Rural Health
Resources by Topic: Health workforce supply and demand
Focus on School-based Mental Health for Rural Central Virginia's Youth
Policy brief highlighting the increasing need for mental healthcare among the rural youth population of central Virginia and in the U.S. in general. Explores the effect that pandemic-related school shutdowns have had on youth mental health and the stigma surrounding mental healthcare in rural areas. Features statistics on suicide rates per 100,000 population with breakdowns by sex and rural or urban location, and student to school psychologist ratios from 2019-2020 with breakdowns by state.
Author(s): Sety Abooali
Date: 06/2022
Sponsoring organization: Virginia State Office of Rural Health
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Policy brief highlighting the increasing need for mental healthcare among the rural youth population of central Virginia and in the U.S. in general. Explores the effect that pandemic-related school shutdowns have had on youth mental health and the stigma surrounding mental healthcare in rural areas. Features statistics on suicide rates per 100,000 population with breakdowns by sex and rural or urban location, and student to school psychologist ratios from 2019-2020 with breakdowns by state.
Author(s): Sety Abooali
Date: 06/2022
Sponsoring organization: Virginia State Office of Rural Health
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The Affordable Care Act Medicaid Expansion, Social Disadvantage, and the Practice Location Choices of New General Internists
Examines levels of social disadvantage in states that lost general internal medicine physicians (internists) and states that gained internists after Medicaid expansion. Analyzes 32,102 internists who established their first practice between 2009 and 2019 and their location of choice. Outlines characteristics of internist location choices by population demographics such as age, race and ethnicity, education levels, income levels, social disadvantage level, medical school availability, and rurality.
Author(s): José J. Escarce, Gregory D. Wozniak, Stavros Tsipas, et al.
Citation: Medical Care, 60(5), 342-350
Date: 05/2022
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Examines levels of social disadvantage in states that lost general internal medicine physicians (internists) and states that gained internists after Medicaid expansion. Analyzes 32,102 internists who established their first practice between 2009 and 2019 and their location of choice. Outlines characteristics of internist location choices by population demographics such as age, race and ethnicity, education levels, income levels, social disadvantage level, medical school availability, and rurality.
Author(s): José J. Escarce, Gregory D. Wozniak, Stavros Tsipas, et al.
Citation: Medical Care, 60(5), 342-350
Date: 05/2022
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Rx for the Rural Healthcare Workforce and Access to Care
Podcast with Tom Morris of the Federal Office of Rural Health Policy about trends related to the rural healthcare workforce and efforts to overcome challenges. Discusses the effect of the COVID-19 pandemic, rural hospital closures, telehealth, graduate medical education in rural areas, community health workers and community paramedics, funding opportunities to promote healthcare access in rural areas, the opioid crisis, and more.
Author(s): Jessica Nicholson
Date: 05/2022
Sponsoring organization: The Conference Board
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Podcast with Tom Morris of the Federal Office of Rural Health Policy about trends related to the rural healthcare workforce and efforts to overcome challenges. Discusses the effect of the COVID-19 pandemic, rural hospital closures, telehealth, graduate medical education in rural areas, community health workers and community paramedics, funding opportunities to promote healthcare access in rural areas, the opioid crisis, and more.
Author(s): Jessica Nicholson
Date: 05/2022
Sponsoring organization: The Conference Board
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Convergence of Service Providers and Managers' Perspectives on Strengths, Gaps, and Priorities for Rural Health System Redesign: A Whole-Systems Qualitative Study in Washington County, Maine
Presents themes from interviews with 46 direct healthcare service providers between September - November 2020 in Washington County, Maine. Explores existing clinical service strengths, local and state gaps in services and the impact of those gaps on quality and safety, and priorities and strategies for sustaining or restoring essential healthcare services.
Author(s): Rebecca L. West, Judy Margo, Jeff Brown, Amy Dowley, Susan Haas
Citation: Journal of Primary Care & Community Health, 13
Date: 05/2022
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Presents themes from interviews with 46 direct healthcare service providers between September - November 2020 in Washington County, Maine. Explores existing clinical service strengths, local and state gaps in services and the impact of those gaps on quality and safety, and priorities and strategies for sustaining or restoring essential healthcare services.
Author(s): Rebecca L. West, Judy Margo, Jeff Brown, Amy Dowley, Susan Haas
Citation: Journal of Primary Care & Community Health, 13
Date: 05/2022
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Supporting Community-Based Family Medicine Residency Training Programs in North Carolina and their Potential Impact on Healthy NC 2030
Examines ways in which training family medicine residents in rural North Carolina communities can address disparities in healthcare access and improve rural population health metrics for all subsets of the population. Describes Healthy NC 2030, a public health initiative that seeks to bridge healthcare disparities in North Carolina. Features a county-level map showing locations of training programs in rural settings and urban settings, and statistics on the distribution of family medicine residency positions in North Carolina, with breakdowns by rural or urban setting.
Author(s): Audy G. Whitman, Geniene Jones, Danny Pate, et al.
Citation: North Carolina Medical Journal, 83(3), 173-177
Date: 05/2022
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Examines ways in which training family medicine residents in rural North Carolina communities can address disparities in healthcare access and improve rural population health metrics for all subsets of the population. Describes Healthy NC 2030, a public health initiative that seeks to bridge healthcare disparities in North Carolina. Features a county-level map showing locations of training programs in rural settings and urban settings, and statistics on the distribution of family medicine residency positions in North Carolina, with breakdowns by rural or urban setting.
Author(s): Audy G. Whitman, Geniene Jones, Danny Pate, et al.
Citation: North Carolina Medical Journal, 83(3), 173-177
Date: 05/2022
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Post-Acute and Long-term Care Providers and Services Users in the United States, 2017–2018
Describes the supply, organizational characteristics, staffing, and services offered by post-acute and long-term care providers. Provides descriptions of service users, including residents of nursing homes and residential care communities, patients receiving home health or hospice care, and people who attend adult day services centers. Features statistics including distribution of post-acute and long-term care providers in 2017-2018, with breakdowns by metropolitan, micropolitan, or other areas.
Author(s): Manisha Sengupta, Jessica Penn Lendon, Christine Caffrey, Amanuel Melekin, Priyanka Singh
Date: 05/2022
Sponsoring organization: National Center for Health Statistics
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Describes the supply, organizational characteristics, staffing, and services offered by post-acute and long-term care providers. Provides descriptions of service users, including residents of nursing homes and residential care communities, patients receiving home health or hospice care, and people who attend adult day services centers. Features statistics including distribution of post-acute and long-term care providers in 2017-2018, with breakdowns by metropolitan, micropolitan, or other areas.
Author(s): Manisha Sengupta, Jessica Penn Lendon, Christine Caffrey, Amanuel Melekin, Priyanka Singh
Date: 05/2022
Sponsoring organization: National Center for Health Statistics
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Primary Care Clinicians in Low-Access Counties
Evaluates the weighted contribution of advanced practice providers to the primary care workforce in well-served and underserved counties in North Carolina. Features statistics on population per primary care clinician by North Carolina county and composition of the North Carolina primary care workforce from 2017-2019, and a county-level map with shadings showing percentages of nurse practitioners, physician assistants, and certified nurse-midwives in 2017-2019.
Author(s): Adam J. Zolotor, Evan Galloway, Margaret Beal, Erin P. Fraher
Citation: North Carolina Medical Journal, 83(3), 163-168
Date: 05/2022
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Evaluates the weighted contribution of advanced practice providers to the primary care workforce in well-served and underserved counties in North Carolina. Features statistics on population per primary care clinician by North Carolina county and composition of the North Carolina primary care workforce from 2017-2019, and a county-level map with shadings showing percentages of nurse practitioners, physician assistants, and certified nurse-midwives in 2017-2019.
Author(s): Adam J. Zolotor, Evan Galloway, Margaret Beal, Erin P. Fraher
Citation: North Carolina Medical Journal, 83(3), 163-168
Date: 05/2022
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Impact of the COVID-19 Pandemic on the Hospital and Outpatient Clinician Workforce: Challenges and Policy Responses
Describes hospital and outpatient clinician healthcare workforce shortages and maldistribution both before and during the COVID-19 pandemic and the impact of the pandemic on the mental and physical health of the workforce. Provides an overview of federal interventions to support the healthcare workforce during the pandemic. Includes discussion on challenges specific to rural communities.
Date: 05/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Describes hospital and outpatient clinician healthcare workforce shortages and maldistribution both before and during the COVID-19 pandemic and the impact of the pandemic on the mental and physical health of the workforce. Provides an overview of federal interventions to support the healthcare workforce during the pandemic. Includes discussion on challenges specific to rural communities.
Date: 05/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Arizona Border Special Area (SArea) 2021 Statistical Profile
Reports statistical data from the Arizona Department of Health Services' Bureau of Women and Children's Health on the demographics, healthcare utilization, natality and infant mortality of populations in border areas in Arizona compared to the rest of the state. Includes data on health workforce to population ratios and healthcare facilities and services.
Date: 04/2022
Sponsoring organizations: Arizona Bureau of Health Systems Development, Bureau of Women and Children's Health
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Reports statistical data from the Arizona Department of Health Services' Bureau of Women and Children's Health on the demographics, healthcare utilization, natality and infant mortality of populations in border areas in Arizona compared to the rest of the state. Includes data on health workforce to population ratios and healthcare facilities and services.
Date: 04/2022
Sponsoring organizations: Arizona Bureau of Health Systems Development, Bureau of Women and Children's Health
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Primary Care Practice Patterns of UNR Med Graduates – 2005 to 2018
Examines the practice types and locations of 776 primary care graduates from the University of Nevada, Reno School of Medicine undergraduate medical education between 2005 and 2018. Figure 7 contrasts the number of graduates practicing primary care in Nevada overall with the number working in rural Nevada.
Author(s): Jesse Barnes, Tabor Griswold, John Packham
Date: 04/2022
Sponsoring organization: Nevada Health Workforce Research Center
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Examines the practice types and locations of 776 primary care graduates from the University of Nevada, Reno School of Medicine undergraduate medical education between 2005 and 2018. Figure 7 contrasts the number of graduates practicing primary care in Nevada overall with the number working in rural Nevada.
Author(s): Jesse Barnes, Tabor Griswold, John Packham
Date: 04/2022
Sponsoring organization: Nevada Health Workforce Research Center
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