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Retention of Family Physicians in the National Health Service Corps (NHSC) in High-Need Areas
Michael Topmiller1, Lars E Peterson2, Andrew W Bazemore2
1From the The Robert Graham Center: Policy Studies in Family Medicine and Primary Care (MT); American Board of Family Medicine, Lexington, KY (LEP); Department of Family and Community Medicine, College of Medicine, University of Kentucky, Lexington, KY (LEP); Department of Family Medicine, College of Medicine, Georgetown University, Washington, DC (DBK). mtopmiller@aafp.org).
Abstract:
Family physicians in the National Health Service Corps (NHSC) are more likely than non-NHSC physicians to practice in high-need areas, but retention declines over time. Despite higher retention than non-NHSC physicians, NHSC participants experienced greater declines from 3 to 6 years post-residency (MUA: 85.0% to 60.7%; HPSA: 76.0% 6 to 66.2%; rural: 29.8% to 21.3%), underscoring the need for policies that sustain long-term commitment.
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