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Rural Health
Resources by Topic: Health workforce supply and demand

Rural EMS Workforce: A Call to Action
Policy brief discussing rural emergency medical services (EMS) systems. Highlights challenges facing the rural EMS workforce, including the costs of training and reimbursement concerns. Outlines policy recommendations to strengthen rural EMS systems.
Author(s): Christopher McLaughlin, Olivia Riutta, Jonnathan Busko
Date: 02/2021
Type: Document
Sponsoring organization: National Rural Health Association
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Rural Obstetric Unit Closures and Maternal and Infant Health
Policy paper examining the discontinuation of obstetric services in rural communities. Discusses factors contributing to obstetric unit closures, including hospital financial constraints, Medicaid reimbursement rates, and maternal health workforce concerns. Offers policy recommendations to prevent additional obstetric unit closures in rural areas.
Author(s): Lindsay Corcoran, Catherine Clary, Sarah Brinkman
Date: 02/2021
Type: Document
Sponsoring organization: National Rural Health Association
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Visualizing Potential Effects of Dentist Retirements on Accessibility to Dental Care Among Children in Alabama, 2019
Examines dental access among Alabama residents aged 20 or younger. Discusses how dentist retirements may impact access to dental care, with data breakdowns by rural/urban status. Features maps with county-level information on dental access in Alabama.
Author(s): Steven Samsel, Ryan Tramp, Irem Sengul Orgut, et al.
Citation: Preventing Chronic Disease, 18
Date: 02/2021
Type: Document
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2020 Snapshot: State of the Oncology Workforce in America
Infographic providing statistics and data on oncology workforce characteristics and geography in 2020. Highlights rural-urban differences in oncology access, and includes a color-coded map showing oncologist distribution on the county level.
Citation: JCO Oncology Practice, 17(1), 30
Date: 01/2021
Type: Document
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Adolescent Birth Rates and Rural–Urban Differences by Levels of Deprivation and Health Professional Shortage Areas in the United States, 2017–2018
Provides rural versus urban data on birth rates in females aged 15 to 19 years by county area deprivation index (ADI), Health Professional Shortage Area (HPSA), race/ethnicity, and healthcare resources. Utilizes 2017-2018 data from the National Center for Health Statistics, American Community Survey 5-year population estimates, and the Area Health Resources Files.
Author(s): Sylvester O. Orimaye, Nathan Hale, Edward Leinaar, Michael G. Smith, Amal Khoury
Citation: American Journal of Public Health, 111(1), 136-144
Date: 01/2021
Type: Document
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The Essential Role of Family Physicians in Providing Cesarean Sections in Rural Communities
Policy brief describing percentages of family physicians (FPs) providing obstetric services and cesarean deliveries as the primary surgeon, using data from the 2017 and 2018 American Board of Family Medicine's Family Medicine Certification Examination registration questionnaire for FPs seeking to continue their certification. Features statistics with breakdowns by urban, micropolitan, large rural, and small rural locations.
Author(s): Sebastian T. Tong, Aimee R. Eden, Zachary J. Morgan, Andrew W. Bazemore, Lars E. Peterson
Citation: Journal of the American Board of Family Medicine, 34(1), 10-11
Date: 01/2021
Type: Document
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Characteristics and Challenges of Rural Ambulance Agencies - A Brief Review and Policy Considerations
Examines challenges including prolonged response and transport times, insufficient payment by insurers, transitions from volunteer to paid workforce, and lack of plans and policies to coordinate services. Features recommendations for identifying public policy considerations to stabilize rural ambulance agencies.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Andrew F. Coburn, et al.
Date: 01/2021
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Physician Density by Specialty Type in Urban and Rural Counties in the US, 2010 to 2017
Examines trends in physician density in rural and urban counties among primary care physicians, medical specialists, surgical specialists, or other specialists. Features statistics with breakdowns by large metropolitan, medium or small metropolitan, or rural counties.
Author(s): Sara R. Machado, Sahan Jayawardana, Elias Mossialos, Muthiah Vaduganathan
Citation: JAMA Network Open, 4(1)
Date: 01/2021
Type: Document
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Mental Health Systems Solutions Explorer
Interactive tool offering evidence-based solutions to increase mental healthcare utilization, increase access to care, and establish a continuum of care. Contains examples of each solution in practice. Solutions can be filtered to view those specifically of interest to rural communities.
Date: 01/2021
Type: Tool
Sponsoring organization: RAND Corporation
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How to Transform the U.S. Mental Health System: Evidence-based Recommendations
Discusses evidence-based strategies to promote mental healthcare utilization, improve access to care, and establish a continuum of care. Offers 15 recommendations to improve mental healthcare, including policies regarding reimbursement, workforce growth, and digital and telehealth services, among other topics. Includes rural references throughout.
Additional links: Full Report, Research Brief: Transforming Mental Health Care in the United States
Author(s): Ryan K. McBain, Nicole K. Eberhart, Joshua Breslau, et al.
Date: 01/2021
Type: Document
Sponsoring organization: RAND Corporation
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