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Primary Care Clinicians in Low-Access Counties
Adam J Zolotor1, Evan Galloway2, Margaret Beal3
1Professor, UNC School of Medicine, Department of Family Medicine; associate director for medical education, North Carolina AHEC; UNC Sheps Center for Health Services Research, Chapel Hill, North Carolina. Adam_Zolotor@med.unc.edu.
Advanced practice providers are crucial to primary care access. This study quantines their workforce contribution in North Carolina, comparing well-served and underserved areas using population-adjusted metrics.
Area of Science:
- Health Services Research
- Primary Care Workforce Analysis
Background:
- Advanced practice providers (APPs) represent a growing segment of the healthcare workforce.
- Understanding APP distribution is vital for primary care access, especially in diverse geographic areas.
Purpose of the Study:
- To evaluate the weighted contribution of APPs to the primary care workforce.
- To compare APP workforce distribution in well-served versus underserved counties in North Carolina.
- To utilize age- and sex-adjusted population measures for assessing healthcare access.
Main Methods:
- Analysis of APP workforce data within North Carolina counties.
- Application of age- and sex-adjusted population metrics.
- Comparative evaluation between well-served and underserved county classifications.
Main Results:
- Quantification of APP contribution to the primary care workforce.
- Identification of disparities in APP distribution between different county types.
- Correlation of APP presence with population-adjusted access measures.
Conclusions:
- APP workforce distribution significantly impacts primary care access.
- Targeted strategies may be needed to ensure equitable APP placement in underserved regions.
- Population-adjusted metrics provide a robust framework for evaluating healthcare workforce adequacy.
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