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Rural Health
Resources by Topic: Health aides and assistants

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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Recruiting, Revitalizing & Diversifying: Examining the Health Care Workforce Shortage
Recording of February 10, 2022 testimony before the U.S. Senate Subcommittee on Employment and Workplace Safety, offering recommendations for strategies to alleviate anticipated shortages in the healthcare workforce, including in rural areas. Features testimonies by representatives of the National Nurse Practitioner Residency and Fellowship Training Consortium, Xavier University of Louisiana, the National Institute for Medical Assistant Advancement, and the Heritage Foundation.
Additional links: C. Reynold Verret Testimony, Margaret Flinter Testimony, Norma Quinones Testimony, Rachel Greszler Testimony
Date: 02/2022
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Arizona Health Workforce Profile: Direct Care Workers (DCWs)
Brief examining the direct care workforce in Arizona, including a breakdown of home health and personal aides, Nursing Assistants, and Licensed Practical Nurses by small, medium, and large counties. Uses data from the U.S. Bureau of Labor Statistics Occupational Handbook and the Arizona Office of Economic Opportunity.
Author(s): B. Koch, S. Coates, C. Drake, D. Derksen
Date: 2022
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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Strengthening the Entry-Level Health Care Workforce: Finding a Path
Examines gaps in the existing healthcare workforce, challenges facing entry-level healthcare workers (EHCW), current EHCW training programs and contexts where training programs are used effectively, and strategies and policy opportunities to strengthen the EHCW. Includes rural references throughout and case studies for programs in rural Alaska and Washington. Provides an interactive inventory of existing policies and programs that support EHCW training, recruitment, and retention.
Additional links: Entry-Level Health Care Workforce: Information and Programs Visualization Tool
Author(s): Shira H. Fischer, Ryan K. McBain, Laura J. Faherty, et al.
Date: 12/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Medicare and Home Health: Taking Stock in the COVID-19 Era
Provides an overview of the Medicare home health benefit including Medicare financing, demographics of beneficiaries, and the home health workforce. Describes the impact of COVID-19 on the utilization home health services and regulatory changes taken in response to the pandemic. Offers policy recommendations to increase the value of home health services during the COVID-19 pandemic.
Author(s): Courtney Harold Van Houtven, Walter D. Dawson
Date: 10/2020
Type: Document
Sponsoring organization: Commonwealth Fund
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Virginia's Occupational Therapy Assistant Workforce: 2020
An overview of the occupational therapy assistant (OTA) workforce in Virginia based on data from the 2020 Occupational Therapy Assistant Workforce Survey. Features statistics including the number of OTAs in rural Virginia and how many grew up in rural areas.
Date: 03/2020
Type: Document
Sponsoring organization: Virginia Department of Health Professions
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Use of Apprenticeship to Meet Demand for Medical Assistants in the U.S.
Reports findings from a study of registered medical assistant (MA) apprenticeship programs in 12 states. Discusses the workforce needs these programs may help address, including workforce needs in rural communities. Describes the programs and discusses challenges with starting and maintaining MA apprenticeship programs.
Additional links: Policy Brief
Author(s): Andrew D. Jopson, Susan M. Skillman, Bianca K. Frogner
Date: 09/2019
Type: Document
Sponsoring organization: UW Center for Health Workforce Studies
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Active Ottumwa: Adapting Evidence-Based Recommendations to Promote Physical Activity in a Micropolitan New Destination Community
Reports on the development of an evidence-based community-wide intervention promoting physical activity in Ottumwa, Iowa, a micropolitan community of nearly 25,000 people. This program, Active Ottumwa, utilizes lay health advisors and incorporates behavioral and social intervention approaches to improve health. Evaluation procedures for this study include a community survey, longitudinal cohort assessment, observational data, interviews, and project records.
Author(s): Barbara Baquero, Christine M. Kava, Sato Ashida, et al.
Citation: International Journal of Environmental Research and Public Health, 15(5), 917
Date: 05/2018
Type: Document
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North Dakota Nursing Facility Workforce Survey Chartbook: 2016
Analyzes the survey results from 78 nursing facility chief executive officers in North Dakota. Describes characteristics of the nursing facility workforce. Includes rural versus urban comparisons for multiple measures, such as registered nurse (RN) vacancy rates, number of nurse full-time equivalents (FTEs), level of difficulty in filling staff positions, most important problem in recruiting RNs, and many others.
Author(s): Gary Hart, Robin Besse, Mandi-Leigh Peterson
Date: 09/2017
Type: Document
Sponsoring organization: University of North Dakota Center for Rural Health
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