Janice C. Probst, PhD

• Completed Projects - (15)
• Publications - (27)

Completed Projects - (15)

• Adequacy of Home Health Care Availability in Rural Counties
  This project will describe current distribution of HHC agencies, by ZIP Code and county of facility location and of service provision, across levels of rurality. Second, the project will estimate whether rural populations at risk for inadequate access to HHC, based on projected population need population / provider ratios.
  Research center: University of South Carolina Rural Health Research Center
  Topics: Aging, Home health
  
• Characteristics and Educational Needs of Rural Acute Care Hospital Boards of Directors
  Rural hospital boards face challenges in an environment of increasing legal and financial complexity. This study will characterize rural hospital Board of Directors' backgrounds, perceptions of board function, and perceived need of training and development.
  Research center: University of South Carolina Rural Health Research Center
  Topic: Hospitals and clinics
  
• Colorectal Cancer Screening Bypass Behavior and Outcomes
  Studies have shown that increased distance to the closest endoscopy provider is associated with lower screening utilization among Medicare enrollees. The purpose of this study is to expand beyond the Medicare population to examine the travel behaviors of the entire population, comparing urban vs. rural residents in obtaining endoscopies for colorectal cancer screening.
  Research center: University of South Carolina Rural Health Research Center
  Topics: Cancer, Health promotion and disease prevention, Medicare
  
• Effect of Safety Net Providers on Ambulatory Care Sensitive Hospitalization Rates in Rural Counties
  This project will determine if the presence of a community health center or rural health clinic in a county reduces ambulatory care sensitive hospitalizations for children, working age adults, and older adults.
  Research center: University of South Carolina Rural Health Research Center
  Topics: Chronic diseases and conditions, Federally Qualified Health Centers (FQHCs), Health services, Poverty, Rural Health Clinics (RHCs)
  
• Effects of Alcohol Use on Educational Attainment and Employment in Rural Youth
  This study will examine the effects of alcohol use during the teen years on subsequent educational attainment and employment in a panel of rural residents.
  Research center: University of South Carolina Rural Health Research Center
  Topics: Children and adolescents, Substance use and treatment
  
• Emergency Department Use by Medically Indigent Rural Residents
  Research center: University of South Carolina Rural Health Research Center
  Topics: Emergency medical services (EMS) and trauma, Hospitals and clinics, Uninsured and underinsured
  
• Identification of High-Need Rural Counties Lacking an FQHC Presence
  Federally Qualified Health Centers (FQHCs) have been key safety net providers since the program was initiated. However, many rural communities lack this resource. Expanding on the index of relative rural deprivation developed by the University of South Carolina Rural Health Research Center, we identified high-need rural counties that currently are not served by an FQHC or similar provider.
  Research center: University of South Carolina Rural Health Research Center
  Topics: Critical Access Hospitals (CAHs), Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs)
  
• Intensity of Service Provision for Medicare Beneficiaries Utilizing Home Health Services
  This study will assess whether Medicare beneficiaries in rural areas receive a lower intensity of home health (HH) services compared to their urban counterparts. Specifically, the study will examine (1) the distribution of levels of HH services for four conditions: joint (hip and knee) replacement, stroke, end-stage renal disease (ESRD), and diabetes; (2) the distribution of type of provider for each condition across the levels of rurality; and (3) the median charge and payment per beneficiary for these services across the levels of rurality.
  Research center: University of South Carolina Rural Health Research Center
  Topics: Chronic diseases and conditions, Diabetes, Home health, Medicare
  
• Post-Hospital Transitions in Care Among Dually-Eligible Medicare Beneficiaries
  This project will examine the hospitalization rates, post-discharge physician follow-up, and subsequent readmission rates among Medicare beneficiaries who are also enrolled in Medicaid. We will examine these dual-eligible beneficiaries by level of rurality to determine if residence is a significant factor in these rates. We will also control for co-morbidities, county characteristics, and other factors related to readmission rates.
  Research center: University of South Carolina Rural Health Research Center
  Topics: Diabetes, Hospitals and clinics, Medicare
  
• Profiling Health and Health Resource Availability in U.S. – Mexico Border Counties
  This project will augment a previous SCRHRC chartbook on Border health with additional information on health resources and health outcomes in US counties adjacent to Mexico.
  Research center: University of South Carolina Rural Health Research Center
  
• Rural Area Deprivation and Hospitalizations Among Children for Ambulatory Sensitive Conditions
  Rural areas with reduced social and economic resources may be particularly vulnerable to inadequate primary care for children.
  Research center: University of South Carolina Rural Health Research Center
  Topics: Children and adolescents, Hospitals and clinics
  
• Rural EMS Infrastructure
  Research center: University of South Carolina Rural Health Research Center
  Topics: Emergency medical services (EMS) and trauma, Frontier health
  
• Rural Health Center Expansion and Recruitment Survey
  This collaborative project between WWAMI and the South Carolina Rural Health Research Centers examined and described the current staffing needs of rural health centers (RHCs), ascertained the staffing, recruitment, and retention issues that RHC CEOs regard as most critical; distinguished how issues differ between CEOs contemplating development of expansion sites versus those who are not; and described how these findings correlate with the literature and current national supply projections for the categories of health professions needed by the RHCs.
  Research centers: University of South Carolina Rural Health Research Center, WWAMI Rural Health Research Center
  Topics: Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), Workforce
  
• Rural Nursing Workforce: Current Educational Characteristics and Options for Improvement
  This project examined the current distribution of nurses, subset by educational attainment, across the rural U.S. using data from Census Public-Use Microdata files. Then surveyed approximately 750 registered nurse to bachelor of science in nursing (RN-to-BSN) educational programs across the U.S. identifying the proportion of programs offering rural content or facilitating rural placement.
  Research center: University of South Carolina Rural Health Research Center
  Topics: Nurses and nurse practitioners, Workforce
  
• Trends in Rural Children's Health and Access to Care
  The past ten years have seen positive trends in the availability of health insurance coverage for children, coupled with worsening trends for poverty. This project will examine data from three iterations of the National Survey of Children' Health (2003, 2007, 2012) to see whether rural children have benefited equally from any improvements in health insurance, healthcare use, and health status.
  Research center: University of South Carolina Rural Health Research Center
  Topics: Children and adolescents, Private health insurance
  

Publications - (27)