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Rural Health
Resources by Topic: Health workforce supply and demand

The Contribution of Nurse Practitioners and Physician Assistants to Generalist Care in Washington State
Describes the contribution to generalist care made by nurse practitioners (NPs) and physician assistants (PAs) in Washington State. Includes data on NP and PA contributions in rural areas.
Author(s): Eric H. Larson, Lorella Palazzo, Bobbi Berkowitz, Michael J. Pirani, L. Gary Hart
Citation: Health Services Research, 38(4), 1033-1050
Date: 08/2003
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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
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Analysis of the Financial Conditions of Health Care Institutions in the Appalachian Region and their Economic Impacts
Describes the availability of healthcare services in Appalachia, the financial stability of Appalachian healthcare institutions, and the effect of hospital closures on Appalachian counties.
Author(s): Jeffrey Stensland, Curt Mueller, Janet Sutton
Date: 12/2002
Sponsoring organization: Appalachian Regional Commission
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National Advisory Committee on Rural Health & Human Services Meeting Minutes, Pray, Montana, September 2-4, 2002.
Minutes from a National Advisory Committee on Rural Health & Human Services meeting addressing the following topics: the Rural Hospital Flexibility Grant Program (Flex) and Small Rural Hospital Improvement Grant (SHIP) Programs, quality of care in rural hospitals, and a Montana health workforce shortage task force.
Date: 09/2002
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Rural Research Focus: Rural Physician Shortages
Discusses a model for understanding how many physicians a rural community can support, based on research at the WWAMI Rural Health Research Center.
Author(s): George E. Wright, C. Holly A. Andrilla, L. Gary Hart
Date: 05/2002
Sponsoring organization: WWAMI Rural Health Research Center
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A Targeted Look at the Rural Health Care Safety Net
Report to the Secretary of the U.S. Department of Health and Human Services. Discusses the safety net, the web of professionals and institutions that provide care to the poor and uninsured regardless of ability of pay. Also covers key safety net programs under the purview of the Secretary of Health and Human Services. Its findings fall into three categories: ensuring access to hospital services, ensuring access to primary care, and maintaining an adequate workforce.
Date: 04/2002
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Addressing Mental Health Workforce Needs in Underserved Rural Areas: Accomplishments and Challenges
Reviews efforts to address mental health workforce needs in underserved rural areas. Includes a history of federal efforts to address rural mental health workforce needs. Discusses Mental Health Professional Shortage Area (MHPSA) designations.
Author(s): Donna C. Bird, Patricia Dempsey, David Hartley
Date: 10/2001
Sponsoring organization: Maine Rural Health Research Center
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If Fewer International Medical Graduates are Allowed in the U.S., Who Might Replace Them in Rural Underserved Areas?
Describes a study based on 1991 and 1996 data that identified rural communities that would be most affected by a decrease in availability of international medical graduates (IMGs) and perceptions of recruiters on who might replace IMGs in these areas.
Author(s): Leonard D. Baer, Thomas R. Konrad, Rebecca T. Slifkin
Date: 05/2001
Sponsoring organization: North Carolina Rural Health Research Program
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Update on the Physician Workforce
Compendium of three policy papers on the physician workforce, two of which address rural issues. The first paper provides data on the supply and distribution of physicians, including rural-specific national data, with state-by-state data in Appendix B. The second paper focuses on the rural family physician workforce, with supply projections through 2020.
Date: 08/2000
Sponsoring organization: Council on Graduate Medical Education
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Physician Distribution and Health Care Challenges in Rural and Inner-City Areas
In-depth review of the geographic maldistribution of physicians. Discusses issues that impact rural physician supply. Includes policy recommendations to improve the geographic distribution of physicians and address rural physician shortages.
Date: 02/1998
Sponsoring organization: Council on Graduate Medical Education
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