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Rural Health
Resources by Topic: Recruitment and retention of health professionals

Primary Care Legislative Report to the Thirty-Second Legislature: State of Hawaii 2023
Annual legislative report covering Hawaii State Department of Health program activities and partnerships with Primary Health Care Partners (PHCP). Offers recommendations to address healthcare workforce issues, COVID-19 response, telehealth, and more.
Date: 12/2022
Type: Document
Sponsoring organization: Hawaii State Department of Health
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Staffing Crisis Casts Shadow Over Vulnerable Rural Communities: Executive Summary
Summarizes key findings from a series of surveys of rural hospital leaders conducted in 2021 and 2022 regarding staffing shortages. Discusses COVID-19 vaccination and exemptions, nursing shortages and the impact on access to care, and the effectiveness of recruiting incentives on attracting staff.
Author(s): Michael Topchik, Troy Brown, Melanie Pinette, Billy Balfour, Ana Wiesse
Date: 12/2022
Type: Document
Sponsoring organization: The Chartis Group
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Virginia Community Services Boards Behavioral Health Services: 2022
Report on activities of Virginia's Community Services Boards (CSBs), the state's primary mechanism for providing publicly funded behavioral health services in local communities. Includes a section on CSBs' role in providing services to rural areas. Features statistics on numbers of substance use disorder and mental health consumers, with breakdowns by urban and rural CSBs.
Date: 12/2022
Type: Document
Sponsoring organization: Joint Legislative Audit and Review Commission
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Health Care Access in the Heartland: How to Improve Services in Rural America
Outlines strategies policymakers and community leaders in rural America can use to improve healthcare access and services. Combines data analysis of county demographics and health data with focus groups in Arkansas, Kansas, Kentucky, Missouri, Oklahoma, and Tennessee. Provides expert interviews to better understand healthcare access in rural communities.
Author(s): Darren Chapman, Angie Cooper, Elizabeth Dombowsky, et al.
Date: 12/2022
Type: Document
Sponsoring organization: Heartland Forward
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2022 Hospital Nurse Staffing Study: Rural and Critical Access Hospitals
Uses the 2022 Hospital Nurse Staffing Survey in Texas to compare nurse staffing in 49 Critical Access Hospitals (CAH), 45 rural non-CAHs, and 239 non-rural hospitals. Discusses vacancy, turnover, and budgeting for the nurse workforce.
Date: 11/2022
Type: Document
Sponsoring organizations: Texas Center for Nursing Workforce Studies, Texas Health and Human Services
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Access to Emergency Medical Services in Rural Communities: Policy Brief and Recommendations to the Secretary
Provides an overview of issues related to the provision of emergency medical services (EMS) in rural areas. Discusses rural EMS access, financing, and workforce challenges, as well as promising telehealth innovations. Outlines federal programs and resources that support EMS programs. Offers policy recommendations related to access to EMS, workforce, and reimbursement.
Date: 11/2022
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Is Being There Enough? Postgraduate Nurse Practitioner Residencies in Rural Primary Care
Examines the characteristics of rural and rural-serving postgraduate nurse practitioner (NP) residency programs, and the practices they use to determine if and how they enable recruitment, transition, and retention of NPs in rural primary care practice. Interviews were conducted with residency program directors, clinic personnel, and current and former NP residents, and analyzed to identify key themes and variations in program structure.
Author(s): Louise Kaplan, Samantha W. Pollock, Susan M. Skillman, Davis G. Patterson
Citation: Journal of Rural Health, 39(3), 529-534
Date: 11/2022
Type: Document
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Responding to One Rural Community's Primary Care Needs: Investing in Workforce and Broad Community Stakeholder Engagement
Commentary describing a model in which an academic health system in Rockingham County, North Carolina made targeted primary care investments to address rural health disparities while working to ensure sustainability within the health workforce. Examines challenges to improving rural health outcomes and offers suggestions for health systems seeking to replicate the Rockingham model.
Author(s): Sherry Hay, Emily M. Hawes, Alyssa Zamierowski, Stokes Ann Hunt, Cristen P. Page
Citation: North Carolina Medical Journal, 83(6), 435-439
Date: 11/2022
Type: Document
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Relationships Matter: How Usual is the Usual Source of (Primary) Care?
Explores trends in usual source of care (USC), with statistics on patient characteristics associated with USC and percent of the U.S. population with a USC, with breakdowns by payer type, race/ethnicity, and types of USC. Discusses shortages of primary care physicians in rural areas, and strategies for attracting, retaining, and diversifying primary care physicians in rural and underserved areas.
Author(s): Yalda Jabbarpour, Ann Greiner, Anuradha Jetty, et al.
Date: 11/2022
Type: Document
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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CMS Framework for Advancing Health Care in Rural, Tribal, and Geographically Isolated Communities
Report outlines the Centers for Medicare & Medicaid Services (CMS) plan for improving health equity and health outcomes across the U.S. for rural, tribal, and geographically isolated communities. Details a 6 priority framework emphasizing the application of a community-informed geographic lens; the collection and use of standardized data; support for healthcare professionals; the optimization of medical and communication technology; the expansion of access to comprehensive healthcare coverage, benefits, and services and supports; and innovation and value-based care. Highlights examples of activities CMS is undertaking in support of each priority and recent CMS efforts that align with each priority.
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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