Rural Health
Resources by Topic: Physicians
International Medical Graduate Physicians in the U.S.: Changes Since 1981
Describes changes over time in the supply and distribution of International Medical Graduates (IMGs), based on five-year interval data from 1981 through 2001. Addresses IMG country of education, distribution in the U.S., demographics, type of practice, specialty, and contribution to patient care in rural areas and persistent poverty counties.
Author(s): L. Gary Hart, Susan M. Skillman, Amy Hagopian, et al.
Date: 03/2005
Type: Document
Sponsoring organization: UW Center for Health Workforce Studies
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Describes changes over time in the supply and distribution of International Medical Graduates (IMGs), based on five-year interval data from 1981 through 2001. Addresses IMG country of education, distribution in the U.S., demographics, type of practice, specialty, and contribution to patient care in rural areas and persistent poverty counties.
Author(s): L. Gary Hart, Susan M. Skillman, Amy Hagopian, et al.
Date: 03/2005
Type: Document
Sponsoring organization: UW Center for Health Workforce Studies
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Medicare Physician Fees: Geographic Adjustment Indices Are Valid in Design, but Data and Methods Need Refinement
Discusses Medicare's geographic practice cost indices (GPCI). Includes discussion of how these indices impact rural physicians, physician incomes, location, recruitment, and retention.
Additional links: Full Report
Date: 03/2005
Type: Document
Sponsoring organization: Government Accountability Office
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Discusses Medicare's geographic practice cost indices (GPCI). Includes discussion of how these indices impact rural physicians, physician incomes, location, recruitment, and retention.
Additional links: Full Report
Date: 03/2005
Type: Document
Sponsoring organization: Government Accountability Office
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Medicare Fee-for-Service Beneficiary Access to Physician Services: Trends in Utilization of Services, 2000-2002
Reports on Medicare beneficiaries' access to physician services in 2000, 2001, and 2002, with comparison of rural versus urban access.
Additional links: Full Report
Date: 02/2005
Type: Document
Sponsoring organization: Government Accountability Office
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Reports on Medicare beneficiaries' access to physician services in 2000, 2001, and 2002, with comparison of rural versus urban access.
Additional links: Full Report
Date: 02/2005
Type: Document
Sponsoring organization: Government Accountability Office
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Rural Physicians' Acceptance of New Medicare Patients
Describes trends for urban and rural physicians who no longer accept new Medicare patients. Discusses the impact of Medicare payment policy changes on rural physicians' decisions to accept Medicare patients.
Author(s): Keith J. Mueller, A. Clinton MacKinney, Timothy D. McBride, Jane L. Meza, Liyan Xu
Citation: RUPRI Rural Policy Brief, 9(5)
Date: 08/2004
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes trends for urban and rural physicians who no longer accept new Medicare patients. Discusses the impact of Medicare payment policy changes on rural physicians' decisions to accept Medicare patients.
Author(s): Keith J. Mueller, A. Clinton MacKinney, Timothy D. McBride, Jane L. Meza, Liyan Xu
Citation: RUPRI Rural Policy Brief, 9(5)
Date: 08/2004
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Physician Workforce: Supply Increased in Metropolitan and Nonmetropolitan Areas but Geographic Disparities Persisted
Describes the change in supply of physicians from 1991 to 2001. Includes data nationally and by state on physicians in nonmetropolitan areas and on the number of specialists versus generalists. Includes a list of Health Resources and Services Administration programs that address the supply and distribution of health professionals, with 1991 and 2001 expenditures for each program.
Additional links: Full Report
Date: 10/2003
Type: Document
Sponsoring organization: Government Accountability Office
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Describes the change in supply of physicians from 1991 to 2001. Includes data nationally and by state on physicians in nonmetropolitan areas and on the number of specialists versus generalists. Includes a list of Health Resources and Services Administration programs that address the supply and distribution of health professionals, with 1991 and 2001 expenditures for each program.
Additional links: Full Report
Date: 10/2003
Type: Document
Sponsoring organization: Government Accountability Office
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Medicare Physician Payment: Practice Expense
Describes the variation in Medicare payment for practice expense using the Geographic Practice Cost Indexes (GPCIs). Explains the factors that are used to calculate GPCIs and lists the 2003 GPCIs. Discusses potential impact of lower Medicare reimbursement to rural physicians for practice expense.
Author(s): A. Clinton MacKinney, Timothy D. McBride, Michael D. Shambaugh-Miller, Keith J. Mueller
Citation: RUPRI Rural Policy Brief, 8(9)
Date: 10/2003
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes the variation in Medicare payment for practice expense using the Geographic Practice Cost Indexes (GPCIs). Explains the factors that are used to calculate GPCIs and lists the 2003 GPCIs. Discusses potential impact of lower Medicare reimbursement to rural physicians for practice expense.
Author(s): A. Clinton MacKinney, Timothy D. McBride, Michael D. Shambaugh-Miller, Keith J. Mueller
Citation: RUPRI Rural Policy Brief, 8(9)
Date: 10/2003
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Who is Caring for the Underserved? A Comparison of Primary Care Physicians and Nonphysician Clinicians in California and Washington
Compares the geographic distribution and patient populations of physician and nonphysician primary care clinicians. Includes the proportion of clinicians within each discipline practicing in rural areas, Health Professional Shortage Areas (HPSAs), and areas with vulnerable populations.
Author(s): Kevin Grumbach, L. Gary Hart, Elizabeth Mertz, Janet Coffman, Lorella Palazzo
Citation: Annals of Family Medicine, 1(2), 97-104
Date: 07/2003
Type: Document
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Compares the geographic distribution and patient populations of physician and nonphysician primary care clinicians. Includes the proportion of clinicians within each discipline practicing in rural areas, Health Professional Shortage Areas (HPSAs), and areas with vulnerable populations.
Author(s): Kevin Grumbach, L. Gary Hart, Elizabeth Mertz, Janet Coffman, Lorella Palazzo
Citation: Annals of Family Medicine, 1(2), 97-104
Date: 07/2003
Type: Document
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Characteristics and Roles of Rural Health Clinics in the United States: A Chartbook
Offers a comprehensive picture of the Rural Health Clinic (RHC) program and the operations of RHCs. Covers characteristics of RHCs, staffing and recruitment, location, and more.
Author(s): John A. Gale, Andrew F. Coburn
Date: 01/2003
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Offers a comprehensive picture of the Rural Health Clinic (RHC) program and the operations of RHCs. Covers characteristics of RHCs, staffing and recruitment, location, and more.
Author(s): John A. Gale, Andrew F. Coburn
Date: 01/2003
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Medicare Physician Payment
Provides an overview of how physicians are paid by Medicare, with a focus on the adjustments made related to geographic practice cost indexes (GPCIs). Discusses rural issues related to Medicare physician payment, including impact on physician recruitment and retention and healthcare access.
Author(s): A. Clinton MacKinney, Michael D. Shambaugh-Miller, Keith Mueller
Citation: RUPRI Rural Policy Brief, 8(2)
Date: 01/2003
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Provides an overview of how physicians are paid by Medicare, with a focus on the adjustments made related to geographic practice cost indexes (GPCIs). Discusses rural issues related to Medicare physician payment, including impact on physician recruitment and retention and healthcare access.
Author(s): A. Clinton MacKinney, Michael D. Shambaugh-Miller, Keith Mueller
Citation: RUPRI Rural Policy Brief, 8(2)
Date: 01/2003
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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State of the Health Workforce in Rural America: Profiles and Comparisons
Overview of rural healthcare workforce issues. National and state-by-state data on the healthcare workforce, with rural-urban comparisons and interstate comparisons. Also includes data on rural healthcare facilities.
Author(s): Eric H. Larson, Karin E. Johnson, Thomas E. Norris, et al.
Date: 2003
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Overview of rural healthcare workforce issues. National and state-by-state data on the healthcare workforce, with rural-urban comparisons and interstate comparisons. Also includes data on rural healthcare facilities.
Author(s): Eric H. Larson, Karin E. Johnson, Thomas E. Norris, et al.
Date: 2003
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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