Evidence map›Paper›PMID 37340266›Full record

ReviewJournal of general internal medicine2023

Current Programs and Incentives to Overcome Rural Physician Shortages in the United States: A Narrative Review.

Kelley Arredondo, Hilary N Touchett, Sundas Khan, Matthew Vincenti, Bradley V Watts

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07572773 (CHAMP), which is not on this map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT07572773 narecruitingnot on this mapstarted 2026, after this paper: background citation

CHAMP: Community Health Assessment and Monitoring in the Pharmacy. Assessing the Impact of a Community Pharmacist Lung Cancer Screening (LCS) Program

TypeinterventionalSponsorJill KolesarRan2026 to 2028Enrolled300ConditionsLung Cancer, Early Lung Cancer DetectionArmsDELFI Diagnostics FirstLook Lung Cancer Screening Blood Test, Low-Does CT Scan
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Rural healthcare workers' well-being: A systematic review of support interventions.Families, systems & health : the journal of collaborative family healthcare · 2024
    Pooled it
  2. Disparities in Rural-Urban Cancer Care Outcomes among Pediatric, Adolescent, and Young Adult Populations: A Comprehensive Narrative Review.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Review
  3. Train Rural, Work Rural: The Potential for Advanced Fellowships in Addressing Rural VA Healthcare Workforce Shortages.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
  4. Rural Health Workforce Development Through the AHEC Scholars Model.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
  5. Health Resources and Services Administration and Veterans Affairs Funding Intersections Expand Graduate Medical Education Training Opportunities in Rural and Underserved Areas.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
  6. Rural Health Curriculum in Bachelor of Science in Nursing Programs: A Narrative Review.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Review
  7. Article
  8. Barriers to urologic care following spinal cord injury.The Canadian journal of urology · 2026
    Observational
  9. Article
  10. Article
  11. Article
  12. Rural health care workforce retention measures: A rapid scoping review.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
  13. Cultivating the Field of Rural Health Research: The Case for Rural Health Research Competencies.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
  14. Article
  15. International medical graduates pursuing pediatric neurosurgery fellowship training in North America: a 30-year analysis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  16. Article
  17. Article
  18. Underserved: the specialist shortage in rural Texas.Proceedings (Baylor University. Medical Center) · 2026
    Article
  19. Health care access from the rural perspective: A narrative review.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kelley ArredondoHouston VA HSR&D Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, 2450 Holcombe Blvd Suite 01Y, Houston, TX, 77021, USA. Kelley.Arredondo@bcm.edu.ORCID 0000-0001-6657-3379
Hilary N TouchettHouston VA HSR&D Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, 2450 Holcombe Blvd Suite 01Y, Houston, TX, 77021, USA.
Sundas KhanHouston VA HSR&D Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, 2450 Holcombe Blvd Suite 01Y, Houston, TX, 77021, USA.
Matthew VincentiVHA Office of Rural Health's Veterans Resource Center, White River Junction, VT, USA.
Bradley V WattsVHA Office of Rural Health's Veterans Resource Center, White River Junction, VT, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Access to healthcare continues to be a top priority and prominent challenge in rural communities, with 20% of the total U.S. population living in rural areas while only 10% of physicians practice in rural areas. In response to physician shortages, a variety of programs and incentives have been implemented to recruit and retain physicians in rural areas; however, less is known about the types and structures of incentives that are offered in rural areas and how that compares to physician shortages. The purpose of our study is to conduct a narrative review of the literature to identify and compare current incentives that are offered by rural physician shortage areas to better understand how resources are being allocated to vulnerable areas. We reviewed published peer-reviewed articles from 2015-2022 to identify incentives and programs designed to address physician shortages in rural areas. We augment that review by examining the gray literature, including reports and white papers on the topic. Identified incentive programs were aggregated for comparison and translated into a map that depicts high, medium, and low levels of geographically designated Health Professional Shortage Areas (HPSAs) and the number of incentives offered by state. Surveying current literature regarding different types of incentivization strategies while comparing to primary care HPSAs provides general insights on the potential influence of incentive programs on shortages, allows easy visual review, and may provide greater awareness of available support for potential recruits. Providing a broad overview of the incentives offered in rural areas will help illuminate whether diverse and appealing incentives are offered in the most vulnerable areas and guide future efforts to address these issues.

Indexed as

PhysiciansRural Health ServicesHumansMedically Underserved AreaMotivationRural PopulationUnited Statesphysician shortagesrural healthrural incentivesrural programsrural workforce

Identifiers

PMID37340266
PMCPMC10356718

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.