. 83. Chapel Hill, NC: North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 2005.
Available at: http://www.shepscenter.unc.edu/
research_programs/rural_program/WP83.pdf

Donahue KE, Ashkin E, Pathman DE. Length of patient-physician relationship and patients’ satisfaction and preventive service use in the rural south: A cross-sectional telephone study. BMC Family Practice 2005; 6:40.

Fowler-Brown A, Ashkin E, Corbie-Smith G, Thaker S, Pathman DE. Perception of racial barriers to health care in the rural South. Journal of Health Care for the Poor and Underserved 2006; 17(1):86-100.

Fraher EP, Slifkin RT, Smith L, Randolph R, Rudolf M, Holmes GM. Implications of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 for the financial viability of rural pharmacies. Journal of Rural Health 2005; 21(2):114-21.

Freeman V, Slifkin RT, Skinner A, Schwartz R. Rural and Urban Parents Report on Access to Health Care for their Children with Medicaid Managed Care. WP. 84. Chapel Hill, NC: North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 2005.
Available at: http://www.shepscenter.unc.edu/
research_programs/rural_program/WP%2084.pdf

Hall SA, Kaufman JS, Ricketts TC. Defining urban and rural areas in U.S. epidemiologic studies. Journal of Urban Health 2006; 83(2):162-75.

King J, Radford A. Slifkin R, and staff from RUPRI Center for Rural Health Policy Analysis, Walsh Center for Rural Health Analysis. Contracting with Medicare Advantage Plans: A Brief for Critical Access Hospital Administrators. NC RHRP Findings Brief #80. Chapel Hill, NC: North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 2005.

Mason M, Fraser-Maginn R, Mueller K, King J, Radford A, Slifkin R, Lenardson J, Silver L, Mueller C. Contracting with Medicare Advantage plans: A brief for critical access hospital administrators. Rural Policy Brief 2005; (PB2005-4):1-8.

Mayer ML, Slifkin RT, Skinner AC. The effects of rural residence and other social vulnerabilities on subjective measures of unmet need. Medical Care Research and Review 2005; 62(5):617-28.

Pathman DE, Fryer GE, Green LA, Phillips RL. Changes in age-adjusted mortality rates and disparities for rural physician shortage areas staffed by the National Health Service Corps: 1984-1998. Journal of Rural Health 2005; 21(3):214-20.

Pathman DE, Ricketts TC 3rd, Konrad TR. How adults’ access to outpatient physician services relates to the local supply of primary care physicians in the rural southeast. Health Services Research 2006; 41(1):79-102.

Pathman DE, Fowler-Brown A, Corbie-Smith G. Differences in access to outpatient medical care for Black and White adults in the rural Southeast. Medical Care 2006; 44(5):429-38.

Pink GH, Holmes GM, D’Alpe C, Strunk L, McGee P, Slifkin R. Financial indicators for critical access hospitals. Journal of Rural Health 2006; 22(3):229-36.

Ricketts TC 3rd. State and local partnerships for meeting the healthcare needs of small and often remote rural communities. North Carolina Medical Journal 2006; 67(1):43-50.

Silberman P, Rudolf M, Brogan L, Poley S, Slifkin R, Moore C. The Impact of Medicaid Cuts on Rural Communities. WP. 82. Chapel Hill, NC: North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 2005.
Available at: http://www.shepscenter.unc.edu/
research_programs/rural_program/WP82.pdf

Skinner AC, Slifkin RT, Mayer ML. The effect of rural residence on dental unmet need for children with special health care needs. The Journal of Rural Health 2006; 22(1):36-42.

Other Reports (July 1, 2005 - June 30, 2006)

Coburn A, Fluharty C, Hart P, MacKinney C, McBride T, Mueller K, Slifkin R, Wakefield M. Medicaid and its Importance to Rural Health. RUPRI Rural Health Panel Issue Brief. Chapel Hill, NC: North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, May 2006.

Dalton K, Park J, Slifkin R, Howard HA. Trends over Time in the Provision of Skilled Nursing Care in Critical Access Hospitals. FB. 81. Chapel Hill, NC: North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 2006. Available at: http://www.shepscenter.unc.edu/research_programs/rural_program/FB81.pdf

Freeman V, Slifkin RT, Skinner A, Schwartz R. Rural and Urban Parents Report on Access to Health Care for their Children with Medicaid Managed Care. WP. 84. Chapel Hill, NC: North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 2005.
Available at: http://www.shepscenter.unc.edu/research_programs/rural_program/WP%2084.pdf

Mason M, Fraser-Maginn R, Mueller K, King J, Radford A, Slifkin R, Lenardson J, Silver L, Mueller C. Contracting with Medicare Advantage Plans: A Brief for Critical Access Hospital Administrators. Rural Policy Brief: RUPRI Center for Rural Health Policy Analysis, 2005.
Available at: http://www.rupri.org/ruralHealth/publications/PB2005-4.pdf or http://www.shepscenter.unc.edu/research_programs/rural_program/FB80.pdf

Rural Policy Research Institute Health Panel: Mueller KJ, Coburn AF, Fluharty CW, MacKinney AC, McBride TD, Slifkin RT, Wakefield MK. The Institute of Medicine Rural Health Report: Next Steps in Legislation and Programs. P2006-1, Chapel Hill, NC: North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, January 2006.

Silberman P, Brogan L, Moore C, Slifkin R. Premium Assistance Programs for Low Income Families: How Well Does it Work in Rural Areas? WP. 85. Chapel Hill, NC: North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 2006.
Available at: http://www.shepscenter.unc.edu/research_programs/rural_program/WP85.pdf

Silberman P, Rudolf M, Brogan L, Poley S, Slifkin R, Moore C. The Impact of Medicaid Cuts on Rural Communities. WP. 82. Chapel Hill, NC: North Carolina Rural Health Research & Policy Analysis Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 2005.
Available at: http://www.shepscenter.unc.edu/research_programs/rural_program/WP82.pdf

Rural Health Research Program