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Rural Health
Resources by Topic: Health aides and assistants

Nursing Home Workforce Issues and Inequities
Offers an overview of issues related to the direct care workforce in nursing homes including staffing shortages, recruitment and retention, low wages, job training, interdisciplinary care, and more. Discusses proposed policies offering workforce-related reforms. Discusses rural throughout.
Author(s): Jasmine L. Travers, Rita Choula, Edem Hado
Date: 02/2024
Type: Document
Sponsoring organization: AARP Public Policy Institute
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Addressing the Direct Care Workforce Shortage: A Bipartisan Call to Action
Report discusses direct care worker shortages throughout the country. Details shortages of home health aids, certified nursing assistants, and residential care aids, among other direct care workers, and makes recommendations for decreasing shortages. Highlights some of the added barriers faced by rural communities.
Author(s): Lisa Harootunian, Kamryn Perry, Allison Buffett, et al.
Date: 12/2023
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Medical Assistants' Telehealth Roles and Skills in Primary Care During the COVID-19 Pandemic
Study examining the role of medical assistants (MAs) in providing primary care via telehealth during the COVID-19 pandemic. 10 key informants from national and state primary care organizations were interviewed. Results include discussion about the variation in roles being dependent on organization size and rurality.
Author(s): Samantha W. Pollack, Susan M. Skillman, Tracy M. Mroz, Bianca K. Frogner
Date: 05/2023
Type: Document
Sponsoring organization: UW Center for Health Workforce Studies
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Distribution of Direct Care Workforce COVID-19 Funding Between Rural and Urban Counties in Minnesota and Illinois
Brief highlights the differences in the distribution of CARES Act direct care workforce funding between rural and urban counties in Minnesota and Illinois. Discusses the differences in distribution between the two states and the consequences for rural COVID-19 outcomes.
Author(s): Katie Rydberg, Janette Dill, Carrie Henning-Smith
Date: 05/2023
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Virginia's Physical Therapist Assistant Workforce: 2022
An overview of the physical therapist assistant (PTA) workforce in Virginia based on data from the 2022 Physical Therapist Assistant Workforce Survey. Features statistics including the number of PTAs in rural Virginia and how many grew up in rural areas.
Date: 02/2023
Type: Document
Sponsoring organization: Virginia Department of Health Professions
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Strengthening the Direct Service Workforce in Rural Areas
Summarizes the challenges of the direct service workforce in rural areas including strategies that rural stakeholders can use to provide high-quality, long-term care services and supports. Discusses the challenges of recruiting and retaining direct-care workers in rural areas.
Date: 01/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Texas Certified Nurse Aides, 2023
County-level breakdown of the Certified Nurse Aide (CNA) workforce in Texas. Includes number of CNAs along with ratios to the population of each county.
Date: 2023
Type: Document
Sponsoring organization: Texas Health and Human Services
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Supporting and Sustaining the Current and Future Workforce to Care for People with Serious Illness: Proceedings of a Workshop (2023)
Summarizes discussions from an April 2023 public workshop exploring strategies and approaches to address major workforce challenges, including health professional well-being, workforce shortages, workforce training and retention, and advancing the diversity, equity, and inclusion of the workforce. Includes a section on well-being of the clinical workforce in rural areas.
Author(s): Roundtable on Quality Care for People with Serious Illness
Date: 2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Who Will Care for Rural Older Adults? Measuring the Direct Care Workforce in Rural Areas
Policy brief examining existing disparities in the supply of home health aides and nursing assistants in rural areas compared to urban areas. Features statistics on the ratio of home health aides and nursing assistants relative to the population of adults age 65 and above, with breakdowns by urban and rural areas and by census region.
Author(s): Janette Dill, Carrie Henning-Smith, Rongxuan Zhu, Elizabeth Vomacka
Date: 11/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Virginia's Certified Nurse Aide Workforce: 2022
An overview of the certified nurse aide (CNA) workforce in Virginia based on data from the 2022 Certified Nurse Aide Workforce Survey. Features statistics including the number of CNAs in rural Virginia and how many grew up in rural areas of Virginia.
Date: 10/2022
Type: Document
Sponsoring organization: Virginia Department of Health Professions
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