Supply of Healthcare Providers in Relation to County Socioeconomic and Health Status

Davis, Matthew; Anthopolos, Rebecca; Tootoo, Joshua; Titler, Marita G.; Bynum, Julie; Shipman, Scott A.

doi:10.1007/s11606-017-4287-4

Cited by 20 publications

(24 citation statements)

References 5 publications

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“…The southern states continues to face challenges regarding access to maternal care and poorer maternal and child outcomes. Access to prenatal care in the southern US is limited, particularly in rural areas, with the number of board-certified obstetrician/gynecologists decreasing [30,31] and a higher number of practicing nurse practitioners and family physicians providing care [32,33]. Many states in the southern US show high rates of pregnancy complications and death [34].…”

Section: Discussionmentioning

confidence: 99%

Access to Genetic Counselors in the Southern United States

Villegas¹,

Haga²

2019

JPM

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The expansion of genetic and genomic testing across medical specialties and the changing workforce demographics of certified genetic counselors (CGCs) have led to concerns of a workforce shortage. We assessed the number of genetic counselors working in the Southern United States—a rural and medically underserved region—using various online and professional resources. We identified 683 practicing genetic counselors across the Southern U.S. and 160 specializing in prenatal genetics. CGCs were concentrated in urban areas; counties with a CGC had a significantly higher proportion of minority residents and median household income than counties without a CGC. There is an average of 2.97 prenatal CGCs per 5000 high-risk births in the South. Alternative delivery models are needed to increase access to counseling services in the Southern U.S., particularly for low income households and those of high risk pregnancies. Increased provider education and patient educational materials can help facilitate informed decision-making in prenatal settings as genetic technologies gain a stronger foothold and bring value to medical practice.

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Section: Discussionmentioning

confidence: 99%

Access to Genetic Counselors in the Southern United States

Villegas¹,

Haga²

2019

JPM

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“…With escalating patient demand for health care services that exceeds the supply of providers, the current shortfall of primary care physicians is projected to reach between 21,100 to 55,200 physicians by 2032 (Dall et al., 2019). However, the growing supply of NPs, particularly in rural and underserved communities, shows promise for meeting demands for care (Davis et al., 2018; Xue et al., 2019). Growth in the NP workforce has accelerated in recent years, with the number of full-time NPs more than doubling between 2010 and 2017, from approximately 91,000 to 190,000 (Auerbach et al., 2020).…”

Section: Introductionmentioning

confidence: 99%

“…Growth in the NP workforce has accelerated in recent years, with the number of full-time NPs more than doubling between 2010 and 2017, from approximately 91,000 to 190,000 (Auerbach et al., 2020). NPs disproportionately care for patients in underserved areas (Buerhaus et al., 2015; Davis et al., 2018; Xue et al., 2019), and primary care practices increasingly rely on NPs to deliver care (Barnes et al., 2018; Friedberg et al., 2017). As of 2016, NPs represented 25.2% of providers in rural primary care practices and 23.0% in nonrural practices (Barnes et al., 2018).…”

Section: Introductionmentioning

confidence: 99%

Surveying Primary Care Nurse Practitioners: An Overview of National Sampling Frames

Harrison

Germack

Poghosyan

et al. 2020

Policy, Politics, & Nursing Practice

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Nurse practitioners (NPs) represent the fastest growing segment of the U.S. primary care workforce. Surveys of primary care NPs can help to better understand the care NPs deliver across different health care settings, the factors that impact NP job satisfaction and burnout, and the structural capabilities required to support their practice. The purpose of this article is to provide an overview of national sampling frames that can be used by researchers interested in surveying or studying the U.S. primary care NP workforce. We conducted an environmental scan and review of published literature on the NP workforce to identify data sources that can be used to sample primary care NPs. In this article, we (a) identify the data elements needed to develop an NP sampling frame and (b) describe national data sets that can be used to sample primary care NPs, including the strengths and weaknesses of each. This information is intended to facilitate research on the primary care NP workforce to inform practice and policy.

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“…16,17 Unfortunately, such entities do not tend to practice in rural settings, but rather compete with physicians in urban areas, further widening the gap. [18][19][20] Additionally, all patients, regardless of location, need quality, physician-delivered, OUD treatment from an addiction specialist. Hopefully, with improved reimbursement and removal of regulatory hindrances, tele-MAT will expand.…”

mentioning

confidence: 99%

The Promise of Tele‐MAT

Stanciu

2020

American J Addict

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Supply of Healthcare Providers in Relation to County Socioeconomic and Health Status

Cited by 20 publications

References 5 publications

Access to Genetic Counselors in the Southern United States

Access to Genetic Counselors in the Southern United States

Surveying Primary Care Nurse Practitioners: An Overview of National Sampling Frames

The Promise of Tele‐MAT

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