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Pathfinding on the Frontier.

Eldonna Sylvia1, Burlay Parks, Chrysanne Grund

  • 1Eldonna Sylvia is evaluator, Greeley County Health Services in Tribune, KS, and Sharon Springs, KS, where Burlay Parks is coordinator of the patient care coordination program and Chrysanne Grund is administrator of the Robert Wood Johnson Foundation grant that funded it. Contact author: Eldonna Sylvia, eldonnasylvia1@gmail.com. The authors have disclosed no potential conflicts of interest, financial or otherwise.

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Nurse care coordinators can help rural patients manage complex referrals to specialists. This improves access to care and reduces barriers for patients in remote areas.

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Area of Science:

  • Rural Health
  • Primary Care
  • Healthcare Coordination

Background:

  • Referrals to specialists are challenging for rural patients, often involving long travel distances.
  • Patient care coordination reduces emergency department (ED) visits and hospitalizations.
  • The effectiveness of care coordination for specialist referrals in rural primary care is not well understood.

Observation:

  • This article examines three case studies from a rural primary care practice.
  • A nurse care coordinator addressed complex patient issues.
  • Issues involved medication management, specialist appointments, and diagnostic clarification.

Findings:

  • The nurse care coordinator successfully navigated complex medication issues.
  • The coordinator facilitated necessary specialist consultations.
  • The coordinator aided in resolving diagnostic complexities for patients.

Implications:

  • Nurse care coordinators can effectively resolve complex referral barriers in rural primary care.
  • Implementing care coordination models can improve patient outcomes in underserved areas.
  • This approach enhances access to specialized medical services for rural populations.