Rural Health
Resources by Topic: Physicians
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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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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Characteristics of U.S. Medical Graduates and International Medical Graduates in North Dakota
Uses 2017 data from the American Medical Association Physician Masterfile to show the characteristics of direct care physicians practicing in North Dakota. Includes breakdowns by sex and rural/urban status, year of graduation, work location, specialty, and primary care specialty.
Author(s): Gary Hart, Robin Besse, Mandi-Leigh Peterson
Date: 05/2018
Sponsoring organizations: University of North Dakota Center for Rural Health, University of North Dakota School of Medicine & Health Sciences
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Uses 2017 data from the American Medical Association Physician Masterfile to show the characteristics of direct care physicians practicing in North Dakota. Includes breakdowns by sex and rural/urban status, year of graduation, work location, specialty, and primary care specialty.
Author(s): Gary Hart, Robin Besse, Mandi-Leigh Peterson
Date: 05/2018
Sponsoring organizations: University of North Dakota Center for Rural Health, University of North Dakota School of Medicine & Health Sciences
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Physician Workforce: HHS Needs Better Information to Comprehensively Evaluate Graduate Medical Education Funding
Describes what is known about Graduate Medical Education (GME) costs, including the amount, type, and distribution of spending, and examines the extent to which the federal government collects GME-related information. Includes statistics on federal spending on GME in 2015, and information on which GME payment programs track whether residents are from rural areas, received training in rural areas, or went on to practice in rural areas.
Additional links: Full Report
Author(s): James Cosgrove, William Hadley, Christine Brudevold, Katherine Mack, A. Elizabeth Dobrenz, et al.
Date: 03/2018
Sponsoring organization: Government Accountability Office
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Describes what is known about Graduate Medical Education (GME) costs, including the amount, type, and distribution of spending, and examines the extent to which the federal government collects GME-related information. Includes statistics on federal spending on GME in 2015, and information on which GME payment programs track whether residents are from rural areas, received training in rural areas, or went on to practice in rural areas.
Additional links: Full Report
Author(s): James Cosgrove, William Hadley, Christine Brudevold, Katherine Mack, A. Elizabeth Dobrenz, et al.
Date: 03/2018
Sponsoring organization: Government Accountability Office
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MedPAC Report to the Congress: Medicare Payment Policy, 2018
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses Medicare Part D, Medicare Advantage, telehealth, payment incentive programs, and payment adequacy for healthcare facilities and services.
Additional links: Chapter 14 Online-Only Appendixes: The Medicare Prescription Drug Program (Part D): Status Report (March 2018 Report, Revised June 25, 2018), Chapter 16 Online-Only Appendixes: Mandated Report: Telehealth Services and the Medicare Program (March 2018 report), Errata Sheet: Table 9-7, Page 255 (March 2018 Report, Revised May 30, 2018)
Date: 03/2018
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses Medicare Part D, Medicare Advantage, telehealth, payment incentive programs, and payment adequacy for healthcare facilities and services.
Additional links: Chapter 14 Online-Only Appendixes: The Medicare Prescription Drug Program (Part D): Status Report (March 2018 Report, Revised June 25, 2018), Chapter 16 Online-Only Appendixes: Mandated Report: Telehealth Services and the Medicare Program (March 2018 report), Errata Sheet: Table 9-7, Page 255 (March 2018 Report, Revised May 30, 2018)
Date: 03/2018
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Family Physicians in Patient Centered Medical Homes Have a Broader Scope of Practice
Results of a study to determine whether rural family physicians in Patient Centered Medical Home (PCMH) practices have a broader scope of practice than those in non-PCMH practices. Features statistics including physician characteristics and scope of clinical services, with breakdowns by PCMH and non-PCMH and by large rural, small rural, and frontier areas.
Author(s): Lars E. Peterson, Bo Fang
Date: 02/2018
Sponsoring organization: Rural and Underserved Health Research Center
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Results of a study to determine whether rural family physicians in Patient Centered Medical Home (PCMH) practices have a broader scope of practice than those in non-PCMH practices. Features statistics including physician characteristics and scope of clinical services, with breakdowns by PCMH and non-PCMH and by large rural, small rural, and frontier areas.
Author(s): Lars E. Peterson, Bo Fang
Date: 02/2018
Sponsoring organization: Rural and Underserved Health Research Center
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Rural Family Physicians Have a Broader Scope of Practice than Urban Family Physicians
Results of a study to determine differences between rural and urban family physicians in scope of practice for clinical and procedural care in 2014 and 2015. Features statistics including physician characteristics and percentages of physicians providing various types of services and care, with breakdowns by metropolitan, large rural, small rural, and frontier areas.
Author(s): Lars E. Peterson, Bo Fang
Date: 02/2018
Sponsoring organization: Rural and Underserved Health Research Center
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Results of a study to determine differences between rural and urban family physicians in scope of practice for clinical and procedural care in 2014 and 2015. Features statistics including physician characteristics and percentages of physicians providing various types of services and care, with breakdowns by metropolitan, large rural, small rural, and frontier areas.
Author(s): Lars E. Peterson, Bo Fang
Date: 02/2018
Sponsoring organization: Rural and Underserved Health Research Center
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Workforce Outcomes of North Carolina Medical School Graduates: A Report to the Joint Legislative Oversight Committee on Health and Human Services and the Joint Legislative Education Oversight Committee
Describes the identity, location, and number of positions for medical school in North Carolina, identifies the numbers of graduates of medical education in various specialty areas, and tracks outcomes of graduates in primary care, obstetrics and gynecology, and psychiatry 5 years after completing training. Features state-level data through 2016, and includes statistics on percent of graduates in training or practice in rural areas 2008-2011.
Author(s): Julie C. Spero, Erin P. Fraher
Date: 01/2018
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Describes the identity, location, and number of positions for medical school in North Carolina, identifies the numbers of graduates of medical education in various specialty areas, and tracks outcomes of graduates in primary care, obstetrics and gynecology, and psychiatry 5 years after completing training. Features state-level data through 2016, and includes statistics on percent of graduates in training or practice in rural areas 2008-2011.
Author(s): Julie C. Spero, Erin P. Fraher
Date: 01/2018
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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The Workforce Outcomes of Physicians Completing Residency Programs in North Carolina
Describes the identity, location, and number of graduate medical education (GME) training programs in North Carolina, identifies the numbers of GME program graduates in various medical specialty areas, and tracks outcomes of graduates 5 years after completing training. Includes statistics with breakdowns by urban or rural areas of North Carolina.
Author(s): Erin P. Fraher, Julie C. Spero, Evan Galloway, Jim Terry
Date: 01/2018
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Describes the identity, location, and number of graduate medical education (GME) training programs in North Carolina, identifies the numbers of GME program graduates in various medical specialty areas, and tracks outcomes of graduates 5 years after completing training. Includes statistics with breakdowns by urban or rural areas of North Carolina.
Author(s): Erin P. Fraher, Julie C. Spero, Evan Galloway, Jim Terry
Date: 01/2018
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Competence Revisited in a Rural Context
Results of a national survey of 171 undergraduate and graduate medical educators and practicing physicians, with the goal of developing a list of competency domains for working in rural communities and assessing their importance in education and practice.
Author(s): Randall L. Longenecker, Andrea Wendling, Joyce Hollander-Rodriguez, John Bowling, David Schmitz
Citation: Family Medicine, 50(1), 28-35
Date: 01/2018
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Results of a national survey of 171 undergraduate and graduate medical educators and practicing physicians, with the goal of developing a list of competency domains for working in rural communities and assessing their importance in education and practice.
Author(s): Randall L. Longenecker, Andrea Wendling, Joyce Hollander-Rodriguez, John Bowling, David Schmitz
Citation: Family Medicine, 50(1), 28-35
Date: 01/2018
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Reinventing Rural Health Care: A Case Study of Seven Upper Midwest States
Examines the state of rural healthcare in seven states - Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota, and Wyoming - and uses the findings to determine the impact of existing federal policies, understand ongoing healthcare challenges, and identify opportunities for improvement in rural healthcare access and delivery. Addresses rightsizing healthcare services to fit community needs, creating rural funding mechanisms, building and supporting the primary care physician workforce, and expanding telemedicine services. Analysis is based on interviews with over 90 national thought leaders and key stakeholders.
Additional links: Infographic, Summary – Rural Health Care: Lessons Learned
Date: 01/2018
Sponsoring organization: Bipartisan Policy Center
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Examines the state of rural healthcare in seven states - Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota, and Wyoming - and uses the findings to determine the impact of existing federal policies, understand ongoing healthcare challenges, and identify opportunities for improvement in rural healthcare access and delivery. Addresses rightsizing healthcare services to fit community needs, creating rural funding mechanisms, building and supporting the primary care physician workforce, and expanding telemedicine services. Analysis is based on interviews with over 90 national thought leaders and key stakeholders.
Additional links: Infographic, Summary – Rural Health Care: Lessons Learned
Date: 01/2018
Sponsoring organization: Bipartisan Policy Center
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