New health practitioners in rural satellite health centers: The past and future

Brooks, Edward F.; Bernstein, James D.; DeFriese, Gordon H.; Graham, Robin

doi:10.1007/bf01324001

Cited by 7 publications

(3 citation statements)

References 1 publication

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“…However, as nurse practitioners grow in number, their distribution moves increasingly toward urban areas (Office of Technology Assessment, 1986). In a national study of 44 rural satellite health centers, Brooks and his colleagues (Brooks et al, 1981;Brooks and Johnson, 1986) found that the number of nurse practitioners had declined 38% between 1975and 1984. Although the Office of Technology Assessment (1986 speculated that this trend would continue into the early 1990s as a result of increased supply of primary-care physicians in rural areas, no one has examined this issue.…”

Section: Introductionmentioning

confidence: 99%

The geographic distribution of nurse practitioners in the United States

Lin

Burns

Nochajski³

1997

Appl. Geogr. Studies

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This study analyzed the geographic distribution of nurse practitioners in the United States. Primary data on nurse practitioners were obtained from State Boards of Nursing and the District of Columbia in the spring of 1994. At the state level, nurse practitioners were more concentrated in urban areas than their physician counterparts. Of the 33,094 certified nurse practitioners, 85% were in metropolitan areas. Results from the dissimilarity indices between nurse practitioners and general populations showed that a greater supply of nurse practitioners in a state may not necessarily lead to an equitable distribution across counties. At both the state and county levels, the supply of nurse practitioners was positively associated with the supply of primary care physicians. Results from multivariate analyses show that nurse practitioners were more likely to locate in a county where state laws allowed independent practice. States that allow independent practice and direct third‐party reimbursement will likely have greater availability and a larger supply of nurse practitioners in rural counties. © 1997 John Wiley & Sons, Inc.

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Section: Introductionmentioning

confidence: 99%

The geographic distribution of nurse practitioners in the United States

Lin

Burns

Nochajski³

1997

Appl. Geogr. Studies

View full text Add to dashboard Cite

show abstract

“…However, as nurse practitioners grow in number, their distribution moves increasingly toward urban areas (Office of Technology Assessment, 1986). In a national study of 44 rural satellite health centers, Brooks and his colleagues (Brooks et al, 1981;Brooks and Johnson, 1986) found that the number of nurse practitioners had declined 38% between 1975 and 1984. Although the Office of Technology Assessment (1986) speculated that this trend would continue into the early 1990s as a result of increased supply of primary-care physicians in rural areas, no one has examined this issue.…”

Section: Introductionmentioning

confidence: 99%

The geographic distribution of nurse practitioners in the United States

Lin,

Burns,

Nochajski

1997

Appl. Geogr. Studies

View full text Add to dashboard Cite

This study analyzed the geographic distribution of nurse practitioners in the United States. Primary data on nurse practitioners were obtained from State Boards of Nursing and the District of Columbia in the spring of 1994. At the state level, nurse practitioners were more concentrated in urban areas than their physician counterparts. Of the 33,094 certified nurse practitioners, 85% were in metropolitan areas. Results from the dissimilarity indices between nurse practitioners and general populations showed that a greater supply of nurse practitioners in a state may not necessarily lead to an equitable distribution across counties. At both the state and county levels, the supply of nurse practitioners was positively associated with the supply of primary care physicians. Results from multivariate analyses show that nurse practitioners were more likely to locate in a county where state laws allowed independent practice. States that allow independent practice and direct third-party reimbursement will likely have greater availability and a larger supply of nurse practitioners in rural counties.

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“…A partial, but representative, list is included in the references. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] In 1978, the Health Services Research Center of the University of North Carolina at Chapel Hill, with support from the Robert Wood Johnson Foundation and in coordination with the Office of the Assistant Secretary for Planning and Evaluation (Health), US Department of Health and Human Services (DHHS), began a comprehensive national evaluation of subsidized primary health care programs which were providing services to rural communities in the United States. The background and conceptualization of recent strategies for providing personal health services in underserved rural areas was published in 1981.…”

mentioning

confidence: 99%

An evaluation of subsidized rural primary care programs: I. A typology of practice organizations.

Sheps¹,

Wagner²,

Schonfeld³

et al. 1983

Am J Public Health

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The design of a comprehensive evaluation of subsidized rural primary care programs on a large national scale is described. Its major purpose is to derive data whose analysis will answer major policy questions about the factors influencing the outcome of the major types of such programs in different communities. This first paper also delineates a typology whichIn the 1960s, the long recognized problem of making good quality personal health services available to people in rural areas was given greatly increased attention in the United States. For many years prior to this, various measures to correct this persistent deficiency had been tried by rural people themselves, by agencies such as governments at local, state, and national levels, and by local and national foundations. Few of these efforts seemed to provide satisfactory solutions. During the 1970s, growing concern about this problem led to greatly expanded and strengthened efforts and some new approaches which included the requirement that subsidized primary care projects adopt specific programmatic goals and particular methods of organization, staffing, and operation.Toward the end of the 1970s, national economic constraints produced increasing competition for the public dollar, thus heightening an interest in comprehensive evaluation studies that might lead to policy changes for future sup-

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New health practitioners in rural satellite health centers: The past and future

Cited by 7 publications

References 1 publication

The geographic distribution of nurse practitioners in the United States

The geographic distribution of nurse practitioners in the United States

The geographic distribution of nurse practitioners in the United States

An evaluation of subsidized rural primary care programs: I. A typology of practice organizations.

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