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Linkages Between Rural Community Capitals and Healthcare Provision: A Survey of Small Rural Towns in Three U.S. Regions

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  • Pender, John
  • Kuhns, Maria
  • Yu, Cindy
  • Larson, Janice
  • Huck, Shirley

Abstract

This report identifies community-level factors affecting the recruitment and retention of rural healthcare professionals. The authors used key informant interviews and a survey of healthcare professionals in 150 small rural towns in 9 States, emphasizing a broad range of community assets and investments. Most participants perceived social capital (involving personal and professional relationships) to be important for the recruitment and retention of healthcare professionals. Human capital (resources inherent in people—such as their education, skills, and health) and physical capital (infrastructure, buildings, and equipment) were also important to most healthcare professionals but generally less so than social capital. Other types of community capital were important to a minority of health professionals. These findings suggest that rural communities can have a significant influence on attracting and retaining healthcare professionals through investments in social, human, and physical capital. The importance of many of these factors varies across the study regions and professional categories.

Suggested Citation

  • Pender, John & Kuhns, Maria & Yu, Cindy & Larson, Janice & Huck, Shirley, 2023. "Linkages Between Rural Community Capitals and Healthcare Provision: A Survey of Small Rural Towns in Three U.S. Regions," USDA Miscellaneous 333533, United States Department of Agriculture.
    • Handle: RePEc:ags:usdami:333533
    DOI: 10.22004/ag.econ.333533
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    1. Jae Kwang Kim & Jongho Im, 2014. "Propensity score adjustment with several follow-ups," Biometrika, Biometrika Trust, vol. 101(2), pages 439-448.
    2. Gary S. Becker, 1962. "Investment in Human Capital: A Theoretical Analysis," NBER Chapters, in: Investment in Human Beings, pages 9-49, National Bureau of Economic Research, Inc.
    3. John Pender & Alexander Marré & Richard Reeder, 2012. "Rural Wealth Creation: Concepts, Measures, and Strategies," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 94(2), pages 535-541.
    4. Oehmke, James F. & Tsukamoto, Satoshi & Post, Lori A., 2007. "Can Health Care Services Attract Retirees And Contribute to the Economic Sustainability of Rural Places?," Agricultural and Resource Economics Review, Cambridge University Press, vol. 36(1), pages 95-106, April.
    5. Poudyal, Neelam C. & Hodges, Donald G. & Cordell, H. Ken, 2008. "The role of natural resource amenities in attracting retirees: Implications for economic growth policy," Ecological Economics, Elsevier, vol. 68(1-2), pages 240-248, December.
    6. Pathman, D.E. & Konrad, T.R. & Dann, R. & Koch, G., 2004. "Retention of primary care physicians in rural health professional shortage areas," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1723-1729.
    7. Cutchin, Malcolm P., 1997. "Community and self: Concepts for rural physician integration and retention," Social Science & Medicine, Elsevier, vol. 44(11), pages 1661-1674, June.
    8. Kim, Jae Kwang & Navarro, Alfredo & Fuller, Wayne A., 2006. "Replication Variance Estimation for Two-Phase Stratified Sampling," Journal of the American Statistical Association, American Statistical Association, vol. 101, pages 312-320, March.
    9. McGranahan, David A., 1999. "Natural Amenities Drive Rural Population Change," Agricultural Economic Reports 33955, United States Department of Agriculture, Economic Research Service.
    10. Rupasingha, Anil & Goetz, Stephan J. & Freshwater, David, 2006. "The production of social capital in US counties," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 35(1), pages 83-101, February.
    11. Pender, John L. & Marre, Alexander W. & Reeder, Richard J., 2012. "Rural Wealth Creation Concepts, Strategies, and Measures," Economic Research Report 121860, United States Department of Agriculture, Economic Research Service.
    12. Oehmke, James F. & Tsukamoto, Satoshi & Post, Lori A., 2007. "Can Health Care Services Attract Retirees And Contribute to the Economic Sustainability of Rural Places?," Agricultural and Resource Economics Review, Northeastern Agricultural and Resource Economics Association, vol. 36(01), pages 1-12, April.
    13. Joseph P. Newhouse & Albert P. Williams & Bruce W. Bennett & William B. Schwartz, 1982. "Does the Geographical Distribution of Physicians Reflect Market Failure?," Bell Journal of Economics, The RAND Corporation, vol. 13(2), pages 493-505, Autumn.
    14. Dionne, Georges & Langlois, Alain & Lemire, Nicole, 1987. "More on the geographical distribution of physicians," Journal of Health Economics, Elsevier, vol. 6(4), pages 365-374, December.
    15. Emery N. Castle, 1998. "A Conceptual Framework for the Study of Rural Places," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 80(3), pages 621-631.
    16. Hancock, Christine & Steinbach, Alan & Nesbitt, Thomas S. & Adler, Shelley R. & Auerswald, Colette L., 2009. "Why doctors choose small towns: A developmental model of rural physician recruitment and retention," Social Science & Medicine, Elsevier, vol. 69(9), pages 1368-1376, November.
    17. Jeffrey H. Dorfman & Anne M. Mandich, 2016. "Senior Migration: Spatial Considerations Of Amenity And Health Access Drivers," Journal of Regional Science, Wiley Blackwell, vol. 56(1), pages 96-133, January.
    18. William Duncombe & Mark Robbins & Douglas A. Wolf, 2003. "Place Characteristics and Residential Location Choice Among the Retirement-Age Population," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 58(4), pages 244-252.
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    1. Thomas, Kelsey L. & Dobis, Elizabeth A. & McGranahan, David A., 2024. "The Nature of the Rural-Urban Mortality Gap," Economic Information Bulletin 341639, United States Department of Agriculture, Economic Research Service.

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