Assessment of Changes in Rural and Urban Primary Care Workforce in the United States From 2009 to 2017
Author(s) -
Donglan Zhang,
Heejung Son,
Ye Shen,
Zhuo Chen,
Janani RajbhandariThapa,
Yan Li,
Heesun Eom,
Daniel Bu,
Lan Mu,
Gang Li,
José A. Pagán
Publication year - 2020
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2020.22914
Subject(s) - workforce , primary care , economic growth , political science , geography , socioeconomics , medicine , environmental health , demographic economics , gerontology , family medicine , sociology , economics
Key Points Question What are the changes in the rural-urban distribution of the primary care workforce in the US from 2009 to 2017? Findings In this cross-sectional study of 3143 US counties (1167 urban and 1976 rural) using county-level data, the density of primary care clinicians increased significantly in both rural and urban counties from 2009 to 2017. The increase in primary care clinician density was more pronounced in urban counties compared with rural counties. Meaning In this study, the density of primary care clinicians increased overall, yet rural-urban disparities in the primary care workforce are increasing in the US.
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