Rural Health Research Gateway

Allied health professionals

Publications

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  • Allied Health Job Vacancy Tracking Report
    Author(s): Samir Thaker, Erin Fraher, and Jennifer King
    Research center: North Carolina Rural Health Research and Policy Analysis Center
    Topics: Allied health professionals, Workforce
    Date: 08 / 2006
    Quantifies workforce demand for selected allied health professions in North Carolina, tracks job vacancy advertisements in print and online sources, summarizes vacancy advertisements by profession, region, and employer type, and describes the types of sign-on bonuses offered by employers.
  • Professional Liability Issues and Practice Patterns of Obstetrical Providers in Washington State
    Author(s): Thomas J. Benedetti, Laura-Mae Baldwin, Susan M. Skillman, C. Holly A. Andrilla, Elise Bowditch, Katherine Camacho Carr, Susan J. Myers
    Research center: WWAMI Rural Health Research Center
    Topics: Allied health professionals, Physicians, Women
    Citation: Obstetrics & Gynecology, 107, 1238-1246
    Date: 2006
    Objective: To describe recent changes in obstetric practice patterns and liability insurance premium costs and their consequences to Washington State obstetric providers (obstetrician–gynecologists, family physicians, certified nurse midwives, licensed midwives).
    Methods: All obstetrician–gynecologists, rural family physicians, certified nurse midwives, licensed midwives, and a simple random sample of urban family physicians were surveyed about demographic and practice characteristics, liability insurance characteristics, practice changes and limitations due to liability insurance issues, obstetric practices, and obstetric practice environment changes.
    Results: Fewer family physicians provide obstetric services than obstetrician–gynecologists, certified nurse midwives, and licensed midwives. Mean liability insurance premiums for obstetric providers increased by 61% for obstetrician–gynecologists, 75% for family physicians, 84% for certified nurse midwives, and 34% for licensed midwives from 2002 to 2004. Providers’ most common monetary responses to liability insurance issues were to reduce compensation and to raise cash through loans and liquidating assets. In the 2 years of markedly increased premiums, obstetrician–gynecologists reported increasing their cesarean rates, their obstetric consultation rates, and the number of deliveries. They reported decreasing high-risk obstetric procedures during that same period.
    Conclusion: Liability insurance premiums rose dramatically from 2002 to 2004 for Washington’s obstetric providers, leading many to make difficult financial decisions. Many obstetric providers reported a variety of practice changes during that interval. Although this study’s results do not document an impending exodus of providers from obstetric practice, rural areas are most vulnerable because family physicians provide the majority of rural obstetric care and are less likely to practice obstetrics.
  • State of Rural Hospital Nursing and Allied Health Professional Shortages
    Research center: Southwest Rural Health Research Center
    Topics: Allied health professionals, Hospitals and clinics, Nurses, Workforce
    Date: 12 / 2005
    This study estimated shortages of nurses and allied health personnel among rural hospitals in order to gauge the difficulty experienced by rural hospitals in recruiting such personnel. Additionally, the study examined strategies these hospitals employ in recruitment and retention of nurses, and addressed strategies that might effectively address such shortages. Report available on request.

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