Allied health education in rural health professional shortage areas of the United States

Article Abstract:

Training sites in rural communities can increase the number of allied health professionals in rural settings. These training programs tend to admit more students from a rural background or students who wish to practice in rural areas. Allied health education training is available in almost 40% of U.S. nonmetropolitan counties, defined as those with populations under 100,000 and no city over 50,000. Primary care health care professional shortage areas (HPSAs) were determined by considering the ratio of primary care physicians to the population, poverty rate, infant mortality rate, percentage of low birth weight babies and access to primary health care services as measured by travel time to the nearest health care facility. HPSAs also lack allied health training opportunities. Allied health professionals are important in the provision of primary care. More research is needed to determine if rural training sites increase care for the underserved.

Statistics, Social policy, Curricula, Allied health personnel, Rural health services, Medically underserved areas

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The comparative retention of National Health Service Corps and other rural physicians: results of a 9-year follow-up study

Article Abstract:

Many physicians placed in a rural setting as part of the National Health Service Corps (NHSC) Scholarship Program are unlikely to remain in a rural community after fulfillment of their obligation. Among 304 physicians working at rural medical clinics subsidized by the federal government in 1981, 109 (36%) were fulfilling an obligation to the NHSC and 195 (64%) were non-NHSC physicians. By May 1990, 15% of the NHSC physicians were still working at the clinic they were practicing at in 1981, compared with 39% of the non-NHSC physicians. Twenty-three percent of the NHSC physicians remained in the same community, compared with 48% of the non-NHSC physicians. Thirty-four percent of the NHSC physicians were still working in a rural community, compared with 53% of the non-NHSC physicians. Most NHSC physicians and non-NHSC physicians who left their original clinic did not remain in a rural practice.

Management, Practice, Employment, Medicine, Rural, Rural medicine, United States. National Health Service Corps

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State Scholarship, Loan Forgiveness, and Related Programs: The Unheralded Safety Net

Article Abstract:

As of 1996, 41 states had some kind of program to encourage doctors to practice in underserved areas. The number of state programs had more than doubled, from 39 in 1990 to 82 in 1996. Programs included loan repayment, scholarships, loans, direct financial incentives, and resident support.

Services, State government

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