wow-inequalities/02-data/intermediate/wos_sample/a14bfc36169293dbce990b205fb3d300-rosenblatt-ra-and-a/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Context The US government is expanding the capacity of community health
centers (CHCs) to provide care to underserved populations.
Objective To examine the status of workforce shortages that may limit
CHC expansion.
Design and Setting Survey questionnaire of all 846 federally funded US
CHCs that directly provide clinical services and are within the 50
states and the District of Columbia, conducted between May and September
2004. Questionnaires were completed by the chief executive officer of
each grantee. Information was supplemented by data from the 2003 Bureau
of Primary Health Care Uniform Data System and weighted to be nationally
representative.
Main Outcome Measures Staffing patterns and vacancies for major clinical
disciplines by rural and urban location, use of federal and state
recruitment programs, and perceived barriers to recruitment.
Results Overall response rate was 79.3\%. Primary care physicians made
up 89.4\% of physicians working in the CHCs, the majority of whom are
family physicians. In rural CHCs, 46\% of the direct clinical providers
of care were nonphysician clinicians compared with 38.9\% in urban CHCs.
There were 428 vacant funded full-time equivalents (FTEs) for family
physicians and 376 vacant FTEs for registered nurses. There were
vacancies for 13.3\% of family physician positions, 20.8\% of
obstetrician/ gynecologist positions, and 22.6\% of psychiatrist
positions. Rural CHCs had a higher proportion of vacancies and
longer-term vacancies and reported greater difficulty filling positions
compared with urban CHCs. Physician recruitment in CHCs was heavily
dependent on National Health Service Corps scholarships, loan repayment
programs, and international medical graduates with J-1 visa waivers.
Major perceived barriers to recruitment included low salaries and, in
rural CHCs, cultural isolation, poor-quality schools and housing, and
lack of spousal job opportunities.
Conclusions CHCs face substantial challenges in recruitment of clinical
staff, particularly in rural areas. The largest numbers of unfilled
positions were for family physicians at a time of declining interest in
family medicine among graduating US medical students. The success of the
current US national policy to expand CHCs may be challenged by these
workforce issues.'
affiliation: 'Rosenblatt, RA (Corresponding Author), Univ Washington, Dept Family
Med, Rural Hlth Res Ctr, Box 354696, Seattle, WA 98195 USA.
Univ Washington, Dept Family Med, Rural Hlth Res Ctr, Seattle, WA 98195 USA.
Natl Assoc Community Hlth Ctr, Bethesda, MD USA.'
author: Rosenblatt, RA and Andrilla, CHA and Curtin, T and Hart, LG
author-email: rosenb@u.washington.edu
author_list:
- family: Rosenblatt
given: RA
- family: Andrilla
given: CHA
- family: Curtin
given: T
- family: Hart
given: LG
da: '2023-09-28'
doi: 10.1001/jama.295.9.1042
eissn: 1538-3598
files: []
issn: 0098-7484
journal: JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
keywords-plus: 'PHYSICIAN WORKFORCE; FAMILY PHYSICIANS; SERVICE-CORPS; FOLLOW-UP;
CARE;
AREAS; RETENTION; URBAN; RECRUITMENT; EXPERIENCE'
language: English
month: MAR 1
number: '9'
number-of-cited-references: '61'
pages: 1042-1049
papis_id: cef0d602941975eb78cca77b9226d44d
ref: Rosenblatt2006shortagesmedical
researcherid-numbers: Andrilla, Holly/AAC-6264-2019
times-cited: '218'
title: Shortages of medical personnel at community health centers - Implications for
planned expansion
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000235656600024
usage-count-last-180-days: '0'
usage-count-since-2013: '27'
volume: '295'
web-of-science-categories: Medicine, General \& Internal
year: '2006'