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Rural Health Information Hub

Rural Health
Resources by Topic: Health workforce supply and demand

Rural and Nonrural Primary Care Physician Practices Increasingly Rely on Nurse Practitioners
Details a study comparing rural and urban reliance on nurse practitioners as providers of primary care. Discusses the role of Medicaid expansion and scope of practice in findings.
Author(s): Hilary Barnes, Michael R. Richards, Matthew D. McHugh, Grant Martsolf
Citation: Health Affairs, 37(6)
Date: 06/2018
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California Physician Supply and Distribution: Headed for a Drought?
Describes the physicians in California as of 2015, including number, practice activities, demographics, and geographical distribution. Uses data from the Medical Board of California's survey for relicensure and a voluntary supplemental survey. Includes recommendations for maximizing physician resources in rural and underserved areas.
Author(s): Janet M. Coffman, Margaret Fix, Michelle Ko
Date: 06/2018
Sponsoring organization: California Health Care Foundation
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Where Are They? Examining General Surgery Workforce Issues
Describes challenges related to getting adequate data on the rural surgical workforce and what is needed to understand rural shortages.
Author(s): Kay Miller Temple
Date: 06/2018
Sponsoring organization: Rural Health Information Hub
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PAs in Rural Locations Ready to Meet Primary Care Needs
Describes characteristics of physician assistants (PAs) working in rural areas, based on data collected from 9,140 PAs for the 2018 American Academy of PAs Salary Survey. Features statistics with breakdowns by rural or urban location and by various medical specialties.
Author(s): Noel Smith
Date: 06/2018
Sponsoring organization: American Academy of PAs
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Nursing Home Infection Control Program Characteristics, CMS Citations, and Implementation of Antibiotic Stewardship Policies: A National Study
Results of a study of 2,514 nursing homes to assess infection preventionist training and certification, staff turnover, and infection control program characteristics. Features statistics on facility characteristics, with breakdowns by locations in metro, large urban, small urban, or rural areas.
Author(s): Patricia W. Stone, Carolyn T.A. Herzig, Mansi Agarwal, Monika Pogorzelska-Maziarz, Andrew W. Dick
Citation: Inquiry, 55:1-7
Date: 05/2018
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EMS Services in Rural America: Challenges and Opportunities
Policy brief describing challenges for rural EMS providers, including workforce shortages and inconsistent funding. Features statistics including percentage of potentially excess deaths for 5 leading causes of death, with breakdowns by metropolitan and nonmetropolitan areas, and average EMS call time response and distribution of all-volunteer and all-paid staff EMS agencies, with breakdowns by 4 levels of population density. Discusses effects of the opioid crisis and Critical Access Hospital closures on provision of EMS services.
Author(s): Nikki King, Marcus Pigman, Sarah Huling, Brian Hanson
Date: 05/2018
Sponsoring organization: National Rural Health Association
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A Comparative Analysis of New York's Active Nurse Practitioners and Physician Assistants
Research brief using data drawn from survey responses collected between September 2015 - December 2017, exploring similarities and differences between New York state physician assistants and nurse practitioners. Features statistics with breakdowns by rural and urban practice locations.
Author(s): Yuhao Liu, Robert Martiniano, Jean Moore
Date: 05/2018
Sponsoring organization: Center for Health Workforce Studies
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Behavioral Health Integration and Workforce Development
Examines the need for states to assess behavioral health integration (BHI) workforce needs, identify legal and policy barriers to practice, and effectively train and retain BHI practitioners, especially in underserved areas. Includes case studies of programs in Washington, Nebraska, and Michigan, and lists of resources.
Author(s): Rachel Block
Date: 05/2018
Sponsoring organization: Milbank Memorial Fund
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The Health Care Workforce: Addressing Shortages and Improving Care
Testimony in the U.S. Senate Committee on Health, Education, Labor & Pensions on May 22, 2018. Examines the growing problem of healthcare shortages in rural areas and the response by the federal government. Also explores how well healthcare professionals are being trained and why they choose the geographical areas where they work. Focuses on shortages of physicians, nurses, and professionals specializing in care of older adults.
Additional links: Testimony by Elizabeth A. Phelan, Testimony by Julie Tanner Sanford, Testimony by Kristen H. Goodell
Author(s): Kristen Goodell, Julie Sanford, Elizabeth Phelan
Date: 05/2018
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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2017 Survey of Nurse Practitioners and Certified Nurse Midwives
Reports on a survey of nurse practitioners (NPs) and certified nurse midwives (CNM) with licenses in California. Includes rural/urban differences, such as distribution by age, sex, and race/ethnicity; earnings; practice location; and more.
Additional links: Infographic
Author(s): Joanne Spetz, Lisel Blash, Matthew Jura, Lela Chu
Date: 04/2018
Sponsoring organizations: California Board of Registered Nursing, Healthforce Center at UCSF
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