Evidence map›Paper›PMID 41588280›Full record

ArticleJournal of general internal medicine2026

Rural Practice Made Attractive: A Scoping Review of Rural Primary Care Physician Recruitment and Retention Incentives.

Kelley Arredondo, Katherine Bay, Laura Witte, Hilary Touchett, Mandi Sonnenfeld, Alexander Paterson-Roberts, Matthew Vincenti, Bradley V Watts

Abstract readScoping Review
In one paragraph

Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. 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
  2. Article
  3. 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
  4. 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

8 authors.

Kelley ArredondoHouston VA HSR&D Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, USA. Kelley.Arredondo@bcm.edu.ORCID 0000-0001-6657-3379
Katherine BayHouston VA HSR&D Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, USA.
Laura WitteVeterans Affairs, South Texas Veterans Health Care System, San Antonio, TX, USA.
Hilary TouchettHouston VA HSR&D Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, USA.
Mandi SonnenfeldHouston VA HSR&D Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, USA.
Alexander Paterson-RobertsDepartment of Psychology, University of Houston, Houston, TX, USA.
Matthew VincentiVHA Office of Rural Health's Veterans Resource Center in White River Junction, White River Junction, VT, USA.
Bradley V WattsVHA Office of Rural Health's Veterans Resource Center in White River Junction, White River Junction, VT, USA.

Funding

Office of Rural Health PROJFY-008741RRD VA IK1 RX004813
6 · The paper itself

Abstract

backgroundWorkforce development programs aim to address the disparity in the number of primary care physicians (PCPs) practicing in rural U.S. areas. Both publicly and privately funded rural recruitment and retention programs have worked for decades to enhance healthcare access. However, little is known about their comparative effectiveness in retaining PCPs long term. This scoping review assessed the success of programs in retaining rural PCPs.

methodsWe searched PubMed, Embase, and Health Business Elite for peer-reviewed literature, published between 2013 and 2023, focusing on PCPs' rural recruitment and retention in the U.S. The gray literature search included sources like the Rural Health Information Hub and the Rural Medical Training Collaborative, followed by a Google search. Articles were screened by two authors, with discrepancies resolved by a third.

resultsFrom 2227 articles identified, only 10 met the inclusion criteria, with 7 additional programs found through gray literature, totaling 17 programs. Financial incentives, such as state loan repayment programs (n = 2) and scholarships (n = 2), showed the highest reported retention rates (50-100%) in rural areas; however, these results should be interpreted cautiously due to small sample sizes and substantial variability in follow-up periods across programs. DISCUSSION: Most rural PCP workforce development programs did not report retention outcomes. Among those that did, financial incentive programs had higher retention rates than rural education and residency programs. These findings are limited by the heterogeneity of results reported and the variability in program sample sizes. Additionally, many education programs reported the number of clinicians in rural areas but did not specify whether they were in primary care. Future program reports and research should standardize reporting to include the number of individuals who completed the program, their specialty, duration of rural practice post service time commitment, and current practice status in rural areas.

Indexed as

MotivationPersonnel SelectionPhysicians, Primary CareRural Health ServicesHumansPrimary Health CareUnited StatesWorkforceprimary carerecruitmentretentionrural healthrural workforce

Identifiers

PMID41588280
PMCPMC13083479

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.