Teaching Health Center Graduate Medical Education Locations Predominantly Located in Federally Designated Underserved Areas

Barclift, Songhai C.; Brown, Elizabeth; Finnegan, Sean; Cohen, Elena; Klink, BA Kathleen

doi:10.4300/jgme-d-15-00274.1

Cited by 13 publications

(11 citation statements)

References 5 publications

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“…Early reports indicate that THCGME graduates are more likely to practice in underserved and rural areas at three to four times the rate of traditional graduates, with almost half planning to practice in FQHCs (88), and feel more prepared to do so. From the survey by Talib and colleagues (89), we learn that more than a third of THC residents expressed confidence in providing care in at least one language other than English.…”

Section: Education In Mental Health Care and New Frontiers For Psychiatry Residency Trainingmentioning

confidence: 99%

Challenges and Opportunities to Meet the Mental Health Needs of Underserved and Disenfranchised Populations in the United States

Mongelli

Georgakopoulos

Pato³

2020

FOC

143

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This article investigates the gap in access to and quality of mental health care in the United States. This work first discusses how minority populations are most affected by the treatment gap. It summarizes recent literature on the topic for better understanding the needs of psychiatrically underserved and disenfranchised populations and the causes of mental health disparities. It reviews some of the barriers to behavioral health care, including lack of insurance coverage, lack of community-based interventions, unequal access to evidence-based practices, stigma, mental health workforce shortages, and geographical maldistribution of providers. Second, it reviews opportunities to address these disparities. The article provides examples of effective interventions that researchers worldwide have already implemented to address the gap of mental health services within the collaborative care model and global mental health initiatives. Telepsychiatry and improvements in training of the mental health workforce are also listed as useful implementations to overcome the treatment gap for patients seeking mental health care.

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Section: Education In Mental Health Care and New Frontiers For Psychiatry Residency Trainingmentioning

confidence: 99%

Challenges and Opportunities to Meet the Mental Health Needs of Underserved and Disenfranchised Populations in the United States

Mongelli

Georgakopoulos

Pato³

2020

FOC

143

View full text Add to dashboard Cite

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“…[19][20][21] An alternative system for GME payment, the Teaching Health Center (THC) program, an innovative model funded by HRSA where residents train in community health centers, has been highly effective in producing graduates that practice in rural and underserved locations, with 55% remaining in these areas after graduation. [22][23][24][25] However, funding is based on periodic appropriation by Congress, rather than an entitlement.…”

Section: The Current Gme Funding Model Has Disadvantaged Rural Programsmentioning

confidence: 99%

Rural Residency Training as a Strategy to Address Rural Health Disparities: Barriers to Expansion and Possible Solutions

Hawes¹,

Fraher²,

Crane³

et al. 2021

Journal of Graduate Medical Education

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ompared to individuals living in urban locations, those in rural areas experience worse health outcomes. 1,2 A key contributor to rural-urban disparities is the geographic maldistribution of physicians. With fewer health care professionals available, clinical practice in rural communities demands physicians with skills to care for patients with a wide range of complex health needs. 3 While many factors affect the supply and distribution of physicians, graduate medical education (GME) funding is a major determining factor. [4][5][6] According to the Congressional Research Service, ''the size of the federal investment in GMEestimated at $16 billion in 2015-makes it a policy lever often considered to alter the health care workforce and impact health care access.'' 7 Unfortunately, the current distribution of GME funds do not align with rural workforce needs. Estimates suggest that almost all (99%) of Medicare spending for GME training goes to programs in urban areas. 5 Studies have also shown that physicians often practice within 100 miles of where they completed residency and that training residents where they are needed in practice is one promising strategy to increase the supply of rural physicians. 5,8,9 Recognizing the rural health crisis and the role that GME investments play in building workforce capacity, Congress appropriated funding for a new Rural Residency Planning and Development Program (RRPD) under the Health Resources and Services Administration (HRSA). 2,7 In 2019 and 2020, HRSA awarded approximately $28 million in grants to 38 organizations across 25 states to start rural residency programs in needed specialties, including family medicine, general internal medicine, and general psychiatry. 10,11 Despite these investments, rural communities still face significant barriers in developing and sustaining residency programs. This article identifies these barriers and proposes potential solutions. These solutions require action by multiple stakeholderssome are regulatory fixes, while others require Congressional action. Given the complexity of GME organization and financing, we have included definitions of key concepts and terminology used in this article in the online supplementary data. 4,[12][13][14][15][16][17]

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“…Importantly, the vibrancy of rural hospitals requires fundamental infrastructure investments, such as expanded broadband to ensure rural providers benefi t from the transition to telehealth. Payment reforms such as low-volume adjustments could help improve the fi nancial stability of rural facilities, while building on GME pilots such as the Teaching Health Center program could help support workforce development in rural areas [151,152].…”

Section: Rural Hospitals and Cahsmentioning

confidence: 99%

Care Systems COVID-19 Impact Assessment: Lessons Learned and Compelling Needs

Balser

Ryu²,

Hood

et al. 2021

NAM Perspectives

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Teaching Health Center Graduate Medical Education Locations Predominantly Located in Federally Designated Underserved Areas

Cited by 13 publications

References 5 publications

Challenges and Opportunities to Meet the Mental Health Needs of Underserved and Disenfranchised Populations in the United States

Challenges and Opportunities to Meet the Mental Health Needs of Underserved and Disenfranchised Populations in the United States

Rural Residency Training as a Strategy to Address Rural Health Disparities: Barriers to Expansion and Possible Solutions

Care Systems COVID-19 Impact Assessment: Lessons Learned and Compelling Needs

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