Evaluation of Policy Options for Increasing the Availability of Primary Care Services in Rural Washington State

doi:10.7249/RR1620

GSTDTAP > 资源环境科学

DOI	10.7249/RR1620
报告编号	RR-1620-ESC
	Evaluation of Policy Options for Increasing the Availability of Primary Care Services in Rural Washington State
	Mark W. Friedberg; Grant R. Martsolf; Chapin White; David I. Auerbach; Ryan Kandrack; Rachel O. Reid; Emily Butcher; Hao Yu; Simon Hollands; Xiaoyu Nie
	2016
出版年	2016
页数	139
语种	英语
国家	美国
出版者	RAND Corporation
领域	资源环境
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.
英文关键词	Health Care Access Primary Care Health Care Workforce Washington Students
URL	查看原文
来源平台	Rand Corporation
引用统计
文献类型	科技报告
条目标识符	http://119.78.100.173/C666/handle/2XK7JSWQ/4383
专题	资源环境科学
推荐引用方式 GB/T 7714	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:RAND Corporation,2016.