| DOI: | 10.7249/RR1620
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| 报告号: | RR-1620-ESC
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| 报告题名: | Evaluation of Policy Options for Increasing the Availability of Primary Care Services in Rural Washington State |
| 作者: | Mark W. Friedberg; Grant R. Martsolf; Chapin White; David I. Auerbach; Ryan Kandrack; Rachel O. Reid; Emily Butcher; Hao Yu; Simon Hollands; Xiaoyu Nie
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| 出版者: | RAND Corporation
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| 出版年: | 2016
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| 发表日期: | 2016
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| 总页数: | 139
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| 国家: | 美国
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| 语种: | 英语
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| 英文关键词: | Health Care Access
; Primary Care
; Health Care Workforce
; Washington
; Students
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| 英文摘要: | The Washington State legislature has recently considered several policy options to address a perceived shortage of primary care physicians in rural Washington. These policy options include opening the new Elson S. Floyd College of Medicine at Washington State University in 2017; increasing the number of primary care residency positions in the state; expanding educational loan-repayment incentives to encourage primary care physicians to practice in rural Washington; increasing Medicaid payment rates for primary care physicians in rural Washington; and encouraging the adoption of alternative models of primary care, such as medical homes and nurse-managed health centers, that reallocate work from physicians to nurse practitioners (NPs) and physician assistants (PAs). RAND Corporation researchers projected the effects that these and other policy options could have on the state's rural primary care workforce through 2025. They project a 7-percent decrease in the number of rural primary care physicians and a 5-percent decrease in the number of urban ones. None of the policy options modeled in this report, on its own, will offset this expected decrease by relying on physicians alone. However, combinations of these strategies or partial reallocation of rural primary care services to NPs and PAs via such new practice models as medical homes and nurse-managed health centers are plausible options for preserving the overall availability of primary care services in rural Washington through 2025. |
| URL: | http://www.rand.org/content/dam/rand/pubs/research_reports/RR1600/RR1620/RAND_RR1620.pdf
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| Citation statistics: |
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| 资源类型: | 研究报告
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| 标识符: | http://119.78.100.158/handle/2HF3EXSE/27006
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| Appears in Collections: | 影响、适应和脆弱性
科学计划与规划
气候减缓与适应
气候变化事实与影响
气候变化与战略
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| RAND_RR1620.pdf（2718KB） | 研究报告 | -- | 开放获取 | | View
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| Recommended Citation: | |
Mark W. Friedberg,Grant R. Martsolf,Chapin White,et al. Evaluation of Policy Options for Increasing the Availability of Primary Care Services in Rural Washington State. 2016-01-01.
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