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Primary Care Clinicians in Low-Access Counties.

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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.

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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.