SynthesisJournal of general internal medicine2018
Recruiting Rural Healthcare Providers Today: a Systematic Review of Training Program Success and Determinants of Geographic Choices.
Synthesis in Journal of general internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 2 of them syntheses 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
65 citing papers in PubMed, 2 syntheses or guidelines pooled it, 125 citations in OpenAlex.
- Effectiveness and Feasibility of Telehealth-Based Dietary Interventions Targeting Cardiovascular Disease Risk Factors: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2024Pooled it
- The impact of rural outreach programs on medical students' future rural intentions and working locations: a systematic review.BMC medical education · 2018Pooled it
- What factors influence health professions trainees' preferences for employment in rural Appalachia? a qualitative study to inform the design of a discrete choice experiment.Medical education online · 2026Article
- A Contract-based System for Physician Practice in Their Home Region in Japan: Follow-up Data of Graduates from Jichi Medical University (1978-2021).JMA journal · 2026Article
- Declining rural oncologist supply in the United States: a workforce analysis from 2014 to 2025.The oncologist · 2026Article
- Association between community medicine rotation duration and general medicine in-training examination scores among second-year resident physicians in Japan: a nationwide cross-sectional study.BMC medical education · 2026Article
- Comparing medical school strategies to reduce regional physician shortages: lessons from the United States and Japan.BMC medical education · 2026Article
- "Kind of Feel Like the Lone Outpost": A Qualitative Exploration of Barriers to Professional Development for Rural Primary Care Providers at the Veterans Health Administration.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Understanding the Supply, Demand, and Adequacy of the General Internal Medicine Physician Workforce in the United States: Projections to 2037.Journal of general internal medicine · 2026Article
- Local Pain Collectives: A Novel Strategy for Improving Pain Knowledge, Pain Care and Community Connectedness in Rural Settings.The Australian journal of rural health · 2026Article
- Experience and Preparedness of Primary Care Dentistry Residents in Dental Care Delivery to Rural Communities in South Texas.Clinical and experimental dental research · 2026Article
- A Twelve-Year Retrospective Analysis of a Journey Towards Rural Level I Trauma Center Verification.Open access emergency medicine : OAEM · 2026Article
- No Free Lunch in Competency-Based Health Professions Education: Exploring Trade-Offs, Value, and Shared Investment in Health Professions Education.Perspectives on medical education · 2026Article
- Analysis of District Residency Program in Surgical Specialties at a University Teaching Hospital.Advances in medical education and practice · 2026Article
- The National Physician Shortage: Disconcerting HRSA and AAMC Reports.Journal of general internal medicine · 2025Article
- Assessing Healthcare Access in Rural Algeria: A Survey-Based Cross-Sectional Analysis of Healthcare Utilization Based on Socioeconomic and Health Factors, Experiences, and Spatial Disparities.Health science reports · 2025Article
- 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
- Influences of Western Cape community service doctors' choice regarding public, rural practice.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025Observational
- Effects of Citizenship Status on International Medical Graduate Specialty Choice and Practice Location.Journal of general internal medicine · 2025Article
- Factors Influencing Rural Hospitals' Decisions To Join An Alternative Payment Model: A Mixed-Methods Study.Health affairs (Project Hope) · 2025Article
5 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRural areas have historically struggled with shortages of healthcare providers; however, advanced communication technologies have transformed rural healthcare, and practice in underserved areas has been recognized as a policy priority. This systematic review aims to assess reasons for current providers' geographic choices and the success of training programs aimed at increasing rural provider recruitment.
methodsThis systematic review (PROSPERO: CRD42015025403) searched seven databases for published and gray literature on the current cohort of US rural healthcare practitioners (2005 to March 2017). Two reviewers independently screened citations for inclusion; one reviewer extracted data and assessed risk of bias, with a senior systematic reviewer checking the data; quality of evidence was assessed using the GRADE approach.
resultsOf 7276 screened citations, we identified 31 studies exploring reasons for geographic choices and 24 studies documenting the impact of training programs. Growing up in a rural community is a key determinant and is consistently associated with choosing rural practice. Most existing studies assess physicians, and only a few are based on multivariate analyses that take competing and potentially correlated predictors into account. The success rate of placing providers-in-training in rural practice after graduation, on average, is 44% (range 20-84%; N = 31 programs). We did not identify program characteristics that are consistently associated with program success. Data are primarily based on rural tracks for medical residents. DISCUSSION: The review provides insight into the relative importance of demographic characteristics and motivational factors in determining which providers should be targeted to maximize return on recruitment efforts. Existing programs exposing students to rural practice during their training are promising but require further refining. Public policy must include a specific focus on the trajectory of the healthcare workforce and must consider alternative models of healthcare delivery that promote a more diverse, interdisciplinary combination of providers.
Indexed as
Identifiers
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.