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Rural Health
Resources by Topic: Healthcare workforce

Challenges in Providing Substance Use Disorder Treatment to Child Welfare Clients in Rural Communities
Provides an overview of the unique challenges rural communities face serving parents with substance abuse issues, including provider shortages, limited access to health insurance, transportation and technological barriers, and lack of routine cross-systems collaboration with the child welfare system. Offers strategies to overcome these challenges in rural communities.
Author(s): Elizabeth Clary, Christina Ribar, Elizabeth Weigensberg
Date: 01/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Recognizing and Sustaining the Value of Community Health Workers and Promotores
Discusses the ways in which community health workers and promotores (CHW/Ps) contribute to the healthcare system, with a focus on California. Gives examples of the ways in which CHW/Ps in rural areas can alleviate workforce shortages, strengthen patient engagement with the healthcare system, and act as liaisons to social structures, including churches and Native American tribal organizations.
Author(s): Jim Lloyd, Kathy Moses, Rachel Davis
Date: 01/2020
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Physician Workforce in Nevada: A Chartbook
Provides current data on the supply and geographic distribution by county, including rural and frontier, of physicians in Nevada.
Author(s): John Packham, Tabor Griswold
Date: 01/2020
Type: Document
Sponsoring organization: University of Nevada, Reno School of Medicine Office of Statewide Initiatives
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Student Interest in a Primary Care of Underserved Populations Course
Results of a study assessing students' interest in a potential Michigan State University course on skills needed to care for and advocate for rural patients and the underserved. Features demographic statistics on survey respondents, with breakdowns by rural or metropolitan hometowns.
Author(s): Jennifer Edwards-Johnson, Julie P. Phillips, Andrea Wendling
Citation: Family Medicine, 52(1), 17-23
Date: 01/2020
Type: Document
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Report to the 2020 Legislature: Annual Report on Findings from the Hawai'i Physician Workforce Assessment Project
Reports on shortages of physicians in Hawaii by county and specialty. Summarizes the activities supported in the past year to help address these shortages including workforce pipeline programs, loan repayment contracts, increasing state shortage designations, continuing education through Project ECHO, and a tax credit for health preceptors.
Author(s): Kelley Withy
Date: 12/2019
Type: Document
Sponsoring organization: Hawaii and Pacific Basin Area Health Education Centers
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A Shrinking Primary Care Workforce in Puerto Rico
Discusses Puerto Rico's aging primary care workforce and concerns about the number of healthcare professionals who have left the island following the 2017 hurricane and the relatively low recruitment and retention rate for graduates of Puerto Rico's residency programs. Features statistics showing primary care physician age distribution in Puerto Rico compared with the rest of the United States in 2018.
Author(s): Elizabeth Wilkinson, David Killeen, Gabriel José Pérez-López, Yalda Jabbarpour
Date: 12/2019
Type: Document
Sponsoring organization: Robert Graham Center
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Comparison of Rural vs Urban Direct-to-Physician Commercial Promotion of Medications for Treating Opioid Use Disorder
Results of a cross-sectional county-level study using all reported direct-to-physician pharmaceutical payments from manufacturers of opioid use disorder medications from 2014-2017, as well as demographic and economic data from 3,140 counties. Features statistics with breakdowns by metropolitan, micropolitan, and rural areas.
Author(s): Thuy Nguyen, Barbara Andraka-Christou, Kosali Simon, W. David Bradford
Citation: JAMA Network Open, 2(12)
Date: 12/2019
Type: Document
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Health Care Workforce: Views on Expanding Medicare Graduate Medical Education Funding to Nurse Practitioners and Physician Assistants
Describes the Department of Health and Human Services' (HHS) Medicare Graduate Medical Education (GME) program. Provides an overview of current federal funding for physician, nurse practitioner (NP), and physician assistant (PA) training. Explores the potential benefits and challenges of expanding the Medicare GME program to include funding for graduate NP and PA training.
Additional links: Full Report
Date: 12/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Access and Capacity to Care for Medicare Beneficiaries in Rural Health Clinics
Findings from a voluntary online survey conducted in 2019 of 111 Rural Health Clinic (RHC) staff from 27 states, to better understand how they address issues on accessibility, capacity, flexibility of services, and other clinic characteristics for Medicare beneficiaries, and to identify any gaps in healthcare.
Author(s): Megan Lahr, Carrie Henning-Smith, Ashley M. Hernandez, Hannah Neprash
Date: 12/2019
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Professional and Cultural Development of Medical Students Mentoring Adolescents in a Predominately Native Hawaiian Community
Describes the development and design of the the Nānākuli Pathways to Health (NPH) program, a mentoring and health career curriculum, to determine its impact on students' professional development while serving in a rural, underserved Native Hawaiian community.
Author(s): Malia S. Lee, Sachi K. Kaulukukui, Mai S. Smith, Jerrick J.K. Laimana, Kelli-Ann N.F. Voloch
Citation: Hawai'i Journal of Medicine and Public Health, 78(12 Suppl 3), 35-40
Date: 12/2019
Type: Document
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