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Primary Care
​Publications

State of the Primary Care Workforce

This recent report, published by HRSA, offers data on the current state and projected estimates of the future supply of physicians, nurse practitioners, and physician assistants offering primary care. It includes demographics as well as current and projected shortages with comparison and metropolitan and nonmetropolitan projections. It includes state by state data on the primary care physician workforce. It also discusses challenges impacting the workforce and the impact of primary care on population health. 
Report 2024
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Utilizing Federal Data Sources to Support Nursing Workforce Analysis

In this article, we introduce and review 18 federal data sources pertinent to nursing workforce analysis. We categorize the datasets by their associated federal agency, describe each source, discuss their applicability to nursing workforce studies, present examples of past studies that employed these datasets, and highlight their limitations. Our aim is to help researchers, policymakers, and healthcare administrators efficiently locate and leverage relevant data for their analysis.
Publication 2024

​Physician Workforce: Projections, 2022-2037

This brief contains highlights of workforce projections for physician specialties in the United States
Publication 2024

Nurse Corps’ impact on increasing registered nurse staffing in critical shortage areas and facilities, 2017 to 2022

This paper reports on Nurse Corps applications, awards, and distribution in 2 cohorts in the period 2017 to 2022 to assess the impact of receiving an additional $200 million appropriated in 2021. 
Publication 2024

How Upfront, Predictable Payments Can Improve Primary Care

Experts increasingly agree that to strengthen primary care in the U.S., we should promote “prospective payment” in which providers are given upfront payments to care for each patient for a particular period of time.
Publication 2024

​Physician and Advanced Practice Clinician Burnout in Rural and Urban Settings


Recruiting rural-practicing clinicians is a high priority. In this study, we explored burnout and contributing work conditions among rural, urban, and family practice physicians and advanced practice clinicians (APCs) in an Upper Midwestern health care system.
Publication 2024

​New Insights on a Recurring Theme: A Secondary Analysis of Nurse Turnover Using the National Sample Survey of Registered Nurses

Nurse workforce shortages are not new, yet concerns about a shortfall of nurses intensified across health care settings during the COVID-19 pandemic. To understand how a health care crisis such as COVID-19 can impact nurse turnover at national and regional levels, documentation of a baseline national turnover metric is needed for comparing future registered nurse (RN) workforce changes.
Publication 2024

The Health of US Primary Care: 2024 Scorecard Report — No One Can See You Now

​Grounded in the recommendations of the 2021 National Academies of Sciences, Engineering, and Medicine (NASEM) report, Implementing High Quality Primary Care: Rebuilding the Foundations of Healthcare, 8 this year’s Scorecard report assesses the health of primary care at the federal level using measures of access, financing, workforce/training, and research. This assessment identifies five reasons why primary care in the United States is inaccessible for so many Americans.
Report 2024

Addressing the Nurse Retention Crisis—Leveraging Policies Supported by Evidence

Using survey data from registered nurses who participated in the Michigan Nurses’ Study, Friese and colleagues1 evaluated patterns in the employment plans of nurses in 2022 and 2023, providing good news for employers and nurses. Declines were documented in the number of nurses intending to leave their current position and reducing their clinical hours. Nurses reported faring better in 2023 relative to 2022, experiencing less burnout, less job dissatisfaction, fewer experiences of workplace violence, fewer instances of understaffing during a recent shift, and less frequent mandatory overtime.
Publication 2024

​Pharmacists Co-Located With Primary Care Physicians: Understanding Delivery of Interprofessional Primary Care

Despite evidence supporting the integration of pharmacists in team-based primary care, little information exists on the co-location of pharmacists with primary care physicians in the United States, and even less information on the factors associated with these models in primary care. This article analyzes the degree to which pharmacists are co-located with primary care practices and characteristics associated with co-location.
Publication 2024

Burnout, Depression, and Diminished Well-Being among Physicians

Diminished well-being among physicians is of growing concern. The authors review measures of burnout and depression, causal factors, and interventions to improve well-being.
Publication 2024

International Medical Graduates and the Physician Workforce

Physician shortages and the geographic maldistribution of general and specialist physicians impair health care delivery and worsen health inequity in the US. International medical graduates (IMGs) represent a potential solution given their ready supply.
Publication 2024

The Rewards of Working as Rural Docs

While working in a rural area comes with many challenges, many health care professionals are convinced that the benefits of being part of a small community, living among those you serve, and being appreciated for making the choice to play a vital role in their lives outweigh the drawbacks. Additionally, Rural Health Information Hub looks at how rural community health worker programs are proving their value and finding sustainability.
Publication 2024

​​Subsidizing doctor travel would aid rural health care access, study shows

​As Iowa faces workforce shortages in nursing and other areas, a new University of Iowa professor-led study has shed light on a possible tool to combat predicted losses in rural specialty health care
Article 2023

​​Rural Physician & Advanced Practice Provider Compensation Survey Results

​This first-of-its-kind survey provides a path forward for rural healthcare organizations by outlining provider compensation trends, best practices, and potential challenges leaders might face when recruiting and retaining top talent in rural healthcare.
Article 2023

​​New study shows benefits of paying doctors to go to rural Iowa

​Instead of hiring more doctors to practice in declining rural areas, an easier way to solve Iowa's healthcare shortage might be to incentivize them to travel, according to new research from the University of Iowa.
Article 2023

The Shrinking Number of Primary Care Physicians Is Reaching a Tipping Point

​The percentage of U.S. doctors in adult primary care has been declining for years and is now about 25% — a tipping point beyond which many Americans won’t be able to find a family doctor at all.
Article 2023

PA and NP Onboarding in Primary Care: The Participant Perspective

This article ​describes new graduate physician associate/assistant (PA) and NP perspectives of onboarding programs in their first primary care position.
Article 2023

NEW STUDY: SOLVING NURSING TURNOVER​

A study to learn what successful nurse managers do differently to create highly engaged and committed caregiver teams.
Article

Rural Pharmacies Provide Multi-Faceted Value to Rural Communities

Rural community pharmacies are often vital sources for prescriptions, vaccinations, patient education, and other healthcare needs, but the RUPRI Center for Rural Health Policy Analysis reported a decrease in the number of rural pharmacies from 2003 to 2021. 
Article 2023

​New findings on the state of the nursing workforce

​Key findings of the National Sample Survey of Registered Nurses (NSSRN) show that the nursing workforce is becoming more diverse, more highly educated, but less satisfied with their job. The survey data also show the effects of COVID on the profession, while workforce projections show shortages increasing in nursing occupations through 2036.
Report 2022

Iowa Nursing Demand Survey Report

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The Iowa Center for Nursing Workforce, a program under the Iowa Board of Nursing, released the Iowa Nursing Demand Survey Report (April 2021). The purpose of the survey was to gauge what the demand is for nurses in Iowa, potential shortages, and barriers in the recruitment and retention of the nursing workforce. 

​Future of Nursing ​2020-2030 Report

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The National Academy of Medicine released the Future of Nursing 2020-2030 report - The Future of Nursing: Charting a Path to Achieve Health Equity. 

State-by-state response data from the Conrad 30 J-1 Visa Waiver Physician Survey, 2022

​This report presents response data from surveys of first, second and third-year physician-participants of Conrad 30 J-1 visa waiver program conducted by the Provider Retention 
& Information System Management (PRISM) of 3RNET. This is a companion report to the recently released “Findings of the Conrad-30 J-1 Visa Waiver Physician Survey, 2022” 
report, presenting data with responses broken out for individual states. 
Publication 2022

​Findings of the Conrad 30 J-1 Visa Waiver Physician Survey, 2022

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Stressed Out and Burned Out: The Global Primary Care Crisis

Findings from the 2022 International Health Policy Survey of Primary Care Physicians
Publication 2022

​Pharmacists Colocated with Primary Care Physicians: Teaming up for Patient Access

​This study aimed to investigate the prevalence of colocation of 
pharmacists in PCPs and examine the factors associated with colocation, including geographic location. 
Publication 2022

Primary Care Workforce and Health Systems Needs Assessment 

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Physician Workforce Study Report

​This report is the result of legislation from the General Assembly of the State of Iowa signed by Governor Kim Reynolds on May 1, 2019. The legislation is House File 532, an act relating to the 
physician workforce in the state including the awarding of medical residency positions in the state.
Publication 2020

Iowa Primary Care Workforce: 2019

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  • Loan Repayment & Scholarships
    • Individual Loan Repayment and Scholarship Programs
    • International Physician Recruitment Programs
    • School Administered Loan Repayment Programs
  • Publications
  • Resources
  • Jobs & Apprenticeships