Rural-urban differences in primary care physicians' practice patterns, characteristics, and incomes

Journal of Rural Health

Volumn 24, Issue 2, 2008, Pages 161-170

  Weeks, William B ^a,b,c   Wallace, Amy E ^a,b  

^a VA MEDICAL CENTER   (United States)

^b DARTMOUTH MEDICAL SCHOOL   (United States)

^c DARTMOUTH INSTITUTE FOR HEALTH POLICY AND CLINICAL PRACTICE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGE; ARTICLE; CLINICAL PRACTICE; COMPARATIVE STUDY; CROSS-SECTIONAL STUDY; ECONOMICS; FEMALE; GENERAL PRACTITIONER; HUMAN; INCOME; MALE; MEDICAID; MEDICINE; RETROSPECTIVE STUDY; RURAL POPULATION; SEX DIFFERENCE; STATISTICS; UNITED STATES; URBAN POPULATION; WORKLOAD;

AGE FACTORS; CROSS-SECTIONAL STUDIES; FEMALE; HUMANS; INCOME; MALE; MEDICAID; PHYSICIAN'S PRACTICE PATTERNS; PHYSICIANS, FAMILY; RETROSPECTIVE STUDIES; RURAL POPULATION; SEX FACTORS; SPECIALTIES, MEDICAL; UNITED STATES; URBAN POPULATION; WORKLOAD;

EID: 41849107182     PISSN: 0890765X     EISSN: 17480361     Source Type: Journal    
DOI: 10.1111/j.1748-0361.2008.00153.x     Document Type: Article

References (46)

1. Rosenblatt RA, Audrilla CH, Curtin T, Hart LG. Shortages of medical personnel at community health centers: implications for planned expansion. JAMA. 2006 295 (9 1042 1049.
2. A National Agenda for Rural Minority Health Series : Recruitment and training of health professionals. Kansas City, Mo : National Rural Health Association 2001. Available at : http://www.nrharural.org/advocacy/sub/ issuepapers/ipaper18.html. Accessed May 26, 2006.
3. Pathman DE, Konrad TR, King TS, Spaulding C, Taylor DH. Medical training debt and service commitments: the rural consequences. J Rural Health. 2000 16 (3 264 272.
4. Rabinowitz HK, Diamond JJ, Veloski JJ, Gayle JA. The impact of multiple predictors on generalist physicians' care of underserved populations. Am J Public Health. 2000 90 (8 1225 1228.
5. Recruitment and Retention of a Quality Health Workforce in Rural Areas : Defining the Issues and the Principles of Recruitment and Retention - May 2005. Kansas City, Mo : National Rural Health Association : 2005. Available at : http://www.nrharural.org/advocacy/sub/issuepapers/RcrtmntRtntion_1.pdf. Accessed May 26, 2006.
6. Anonymous, Rural primary care. American College of Physicians. Ann Intern Med. 1995 122 (5 380 390.
7. Chan L, Hart LG, Ricketts T, Beaver S. An analysis of Medicare's Incentive Payment program for physicians in health professional shortage areas. J Rural Health. 2004 20 (2 109 117.
8. Rosenblatt RA, Saunders G, Shreffler J, Pirani MJ, Larson EH, Hart LG. Beyond retention: National Health Service Corps participation and subsequent practice locations of a cohort of rural family physicians. J Am Board Fam Pract 1996 9 (1 23 30.
9. Rabinowitz HK, Diamond JJ, Markham FW, Hazelwood CE. A program to increase the number of family physicians in rural and underserved areas: impact after 22 years. JAMA. 1999 281 (3 255 260.
10. Pathman DE, Steiner BD, Jones BD, Konrad TR. Preparing and retaining rural physicians through medical education. Acad Med. 1999 74 (7 810 820.
11. Rabinowitz H, Diamond J, Markham F, Paynter N. Critical factors for designing programs to increase the supply and retention of rural primary care physicians. JAMA. 2001 286 : 1041 1048.
12. Health Care Workforce Distribution and Shortage Issues in Rural America. Kansas City, Mo : National Rural Health Association : 2003. Available at : http://www.nrharural.org/advocacy/sub/policybriefs/WorkforceBrief.pdf. Accessed May 26, 2006.
13. Rabinowitz HK, Paynter NP. MSJAMA. The rural vs. urban practice decision. JAMA. 2002 287 (1 113.
14. Weil TP. Attracting qualified physicians to underserved areas. Part 2. Pay physicians more to practice in underserved areas. Physician Exec. 1999 25 (1 53 63.
15. Woolf MA, Uchill VL, Jacoby I. Demographic factors associated with physician staffing in rural areas: the experience of the National Health Service Corps. Med Care. 1981 : 444 451.
16. Stensland J, Brasure M, Moscovice I. Why do rural primary care physicians sell their practices? J Rural Health. 2002 18 (1 93 108.
17. Wright GE. The economics of rural practice, Pages 275-288 In : Geyman JP, Norris TE, Hart LG, eds. Textbook of Rural Medicine. New York : McGraw-Hill Companies 2001.
18. Reschovsky JD, Staiti AB. Physician incomes in rural and urban America. Issue Brief Cent Stud Health Syst Change. 2005 92 : 1 4.
19. Community Tracking Study Physician Survey. Available at : http://hschange.org/index.cgi?data=04. Accessed May 26, 2006.
20. Weeks WB, Wallace AE. Race and gender differences in general internists' annual incomes. J Gen Intern Med. 2006 21 (11 1167 1171.
21. Weeks WB, Wallace AE. The influence of race and gender on family physicians' annual incomes. J Am Board Fam Pract 2006 19 (6 548 556.
22. Hart LG, Salsberg E, Phillips DM, Lishner DM. Rural health care providers in the United States. J Rural Health. 2002 18 : S211 S232.
23. Wadsworth ME, Montgomery SM, Bartley MJ. The persisting effect of unemployment on health and social well-being in men early in working life. Soc Sci Med. 1999 48 (10 1491 1499.
24. Beck RW, Jijon CR, Edwards JB. The relationships among gender, perceived financial barriers to care, and health status in a rural population. J Rural Health. 1996 12 (3 188 189.
25. Frenzen PD. Health insurance coverage in U.S. urban and rural areas. J Rural Health. 1993 9 (3 204 214.
26. Larson SL, Hill SC. Rural-urban differences in employment-related health insurance. J Rural Health. 2005 21 (1 21 30.
27. Weeks WB, Mahar PJ, Wright SM. Utilization of VA and Medicare services by Medicare-eligible veterans in Northern New England: the impact of additional access points in a rural setting. J Health Care Manage. 2005 50 (2 95 106.
28. West AN, Weeks WB. Physical and mental health and access to care among nonmetropolitan VA patients younger than 65 years. J Rural Health. 2006 22 (1 9 16.
29. Eberhardt M, Ingram D, Makuc D. Urban and Rural Health Chartbook. Health, United States, 2001. Hyattsville, Md: National Center fo Health Statistics; 2001.
30. Kukulka G, Christianson J, Moscovice I, DeVries R. Community-oriented primary care. Implementation of a national rural demonstration. Arch Fam Med. 1994 3 : 495 501.
31. Mick SS, Lee SY. Are there need-based geographical differences between international medical graduates and U.S. medical graduates in rural U.S. counties? J Rural Health. 1999 15 (1 26 43.
32. Sempowski IP. Effectiveness of financial incentives in exchange for rural and underserviced area return-of-service commitments: systematic review of the literature. Can J Rural Med. 2004 9 (2 82 88.
33. Wassenaar J, Thran S. Physician Socioeconomic Statistics, 2000-2002. Chicago, Ill : American Medical Association Center for Health Policy Research : 2001.
34. Baker L. Differences in earnings between male and female physicians. N Engl J Med 1996 334 (15 960 964.
35. Wallace AE, Weeks WB. Differences in income between male and female primary care physicians. J Am Med Womens Assoc. 2002 57 (4 180 184.
36. Weeks WB, Wallace AE. Time and money: a retrospective evaluation of the inputs, outputs, efficiency, and incomes of physicians. Arch Intern Med. 2003 163 (8 944 948.
37. Polachek SW, Siebert WS. The Economics of Earnings. Cambridge : Cambridge University Press : 1993.
38. Weeks WB, Wallace AE, Wallace MM, Welch HG. A comparison of educational costs and incomes of physicians and other professionals. N Engl J Med. 1994 330 : 1280 1286.
39. Weeks WB, Wallace AE. The more things change: revisiting a comparison of educational costs and incomes of physicians and other professionals. Acad Med. 2002 77 (4 312 319.
40. Ness R, Ukoli F, Hunt S, et al. Salary equity among male and female internists in Pennsylvania. Ann Intern Med. 2000 133 : 104 110.
41. Becker ER, Culler S, Ohsfeldt R. Impact of board certification on physician practice characteristics. J Med Educ. 1985 60 (1 9 15.
42. Metropolitan and Micropolitan Statistical Areas. U.S. Census Bureau. Available at : http://www.census.gov/population/www/estimates/metroarea.html. Accessed January 15, 2008.
43. Consumer price index. Available at : http://www.bls.gov/cpi/. Accessed May 22, 2006.
44. Weeks WB, Wallace AE. Financial returns on specialty training for surgeons. Surgery. 2002 132 (5 795 802.
45. Weeks WB, Wallace AE. Long-term financial implications of specialty training for physicians. Am J Med. 2002 113 (5 393 399.
46. Weeks WB, Wallace AE. Return on educational investment in geriatrics training. J Am Geriatr Soc. 2004 52 (11 1940 1945.