Bolstering the rural physician workforce in underserved communities: Are Rural Residency Planning and Development Programs finding the sweet spot?
Purpose The purpose of this study is to describe the characteristics of Rural Residency Planning and Development (RRPD) Programs, compare the characteristics of counties with and without RRPD programs, and identify rural places where future RRPD programs could be developed. Methods The study sample...
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| Veröffentlicht in: | The Journal of rural health 2023-06, Vol.39 (3), p.521-528 |
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| container_title | The Journal of rural health |
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| creator | Fraher, Erin Page, Cristen P. Hawes, Emily M. Galloway, Evan Pathak, Shweta Tomola, Lauren Holmes, George M. |
| description | Purpose
The purpose of this study is to describe the characteristics of Rural Residency Planning and Development (RRPD) Programs, compare the characteristics of counties with and without RRPD programs, and identify rural places where future RRPD programs could be developed.
Methods
The study sample comprised 67 rural sites training residents in 40 counties in 24 US states. Descriptive statistics were used to describe RRPD programs and logistic regression to predict the probability of a county being an RRPD site as a function of population, primary care physicians (PCP) per 10,000 population, and the social vulnerability index (SVI) compared to a control sample of nonmetro counties without RRPD sites.
Findings
Most RRPD grantees (78%) were family medicine programs affiliated with medical schools (97%). RRPD counties were more populous (P |
| doi_str_mv | 10.1111/jrh.12735 |
| format | Article |
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The purpose of this study is to describe the characteristics of Rural Residency Planning and Development (RRPD) Programs, compare the characteristics of counties with and without RRPD programs, and identify rural places where future RRPD programs could be developed.
Methods
The study sample comprised 67 rural sites training residents in 40 counties in 24 US states. Descriptive statistics were used to describe RRPD programs and logistic regression to predict the probability of a county being an RRPD site as a function of population, primary care physicians (PCP) per 10,000 population, and the social vulnerability index (SVI) compared to a control sample of nonmetro counties without RRPD sites.
Findings
Most RRPD grantees (78%) were family medicine programs affiliated with medical schools (97%). RRPD counties were more populous (P<.01), had a higher population density (P<.05), and a higher percent of the non‐White or Hispanic population (P = .05) compared to non‐RRPD counties. Both higher population (P<.001) and PCP ratio (P = .046) were strong predictors, while SVI (P = .07) was a weak predictor of being an RRPD county.
Conclusions
RRPD sites appear to represent a “sweet spot” of rural counties that have the population and physician supply to support a training program but also are relatively more socially vulnerable with high‐need populations. Additional counties fitting this “sweet spot” could be targeted for funding to address health disparities and health workforce maldistribution.</description><identifier>ISSN: 0890-765X</identifier><identifier>EISSN: 1748-0361</identifier><identifier>DOI: 10.1111/jrh.12735</identifier><identifier>PMID: 36566476</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Counties ; Development programs ; graduate medical education ; Health care ; Health disparities ; Medical schools ; Physicians ; Population density ; Primary care ; Rural areas ; Rural communities ; Rural development ; rural health ; rural workforce ; Schools ; States ; Statistical analysis ; Statistics ; Training ; Underserved populations ; Vulnerability ; Workforce</subject><ispartof>The Journal of rural health, 2023-06, Vol.39 (3), p.521-528</ispartof><rights>2022 National Rural Health Association.</rights><rights>2023 National Rural Health Association.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3135-95c3b8ca94a799d3a22e6443e8dc935bcdccf632050e7b669f35060d5d735b413</cites><orcidid>0000-0002-6169-7847 ; 0000-0001-7717-4066</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjrh.12735$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjrh.12735$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27847,27905,27906,30980,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36566476$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fraher, Erin</creatorcontrib><creatorcontrib>Page, Cristen P.</creatorcontrib><creatorcontrib>Hawes, Emily M.</creatorcontrib><creatorcontrib>Galloway, Evan</creatorcontrib><creatorcontrib>Pathak, Shweta</creatorcontrib><creatorcontrib>Tomola, Lauren</creatorcontrib><creatorcontrib>Holmes, George M.</creatorcontrib><title>Bolstering the rural physician workforce in underserved communities: Are Rural Residency Planning and Development Programs finding the sweet spot?</title><title>The Journal of rural health</title><addtitle>J Rural Health</addtitle><description>Purpose
The purpose of this study is to describe the characteristics of Rural Residency Planning and Development (RRPD) Programs, compare the characteristics of counties with and without RRPD programs, and identify rural places where future RRPD programs could be developed.
Methods
The study sample comprised 67 rural sites training residents in 40 counties in 24 US states. Descriptive statistics were used to describe RRPD programs and logistic regression to predict the probability of a county being an RRPD site as a function of population, primary care physicians (PCP) per 10,000 population, and the social vulnerability index (SVI) compared to a control sample of nonmetro counties without RRPD sites.
Findings
Most RRPD grantees (78%) were family medicine programs affiliated with medical schools (97%). RRPD counties were more populous (P<.01), had a higher population density (P<.05), and a higher percent of the non‐White or Hispanic population (P = .05) compared to non‐RRPD counties. Both higher population (P<.001) and PCP ratio (P = .046) were strong predictors, while SVI (P = .07) was a weak predictor of being an RRPD county.
Conclusions
RRPD sites appear to represent a “sweet spot” of rural counties that have the population and physician supply to support a training program but also are relatively more socially vulnerable with high‐need populations. Additional counties fitting this “sweet spot” could be targeted for funding to address health disparities and health workforce maldistribution.</description><subject>Counties</subject><subject>Development programs</subject><subject>graduate medical education</subject><subject>Health care</subject><subject>Health disparities</subject><subject>Medical schools</subject><subject>Physicians</subject><subject>Population density</subject><subject>Primary care</subject><subject>Rural areas</subject><subject>Rural communities</subject><subject>Rural development</subject><subject>rural health</subject><subject>rural workforce</subject><subject>Schools</subject><subject>States</subject><subject>Statistical analysis</subject><subject>Statistics</subject><subject>Training</subject><subject>Underserved populations</subject><subject>Vulnerability</subject><subject>Workforce</subject><issn>0890-765X</issn><issn>1748-0361</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><recordid>eNp10c1u1DAUBWALgehQWPACyBKbskhrx7ETs0Ft-WlRJaoRSOwsx77peEjsYCcdzWvwxHg6LQukeuPN5-OrexB6TckxzedkHVfHtKwZf4IWtK6agjBBn6IFaSQpasF_HqAXKa0JKWXDqufogAkuRFWLBfpzFvo0QXT-Bk8rwHGOusfjapuccdrjTYi_uhANYOfx7C3EBPEWLDZhGGbvJgfpPT6NgJd3L5eQnAVvtvi6197vYrW3-CPcQh_GAfyEr2O4iXpIuHPePvybNgATTmOYPrxEzzrdJ3h1fx-iH58_fT-_KK6-fbk8P70qDKOMF5Ib1jZGy0rXUlqmyxJEVTForJGMt8Ya0wlWEk6gboWQHeNEEMttXlRbUXaIjva5Ywy_Z0iTGlwy0Oe5IcxJlTVvKC2zzPTtf3Qd5ujzdKpsylqyncvq3V6ZGFKK0KkxukHHraJE7YpSuSh1V1S2b-4T53YA-08-NJPByR5sXA_bx5PU1-XFPvIvPFOe_Q</recordid><startdate>20230601</startdate><enddate>20230601</enddate><creator>Fraher, Erin</creator><creator>Page, Cristen P.</creator><creator>Hawes, Emily M.</creator><creator>Galloway, Evan</creator><creator>Pathak, Shweta</creator><creator>Tomola, Lauren</creator><creator>Holmes, George M.</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7T2</scope><scope>7TQ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6169-7847</orcidid><orcidid>https://orcid.org/0000-0001-7717-4066</orcidid></search><sort><creationdate>20230601</creationdate><title>Bolstering the rural physician workforce in underserved communities: Are Rural Residency Planning and Development Programs finding the sweet spot?</title><author>Fraher, Erin ; Page, Cristen P. ; Hawes, Emily M. ; Galloway, Evan ; Pathak, Shweta ; Tomola, Lauren ; Holmes, George M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3135-95c3b8ca94a799d3a22e6443e8dc935bcdccf632050e7b669f35060d5d735b413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Counties</topic><topic>Development programs</topic><topic>graduate medical education</topic><topic>Health care</topic><topic>Health disparities</topic><topic>Medical schools</topic><topic>Physicians</topic><topic>Population density</topic><topic>Primary care</topic><topic>Rural areas</topic><topic>Rural communities</topic><topic>Rural development</topic><topic>rural health</topic><topic>rural workforce</topic><topic>Schools</topic><topic>States</topic><topic>Statistical analysis</topic><topic>Statistics</topic><topic>Training</topic><topic>Underserved populations</topic><topic>Vulnerability</topic><topic>Workforce</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fraher, Erin</creatorcontrib><creatorcontrib>Page, Cristen P.</creatorcontrib><creatorcontrib>Hawes, Emily M.</creatorcontrib><creatorcontrib>Galloway, Evan</creatorcontrib><creatorcontrib>Pathak, Shweta</creatorcontrib><creatorcontrib>Tomola, Lauren</creatorcontrib><creatorcontrib>Holmes, George M.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of rural health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fraher, Erin</au><au>Page, Cristen P.</au><au>Hawes, Emily M.</au><au>Galloway, Evan</au><au>Pathak, Shweta</au><au>Tomola, Lauren</au><au>Holmes, George M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bolstering the rural physician workforce in underserved communities: Are Rural Residency Planning and Development Programs finding the sweet spot?</atitle><jtitle>The Journal of rural health</jtitle><addtitle>J Rural Health</addtitle><date>2023-06-01</date><risdate>2023</risdate><volume>39</volume><issue>3</issue><spage>521</spage><epage>528</epage><pages>521-528</pages><issn>0890-765X</issn><eissn>1748-0361</eissn><abstract>Purpose
The purpose of this study is to describe the characteristics of Rural Residency Planning and Development (RRPD) Programs, compare the characteristics of counties with and without RRPD programs, and identify rural places where future RRPD programs could be developed.
Methods
The study sample comprised 67 rural sites training residents in 40 counties in 24 US states. Descriptive statistics were used to describe RRPD programs and logistic regression to predict the probability of a county being an RRPD site as a function of population, primary care physicians (PCP) per 10,000 population, and the social vulnerability index (SVI) compared to a control sample of nonmetro counties without RRPD sites.
Findings
Most RRPD grantees (78%) were family medicine programs affiliated with medical schools (97%). RRPD counties were more populous (P<.01), had a higher population density (P<.05), and a higher percent of the non‐White or Hispanic population (P = .05) compared to non‐RRPD counties. Both higher population (P<.001) and PCP ratio (P = .046) were strong predictors, while SVI (P = .07) was a weak predictor of being an RRPD county.
Conclusions
RRPD sites appear to represent a “sweet spot” of rural counties that have the population and physician supply to support a training program but also are relatively more socially vulnerable with high‐need populations. Additional counties fitting this “sweet spot” could be targeted for funding to address health disparities and health workforce maldistribution.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36566476</pmid><doi>10.1111/jrh.12735</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6169-7847</orcidid><orcidid>https://orcid.org/0000-0001-7717-4066</orcidid></addata></record> |
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| ispartof | The Journal of rural health, 2023-06, Vol.39 (3), p.521-528 |
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| source | Wiley Online Library Journals Frontfile Complete; PAIS Index; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Counties Development programs graduate medical education Health care Health disparities Medical schools Physicians Population density Primary care Rural areas Rural communities Rural development rural health rural workforce Schools States Statistical analysis Statistics Training Underserved populations Vulnerability Workforce |
| title | Bolstering the rural physician workforce in underserved communities: Are Rural Residency Planning and Development Programs finding the sweet spot? |
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