Mark Doescher, MD, MSPH

Email: mark-doescher@ouhsc.edu


Completed Projects - (9)

  • Aging of the Rural Generalist Physician Workforce: Will Some Locations Be More Affected than Others?
    This study will identify rural locations with high proportions of generalist physicians nearing retirement age.
    Research center: WWAMI Rural Health Research Center
    Topics: Physicians, Workforce
  • Breast, Cervical, Colorectal, and Prostate Cancer Screening in Rural America: Does Proximity to a Metropolitan Area Matter?
    The study compared cancer screening rates among various levels of rural versus urban Behavioral Risk Factor Surveillance System respondents and among white respondents versus those from racial/ethnic minority groups.
    Research center: WWAMI Rural Health Research Center
    Topics: Cancer, Health disparities and health equity, Health promotion and disease prevention, Minority health
  • Burden of Asthma Among Rural Residents: A National Study
    This study uses data from the Behavioral Risk Factor Surveillance System (BRFSS) to examine the prevalence of and trends in asthma among rural residents by type of geographic location and by key risk factors.
    Research center: WWAMI Rural Health Research Center
    Topics: Chronic diseases and conditions, Health disparities and health equity, Minority health, Rural statistics and demographics
  • Current Contribution of Physicians, Advanced Practice Nurses, and Physician Assistants to the Rural Primary Care Workforce
    This two-year, multi-state study is examining the practices of rural physicians, nurse practitioners (NPs), and physician assistants (PAs) regarding their primary care visit productivity and scope of practice. Through surveys, this study will examine the contributions of physicians, NPs, and PAs by state, degree of practice rurality, practice characteristics, and primary care HPSA status in order to provide information on a range of rural primary care workforce needs.
    Research center: WWAMI Rural Health Research Center
    Topics: Nurses and nurse practitioners, Physician assistants, Physicians, Workforce
  • Dentist Supply, Access to Dental Care, and Oral Health Among Rural and Urban Residents: A National Study
    This study will determine whether shortages of dentists in rural areas of the U.S. are associated with impaired access to dental care and a higher prevalence of dental disease.
    Research center: WWAMI Rural Health Research Center
    Topics: Oral health, Workforce
  • General and Specialist Surgeon Supply and Inpatient Procedural Content: A National Rural-Urban Study
    This study will examine the degree to which access to inpatient surgical care in rural areas is affected by the diminishing workforce of general surgeons. Using inpatient surgical procedure data, we will examine the availability and content of general surgical procedures in rural and urban hospitals nationally as a function of surgeon supply.
    Research center: WWAMI Rural Health Research Center
    Topic: Workforce
  • Policy Analyses of Rural Issues Related to Health Care Reform
    Health care reform provides an array of opportunities to improve health care access and quality for rural Americans. The WWAMI RHRC will support HRSA's efforts to inform this process by summarizing existing evidence characterizing the rural health care workforce and rural health care delivery and will conduct analyses exploring the potential impact on rural populations of proposed and newly- enacted health care reform legislation.
    Research center: WWAMI Rural Health Research Center
    Topic: Health services
  • The Rural/Urban Practice Location Patterns of Women Medical School Graduates
    While women are becoming an increasingly large percentage of the graduates of medical schools, they are much less likely to locate their practices in rural towns. This study involved a survey including questions about where the residents preferred to locate and how much they thought they would be practicing in the future.
    Research center: WWAMI Rural Health Research Center
    Topics: Physicians, Women, Workforce
  • Unhealthy Lifestyle Behaviors Among Minority Group Members: A National Rural and Urban Study
    Research center: Rural and Minority Health Research Center
    Topics: Health disparities and health equity, Health promotion and disease prevention, Minority health

Publications - (36)

2015

2014

2013

2012

2011

2010

2009

2008

2007

2006

  • Problem Drinking: Rural and Urban Trends in America, 1995/1997 to 2003
    WWAMI Rural Health Research Center
    Date: 03/2006
    Assesses the prevalence of, and recent trends in, alcohol use among adults 18 years and older in rural areas of the United States. The paper finds that heavy drinking was highest and increasing in urban areas, but that binge drinking was greater in rural areas. It recommends tailoring interventions specifically to meet the needs of rural residents.
  • Prevalence And Trends In Smoking: A National Rural Study
    WWAMI Rural Health Research Center
    Date: 2006
    Using data from the Behavioral Risk Factor Surveillance System, the prevalence of smoking between 1994-1996 and 2000-2001 did not change substantially for the United States as a whole. The prevalence of smoking for rural residents decreased by more than 2 percent in six states. However, it increased by 2 percent or more in ten states.

2005

  • A National Study of Obesity Prevalence and Trends by Type of Rural County
    WWAMI Rural Health Research Center
    Date: 2005
    Analyzes data from the Behavioral Risk Factor Surveillance System for 1994-1996 and 2000-2001 to estimate the recent trends in obesity among U.S. adults residing in rural locations. In 2000-2001 the prevalence of obesity was 23.0% for rural adults and 20.5% for urban, representing increases of 4.8% and 5.5%, respectively, since 1994-1996.
  • Trends in Professional Advice to Lose Weight Among Obese Adults, 1994-2000
    WWAMI Rural Health Research Center
    Date: 2005

    The authors studied whether rising obesity prevalence in the U.S. was accompanied by an increasing trend in professional advice to lose weight among obese adults, and found that disparities in professional advice to lose weight associated with income and educational attainment increased from 1994 to 2000. They concluded that there is a need for mechanisms that allow healthcare professionals to devote sufficient attention to weight control and to link with evidence-based weight loss interventions, especially those that target groups most at risk for obesity.

2004

  • Obesity Prevalence In Rural Counties: A National Study
    WWAMI Rural Health Research Center
    Date: 01/2004
    Using a telephone survey of adults ages 18 and older residing in states participating in the Behavioral Risk Factor Surveillance System in 1994-96 and 2000-01, researchers found that the prevalence of obesity was 23% for rural adults and 20.5% for urban adults.

2000

  • U.S. Medical Schools and the Rural Family Physician Gender Gap
    WWAMI Rural Health Research Center
    Date: 05/2000
    Women comprise increasing proportions of med school graduates. They tend to choose primary care but are less likely than men to choose rural practice. This study identified the U.S. medical schools most successful at producing rural family physicians and general practitioners of both genders.
  • The Distribution of Rural Female Generalist Physicians in the United States
    WWAMI Rural Health Research Center
    Date: 2000
    Female physicians are underrepresented in rural areas. What impact might the increasing proportion of women in medicine have on the rural physician shortage? To begin addressing this question, we present data describing the geographic distribution of female physicians in the United States.

1999

  • The Production of Rural Female Generalists by U.S. Medical Schools
    WWAMI Rural Health Research Center
    Date: 05/1999
    This paper compares the production of rural female generalists among medical schools. Data from the AMA Physician Masterfile for the 1988-1996 graduate cohort were used to compare the production of rural female generalists by medical school. Outcome measures included total number and percentage of rural female generalist graduates of each school.