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Rural Health Information Hub

Rural Healthcare Workforce – Resources

Selected recent or important resources focusing on Rural Healthcare Workforce.

Nursing Home Workforce Issues and Inequities
Offers an overview of issues related to the direct care workforce in nursing homes including staffing shortages, recruitment and retention, low wages, job training, interdisciplinary care, and more. Discusses proposed policies offering workforce-related reforms. Discusses rural throughout.
Author(s): Jasmine L. Travers, Rita Choula, Edem Hado
Date: 02/2024
Sponsoring organization: AARP Public Policy Institute
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Physician and Advanced Practice Clinician Burnout in Rural and Urban Settings
Describes burnout and contributing work conditions among physicians and advanced practice clinicians, using data from an anonymous electronic survey conducted in March 2022. Explores the effect of COVID-19 on health workforce burnout, and features statistics with breakdowns by urban and rural areas.
Author(s): Melissa L. Harry, Nancy L. Sudak, Mary J. Engels, et al.
Citation: The Journal of the American Board of Family Medicine, 37(1), 43-58
Date: 01/2024
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Practical Guide for Expanding the Community-Based Behavioral Health Workforce
Explores the role of community-initiated care (CIC) and behavioral health support specialists (BHSS) in filling gaps in behavioral healthcare services and supporting community wellness. Provides guidance, strategies, and best practices for addressing behavioral health disparities in underserved communities and expanding the BHSS and CIC workforce.
Date: 2024
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Expanding Behavioral Health Care Workforce Participation in Medicare, Medicaid, and Marketplace Plans
Report highlights barriers to obtaining behavioral health treatment on Medicare, Medicaid, and Marketplace plans. Discusses barriers specific to rural and tribal communities. Details behavioral workforce needs and makes policy recommendations.
Additional links: Full Report
Author(s): Board on Health Care Services
Date: 2024
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Confronting Workforce Shortages and Health Worker Well-Being
Six videos addressing the impact of healthcare worker shortages and how those shortages affect individual well-being and the ability to provide care in rural communities. Includes a keynote presentation by the Chief Medical Officer of the Indian Health Service. Transcripts available under the descriptions of the videos.
Date: 12/2023
Sponsoring organization: National Academy of Medicine
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A National Staffing Emergency in Rural Health Care
Podcast episode featuring a discussion with three rural hospital executives from Colorado, Wisconsin, and Michigan regarding workforce shortages in rural hospitals. Describes factors driving workforce challenges; recruitment, onboarding, and retention strategies; approaches to introducing healthcare careers to youth and the community; and the role of technology in meeting healthcare needs.
Date: 12/2023
Sponsoring organization: American Hospital Association
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Addressing the Direct Care Workforce Shortage: A Bipartisan Call to Action
Report discusses direct care worker shortages throughout the country. Details shortages of home health aids, certified nursing assistants, and residential care aids, among other direct care workers, and makes recommendations for decreasing shortages. Highlights some of the added barriers faced by rural communities.
Author(s): Lisa Harootunian, Kamryn Perry, Allison Buffett, et al.
Date: 12/2023
Sponsoring organization: Bipartisan Policy Center
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Keeping Rural EMS Reliable and Sustainable, with James Small
An episode of the Exploring Rural Health podcast featuring James Small, Rural EMS Outreach Director for the Wisconsin Office of Rural Health. Focuses on rural emergency medical services workforce and funding shortages, and how rural EMS can be maintained and expanded.
Date: 12/2023
Sponsoring organization: Rural Health Information Hub
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Identifying Strategies for Strengthening the Health Care Workforce in the Commonwealth of Virginia
Provides an overview of recent trends in the shortage of the nursing, primary care, and behavioral healthcare workforce in Virginia. Summarizes findings from an environmental scan and qualitative and quantitative data analysis regarding recruitment and retention strategies. Identifies interventions that could help the Virginia Health Workforce Development Authority (VHWDA) successfully address workforce shortages and which interventions should be prioritized based on desired policy outcomes. Presents a system dynamic model simulating the medium- to long-term supply and employment trends within Virginia's healthcare workforce under status quo conditions and under various policy interventions. Includes information on recruitment and retention in rural areas throughout.
Additional links: Annex, Research Brief: Recommendations for Strengthening the Health Care Workforce in the Commonwealth of Virginia
Author(s): Megan Andrew, Brian Briscombe, Raffaele Vardavas, et al.
Date: 11/2023
Sponsoring organization: RAND Corporation
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Health is Primary: Charting a Path to Equity and Sustainability
Examines factors driving the downward trends in primary care, including fewer clinicians practicing primary care, fewer available appointments, lower spending on primary care, and fewer adults reporting that they have a usual source of primary care. Features a literature review, supply and demand analysis, and recommendations for potential solutions. Mentions rural throughout.
Additional links: Slide Presentation
Author(s): Alison Huffstetler, Ann Greiner, Anam Siddiqi, et al.
Date: 11/2023
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Last Updated: 3/27/2025