From Health Care Volume to Health Care Value-Success Strategies for Rural Health Care Providers

2013 ◽  
Vol 30 (2) ◽  
pp. 221-225 ◽  
Author(s):  
A. Clinton MacKinney ◽  
Keith J. Mueller ◽  
Thomas Vaughn ◽  
Xi Zhu
2021 ◽  
Author(s):  
◽  
Maria Kuhns

Due to rural health disparities and an uneven distribution of health providers across the rural urban continuum, retaining the existing rural health care provider workforce may be an important strategy to maintain existing rural health care provision. While a large body of literature addresses how to recruit health care providers to rural areas, less is known about how to retain these providers. Even less literature has focused on the role of rural communities in health care provider retention. In this thesis, I examine the role of provider background and familial characteristics, workplace characteristics, and community characteristics that may impact a provider's likelihood to consider leaving a rural community. I use data from a survey of over 900 rural health care providers across nine states and a probit model to estimate the impact of these characteristics on a provider's propensity to consider leaving. I find that establishing social ties and integrating within the community through volunteering reduces providers' likelihood to consider leaving by 10 percent. Additionally, providers who engage in entrepreneurship by investing in part or all of their practice are 12 percent less likely to consider leaving, all else being equal. I also find that having unacceptable on-call responsibilities increases a provider's likelihood to consider leaving by 17 percent. This thesis contributes to the existing literature by estimating the effects of work-life balance, entrepreneurship, and the role of family and personal integration on provider retention. Furthermore, it emphasizes the role of communities in provider retention. These results offer insights to rural communities and decision-makers seeking to identify how to maintain their existing rural health care workforce.


PEDIATRICS ◽  
1990 ◽  
Vol 86 (2) ◽  
pp. 302-306
Author(s):  
Jeffrey E. Thompson ◽  
Bethann Bonner ◽  
Gerald M. Lower

We reviewed emergency department records that spanned a period of 5 years at seven rural hospitals to provide more specific data concerning pediatric resuscitation. The purpose was to plan better for preventive programs and to help rural health care providers prepare better for these difficult patients. Patients entered in the study had either cardiorespiratory arrest or respiratory arrest. Although the distribution by age was similar to studies from other areas, the outcome for cardiorespiratory arrests was as bad or worse (70 arrests with 3 survivors), and the outcome of respiratory arrests was as good or better (25 arrests with 21 survivors) as reported previously. Survival of arrest from trauma and accidents was markedly worse (16%) than survival from nontraumatic arrests (44%). The etiologies of the arrests were dominated by sudden infant death syndrome and pulmonary disease but with very few drownings or farmrelated fatalities. This study should encourage rural health care providers to increase efforts in specific areas of trauma and accident prevention. Also, respiratory illness needs to be monitored aggressively and respiratory arrests treated more effectively to avoid the much more consistently lethal cardiac arrests. In addition, more careful prospective study of these patients may be able to identify care patterns that can be improved to increase survival in these groups.


1995 ◽  
Vol 70 (7) ◽  
pp. 562-3 ◽  
Author(s):  
P Paulman ◽  
C Gilbert ◽  
L Davidson-Stroh ◽  
F Ulrich

2015 ◽  
Vol 34 (3) ◽  
pp. 255-264 ◽  
Author(s):  
Judith Ortiz ◽  
Richard A. Hofler ◽  
Yi-Ling Lin ◽  
Richard Berzon

2003 ◽  
Vol 19 (5) ◽  
pp. 340-346 ◽  
Author(s):  
Holly Felix ◽  
Joy Shepherd ◽  
M. Kathryn Stewart

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