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Research shows that those who obtain regular primary care receive more preventive services, comply with their prescribed treatments Gaps of service quality have lower rates of illness and premature Gaps of service quality. This is due in part to the fact that an effective primary care system provides a team approach to patient care, which offers guidance to patients as they navigate the complex health care system.
Such care increases patient engagement and compliance with provider instructions such as taking medications as directed and making healthy lifestyle changes. This is considered to be one reason rural Americans have higher rates of death, disability and chronic disease than their urban counterparts.
Of the 2, rural U. Around 4, additional primary care practitioners are needed to meet current rural health care needs.
Challenges Declining Interest in Primary Care One factor contributing to the primary care practitioner shortage in rural America is that medical students have increasingly chosen non-primary care specialties.
From the late s to the mid s, the percent of residents who specialized in general internal medicine decreased from 55 percent to 20 percent; bythe number of family practice residencies filled with U.
One key reason for this shift is the growing disparity between pay for primary care practitioners and for specialists.
Today, specialists can earn as much as three times more than primary care practitioners annually. The news for primary care is not all bad, however.
Data suggest that recent efforts to recruit more medical students to primary care residencies may be somewhat successful. Inthe number of U. Aging Practitioners Another challenge that likely will exacerbate the existing shortage of primary care practitioners in rural America is that a large number of rural primary care practitioners are nearing retirement age.
A recent study found that nearly 30 percent of rural primary care practitioners are at or nearing retirement age, while younger practitioners those under age 40 account for only 20 percent of the current workforce.
This means that, in addition to the existing shortages, the number of new practitioners entering the workforce is well below the current replacement rate for retiring primary care practitioners. Inthe baby-boomer generation began reaching retirement age.
It is estimated that the rural population of those ages 55 to 75 is set to increase by an estimated 30 percent between and This will have serious implications for the demand for services, since people tend to develop more medical needs as they age.
As a result of the Affordable Care Act ACA ,an additional 5 million rural Americans 16 percent are estimated to have health insurance coverage byeither by way of a health insurance exchange or Medicaid.
This expansion, combined with the increased demand of an aging population, will have dramatic effects for an already burdened rural health care delivery system. Mississippi Rural Physicians Scholarship Program Created by the Legislature inthe Mississippi Rural Physicians Scholarship Program provides rural students who wish to practice medicine in their home areas with financial support and mentoring opportunities with faculty and physicians in order to develop a strong rural workforce.
Studies show that physicians who grow up in rural areas are more likely to pursue careers there. Unfortunately, not enough rural students choose medical careers. To address this issue, a number of state legislatures have created programs to recruit and encourage high school students to pursue careers in rural medicine.
Rural Residency Training Programs Expansion of medical residencies in rural areas presents another option for states. Medical students who graduate from rural residency programs are three times more likely to practice in rural areas than those who graduate from urban programs.
Only 7 percent of U. Student Loan Repayment Case Example: Many attractive aspects exist for practicing medicine in rural areas. One disadvantage, however, is that rural physicians typically earn less than their urban counterparts.
Service quality (SQ), in its contemporary conceptualisation, is a comparison of perceived expectations (E) of a service with perceived performance (P), giving rise to the equation SQ=P-E. This conceptualistion of service quality has its origins in the expectancy-disconfirmation paradigm. A business with high service quality will meet or exceed customer expectations whilst remaining. Mental Health and Addictions Moving Forward Better Mental Health Means Better Health A n n u a l R e p o r t r o f O n t a r i o ’ s M e n t a l u. The Guaranty Trust Bank Automated Payment System (GAPS) is a web-based service that facilitates the processing of vendor (and other) payments in batches, using either a dial-up connection to the bank or a secured (https) connection over the Internet.
For medical professionals who have thousands of dollars in student loan debt, the lower earning associated with rural practice can be cost-prohibitive. At least 16 state legislatures have attempted to address this issue by creating loan repayment programs for medical professionals who agree to practice in medically underserved areas of the state.
Non-Physician Primary Care Practitioners Even with increased recruiting efforts and programs to encourage physicians to move to rural areas, rural America will still likely face significant shortages of primary care practitioners. Today, non-physician primary care practitioners make up nearly half 46 percent of providers at rural, federally qualified health centers.
Efforts to address the primary care shortage problems also include incentives for non-physician primary care practitioners such as nurse practitioners and physician assistants.
Other strategies include allowing non-physician primary care practitioners to assume more responsibility in meeting primary care needs.
Nurse practitioners in Alaska, Arizona, Idaho, Iowa, Maine, Montana, New Hampshire, New Mexico, Oregon, Washington and the District of Columbia, for example, can practice independently, and Maine allows nurse practitioners to practice independently after two years of supervision.Resume dilemma: Employment gaps and job-hopping Worried about those gaps in your employment history?
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