Rural Healthcare Workforce – Resources

Comprehensive Rural Population Health: Where is the General Surgeon?
Provides an overview of the role that general surgeons play, discusses the importance of surgical access, and describes efforts underway to attract students into the field and to train the rural surgical workforce.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2018
Sponsoring organization: Rural Health Information Hub
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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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Physician Assistants: Modernize Laws to Improve Rural Access
National Rural Health Association policy paper describing benefits to rural communities when practice barriers are removed and payments are sufficient to attract physician assistants to the area. Includes recommendations to help achieve this goal.
Author(s): Roger Wells, Megan Cody, Robert Alpino, Melissa Van Dyne, Ross Abbott, et al.
Date: 04/2018
Sponsoring organization: National Rural Health Association
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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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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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Trends in Primary Care Provision to Medicare Beneficiaries by Physicians, Nurse Practitioners, or Physician Assistants: 2008-2014
Examines trends in elderly patients receiving primary care from physicians alone, physicians with nurse practitioners (NPs) and/or physician assistants (PAs), and NPs/PAs without physicians. Considered these models for delivering primary care to Medicare patients with multiple chronic conditions and Medicare patients in rural and health professional shortage areas (HPSAs).
Author(s): Ying Xue, James S. Goodwin, Deepak Adhikari, Mukaila A. Raji, Yong-Fang Kuo
Citation: Journal of Primary Care and Community Health, 8(4), 256-263
Date: 10/2017
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Organizations Help Veterans Transition into Healthcare Careers
Highlights the work of the Multi-State Collaborative on Military Credit and the Consortium of Michigan Veterans Educators to help veterans pursue careers in healthcare. Discusses the role veterans have played in the past and continue to play in meeting the health workforce needs of rural communities. Identifies barriers veterans face transitioning to health careers.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 10/2017
Sponsoring organization: Rural Health Information Hub
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Accountable Care Organization Implementation Experiences and Rural Participation: Considerations for Nurses
Examines implications of Accountable Care Organization (ACO) development for advanced practice nurses and other primary care clinicians employed by rural practices such as Rural Health Clinics that may be considering ACO participation.
Author(s): Matt Thomas Bagwell, Angeline Bushy, Judith Ortiz
Citation: The Journal of Nursing Administration, 47(1), 30-34
Date: 01/2017
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Outcomes of Rural-Centric Residency Training to Prepare Family Medicine Physicians for Rural Practice
Reports the results of a study analyzing the number of graduates from rural-centric family medicine residency programs who chose to practice in rural areas and Primary Care Health Professional Shortage Areas (HPSAs).
Author(s): Davis G. Patterson, C. Holly A. Andrilla, David Schmitz, Randall Longenecker, David V. Evans
Date: 03/2016
Sponsoring organization: WWAMI Rural Health Research Center
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Graduate Medical Education That Meets the Nation's Health Needs
Reviews the system supporting graduate medical education (GME) and discusses how it supports or creates barriers to the development of the physician workforce the nation needs. A section on geographic maldistribution on pages 43-44 discusses the rural physician workforce. The report also discusses GME issues related to rural health facilities, including Table 3-8 (p. 83), with data on rural hospital GME.
Additional links: Read Online
Author(s): Committee on the Governance and Financing of Graduate Medical Education
Date: 07/2014
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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