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Rural Health Information Hub

Rural Health
Resources by Topic: Health workforce supply and demand

Report to Congress on Medicaid and CHIP, June 2021
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses high-cost specialty drugs in the Medicaid program, access to mental health services for those enrolled in Medicaid and the State Children's Health Insurance Program (CHIP), integration of physical and behavioral health care through electronic health records (EHRs), Medicaid's non-emergency transportation (NEMT) benefit, and state strategies for integrating care for people who are dually eligible for Medicaid and Medicare. Includes rural references throughout.
Date: 06/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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National Health Service Corps: Program Directs Funding to Areas with Greatest Provider Shortages
Provides an overview of the National Health Service Corps (NHSC) programs. Examines data for fiscal year 2020 on the number of NHSC providers and where they served, the number and characteristics of applicants that did not receive funding, the number of NHSC sites with vacancies, and information about the effectiveness of NHSC programs at alleviating provider shortages.
Additional links: Full Report
Date: 06/2021
Sponsoring organization: Government Accountability Office
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Texas Women and Women's Health Providers: Metro v. Non-Metro
Report on the number of women's health providers in rural and urban areas of Texas. Includes a county-level breakdown of the ratio of providers per 100,000 people as well as counties with no providers. Also includes a comparison of the number of types of providers and average ages between rural and urban areas.
Date: 05/2021
Sponsoring organization: Texas Health and Human Services
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A Dire Shortage and Getting Worse: Solving the Crisis in the Health Care Workforce
Video of a May 20, 2021 U.S. Senate hearing with testimony from representatives of the Association of American Medical Colleges, the National Medical Association, Albany (Georgia) Area Primary Health Care, and the University of New England. Examines lack of access to high-quality care in rural and underserved areas, and the importance of training students likely to practice in rural areas.
Additional links: David J. Skorton Statement, James D. Herbert Statement, Leon McDougle Statement, Shelley Spires Statement
Author(s): David J. Skorton, Leon McDougle, Shelley Spires, James D. Herbert
Date: 05/2021
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Evaluation of the 2020 Pediatric Emergency Physician Workforce in the US
Results of a study of 2,403 self-identified pediatric emergency physicians (EPs), examining their characteristics and their practice locations. Features a county-level map showing pediatric EP density per 100,000 population, and statistics with breakdowns by age, sex, U.S. census division, training specialty area, board certification, and urban, large rural, or small rural location.
Author(s): Christopher L. Bennett, Janice A. Espinola, Ashley F. Sullivan, et al.
Citation: JAMA Network Open, 4(5)
Date: 05/2021
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Iowa Nursing Demand Survey Report
Summarizes the results of a survey conducted between February and September 2020 on the demand of licensed practical nurses, registered nurses, and advanced registered nurse practitioners in Iowa. Discusses anticipated changes to demand and potential shortages, as well as barriers to recruitment and retention. Presents data by employer type, urban or rural location, and size.
Date: 04/2021
Sponsoring organizations: Iowa Board of Nursing, Iowa Center for Nursing Workforce
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Arizona Health Workforce Profile: Critical Care
Report presenting the distribution of critical care workforce and infrastructure, comparing rural and urban counties. Offers data by county and breaks down workforce by physicians, nurses, and respiratory therapists.
Author(s): B Koch, S Coates, C Drake, D Derksen
Date: 04/2021
Sponsoring organization: Arizona Center for Rural Health
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Medicaid and Rural Health
Provides an overview of rural residents, including socioeconomic characteristics, insurance status, and health status. Explores the availability of healthcare providers in rural areas, with a focus on primary care providers and hospitals. Discusses the role of Medicaid in rural health, as well as Medicaid policies and services that are important for providing healthcare in rural communities.
Date: 04/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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The Clinical Laboratory Workforce: Understanding the Challenges to Meeting Current and Future Needs
Explores workforce needs of the U.S. laboratory medicine field, including recruitment and retention, expanding the visibility of clinical laboratory careers, and promoting diversity and inclusion. Summarizes a literature review and data analysis based on interviews with informants in clinical laboratory education and professional programs. Discusses rural-specific barriers to recruitment and retention.
Author(s): Edna C. Garcia, Grace A. Guenther, Susan M. Skillman, Bianca K. Frogner
Date: 04/2021
Sponsoring organizations: American Society for Clinical Pathology, UW Center for Health Workforce Studies
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Health Workforce Strategies for California: A Review of the Evidence
Examines literature and evidence on healthcare workforce strategies, discussing workforce issues in urban and rural areas in California. Describes the impacts of pipeline, scholarship, loan repayment, professional training, and residency programs, including rural-specific considerations.
Author(s): Diane Rittenhouse, Alexandra Ament, Janet Genevro, Kara Contreary
Date: 04/2021
Sponsoring organizations: California Health Care Foundation, Mathematica
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