Rural Health
Resources by Topic: Health workforce supply and demand
State Strategies to Support the Future of the Primary Care Physician and Nursing Workforce
Discusses primary care physician and nursing workforce challenges, including the shortage of these providers in rural and underserved areas. Describes policies and strategies implemented by states to address these challenges. Offers resources for states, health systems, and academic institutions exploring innovative strategies to address healthcare workforce challenges.
Author(s): Elaine Chhean, Anita Cardwell, Lauren Block, Sarah Tocher
Date: 12/2022
Sponsoring organization: National Academy for State Health Policy
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Discusses primary care physician and nursing workforce challenges, including the shortage of these providers in rural and underserved areas. Describes policies and strategies implemented by states to address these challenges. Offers resources for states, health systems, and academic institutions exploring innovative strategies to address healthcare workforce challenges.
Author(s): Elaine Chhean, Anita Cardwell, Lauren Block, Sarah Tocher
Date: 12/2022
Sponsoring organization: National Academy for State Health Policy
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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
Sponsoring organization: Heartland Forward
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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
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
Sponsoring organizations: Texas Center for Nursing Workforce Studies, Texas Health and Human Services
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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
Sponsoring organizations: Texas Center for Nursing Workforce Studies, Texas Health and Human Services
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VA Training Program Contributions: Evaluation of Indianapolis Veterans' Affairs Medical Center Training Contributions to the State of Indiana
Provides information and data on health professionals trained at Veterans' Affairs (VA) facilities. Discuses VA investments, impacts on the Indiana health workforce, and the geographic distribution of VA health professional trainees (HPTs), including population to physician ratios.
Author(s): Courtney Medlock, Mykayla Tobin, Hannah Maxey, et al.
Date: 11/2022
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Provides information and data on health professionals trained at Veterans' Affairs (VA) facilities. Discuses VA investments, impacts on the Indiana health workforce, and the geographic distribution of VA health professional trainees (HPTs), including population to physician ratios.
Author(s): Courtney Medlock, Mykayla Tobin, Hannah Maxey, et al.
Date: 11/2022
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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The Nursing Shortage and its Consequences in Rural Virginia
Policy brief exploring the statewide nursing shortage in Virginia, with a focus on rural areas. Offers insights into the cause of the crisis as well as areas for improvement. Features statistics on the number of healthcare workers who left their jobs from 2000-2022, leading to an overall healthcare workforce shortage.
Author(s): Sety Abooali
Date: 11/2022
Sponsoring organization: West Virginia State Office of Rural Health
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Policy brief exploring the statewide nursing shortage in Virginia, with a focus on rural areas. Offers insights into the cause of the crisis as well as areas for improvement. Features statistics on the number of healthcare workers who left their jobs from 2000-2022, leading to an overall healthcare workforce shortage.
Author(s): Sety Abooali
Date: 11/2022
Sponsoring organization: West Virginia State Office of Rural Health
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Indiana's Behavioral Health Workforce Report Series: Psychiatrists and Psychiatric APRNs
Information on 2021 demographics, education and practice characteristics, and distribution of Indiana physicians and Advanced Practice Registered Nurses (APRNs) who report having a practice specialty in psychiatry. Includes a county-level map showing geographic distribution of psychiatrists, with shadings indicating counties that are Mental Health Professional Shortage Areas (HPSAs).
Date: 11/2022
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Information on 2021 demographics, education and practice characteristics, and distribution of Indiana physicians and Advanced Practice Registered Nurses (APRNs) who report having a practice specialty in psychiatry. Includes a county-level map showing geographic distribution of psychiatrists, with shadings indicating counties that are Mental Health Professional Shortage Areas (HPSAs).
Date: 11/2022
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Behavioral Health: Available Workforce Information and Federal Actions to Help Recruit and Retain Providers
Examines the available information on the behavioral health workforce, including federal data on the number of providers nationwide and the projection of the supply and demand for behavioral health providers in 2030. Identifies key barriers to recruiting and retaining behavioral health providers, as well as actions federal agencies have taken to support recruiting and retaining these providers. Outlines federal loan repayment, scholarship, and training programs designed to address workforce challenges in rural and other underserved areas.
Additional links: Full Report
Date: 10/2022
Sponsoring organization: Government Accountability Office
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Examines the available information on the behavioral health workforce, including federal data on the number of providers nationwide and the projection of the supply and demand for behavioral health providers in 2030. Identifies key barriers to recruiting and retaining behavioral health providers, as well as actions federal agencies have taken to support recruiting and retaining these providers. Outlines federal loan repayment, scholarship, and training programs designed to address workforce challenges in rural and other underserved areas.
Additional links: Full Report
Date: 10/2022
Sponsoring organization: Government Accountability Office
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Advancing Health Equity and Integrated Care for Rural Dual Eligibles
Discusses health disparities for rural individuals dually eligible for Medicare and Medicaid. Presents an overview of a toolkit to advance health equity for rural dual eligibles and findings from roundtables of 50 stakeholders across 3 states regarding solutions for the workforce and service needs of this population.
Author(s): Ellen Breslin, Samantha Di Paola, Susan McGeehan, Rebecca Kellenberg, Andrea Maresca
Citation: Health Affairs Forefront
Date: 10/2022
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Discusses health disparities for rural individuals dually eligible for Medicare and Medicaid. Presents an overview of a toolkit to advance health equity for rural dual eligibles and findings from roundtables of 50 stakeholders across 3 states regarding solutions for the workforce and service needs of this population.
Author(s): Ellen Breslin, Samantha Di Paola, Susan McGeehan, Rebecca Kellenberg, Andrea Maresca
Citation: Health Affairs Forefront
Date: 10/2022
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Home Health Agencies Used Multiple Strategies to Respond to the COVID-19 Pandemic, Although Some Challenges Persist
Presents results of a survey of home health agencies (HHAs) conducted between September through December 2021 to explore the challenges they faced during the COVID-19 pandemic. Discusses challenges related to staffing, infection control, the use of telehealth, and the adequacy of emergency preparedness plans, as well as challenges specific to rural HHAs. Provides recommendations for how the Centers for Medicare & Medicaid Services (CMS) can help HHAs prepare for and respond to current and future infectious disease outbreaks and changes to the home health care landscape.
Date: 10/2022
Sponsoring organization: Office of Inspector General (HHS)
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Presents results of a survey of home health agencies (HHAs) conducted between September through December 2021 to explore the challenges they faced during the COVID-19 pandemic. Discusses challenges related to staffing, infection control, the use of telehealth, and the adequacy of emergency preparedness plans, as well as challenges specific to rural HHAs. Provides recommendations for how the Centers for Medicare & Medicaid Services (CMS) can help HHAs prepare for and respond to current and future infectious disease outbreaks and changes to the home health care landscape.
Date: 10/2022
Sponsoring organization: Office of Inspector General (HHS)
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Nowhere to Go: Maternity Care Deserts Across the U.S. 2022
Explores maternal healthcare access and provides county-level U.S. maps that show maternity care deserts, hospitals and birth centers that offer obstetric (OB) care, distribution of OB providers, percentage of women without health insurance, percentage of births covered by Medicaid, and more. Includes rural versus urban characteristics of maternity care deserts as well as access and policy discussions specific to rural areas.
Date: 10/2022
Sponsoring organization: March of Dimes
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Explores maternal healthcare access and provides county-level U.S. maps that show maternity care deserts, hospitals and birth centers that offer obstetric (OB) care, distribution of OB providers, percentage of women without health insurance, percentage of births covered by Medicaid, and more. Includes rural versus urban characteristics of maternity care deserts as well as access and policy discussions specific to rural areas.
Date: 10/2022
Sponsoring organization: March of Dimes
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