Workforce

Current Projects

• Access to and Provision of Child and Youth Behavioral Health Services in the Rural and Urban U.S.
  The need for behavioral health treatment for youth has been exacerbated by the COVID-19 pandemic. Little is known about the availability of youth behavioral health providers in rural areas. This study will investigate who provides behavioral health services to youth, how equitably the workforce is distributed, and gaps in service availability.
  Research center: WWAMI Rural Health Research Center
  Topics: Allied health professionals, Children and adolescents, Health disparities and health equity, Health services, Healthcare access, Mental and behavioral health, Nurses and nurse practitioners, Pharmacy and prescription drugs, Physician assistants, Physicians, Substance use and treatment, Workforce
  
• Access to and Use of Midwifery Care for Rural Residents
  Rural obstetric unit closures and health care workforce shortages limit access to care for pregnant rural residents. Our goal is to describe the midwifery workforce in rural communities and at rural hospitals that provide obstetric care, and to assess rural-urban differences in use of midwifery care at the time of childbirth.
  Research center: University of Minnesota Rural Health Research Center
  Topics: Hospitals and clinics, Maternal health, Nurses and nurse practitioners, Women, Workforce
  
• Barriers and Facilitators to Providing Rural Clinical Training for Health Professions Students and Residents
  Scarce rural clinical training sites are the top barrier preventing medical schools, residencies, and nurse practitioner and physician assistant education programs, among other health professional training programs, from providing rural training to their students. This study aims to describe the barriers to offering rural clinical training and the potential solutions for establishing and sustaining interdisciplinary rural clinical training.
  Research center: WWAMI Rural Health Research Center
  Topics: Allied health professionals, Healthcare access, Nurses and nurse practitioners, Physician assistants, Physicians, Workforce
  
• Changes in Buprenorphine Prescribing Following the Elimination of the Drug Enforcement Administration X Waiver Requirement
  The Drug Enforcement Administration requirement for an X waiver to prescribe buprenorphine for opioid use disorder was lifted in January 2023. This study aims to describe if and how this policy change has impacted the prescribing practices of clinicians and medication treatment access for patients with opioid use disorder.
  Research center: WWAMI Rural Health Research Center
  Topics: Health disparities and health equity, Health services, Healthcare access, Legislation and regulation, Mental and behavioral health, Nurses and nurse practitioners, Physician assistants, Physicians, Substance use and treatment, Workforce
  
• Dentist Supply, Dental Care Utilization, and Oral Health Among Rural and Urban U.S. Residents: Exploring Changes in the Past 15 Years
  This project will describe the national supply of the rural and urban dental workforce and investigate whether rural adults, compared to urban adults, report lower dental care utilization, higher prevalence of dental disease or both. This study will also look at whether disparities in oral health care and supply have changed over the past 15 years.
  Research center: WWAMI Rural Health Research Center
  Topics: Allied health professionals, Health disparities and health equity, Health services, Healthcare access, Oral health, Workforce
  
• Disparities in Family Physician Burnout Before and During the COVID-19 Pandemic
  High levels of burnout during the COVID-19 pandemic have been documented among health professionals, particularly women and persons from underrepresented groups. This study examines how burnout has changed from 2019 through 2021 among family physicians as well as variation by rural/urban geography, other sociodemographics, and practice characteristics to identify physicians most in need of interventions to foster resilience and alleviate burnout.
  Research center: WWAMI Rural Health Research Center
  Topics: Mental and behavioral health, Physicians, Workforce
  
• Examining Changes in Health Care Accessibility in Rural Areas: An Analysis of HPSAs and MUAs Over Time and Their Relationship With Demographic Characteristics
  This study focuses on Health Professional Shortage Areas and Medically Underserved Areas and analyzes health care accessibility in rural areas. It uses data from the Health Resources and Services Administration and demographic information to identify trends, spatial patterns, and demographic intersections, aiming to inform policies and interventions for improved rural healthcare access and equity.
  Research center: Rural Health Equity Research Center
  Topics: Health disparities and health equity, Healthcare access, Mental and behavioral health, Oral health, Workforce
  
• Identifying High-Need Counties for Resource Planning
  The primary aim of this project is to use data examining health care infrastructure, chronic disease prevalence, and the socioeconomic environment to create a metric for classifying rural counties based on needs and resources.
  Research center: Rural and Minority Health Research Center
  Topics: Chronic diseases and conditions, Diabetes, Health disparities and health equity, Healthcare access, Maternal health, Obesity, Oral health, Physicians, Poverty, Public health, Rural statistics and demographics, Social determinants of health, Uninsured and underinsured, Workforce
  
• Rural Obstetric Unit Closures
  The goal of this project is to update prior research to include the latest information on the loss of hospital-based obstetric services in rural U.S. counties. This project is important because ensuring obstetric care access and reducing maternal mortality in rural and underserved areas is a key focus of national, state, and local policies.
  Research center: University of Minnesota Rural Health Research Center
  Topics: Critical Access Hospitals (CAHs), Healthcare access, Hospitals and clinics, Maternal health, Women, Workforce
  
• Rural-Urban Analysis of Persistent Health Professional Shortage Areas
  The study will describe rural-urban differences in persistent Health Professional Shortage Area designations for primary care, mental health, and dental care between 2010 and 2020, including those located in persistent poverty and majority minority counties.
  Research center: Rural Health Equity Research Center
  Topics: Healthcare access, Mental and behavioral health, Oral health, Workforce
  
• Rural-Urban Differences in Addressable Drivers of Staff Turnover in Skilled Nursing Facilities
  The aim of the proposed study is to assess facility-level turnover rates for total nursing and registered nursing personnel across levels of rurality and by region looking at factors such as staffing ratios that can be managed by facility administrators.
  Research center: Rural and Minority Health Research Center
  Topics: Health services, Hospitals and clinics, Nurses and nurse practitioners, Public health, Rural Health Clinics (RHCs), Workforce
  
• Specialist Physicians in the Rural and Urban U.S.: Supply, Distribution, and Access
  This project will describe the geographic distribution (rural/urban, regional, and intra-rural) of specialist physicians who care for patients experiencing conditions that account for the top four leading causes of rural mortality. It will also explore how patients in rural communities that lack these specialists obtain needed care.
  Research center: WWAMI Rural Health Research Center
  Topics: Cancer, Care management, Chronic diseases and conditions, Frontier health, Health disparities and health equity, Health services, Healthcare access, Physicians, Social determinants of health, Telehealth, Workforce
  
• The Impact of Rural Surgery Training on General Surgeon Supply in Rural Communities
  A growing number of general surgery programs offer rural training that aims to address the dwindling supply of rural surgeons. This study aims to describe program models for providing rural general surgery training; quantify the availability of programs; and compare the models' effectiveness in producing rural surgeons.
  Research center: WWAMI Rural Health Research Center
  Topics: Health disparities and health equity, Health services, Healthcare access, Physicians, Workforce
  
• Treatment, Provider, and Cost Differences for Rural and Urban Patients with Opioid Use Disorder and Medicaid Insurance Across the U.S.
  This project will analyze Medicaid claims data to compare the treatment that rural and urban patients with opioid use disorder receive, documenting the workforce providing care, the distance that patients travel to receive care, and the cost of care. Findings from this study can be used to improve policies regarding opioid use disorder treatment.
  Research center: WWAMI Rural Health Research Center
  Topics: Health disparities and health equity, Health services, Healthcare access, Healthcare financing, Legislation and regulation, Medicaid and CHIP, Mental and behavioral health, Nurses and nurse practitioners, Pharmacy and prescription drugs, Physician assistants, Physicians, Substance use and treatment, Telehealth, Workforce
  
• Work Settings, Education, and Intent to Leave Practice among Rural vs. Urban Nurses
  Using data from the 2022 National Nursing Workforce Survey, this project will describe rural/urban differences in nurses' work settings, levels of education and licensure, demographic characteristics, income, and intention to retire or leave practice. Study findings could be applied to implement policies aimed at increasing nursing school output and attracting nurses to practice in rural areas.
  Research center: Rural and Underserved Health Research Center
  Topics: Health disparities and health equity, Nurses and nurse practitioners, Workforce