Rural Health
Resources by Topic: Nurse practitioners and other advanced practice registered nurses
Nursing at an Inflection Point: Creating Systems of Care that Support and Value the Contributions of Nurses: 20th Annual Report to the Secretary of the U.S. Department of Health and Human Services and the U.S. Congress
Presents policy and programmatic recommendations to address valuing the impact of nursing care on patient outcomes, strengthening academic-practice partnerships, removing practice barriers for advanced practice registered nursing, and supporting the infusion of technology of nursing education and practice. Includes rural references throughout.
Date: 01/2025
Sponsoring organization: National Advisory Council on Nurse Education and Practice
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Presents policy and programmatic recommendations to address valuing the impact of nursing care on patient outcomes, strengthening academic-practice partnerships, removing practice barriers for advanced practice registered nursing, and supporting the infusion of technology of nursing education and practice. Includes rural references throughout.
Date: 01/2025
Sponsoring organization: National Advisory Council on Nurse Education and Practice
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North Dakota Healthcare Dashboard
Provides an overview of the current health workforce and demographic distribution throughout the state of North Dakota. Presents data in the form of graphs and maps. Allows users to select for rural, metropolitan, and micropolitan areas.
Date: 01/2025
Sponsoring organization: University of North Dakota School of Medicine & Health Sciences
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Provides an overview of the current health workforce and demographic distribution throughout the state of North Dakota. Presents data in the form of graphs and maps. Allows users to select for rural, metropolitan, and micropolitan areas.
Date: 01/2025
Sponsoring organization: University of North Dakota School of Medicine & Health Sciences
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Eighth Biennial Report 2025: Health Issues for the State of North Dakota
Updates the previous seven editions of this report with a comprehensive examination of healthcare workforce licensure data related to number of licensed professionals, locations, specialties, and demographics in rural and urban North Dakota. Includes three new chapters on indigenous health, women's and children's health, and the community impacts of the School of Medicine and Health Sciences.
Additional links: Executive Summary
Date: 01/2025
Sponsoring organization: University of North Dakota School of Medicine & Health Sciences
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Updates the previous seven editions of this report with a comprehensive examination of healthcare workforce licensure data related to number of licensed professionals, locations, specialties, and demographics in rural and urban North Dakota. Includes three new chapters on indigenous health, women's and children's health, and the community impacts of the School of Medicine and Health Sciences.
Additional links: Executive Summary
Date: 01/2025
Sponsoring organization: University of North Dakota School of Medicine & Health Sciences
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Mobile Health Clinics in a Rural Setting: A Cost Analysis and Time Motion Study of La Clínica in Oregon, United States
Evaluates provider time allocation and retrospective economic cost of nurse practitioner (NP) and community health worker (CHW) services through La Clínica, a Mobile Health Clinic (MHC) intervention in rural Oregon. Discusses populations served by La Clínica, including people experiencing homelessness, Native Americans, and migrant and seasonal farmworkers. Provides data on program costs and NP and CHW time use by task type and population subgroup.
Author(s): Abigail Higgins, Middy Tilghman, Tracy Kuo Lin
Citation: BMC Health Services Research, 25, 97
Date: 01/2025
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Evaluates provider time allocation and retrospective economic cost of nurse practitioner (NP) and community health worker (CHW) services through La Clínica, a Mobile Health Clinic (MHC) intervention in rural Oregon. Discusses populations served by La Clínica, including people experiencing homelessness, Native Americans, and migrant and seasonal farmworkers. Provides data on program costs and NP and CHW time use by task type and population subgroup.
Author(s): Abigail Higgins, Middy Tilghman, Tracy Kuo Lin
Citation: BMC Health Services Research, 25, 97
Date: 01/2025
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A Discrete Choice Experiment with Health Professions Trainees to Improve the Urban-Rural Health Care Access Disparity in Appalachia: Study Protocol
A study protocol that examines strategies and policies for successful recruitment of healthcare professionals in rural Appalachia. Discusses utilization of the discrete choice experiment methodology (DCE) to analyze medical residents and fellows, physician assistant (PA) students, and nurse practitioner (NP) students and their location choice for employment.
Author(s): Chris Gillette, Jan Ostermann, Sarah Garvick, et al.
Citation: PLoS One, 20(1), e0316521
Date: 01/2025
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A study protocol that examines strategies and policies for successful recruitment of healthcare professionals in rural Appalachia. Discusses utilization of the discrete choice experiment methodology (DCE) to analyze medical residents and fellows, physician assistant (PA) students, and nurse practitioner (NP) students and their location choice for employment.
Author(s): Chris Gillette, Jan Ostermann, Sarah Garvick, et al.
Citation: PLoS One, 20(1), e0316521
Date: 01/2025
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Assessing the Feasibility of Creating a National Behavioral Health Workforce Database
Results of a project to determine the feasibility of developing a database of behavioral health providers and practices that offers up-to-date information to support research, policymaking, and public access. Identifies key elements, including demographics, licensure, education, and practice details. Includes information on databases focused on rural health.
Author(s): Frances Jiménez, Nicole Gauthreaux, Courtney Segal, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Results of a project to determine the feasibility of developing a database of behavioral health providers and practices that offers up-to-date information to support research, policymaking, and public access. Identifies key elements, including demographics, licensure, education, and practice details. Includes information on databases focused on rural health.
Author(s): Frances Jiménez, Nicole Gauthreaux, Courtney Segal, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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The State of Rural Provider Compensation in 2024: Rural Provider & Advanced Practice Provider Compensation Survey Results
Results of a survey of over 2,841 rural providers, conducted in January and February of 2024 to provide insight into rural healthcare organizations and promote evidence-based, informed decisions when considering physician and advanced practice provider compensation. Features statistics with breakdowns by type of provider, specialty area, region, and more. Must provide email to access report.
Date: 12/2024
Sponsoring organizations: National Organization of State Offices of Rural Health, National Rural Health Association, Stroudwater Associates
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Results of a survey of over 2,841 rural providers, conducted in January and February of 2024 to provide insight into rural healthcare organizations and promote evidence-based, informed decisions when considering physician and advanced practice provider compensation. Features statistics with breakdowns by type of provider, specialty area, region, and more. Must provide email to access report.
Date: 12/2024
Sponsoring organizations: National Organization of State Offices of Rural Health, National Rural Health Association, Stroudwater Associates
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Effects of Rural Hospital Closures on Nurse Staffing Levels and Health Care Utilization at Nearby Hospitals
Analyzes healthcare utilization and nurse staffing levels when nearby rural hospitals close. Utilizes 2014-2019 American Hospital Association Survey data to examine vocational nurse/licensed practical nurse (LPN), registered nurse (RN), and advanced practice nurse (APN) staffing levels as well as inpatient and outpatient surgical operations and emergency department (ED) visits within 4 years of a hospital closure.
Author(s): Jing Dong, Siying Liu, Asefeh Faraz Covelli, Guido Cataife
Citation: Health Economics, 33(12), 2687-2707
Date: 12/2024
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Analyzes healthcare utilization and nurse staffing levels when nearby rural hospitals close. Utilizes 2014-2019 American Hospital Association Survey data to examine vocational nurse/licensed practical nurse (LPN), registered nurse (RN), and advanced practice nurse (APN) staffing levels as well as inpatient and outpatient surgical operations and emergency department (ED) visits within 4 years of a hospital closure.
Author(s): Jing Dong, Siying Liu, Asefeh Faraz Covelli, Guido Cataife
Citation: Health Economics, 33(12), 2687-2707
Date: 12/2024
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Nurse Practitioner Race and Ethnicity and Interest in Independent Primary Care Practice and Serving Medicaid Enrollees
Surveyed California nurse practitioners (NPs) to determine the current practice and practice intentions following scope of practice regulation changes in California. Presents 2023 data showing rurality of NPs by amount of primary care offered and Medicaid patient caseload currently and those considering independent primary care practice, among other characteristics.
Author(s): Ulrike Muench, Amy Quan, Rosalind de Lisser, Timothy Bates, Joanne Spetz
Citation: Health Affairs Scholar, 2(12)
Date: 11/2024
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Surveyed California nurse practitioners (NPs) to determine the current practice and practice intentions following scope of practice regulation changes in California. Presents 2023 data showing rurality of NPs by amount of primary care offered and Medicaid patient caseload currently and those considering independent primary care practice, among other characteristics.
Author(s): Ulrike Muench, Amy Quan, Rosalind de Lisser, Timothy Bates, Joanne Spetz
Citation: Health Affairs Scholar, 2(12)
Date: 11/2024
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State of the Primary Care Workforce, 2024
Offers data on the current state and projected estimates of the future supply of physicians, nurse practitioners, and physician assistants offering primary care. Includes demographics as well as current and projected shortages with comparison and metropolitan and nonmetropolitan projections. Discusses challenges impacting the workforce and the impact of primary care on population health. Includes state by state data on the primary care physician workforce.
Date: 11/2024
Sponsoring organizations: Health Resources and Services Administration, National Center for Health Workforce Analysis
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Offers data on the current state and projected estimates of the future supply of physicians, nurse practitioners, and physician assistants offering primary care. Includes demographics as well as current and projected shortages with comparison and metropolitan and nonmetropolitan projections. Discusses challenges impacting the workforce and the impact of primary care on population health. Includes state by state data on the primary care physician workforce.
Date: 11/2024
Sponsoring organizations: Health Resources and Services Administration, National Center for Health Workforce Analysis
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