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Factors Associated With Health Care Professionals' Choice to Practice in Rural Minnesota.

Teri Fritsma1, Carrie Henning-Smith2, Jacqueline L Gauer3

  • 1Minnesota Department of Health, St Paul.

JAMA Network Open
|May 4, 2023
PubMed
Summary
This summary is machine-generated.

Healthcare professionals are more likely to practice in rural areas if they grew up in one, and if loan forgiveness, rural training, autonomy, and a broad scope of practice are available. These factors can help address rural health inequities.

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Area of Science:

  • Health Services Research
  • Rural Health
  • Healthcare Workforce Studies

Background:

  • Rural areas face significant health inequities due to a shortage of healthcare professionals.
  • Understanding the determinants of practice location is crucial for addressing this disparity.

Purpose of the Study:

  • To identify factors influencing healthcare professionals' decisions to practice in rural versus urban settings.
  • To inform strategies for recruiting and retaining healthcare professionals in underserved rural communities.

Main Methods:

  • A prospective, cross-sectional survey was conducted with healthcare professionals (APRNs, physicians, PAs, RNs) renewing licenses in Minnesota.
  • The survey assessed factors related to practice location choice, including personal background, professional incentives, and work environment characteristics.
  • Multivariate analysis was used to determine associations between these factors and rural practice location.

Main Results:

  • Growing up in a rural area was the strongest predictor of rural practice across all professions.
  • Loan forgiveness programs, educational preparation for rural practice, professional autonomy, and a broad scope of practice were significantly associated with rural practice.
  • Family considerations were primarily associated with rural practice for registered nurses only.

Conclusions:

  • Recruitment of healthcare professionals to rural areas is influenced by a combination of personal background and professional factors.
  • Loan forgiveness, rural training, autonomy, and scope of practice are key incentives for rural practice.
  • Tailored approaches may be necessary, as factors influencing rural practice decisions can vary by healthcare profession.