Associations of Provider-to-Population Ratios and Population Health by County-Level Rurality

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
Bronwyn E FieldsJanice F Bell

Abstract

To explore the relationship between provider-to-population ratios, rurality and population health in the United States using counties as the unit of analysis. Population ratios for registered nurses (RNs), primary care physicians, and dentists were included in multivariable regression analyses. Population health indices assessed were premature death rate, self-rated health, teen birth rate, and mammography screening rate. County levels of health and health care providers per capita declined as rurality increased. In adjusted regression models, the highest RN-to-population ratio was associated with significantly better health measures in most urban/rural categories, with the magnitude of these associations generally increasing as rurality increased. In the smallest rural counties, the highest RN-to-population quartile was associated with 1,655 fewer years of potential life lost (YPLL), 2% lower rates of poor or fair health, 11/1,000 fewer teen births, and 6% more mammography screening relative to the lowest quartile. For primary care physicians, more significant associations were found in medium and small rural counties where the highest quartile was associated with 1,482 fewer YPLL, 3% lower rates of poor or fair health, 7/1,00...Continue Reading

References

Jul 1, 1988·American Journal of Public Health·L S WissowM Mussman
Jun 1, 1985·International Journal of Epidemiology·M K Chen, F Lowenstein
Jan 1, 1991·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·D M MakucJ J Feldman
Jun 9, 1986·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·M K MillerK Fendley
Dec 4, 2003·The Journal of the American Board of Family Practice·Leiyu ShiRobert Politzer
Apr 15, 2004·Journal of Epidemiology and Community Health·L ShiJ Wulu
Sep 29, 2004·American Journal of Public Health·Charles D Phillips, Kenneth R McLeroy
Sep 29, 2004·American Journal of Public Health·David Hartley
Sep 29, 2004·Health Affairs·Katherine Baicker, Amitabh Chandra
Dec 30, 2004·American Journal of Public Health·Thomas C Ricketts
Mar 17, 2005·Health Affairs·Barbara StarfieldJames Macinko
Jan 24, 2007·Policy, Politics & Nursing Practice·Mary CramerSangeeta Agrawal
Apr 18, 2007·International Journal of Health Services : Planning, Administration, Evaluation·James MacinkoLeiyu Shi
Nov 11, 2008·Lancet·Michael MarmotUNKNOWN Commission on Social Determinants of Health
Feb 12, 2010·American Journal of Public Health·Paula A BravemanElsie Pamuk
May 11, 2012·International Journal of Nursing Studies·Bridie KentR Glynn Owens
Feb 13, 2013·Prevention Science : the Official Journal of the Society for Prevention Research·Stephan ArndtPhyllis Blood
Jun 28, 2013·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Kevin J Bennett
Jun 28, 2013·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Preethy NayarBettye A Apenteng
Aug 24, 2013·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Susan C McKernanGolnaz Kavand
Dec 25, 2013·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Gopal K Singh, Mohammad Siahpush
Jan 21, 2014·American Journal of Preventive Medicine·Gopal K Singh, Mohammad Siahpush
Jun 26, 2014·Journal of Public Health Dentistry·Nadereh PouratMarvin Marcus
Aug 15, 2014·American Journal of Public Health·Carol C Guarnizo-Herreño, George L Wehby
Aug 30, 2014·The Journal of the American Dental Association·Jessica HolzerElizabeth Bradley
Apr 29, 2015·Population Health Management·Geoffrey J Hoffman, Hector P Rodriguez
May 2, 2015·Population Health Metrics·Patrick L RemingtonKeith P Gennuso

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Citations

Dec 19, 2018·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Carrie Henning-SmithIra Moscovice
Aug 14, 2020·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Jordan C Gemelas
Sep 11, 2019·BMC Health Services Research·Tomoki IshikawaKatsuhiko Ogasawara
Nov 18, 2017·Medical Care Research and Review : MCRR·Heidi AllenLauren Broffman
Apr 10, 2019·PloS One·Keith B NaylorMatthew A Davis
Jan 21, 2021·Journal of Racial and Ethnic Health Disparities·Christopher W N Saville
Sep 4, 2021·Preventing Chronic Disease·Cathryn MurphyWhitney E Zahnd

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