ArticleJournal of primary care & community health
Primary Care Shortage in Medically Underserved and Health Provider Shortage Areas: Lessons from Delaware, USA.
Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Medical deserts and uneven access: a U.S.-anchored critical conceptual review.International journal for equity in health · 2026Review
- Integrating Primary Care Services into a Rural Behavioral Health Facility in Northern Arizona: Perspectives of Healthcare Providers and Administrative Staff.Healthcare (Basel, Switzerland) · 2025Article
- Developing a Community of Practice to Provide Care Coordination and Address Health-Related Social Needs for Veterans Receiving Care in Community-Based Settings: Program Development and Survey Study.JMIR formative research · 2025Article
- Approaches to address common barriers to colorectal cancer screening in rural communities of the CDC's colorectal cancer control program.Preventive oncology & epidemiology · 2025Article
- Social Determinants of Health and Medication Adherence in Older Adults with Prevalent Chronic Conditions in the United States: An Analysis of the National Health and Nutrition Examination Survey (NHANES) 2009-2018.Pharmacy (Basel, Switzerland) · 2025Article
- Artificial intelligence in personalized rehabilitation: current applications and a SWOT analysis.Frontiers in digital health · 2025Review
- Impact of a Remote Primary Care Telehealth Staffing Model on Primary Care Access in the Veterans Health Administration.Journal of general internal medicine · 2024Observational
- Family Medicine Training in The US and Delaware:: Opportunities and Growth in Primary Care Workforce.Delaware journal of public health · 2023Article
- Building Interest in the Primary Care Specialty Through Enhanced Global Health Experience.Cureus · 2023Article
- Expanding Pharmacists' Role in the Management of Non-Alcoholic Fatty Liver Disease.Pharmacy (Basel, Switzerland) · 2023Review
- Extraordinary Impacts on the Healthcare Workforce:: COVID-19 and Aging.Delaware journal of public health · 2022Article
- Article
- Review
- Medically underserved areas and International Medical Graduates (IMGs) in the United States: challenges during the COVID-19 era.Journal of community hospital internal medicine perspectives · 2021Article
- A Longitudinal Evaluation of a Novel Short-Term Staffing and Telehealth Program: A Retrospective Observational Study.Journal of primary care & community healthObservational
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the reasons contributing to the physician shortage in the country's medically underserved areas using the state of Delaware as a focus state.
methodA literature review regarding the shortage of physicians with data compilation from Delaware Department of Public Health (DPH) and Delaware Health and Social services (DHSS) was performed. A review of the "Conrad 30 J1 VISA waiver program," the most important and primary supplier of physicians to underserved areas of the state was performed. A survey interviewing the physicians recruited through this program to identify any challenges faced by them was designed and conducted.
resultsThe number of primary care physicians providing direct patient care in Delaware in 2018 had declined about 6% from 2013. The average wait time to see a PCP was 8.2 days in 1998 as compared to 23.5 days in 2018. Forty-six percent of physicians serving in HPSAs in Delaware are IMGs recruited through the J1 VISA waiver program. Eighty percent of these IMGs are actively considering leaving the United States due to anxieties around physician immigration policies, mainly "Immigration backlog."
conclusionThe existing programs to recruit physicians to underserved areas seem to be inadequate. The state and the hospital systems should be able to utilize the J1 program to its full potential and focus on retaining these physicians after their assigned services. As the challenges of IMGs continue to worsen every day; the medical societies, hospitals, the state and federal government should advocate for policies that resolve these challenges.
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