Rural Health
Resources by Topic: Health workforce
Stories of Impact: Lee County Health Department
Profiles the Lee County Health Department in Iowa and their work to support community health worker certification, continuing education for public health workers, mobile resource clinics, and health and human services referral processes.
Date: 05/2025
Sponsoring organization: Georgia Health Policy Center
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Profiles the Lee County Health Department in Iowa and their work to support community health worker certification, continuing education for public health workers, mobile resource clinics, and health and human services referral processes.
Date: 05/2025
Sponsoring organization: Georgia Health Policy Center
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Characteristics and Trends of Critical Access Hospitals That Own or Operate Ambulance Services
Explores trends in the number of Critical Access Hospital (CAH)-based ambulance services between 2017 and 2022. Analyzes Medicare Cost Report data to compare the characteristics of of CAHs that own and operate ambulance services to CAHs that do not. Presents findings from interviews with eight CAH-based ambulance services regarding the challenges of operating these services, including workforce recruitment and retention issues, the role of partnerships and community involvement, and lessons learned.
Author(s): John Gale, Karen Pearson, Rebecca Stearns, Zachariah Croll
Date: 05/2025
Sponsoring organization: Flex Monitoring Team
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Explores trends in the number of Critical Access Hospital (CAH)-based ambulance services between 2017 and 2022. Analyzes Medicare Cost Report data to compare the characteristics of of CAHs that own and operate ambulance services to CAHs that do not. Presents findings from interviews with eight CAH-based ambulance services regarding the challenges of operating these services, including workforce recruitment and retention issues, the role of partnerships and community involvement, and lessons learned.
Author(s): John Gale, Karen Pearson, Rebecca Stearns, Zachariah Croll
Date: 05/2025
Sponsoring organization: Flex Monitoring Team
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Moving the Needle: Challenges in Meeting Nevada's Health Workforce Needs
Describes the state of Nevada's health workforce, including its distribution, factors influencing supply and demand, shortage area designations, and policy approaches to addressing shortages. Includes data and discussion of rural areas.
Author(s): Pierron Tackes, John Packham
Date: 04/2025
Sponsoring organization: Kenny Guinn Center for Policy Priorities
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Describes the state of Nevada's health workforce, including its distribution, factors influencing supply and demand, shortage area designations, and policy approaches to addressing shortages. Includes data and discussion of rural areas.
Author(s): Pierron Tackes, John Packham
Date: 04/2025
Sponsoring organization: Kenny Guinn Center for Policy Priorities
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The Role of Telehealth in Sepsis Care in Rural Emergency Departments: A Qualitative Study of Emergency Department Sepsis Telehealth User Perspectives
Explores rural emergency department staff use of and perspectives on provider-to-provider telehealth (tele-ED) use for rural patients with sepsis, using data from interviews with 27 hub physicians, rural ED providers, and nurses in the Upper Midwest. Discusses topics related to rural barriers and facilitators of tele-ED use, impacts on quality of care, staff and facility-level factors, and more.
Author(s): Nicholas M. Mohr, Kimberly A.S. Merchant, Brian M. Fuller, et al.
Citation: PLOS One, 20(4), e0321299
Date: 04/2025
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Explores rural emergency department staff use of and perspectives on provider-to-provider telehealth (tele-ED) use for rural patients with sepsis, using data from interviews with 27 hub physicians, rural ED providers, and nurses in the Upper Midwest. Discusses topics related to rural barriers and facilitators of tele-ED use, impacts on quality of care, staff and facility-level factors, and more.
Author(s): Nicholas M. Mohr, Kimberly A.S. Merchant, Brian M. Fuller, et al.
Citation: PLOS One, 20(4), e0321299
Date: 04/2025
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Rebuilding Maternal Health Access in Western North Carolina: Addressing Critical Gaps Amplified by Hurricane Helene
Discusses the impact of Hurricane Helene on maternal health in rural North Carolina. Focuses on maternal healthcare workforce shortages, access issues in isolated areas, maternal morbidity and mortality, rural health disparities, and more. Offers suggestions to improve rural maternal health in North Carolina, including enhancing data collection, strengthening infrastructure and access, and addressing the social determinants of health.
Author(s): Jennifer Runkle, Maggie Sugg
Citation: North Carolina Medical Journal, 86(1)
Date: 04/2025
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Discusses the impact of Hurricane Helene on maternal health in rural North Carolina. Focuses on maternal healthcare workforce shortages, access issues in isolated areas, maternal morbidity and mortality, rural health disparities, and more. Offers suggestions to improve rural maternal health in North Carolina, including enhancing data collection, strengthening infrastructure and access, and addressing the social determinants of health.
Author(s): Jennifer Runkle, Maggie Sugg
Citation: North Carolina Medical Journal, 86(1)
Date: 04/2025
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Perceived Contributors to Job Quality and Retention at Home Care Cooperatives
Analyzes interviews with 32 home care workers in 5 home care cooperatives to identify perceived factors contributing to low workforce turnover and high job quality. Factors include workplace control, community support, respect, and compensation. Home care cooperatives interviewed include 1 rural cooperative.
Author(s): Geoffrey M. Gusoff, Miguel A. Cuevas, Catherine Sarkisian, et al
Citation: JAMA Network Open, 8(4)
Date: 04/2025
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Analyzes interviews with 32 home care workers in 5 home care cooperatives to identify perceived factors contributing to low workforce turnover and high job quality. Factors include workplace control, community support, respect, and compensation. Home care cooperatives interviewed include 1 rural cooperative.
Author(s): Geoffrey M. Gusoff, Miguel A. Cuevas, Catherine Sarkisian, et al
Citation: JAMA Network Open, 8(4)
Date: 04/2025
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Job Assessments and the Anticipated Retention of Behavioral Health Clinicians Working in U.S. Health Professional Shortage Areas
Examines perspectives of behavioral health clinicians working in Mental Health Professional Shortage Areas (mHPSAs) related to their anticipated retention in an mHPSA. Examines 2016-2023 survey feedback from 2,587 respondents regarding their anticipated retention, with data breakdowns according to demographics, professional characteristics, education debt, and rural versus urban location.
Author(s): Donald E. Pathman, Lisa de Saxe Zerden, Thomas R. Konrad, et al.
Citation: BMC Health Services Research, 25, 592
Date: 04/2025
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Examines perspectives of behavioral health clinicians working in Mental Health Professional Shortage Areas (mHPSAs) related to their anticipated retention in an mHPSA. Examines 2016-2023 survey feedback from 2,587 respondents regarding their anticipated retention, with data breakdowns according to demographics, professional characteristics, education debt, and rural versus urban location.
Author(s): Donald E. Pathman, Lisa de Saxe Zerden, Thomas R. Konrad, et al.
Citation: BMC Health Services Research, 25, 592
Date: 04/2025
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Physician Workforce in Nevada, 2025
Provides data on the supply and geographic distribution of physicians in Nevada by county, including data on Nevada's rural and frontier counties.
Author(s): Nicole Mwalili, Tabor Griswold, John Packham, et al.
Date: 04/2025
Sponsoring organization: Nevada Health Workforce Research Center
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Provides data on the supply and geographic distribution of physicians in Nevada by county, including data on Nevada's rural and frontier counties.
Author(s): Nicole Mwalili, Tabor Griswold, John Packham, et al.
Date: 04/2025
Sponsoring organization: Nevada Health Workforce Research Center
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Mapping Maternity Care Deserts: Driving Distance and Health Outcomes in North Carolina
Examines the relationship between maternity care deserts in North Carolina and maternal and infant health. Utilizes 2016-2021 hospitalization records to examine travel distance to care and health outcomes such as cesarean delivery rates, severe maternal morbidity, and hypertension. Discusses maternal health access issues across rural-urban commuting (RUCA) codes.
Author(s): Margaret Sugg, Shishir Shakya, Sarah Ulrich, et al.
Citation: Journal of Rural Health, 41(2)
Date: 04/2025
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Examines the relationship between maternity care deserts in North Carolina and maternal and infant health. Utilizes 2016-2021 hospitalization records to examine travel distance to care and health outcomes such as cesarean delivery rates, severe maternal morbidity, and hypertension. Discusses maternal health access issues across rural-urban commuting (RUCA) codes.
Author(s): Margaret Sugg, Shishir Shakya, Sarah Ulrich, et al.
Citation: Journal of Rural Health, 41(2)
Date: 04/2025
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The Evolution and Promise of Age-Friendly Ecosystems in Rural Communities
Notes the challenges of aging in rural communities and highlights the National Rural Age-Friendly Initiative (NRAFI) by the National Rural Health Association and The John A. Hartford Foundation. NRAFI works to promote cross-sector collaboration to address those common challenges. Describes the NRAFI's work to date in creating and disseminating information, training community health workers, and building a networking infrastructure to facilitate collaboration.
Author(s): Rebecca Yeboah, Laura B. Hudson, K. Piper Martin
Date: 04/2025
Sponsoring organization: American Society on Aging
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Notes the challenges of aging in rural communities and highlights the National Rural Age-Friendly Initiative (NRAFI) by the National Rural Health Association and The John A. Hartford Foundation. NRAFI works to promote cross-sector collaboration to address those common challenges. Describes the NRAFI's work to date in creating and disseminating information, training community health workers, and building a networking infrastructure to facilitate collaboration.
Author(s): Rebecca Yeboah, Laura B. Hudson, K. Piper Martin
Date: 04/2025
Sponsoring organization: American Society on Aging
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