Rural Health
Resources by Topic: Health workforce
A Shrinking Primary Care Workforce in Puerto Rico
Discusses Puerto Rico's aging primary care workforce and concerns about the number of healthcare professionals who have left the island following the 2017 hurricane and the relatively low recruitment and retention rate for graduates of Puerto Rico's residency programs. Features statistics showing primary care physician age distribution in Puerto Rico compared with the rest of the United States in 2018.
Author(s): Elizabeth Wilkinson, David Killeen, Gabriel José Pérez-López, Yalda Jabbarpour
Date: 12/2019
Type: Document
Sponsoring organization: Robert Graham Center
view details
Discusses Puerto Rico's aging primary care workforce and concerns about the number of healthcare professionals who have left the island following the 2017 hurricane and the relatively low recruitment and retention rate for graduates of Puerto Rico's residency programs. Features statistics showing primary care physician age distribution in Puerto Rico compared with the rest of the United States in 2018.
Author(s): Elizabeth Wilkinson, David Killeen, Gabriel José Pérez-López, Yalda Jabbarpour
Date: 12/2019
Type: Document
Sponsoring organization: Robert Graham Center
view details
Comparison of Rural vs Urban Direct-to-Physician Commercial Promotion of Medications for Treating Opioid Use Disorder
Results of a cross-sectional county-level study using all reported direct-to-physician pharmaceutical payments from manufacturers of opioid use disorder medications from 2014-2017, as well as demographic and economic data from 3,140 counties. Features statistics with breakdowns by metropolitan, micropolitan, and rural areas.
Author(s): Thuy Nguyen, Barbara Andraka-Christou, Kosali Simon, W. David Bradford
Citation: JAMA Network Open, 2(12)
Date: 12/2019
Type: Document
view details
Results of a cross-sectional county-level study using all reported direct-to-physician pharmaceutical payments from manufacturers of opioid use disorder medications from 2014-2017, as well as demographic and economic data from 3,140 counties. Features statistics with breakdowns by metropolitan, micropolitan, and rural areas.
Author(s): Thuy Nguyen, Barbara Andraka-Christou, Kosali Simon, W. David Bradford
Citation: JAMA Network Open, 2(12)
Date: 12/2019
Type: Document
view details
Health Care Workforce: Views on Expanding Medicare Graduate Medical Education Funding to Nurse Practitioners and Physician Assistants
Describes the Department of Health and Human Services' (HHS) Medicare Graduate Medical Education (GME) program. Provides an overview of current federal funding for physician, nurse practitioner (NP), and physician assistant (PA) training. Explores the potential benefits and challenges of expanding the Medicare GME program to include funding for graduate NP and PA training.
Additional links: Full Report
Date: 12/2019
Type: Document
Sponsoring organization: Government Accountability Office
view details
Describes the Department of Health and Human Services' (HHS) Medicare Graduate Medical Education (GME) program. Provides an overview of current federal funding for physician, nurse practitioner (NP), and physician assistant (PA) training. Explores the potential benefits and challenges of expanding the Medicare GME program to include funding for graduate NP and PA training.
Additional links: Full Report
Date: 12/2019
Type: Document
Sponsoring organization: Government Accountability Office
view details
Access and Capacity to Care for Medicare Beneficiaries in Rural Health Clinics
Findings from a voluntary online survey conducted in 2019 of 111 Rural Health Clinic (RHC) staff from 27 states, to better understand how they address issues on accessibility, capacity, flexibility of services, and other clinic characteristics for Medicare beneficiaries, and to identify any gaps in healthcare.
Author(s): Megan Lahr, Carrie Henning-Smith, Ashley M. Hernandez, Hannah Neprash
Date: 12/2019
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
view details
Findings from a voluntary online survey conducted in 2019 of 111 Rural Health Clinic (RHC) staff from 27 states, to better understand how they address issues on accessibility, capacity, flexibility of services, and other clinic characteristics for Medicare beneficiaries, and to identify any gaps in healthcare.
Author(s): Megan Lahr, Carrie Henning-Smith, Ashley M. Hernandez, Hannah Neprash
Date: 12/2019
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
view details
Professional and Cultural Development of Medical Students Mentoring Adolescents in a Predominately Native Hawaiian Community
Describes the development and design of the the Nānākuli Pathways to Health (NPH) program, a mentoring and health career curriculum, to determine its impact on students' professional development while serving in a rural, underserved Native Hawaiian community.
Author(s): Malia S. Lee, Sachi K. Kaulukukui, Mai S. Smith, Jerrick J.K. Laimana, Kelli-Ann N.F. Voloch
Citation: Hawai'i Journal of Medicine and Public Health, 78(12 Suppl 3), 35-40
Date: 12/2019
Type: Document
view details
Describes the development and design of the the Nānākuli Pathways to Health (NPH) program, a mentoring and health career curriculum, to determine its impact on students' professional development while serving in a rural, underserved Native Hawaiian community.
Author(s): Malia S. Lee, Sachi K. Kaulukukui, Mai S. Smith, Jerrick J.K. Laimana, Kelli-Ann N.F. Voloch
Citation: Hawai'i Journal of Medicine and Public Health, 78(12 Suppl 3), 35-40
Date: 12/2019
Type: Document
view details
Making Community Health Workers (CHWs) Fundamental: New Research Strengthens the Case for State Policymakers to Include CHWs in Care Delivery Teams
Summarizes key findings from previous Patient-Centered Outcomes Research Institute (PCORI) funded studies in 9 states on Community Health Workers (CHWs) interventions and their effect on diverse ethnic, racial, socioeconomic and geographic backgrounds, including rural. Offers evidence-based recommendations to help state policymakers integrate CHWs into healthcare delivery teams to improve health outcomes and reduce the cost of healthcare for individuals and populations.
Author(s): Denisse Sanchez, Sinsi Hernández-Cancio, Eliot Fishman
Date: 12/2019
Type: Document
Sponsoring organization: Patient-Centered Outcomes Research Institute
view details
Summarizes key findings from previous Patient-Centered Outcomes Research Institute (PCORI) funded studies in 9 states on Community Health Workers (CHWs) interventions and their effect on diverse ethnic, racial, socioeconomic and geographic backgrounds, including rural. Offers evidence-based recommendations to help state policymakers integrate CHWs into healthcare delivery teams to improve health outcomes and reduce the cost of healthcare for individuals and populations.
Author(s): Denisse Sanchez, Sinsi Hernández-Cancio, Eliot Fishman
Date: 12/2019
Type: Document
Sponsoring organization: Patient-Centered Outcomes Research Institute
view details
State Incentive Programs that Encourage Allied Health Professionals to Provide Care for Rural and Underserved Populations
Policy brief investigating allied health incentive programs at the state level by examining their goals, policies, practices, and available data on their achievement in recruiting and retaining allied health professionals to rural and underserved areas. Nearly 70 programs were surveyed and documented that provided financial support or training opportunities for 39 different types of allied health professionals and students in return for a service commitment.
Author(s): Malaika R. Schwartz, Davis G. Patterson, Rachelle L. McCarty
Date: 12/2019
Type: Document
Sponsoring organization: UW Center for Health Workforce Studies
view details
Policy brief investigating allied health incentive programs at the state level by examining their goals, policies, practices, and available data on their achievement in recruiting and retaining allied health professionals to rural and underserved areas. Nearly 70 programs were surveyed and documented that provided financial support or training opportunities for 39 different types of allied health professionals and students in return for a service commitment.
Author(s): Malaika R. Schwartz, Davis G. Patterson, Rachelle L. McCarty
Date: 12/2019
Type: Document
Sponsoring organization: UW Center for Health Workforce Studies
view details
CDFIs 'Make Dreams Come True' by Creating Opportunity in Rural Spaces
Describes the role that Community Development Financial Institutions (CDFIs) can play in helping rural areas gain access to flexible financing options to support rural health projects. Highlights how the Claude Worthington Benedum Foundation and Healthcare Georgia Foundation work with CDFIs to help address rural health concerns. Also features a CDFI recipient of Uplift America, the South Carolina Community Loan Fund, that has helped support a health professions high school.
Author(s): Jenn Lukens
Date: 12/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
view details
Describes the role that Community Development Financial Institutions (CDFIs) can play in helping rural areas gain access to flexible financing options to support rural health projects. Highlights how the Claude Worthington Benedum Foundation and Healthcare Georgia Foundation work with CDFIs to help address rural health concerns. Also features a CDFI recipient of Uplift America, the South Carolina Community Loan Fund, that has helped support a health professions high school.
Author(s): Jenn Lukens
Date: 12/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
view details
Wisconsin 2019 Health Care Workforce Report
Examines healthcare workforce supply and demand in Wisconsin. Discusses the need for physicians, particularly in rural areas, and highlights medical school and residency programs focused on addressing that need. Includes rural/urban data by profession on hospital vacancy rates and the aging workforce.
Date: 12/2019
Type: Document
Sponsoring organization: Wisconsin Hospital Association
view details
Examines healthcare workforce supply and demand in Wisconsin. Discusses the need for physicians, particularly in rural areas, and highlights medical school and residency programs focused on addressing that need. Includes rural/urban data by profession on hospital vacancy rates and the aging workforce.
Date: 12/2019
Type: Document
Sponsoring organization: Wisconsin Hospital Association
view details
A Model for Assessing Necessary Conditions for Rural Health Care's Mobile Health Readiness: Qualitative Assessment of Clinician-Perceived Barriers
Explores organizational readiness to adopt mobile health (mHealth) technologies such as Fitbit, My Fitness Pal, and Apple iWatch, among others. Reports on interviews with 13 clinicians from different specialty areas and their perceived barriers to adopt mHealth technologies, including unfamiliarity, clinician time, and electronic medical record and data keeping. Identifies a gap between patient usage versus healthcare organization usage of mHealth and presents a needs assessment model to successfully implement mHealth in unique ways to improve rural healthcare delivery.
Author(s): Bryan Weichelt, Casper Bendixsen, Timothy Patrick
Citation: JMIR mHealth uHealth, 7(11)
Date: 11/2019
Type: Document
view details
Explores organizational readiness to adopt mobile health (mHealth) technologies such as Fitbit, My Fitness Pal, and Apple iWatch, among others. Reports on interviews with 13 clinicians from different specialty areas and their perceived barriers to adopt mHealth technologies, including unfamiliarity, clinician time, and electronic medical record and data keeping. Identifies a gap between patient usage versus healthcare organization usage of mHealth and presents a needs assessment model to successfully implement mHealth in unique ways to improve rural healthcare delivery.
Author(s): Bryan Weichelt, Casper Bendixsen, Timothy Patrick
Citation: JMIR mHealth uHealth, 7(11)
Date: 11/2019
Type: Document
view details