Evidence map›Paper›PMID 41964317›Full record

ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2026

Rural health care workforce retention measures: A rapid scoping review.

Michelle A Mengeling, Rachel Sears, Casey H Buchanan, M Bryant Howren, Riley J Samuelson, Karla Miller, Chelsea McConnell, Jaime R Wilson, Elizabeth Archambault, Brittany L Anderson and 2 more

Abstract readScoping Review
In one paragraph

Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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
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

12 authors.

Michelle A MengelingVHA Office of Rural Health (ORH), Veterans Rural Health Resource Center-Iowa City (VRHRC-IC), Iowa City VHA Health Care System, Iowa City, Iowa, USA.
Rachel SearsVHA Office of Rural Health (ORH), Veterans Rural Health Resource Center-Iowa City (VRHRC-IC), Iowa City VHA Health Care System, Iowa City, Iowa, USA.
Casey H BuchananHealth Equity and Rural Outreach Innovation Center (HEROIC), Ralph H. Johnson Veterans Affairs Medical Center, Charleston, South Carolina, USA.
M Bryant HowrenVHA Office of Rural Health (ORH), Veterans Rural Health Resource Center-Iowa City (VRHRC-IC), Iowa City VHA Health Care System, Iowa City, Iowa, USA.
Riley J SamuelsonUniversity of Iowa Libraries, University of Iowa, Iowa City, Iowa, USA.
Karla MillerPrimary Care Section, Veterans Affairs Salt Lake City Health Care System, Salt Lake City, Utah, USA.
Chelsea McConnellHealth Equity and Rural Outreach Innovation Center (HEROIC), Ralph H. Johnson Veterans Affairs Medical Center, Charleston, South Carolina, USA.
Jaime R WilsonVHA Office of Rural Health (ORH), Veterans Rural Health Resource Center-Iowa City (VRHRC-IC), Iowa City VHA Health Care System, Iowa City, Iowa, USA.
Elizabeth ArchambaultTransformative Health Systems Research to Improve Veteran Equity and Independence (THRIVE), Providence VA Medical Center, Providence, Rhode Island, USA.
Brittany L AndersonVHA Office of Rural Health (ORH), Veterans Rural Health Resource Center-Iowa City (VRHRC-IC), Iowa City VHA Health Care System, Iowa City, Iowa, USA.
R Neal AxonHealth Equity and Rural Outreach Innovation Center (HEROIC), Ralph H. Johnson Veterans Affairs Medical Center, Charleston, South Carolina, USA.
CPIC – VA QUERI Center

Funding

Department of Veterans Affairs (VA) Health Systems Research (HSR)Quality Enhancement Research Initiative (QUERI)
6 · The paper itself

Abstract

purposeRural Veterans face persistent barriers to care, often exacerbated by health care workforce shortages. Although recruitment initiatives are important, retaining providers in rural areas is equally critical to sustaining access and continuity of care. This rapid scoping review examined how "rural workforce retention" is defined and measured in the peer-reviewed literature and synthesized recommended reporting elements to improve clarity and comparability.

methodsSix bibliographic databases were searched (2014-2025) for English-language studies of rural health care in the United States, Canada, the United Kingdom, and Australia using terms related to rural workforce retention. Data were extracted on definitions of retention, time frames, and measurement approaches.

findingsOf 2392 abstracts screened, 268 met inclusion criteria. Among these, 172 (64%) lacked a retention definition. Of the remaining 96, nearly half (45%) measured retention using providers' intentions to stay or leave; others relied on turnover or continued rural practice. More than half (61%) specified a retention timeframe, most often retrospectively (41/59; 69%). Substantial heterogeneity across definitions, time horizons, and data sources led to the development of a reporting checklist outlining key conceptual, temporal, and methodological elements for retention research.

conclusionsInconsistent and incompletely reported measures of rural workforce retention limit evaluation and scalability of effective strategies. Research should explicitly define retention, specify a measurable time frame, and clearly report key conceptual and methodological elements to enable comparison across settings. For the Veterans Health Administration (VHA) and other rural systems, clear retention metrics are essential to ensure workforce stability and sustain access to high-quality care for rural Veterans.

Indexed as

Health WorkforcePersonnel TurnoverRural Health ServicesWorkforceAustraliaHumansUnited Statesaccess to carehealth services researchmeasurementrural health systemsveterans

Identifiers

PMID41964317
PMCPMC13479338

What OpenQuestion holds

Textmetadata
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.