Rural Health
Resources by Topic: Nurse practitioners and other advanced practice registered nurses
Factors Associated With Health Care Professionals' Choice to Practice in Rural Minnesota
Analyzes the factors that impact a healthcare practitioner's choice to work in rural or urban Minnesota. Utilizes 2021-2022 data from 32,086 respondents to observe feedback from advanced practice registered nurses (APRNs), physicians, physician assistants (PAs), and registered nurses (RNs). Discusses issues such as where the practitioner grew up, scope of practice, loan forgiveness opportunities, internship experiences, financial or family considerations, and more.
Author(s): Teri Fritsma, Carrie Henning-Smith, Jacqueline L. Gauer, et al.
Citation: JAMA Network Open, 6(5)
Date: 05/2023
Type: Document
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Analyzes the factors that impact a healthcare practitioner's choice to work in rural or urban Minnesota. Utilizes 2021-2022 data from 32,086 respondents to observe feedback from advanced practice registered nurses (APRNs), physicians, physician assistants (PAs), and registered nurses (RNs). Discusses issues such as where the practitioner grew up, scope of practice, loan forgiveness opportunities, internship experiences, financial or family considerations, and more.
Author(s): Teri Fritsma, Carrie Henning-Smith, Jacqueline L. Gauer, et al.
Citation: JAMA Network Open, 6(5)
Date: 05/2023
Type: Document
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Patient-Centered Care Through Nurse Practitioner–Led Integrated Behavioral Health: A Case Study
Examines the implementation of a nurse practitioner-led interprofessional team-based behavioral healthcare delivery model in 5 rural or medically underserved clinics in Texas from July 1, 2020, through December 31, 2021. Analyzes the first year of implementation of the delivery model utilizing multiple data sources, with a focus on barriers to implementation, challenges to sustainability, and successes.
Author(s): Cindy Weston, Elizabeth Wells-Beede, Alice Salazar, et al.
Citation: Public Health Reports, 138(1)
Date: 05/2023
Type: Document
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Examines the implementation of a nurse practitioner-led interprofessional team-based behavioral healthcare delivery model in 5 rural or medically underserved clinics in Texas from July 1, 2020, through December 31, 2021. Analyzes the first year of implementation of the delivery model utilizing multiple data sources, with a focus on barriers to implementation, challenges to sustainability, and successes.
Author(s): Cindy Weston, Elizabeth Wells-Beede, Alice Salazar, et al.
Citation: Public Health Reports, 138(1)
Date: 05/2023
Type: Document
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Barriers to Rural Health Care From the Provider Perspective
Results of a study using data from interviews with 20 healthcare providers in rural areas of western Pennsylvania. Explores barriers to care, including cost and insurance, geographic dispersion, and provider shortage and burnout. Offers strategies for improvement, including use of telehealth, mobile clinics, and increased use of advanced practice providers.
Author(s): Avinash Maganty, Mary E. Byrnes, Megan Hamm, et al.
Citation: Rural and Remote Health, 23(2), 7769
Date: 05/2023
Type: Document
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Results of a study using data from interviews with 20 healthcare providers in rural areas of western Pennsylvania. Explores barriers to care, including cost and insurance, geographic dispersion, and provider shortage and burnout. Offers strategies for improvement, including use of telehealth, mobile clinics, and increased use of advanced practice providers.
Author(s): Avinash Maganty, Mary E. Byrnes, Megan Hamm, et al.
Citation: Rural and Remote Health, 23(2), 7769
Date: 05/2023
Type: Document
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Access to Maternity Providers: Midwives and Birth Centers
Provides an overview of the role of certified nurse-midwives and birth centers in Medicaid and how beneficiaries use these services. Describes policy issues and barriers to expanding access to midwives and birth centers, including payment policies; contracting with managed care organizations; licensure, certification, and accreditation; scope of practice; and limited supply. Includes rural considerations throughout.
Date: 05/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of the role of certified nurse-midwives and birth centers in Medicaid and how beneficiaries use these services. Describes policy issues and barriers to expanding access to midwives and birth centers, including payment policies; contracting with managed care organizations; licensure, certification, and accreditation; scope of practice; and limited supply. Includes rural considerations throughout.
Date: 05/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Midwives: Information on Births, Workforce, and Midwifery Education
Presents data on midwife-attended births, the midwifery workforce, and challenges to obtaining midwifery care. Discusses midwifery education programs, the number of students in these programs, midwifery educational challenges, and available federal financial support through the Health Resources and Services Administration (HRSA) and the Indian Health Service (IHS). Describes challenges to measuring the quality of maternal healthcare, including midwifery care.
Additional links: Full Report
Date: 04/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Presents data on midwife-attended births, the midwifery workforce, and challenges to obtaining midwifery care. Discusses midwifery education programs, the number of students in these programs, midwifery educational challenges, and available federal financial support through the Health Resources and Services Administration (HRSA) and the Indian Health Service (IHS). Describes challenges to measuring the quality of maternal healthcare, including midwifery care.
Additional links: Full Report
Date: 04/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Indiana's Maternity Care Workforce: 2023
Provides data on the maternity care workforce in Indiana, such as number of physicians and advanced practice registered nurses (APRNs), demographic profile of workforce, services provided, and county-level maps showing location of prenatal and postnatal services, labor and delivery services, and maternity care shortage areas or Maternity Care Health Professional Target Areas (MCTAs).
Author(s): Becky Boustani, Courtney Medlock, Strategy Hannah L. Maxey
Date: 03/2023
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Provides data on the maternity care workforce in Indiana, such as number of physicians and advanced practice registered nurses (APRNs), demographic profile of workforce, services provided, and county-level maps showing location of prenatal and postnatal services, labor and delivery services, and maternity care shortage areas or Maternity Care Health Professional Target Areas (MCTAs).
Author(s): Becky Boustani, Courtney Medlock, Strategy Hannah L. Maxey
Date: 03/2023
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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The Health of US Primary Care: A Baseline Scorecard Tracking Support for High-Quality Primary Care
Examines the support for implementing high-quality primary care in the United States across measures in five categories: financing, workforce, access, training, and research. Presents data on primary care financing trends from 2010 to 2020, the number of primary care physicians per capita in medically-underserved areas (MUAs) and non-MUAs by state, trends in financing primary care research, and more. Figure 7 shows the percentage of physician residents trained in an MUA or rural county by state in 2020. Appendix B includes data on the number and percentage of physician residents trained in an MUA, rural county, or both between the 2012-2013 academic year and the 2020-2021 academic year.
Additional links: Appendix B, Full Report
Date: 02/2023
Type: Document
Sponsoring organizations: Milbank Memorial Fund, Robert Graham Center, The Physicians Foundation
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Examines the support for implementing high-quality primary care in the United States across measures in five categories: financing, workforce, access, training, and research. Presents data on primary care financing trends from 2010 to 2020, the number of primary care physicians per capita in medically-underserved areas (MUAs) and non-MUAs by state, trends in financing primary care research, and more. Figure 7 shows the percentage of physician residents trained in an MUA or rural county by state in 2020. Appendix B includes data on the number and percentage of physician residents trained in an MUA, rural county, or both between the 2012-2013 academic year and the 2020-2021 academic year.
Additional links: Appendix B, Full Report
Date: 02/2023
Type: Document
Sponsoring organizations: Milbank Memorial Fund, Robert Graham Center, The Physicians Foundation
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2021 Indiana Advanced Practice Registered Nurse Workforce Brief
Provides information on the advanced practice registered nurse (APRN) workforce in Indiana, such as demographic characteristics, educational requirements by role, training tracks and populations served, practice specialty, and more. Includes county-level map that shows population to APRN ratios as well as APRN role.
Author(s): Courtney Medlock, Reno Jamison, Hannah Maxey
Date: 02/2023
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Provides information on the advanced practice registered nurse (APRN) workforce in Indiana, such as demographic characteristics, educational requirements by role, training tracks and populations served, practice specialty, and more. Includes county-level map that shows population to APRN ratios as well as APRN role.
Author(s): Courtney Medlock, Reno Jamison, Hannah Maxey
Date: 02/2023
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Health Workforce Research Data Center: Annual Report to the Legislature, January 2023
Provides an overview on education, employment, supply and demand, educational pipeline, and workforce shortages related to healthcare in California. Provides data on several healthcare occupations such as nursing, oral health, behavioral health, allied health, and more, broken down by race/ethnicity and California region.
Date: 01/2023
Type: Document
Sponsoring organization: California Department of Health Care Access and Information
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Provides an overview on education, employment, supply and demand, educational pipeline, and workforce shortages related to healthcare in California. Provides data on several healthcare occupations such as nursing, oral health, behavioral health, allied health, and more, broken down by race/ethnicity and California region.
Date: 01/2023
Type: Document
Sponsoring organization: California Department of Health Care Access and Information
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2022 Missouri Nursing Workforce Report
Presents an overview of the nursing workforce in Missouri, using data from nurses who held active licenses in Missouri as of October 1, 2022. Provides demographics and statistics on advanced practice registered nurses, registered nurses, and licensed practical nurses, with breakdowns by metropolitan, micropolitan, and rural areas.
Author(s): Bridget Murphy, Jill Lucht, Eric McDavid, et al.
Date: 01/2023
Type: Document
Sponsoring organizations: Missouri State Board of Nursing, University of Missouri Center for Health Policy
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Presents an overview of the nursing workforce in Missouri, using data from nurses who held active licenses in Missouri as of October 1, 2022. Provides demographics and statistics on advanced practice registered nurses, registered nurses, and licensed practical nurses, with breakdowns by metropolitan, micropolitan, and rural areas.
Author(s): Bridget Murphy, Jill Lucht, Eric McDavid, et al.
Date: 01/2023
Type: Document
Sponsoring organizations: Missouri State Board of Nursing, University of Missouri Center for Health Policy
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