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Retention of primary care physicians in rural health professional shortage areas

Author

Listed:
  • Pathman, D.E.
  • Konrad, T.R.
  • Dann, R.
  • Koch, G.

Abstract

Objectives. We tested the assumption that average job retention duration is shorter for physicians in rural health professional shortage areas (HPSAs) than for physicians in rural non-HPSAs. Methods. In 1991, we surveyed nationally representative samples of primary care physicians who recently had moved to rural HPSAs and non-HPSAs who were without service obligations. We resurveyed these physicians in 1996 and 1997 to learn of any job changes. Results. Physicians in rural HPSAs (n = 308) demonstrated retention similar to that of the non-HPSA cohort (n = 197) (hazard ratio for leaving = 1.28; 95% confidence interval = 0.97, 1.69; P = .08), even with adjustments for group demographic differences (P= .24). Conclusions. Average retention duration for generalist physicians in rural HPSAs is identical to or slightly shorter than for those in rural non-HPSAs. Poor recruitment is likely to be the principal dynamic underlying local rural shortages.

Suggested Citation

  • Pathman, D.E. & Konrad, T.R. & Dann, R. & Koch, G., 2004. "Retention of primary care physicians in rural health professional shortage areas," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1723-1729.
    • Handle: RePEc:aph:ajpbhl:2004:94:10:1723-1729_2
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    Cited by:

    1. Timothy Dunne & Shawn D. Klimek & Mark J. Roberts & Daniel Yi Xu, 2013. "Entry, exit, and the determinants of market structure," RAND Journal of Economics, RAND Corporation, vol. 44(3), pages 462-487, September.
    2. Weinhold, Ines & Gurtner, Sebastian, 2014. "Understanding shortages of sufficient health care in rural areas," Health Policy, Elsevier, vol. 118(2), pages 201-214.
    3. M. Olfert & Murray Jelinski & Dimitrios Zikos & John Campbell, 2012. "Human capital drift up the urban hierarchy: veterinarians in Western Canada," The Annals of Regional Science, Springer;Western Regional Science Association, vol. 49(2), pages 551-570, October.
    4. Hancock, Christine & Steinbach, Alan & Nesbitt, Thomas S. & Adler, Shelley R. & Auerswald, Colette L., 2009. "Why doctors choose small towns: A developmental model of rural physician recruitment and retention," Social Science & Medicine, Elsevier, vol. 69(9), pages 1368-1376, November.
    5. Catherine Cosgrave, 2020. "Context Matters: Findings from a Qualitative Study Exploring Service and Place Factors Influencing the Recruitment and Retention of Allied Health Professionals in Rural Australian Public Health Servic," IJERPH, MDPI, vol. 17(16), pages 1-27, August.
    6. Till Bärnighausen & David E. Bloom, 2008. "Financial incentives for return of service in underserved areas: a systematic review," PGDA Working Papers 3608, Program on the Global Demography of Aging.
    7. Pender, John & Kuhns, Maria & Yu, Cindy & Larson, Janice & Huck, Shirley, 2023. "Linkages Between Rural Community Capitals and Healthcare Provision: A Survey of Small Rural Towns in Three U.S. Regions," USDA Miscellaneous 333533, United States Department of Agriculture.
    8. Luis Miguel Dos Santos, 2020. "The Relationship between the COVID-19 Pandemic and Nursing Students’ Sense of Belonging: The Experiences and Nursing Education Management of Pre-Service Nursing Professionals," IJERPH, MDPI, vol. 17(16), pages 1-18, August.

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