ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2011
"If only someone had told me…": lessons from rural providers.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Recruiting Rural Healthcare Providers Today: a Systematic Review of Training Program Success and Determinants of Geographic Choices.Journal of general internal medicine · 2018Pooled it
- Rural Practice Made Attractive: A Scoping Review of Rural Primary Care Physician Recruitment and Retention Incentives.Journal of general internal medicine · 2026Article
- What drives advanced practice nurses to stay in rural America? Insights from the 2022 National Survey of Registered Nurses.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Reflections of rural primary care physicians on the impact of the COVID-19 pandemic: a qualitative study.BMC primary care · 2025Article
- Article
- Barriers to Providing Optimal Care in Idaho from the Perspective of Healthcare Providers: A Descriptive Analysis.Healthcare (Basel, Switzerland) · 2025Article
- Article
- Political views and organizational distrust affect rural residents' willingness to share personal data for COVID-19 contact tracing: A cross-sectional survey study.Journal of clinical and translational science · 2023Article
- Stigma Experienced by Rural Pregnant Women with Substance Use Disorder: A Scoping Review and Qualitative Synthesis.International journal of environmental research and public health · 2022Article
- Patterns in Geographic Distribution of Substance Use Disorder Treatment Facilities in the US and Accepted Forms of Payment From 2010 to 2021.JAMA network open · 2022Article
- "It's more than Just a Job to Them": A Qualitative Examination of Patient and Provider Perspectives on Medication-Assisted Treatment for Opioid Use Disorder.Community mental health journal · 2022Article
- Increasing likelihood of prescribing recommended lipid management: Primary care providers' participation in cardiology continuing medical education.Canadian family physician Medecin de famille canadien · 2022Article
- Barriers to healthcare access among U.S. adults with mental health challenges: A population-based study.SSM - population health · 2021Article
- Barriers to formal healthcare utilisation among poor older people under the livelihood empowerment against poverty programme in the Atwima Nwabiagya District of Ghana.BMC public health · 2019Article
- Perspectives on communication and engagement with regard to collecting biospecimens and family health histories for cancer research in a rural Alaska Native community.Journal of community genetics · 2019Article
- Clinician identified barriers to treatment for individuals in Appalachia with opioid use disorder following release from prison: a social ecological approach.Addiction science & clinical practice · 2018Article
- Access to health care for persons with disabilities in rural South Africa.BMC health services research · 2017Observational
- Resilience among Employed Physicians and Mid-Level Practitioners in Upstate New York.Health services research · 2016Article
- Impact of a Telehealth Program That Delivers Remote Consultation and Longitudinal Mentorship to Community HIV Providers.Open forum infectious diseases · 2016Article
- Health Care Provider Mobility Counseling Provision to Older Adults: A Rural/Urban Comparison.Journal of community health · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
purposeHealth care providers face challenges in rural service delivery due to the unique circumstances of rural living. The intersection of rural living and health care challenges can create barriers to care that providers may not be trained to navigate, resulting in burnout and high turnover. Through the exploration of experienced rural providers' knowledge and lessons learned, this study sought to inform future practitioners, educators, and policy makers in avenues through which to enhance training, recruiting, and maintaining a rural workforce across multiple health care domains.
methodsUsing a qualitative study design, 18 focus groups were conducted, with a total of 127 health care providers from Alaska and New Mexico. Transcribed responses from the question, "What are the 3 things you wish someone would have told you about delivering health care in rural areas?" were thematically coded.
findingsEmergent themes coalesced into 3 overarching themes addressing practice-related factors surrounding the challenges, adaptations, and rewards of being a rural practitioner.
conclusionBased on the themes, a series of recommendations are offered to future rural practitioners related to community engagement, service delivery, and burnout prevention. The recommendations offered may help practitioners enter communities more respectfully and competently. They can also be used by training programs and communities to develop supportive programs for new practitioners, enabling them to retain their services, and help practitioners integrate into the community. Moving toward an integrative paradigm of health care delivery wherein practitioners and communities collaborate in service delivery will be the key to enhancing rural health care and reducing disparities.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.