Health professional retention in underserved areas: findings from the National Health Service Corps Loan Repayment Program participants in the United States, 2019-2021
Health care provider retention is important for mitigating workforce shortages in underserved areas. The National Health Service Corps (NHSC) provides loan repayment for a two or three-year service commitment from clinicians to work in underserved areas. Prior studies have mixed findings as to what...
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| Veröffentlicht in: | Journal of public health policy 2024-12, Vol.45 (4), p.639-653 |
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| container_title | Journal of public health policy |
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| creator | Rowan, Kathleen Shah, Savyasachi V Knudson, Alana Kolenikov, Stas Satorius, Jennifer Robbins, Carolyn Kepley, Hayden |
| description | Health care provider retention is important for mitigating workforce shortages in underserved areas. The National Health Service Corps (NHSC) provides loan repayment for a two or three-year service commitment from clinicians to work in underserved areas. Prior studies have mixed findings as to what influences clinician retention and have focused mainly on individual-level background characteristics. We used measures of NHSC clinicians' work environment during their service experience, in addition to background characteristics, to identify patterns of experiences, and assess whether these patterns were associated with post-service intentions. We observed that technical assistance and job resources were more influential on clinicians' intentions, compared to individual- or community-level characteristics. Organizations with efficient and supportive work environments may help retain clinicians in underserved areas. |
| doi_str_mv | 10.1057/s41271-024-00516-y |
| format | Article |
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The National Health Service Corps (NHSC) provides loan repayment for a two or three-year service commitment from clinicians to work in underserved areas. Prior studies have mixed findings as to what influences clinician retention and have focused mainly on individual-level background characteristics. We used measures of NHSC clinicians' work environment during their service experience, in addition to background characteristics, to identify patterns of experiences, and assess whether these patterns were associated with post-service intentions. We observed that technical assistance and job resources were more influential on clinicians' intentions, compared to individual- or community-level characteristics. 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The National Health Service Corps (NHSC) provides loan repayment for a two or three-year service commitment from clinicians to work in underserved areas. Prior studies have mixed findings as to what influences clinician retention and have focused mainly on individual-level background characteristics. We used measures of NHSC clinicians' work environment during their service experience, in addition to background characteristics, to identify patterns of experiences, and assess whether these patterns were associated with post-service intentions. We observed that technical assistance and job resources were more influential on clinicians' intentions, compared to individual- or community-level characteristics. Organizations with efficient and supportive work environments may help retain clinicians in underserved areas.</description><subject>Adult</subject><subject>Female</subject><subject>Health care industry</subject><subject>Health Personnel</subject><subject>Health services</subject><subject>Humans</subject><subject>Individual differences</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medically Underserved Area</subject><subject>Middle Aged</subject><subject>Organizational culture</subject><subject>Original</subject><subject>Personnel Turnover - statistics & numerical data</subject><subject>Retention</subject><subject>Shortages</subject><subject>Technical assistance</subject><subject>Training Support</subject><subject>Underserved populations</subject><subject>United States</subject><subject>Work environment</subject><subject>Workforce</subject><subject>Working conditions</subject><issn>0197-5897</issn><issn>1745-655X</issn><issn>1745-655X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><recordid>eNpdkcGO0zAQhiMEYrsLL8ABWeLCgcCMHTcxF4QqlkWqAFGQuEXTZNJ6ldjBdlfqE_GaeLUFASdbms_f_DMuiicILxF0_SpWKGssQVYlgMZlebxXLLCudLnU-vv9YgFo6lI3pj4rzmO8BoAGpXxYnCmDDZqlWhQ_r5jGtBdz8APHaL2jUQRO7FK-C-vEwfUcIocb7gUFpvhaDNb11u2iGIKfRNqz-Ejp7ulJt8m87VisfJijWHty4gvPdJyyV3wOfhdoEjOFZDs7k0vxttOt6JuzKTfaJEocXwiZRyglSHxUPBhojPz4dF4Um8t3X1dX5frT-w-rt-tyllKnst9SD5J0b5TUHZitooolNAaIkJREiQq2utNcE0PfMAwSahqgRkOsLoo3d9b5sJ2473LaQGM7BztROLaebPtvxdl9u_M3LeISDDQyG56fDMH_OHBM7WRjx-NIjv0htgpMjZVBhRl99h967Q8hLzFTqCpdL9FApp7-HelPlt9fqH4BWCihGg</recordid><startdate>202412</startdate><enddate>202412</enddate><creator>Rowan, Kathleen</creator><creator>Shah, Savyasachi V</creator><creator>Knudson, Alana</creator><creator>Kolenikov, Stas</creator><creator>Satorius, Jennifer</creator><creator>Robbins, Carolyn</creator><creator>Kepley, Hayden</creator><general>Palgrave Macmillan</general><general>Palgrave Macmillan UK</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QJ</scope><scope>7TQ</scope><scope>DHY</scope><scope>DON</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4205-9217</orcidid></search><sort><creationdate>202412</creationdate><title>Health professional retention in underserved areas: findings from the National Health Service Corps Loan Repayment Program participants in the United States, 2019-2021</title><author>Rowan, Kathleen ; Shah, Savyasachi V ; Knudson, Alana ; Kolenikov, Stas ; Satorius, Jennifer ; Robbins, Carolyn ; Kepley, Hayden</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p225t-dbad02a5d9325c09b3a4e20890aa1a3212130b5c5e7ae0d8e0f207af0719ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Female</topic><topic>Health care industry</topic><topic>Health Personnel</topic><topic>Health services</topic><topic>Humans</topic><topic>Individual differences</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Medically Underserved Area</topic><topic>Middle Aged</topic><topic>Organizational culture</topic><topic>Original</topic><topic>Personnel Turnover - statistics & numerical data</topic><topic>Retention</topic><topic>Shortages</topic><topic>Technical assistance</topic><topic>Training Support</topic><topic>Underserved populations</topic><topic>United States</topic><topic>Work environment</topic><topic>Workforce</topic><topic>Working conditions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rowan, Kathleen</creatorcontrib><creatorcontrib>Shah, Savyasachi V</creatorcontrib><creatorcontrib>Knudson, Alana</creatorcontrib><creatorcontrib>Kolenikov, Stas</creatorcontrib><creatorcontrib>Satorius, Jennifer</creatorcontrib><creatorcontrib>Robbins, Carolyn</creatorcontrib><creatorcontrib>Kepley, Hayden</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>PAIS Index</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of public health policy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rowan, Kathleen</au><au>Shah, Savyasachi V</au><au>Knudson, Alana</au><au>Kolenikov, Stas</au><au>Satorius, Jennifer</au><au>Robbins, Carolyn</au><au>Kepley, Hayden</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health professional retention in underserved areas: findings from the National Health Service Corps Loan Repayment Program participants in the United States, 2019-2021</atitle><jtitle>Journal of public health policy</jtitle><addtitle>J Public Health Policy</addtitle><date>2024-12</date><risdate>2024</risdate><volume>45</volume><issue>4</issue><spage>639</spage><epage>653</epage><pages>639-653</pages><issn>0197-5897</issn><issn>1745-655X</issn><eissn>1745-655X</eissn><abstract>Health care provider retention is important for mitigating workforce shortages in underserved areas. 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| fulltext | fulltext |
| identifier | ISSN: 0197-5897 |
| ispartof | Journal of public health policy, 2024-12, Vol.45 (4), p.639-653 |
| issn | 0197-5897 1745-655X 1745-655X |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Springer Journals; PAIS Index |
| subjects | Adult Female Health care industry Health Personnel Health services Humans Individual differences Male Medical personnel Medically Underserved Area Middle Aged Organizational culture Original Personnel Turnover - statistics & numerical data Retention Shortages Technical assistance Training Support Underserved populations United States Work environment Workforce Working conditions |
| title | Health professional retention in underserved areas: findings from the National Health Service Corps Loan Repayment Program participants in the United States, 2019-2021 |
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