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AzCRH Studies & Reports

Studies and Reports from the Center for Rural Health

  1. The Arizona Behavioral Health Workforce (Nov. 2020)
  2. Arizona Workforce Report: Obstetrician-Gynecologist Physicians and Certified Nurse Midwives (Jan. 2020)
  3. Rural Availability of the Obstetrician & Gynecologist and Certified Nurse Midwife Workforce (Jan. 2020)Maternal Health Begins Where Moms Live, Learn, and Work (Oct. 2019)
  4. Arizona Primary Care Physician Workforce Report (Oct. 2019)
  5. Creating an Arizona Health Workforce Data System
  6. 2016 Arizona Statewide Emergency Medical Services Needs Assessment (ASENA)
  7. Arizona County Health Insurance Coverage Profiles - 2017
  8. AzCRH 2015 Supply and Demand Study of Arizona Health Practitioners and Professionals
  9. AzCRH 2015 Safety Net Health Care in Arizona Report
  10. AzCRH 2015 Arizona Pharmacist Supply and Demand Report
  11. Rural Behavioral Health Review
  12. Rural Health Plan 2005-2007
  13. National Community Health Advisor Study
  14. Arizona Rural Health Workforce Study
  15. Four U.S. Border States' Community Health Worker Training Needs Assessment
  16. Pima County Women's Health Review
  17. Socioeconomic Impact of Mandated Health Coverage for Telemedicine
  18. Building Partnerships to Leverage Available USDA Resources for Rural Providers
  19. Arizona Community Leader Focus Group Report
  20. MEZCOPH Collaborations at the U.S.-Mexico Border (2010-2012)
  21. MEZCOPH Rural Health Professions Program Annual Report (2012)
  22. The Supply of Physician Assistants, Nurse Practitioners, and Certified Nurse Midwives in Arizona (June 2014)

The Arizona Behavioral Health Workforce ReportThe Arizona Behavioral Health Workforce Report is intended to inform Arizona health workforce policies to support a well-distributed and accessible behavioral health workforce. It has two aims: (1) describe behavioral health and access to behavioral healthcare in Arizona, and (2) use workforce data to describe rural and non-rural differences in the distribution of Arizona behavioral healthcare providers. Mental health and substance use disorders contribute to disease burden in the US and are among the leading causes of death. Prevention, early identification, screening, and access to high-quality treatment are public health priorities. Arizona meets just 40% of its current mental health care workforce needs and ranks 47th in in terms of behavioral health workforce availability. There are disparities in workforce across urban and rural areas in Arizona. The behavioral health workforce as measured by provider per 100,000 population ratio is four to five percent higher than the percent of the population living in urban areas than in rural areas for all professions except substance abuse counselors. Psychiatrists mostly practice in urban areas (96.7%), also exceeding the percent of the population living in urban areas (92%) by almost five percent.


OB/GYNs and CNMs in AZArizona Workforce Report: Obstetrician-Gynecologist Physicians and Certified Nurse Midwives

A high-quality maternal health care system relies in part on the right number of well-trained women’s health providers in the right locations (Rayburn, 2017; U.S. Department of Health and Human Services, Health Resources and Services Administration, 2016). According to national estimates, Arizona and other states are anticipated to experience an ob-gyn shortage (U.S. Department of Health and Human Services, Health Resources and Services Administration, 2016). Using licensure data, we found that there are geographic disparities in the distribution of ob-gyn physicians across Arizona. The ratio of ob-gyns per 10 000 women in urban areas is 2.1, compared to 1.5 in large rural city/towns and 1.1 in small rural towns. There are no practicing ob-gyn physicians in isolated small rural towns. This geographic distribution is mirrored in the CNM workforce, which similarly favors urban over rural areas.


Obstetrician and Gynecologist Physician and Certified Nurse Midwife Workforce in Arizona

Rural Availability of the Obstetrician & Gynecologist and Certified Nurse Midwife Workforce

Women’s and maternal health begins where women live, learn and work. Access to timely and high-quality women’s health and primary care services is also an essential component of a supporting maternal health. According to the March of Dimes, Greenlee and La Paz counties are maternal care deserts and Cochise, Gila, Graham, and Santa Cruz counties have limited access to maternal care. Women in rural Arizona face barriers to maternal health care including a lower ratio of Ob-gyn providers per population. In general, women in rural areas have additional barriers like longer drive-times and fewer facilities offering obstetric services.


Maternal Health Begins Where Moms Live, Learn, and WorkMaternal Health Begins Where Moms Live, Learn, and Work

Women’s and maternal health begins where women live, learn and work. Access to timely and high-quality women’s health and primary care services is also an essential component of a supporting maternal health. According to the March of Dimes, Greenlee and La Paz counties are maternal care deserts and Cochise, Graham Pinal, and Santa Cruz counties have limited access to maternal care. Women in rural Arizona face barriers to maternal health care including a lower ratio of Ob-gyn providers per population. In general, women in rural areas have additional barriers like longer drive-times and fewer facilities offering obstetric services.

 


AZ Primary Care Physician Workforce ReportArizona Primary Care Physician Workforce Report

The Association of American Medical Colleges (AAMC) publishes an annual snapshot of the physician workforce by state using American Medical Association (AMA) Physician Masterfile data. This report aims to provide data on the distribution of the physician workforce and the differences in the distribution of physicians by training location and specialty. This data can assist in efforts to ensure that Arizona develops programs and policies that build a health care system that addresses the needs of all communities.    

» Learn more/download PDF


Creating an Arizona Health Workforce Data System

Creating an Arizona Health Workforce Data System

To assure ready access to high quality health care for all Arizonans, timely, unbiased, accurate health professions data can help inform policy, legislative, and regulatory interventions. The Health Services Resources Administration (HRSA) recommends that states routinely collect health workforce data at the time of licensing and renewal using standard minimum data sets (MDS) to more accurately capture clinical full time equivalent capacity and ability to meet demand across the state. North Carolina has an health care workforce data collecting and reporting system that could serve as a model for Arizona.  

» Learn more/download PDF


2016 Arizona Statewide Emergency Medical Services Needs Assessment (ASENA)

Emergency Medical Services (EMS) is an institution and product of public health, health care, and public safety that is chopped and scattered across multiple jurisdictional deployment methodologies throughout Arizona. To fully-asses the EMS needs of the state, those jurisdictions are considered as a whole; for it is the whole that makes a system, and a system is what truly impacts patient outcomes. Evaluating the "whole" is the genesis and driver of the 2016 Arizona Statewide EMS Needs Assessment (ASENA).

The primary objective of ASENA is to establish a current "snap-shot" of EMS in the state while simultaneously identifying needs and/or areas that can be targeted for further analysis and/or improvement as part of Population Health Management and Emergency Medical Services Integration under the AZ Flex Grant funded by the U.S. Health Resources and Services Administration (HRSA). In addition, the secondary objective of ASENA is to compare and contrast this current "snap-shot" with data obtained in a more narrow needs assessment conducted in 2001, allowing comparison of changes in Arizona's critical access EMS system over 15 years. » Learn more/download PDF

 


AZ County Health Health Insurance Coverage Profiles

Arizona County Health Insurance Coverage Profiles - 2017

The Arizona Center for Rural Health (AzCRH) has created Arizona County Health Insurance Coverage Profiles to provide timely public health data to inform policymakers, stakeholders, health providers, and the public. Profiles include data about current health insurance coverage and other public health data including national, state and county level data. In addition, AzCRH posted an overview of the U.S. health system, and implications of health reform deliberations at the state and federal levels relating to legislation, regulation, program implementation and evaluation. The overview will be updated as new information becomes available. 

Learn more/download PDFs >
 

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2015 Supply and Demand Study of Arizona Health Practitioners and Professionals

AzCRH 2015 Supply and Demand Study of Arizona Health Practitioners and Professionals

The University of Arizona Center for Rural Health AzCRH 2015 Supply and Demand Study of Arizona Health Practitioners and Professionals Report updates Arizona’s health workforce data and provides analysis of data on certified nurse midwives (CNM), physician assistants (PA), nurse practitioners (NP), physicians (MD, DO), pharmacists and public health professionals using licensing board data, data from state and federal agencies, survey and key informant interviews. Over many years, the Arizona Area Health Education Center (AzAHEC) Program has collaborated with and contributed to funding the University of Arizona Center for Rural Health’s (AzCRH) health workforce studies.

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2015 Safety Net Care in AZ Report

AzCRH 2015 Safety Net Health Care in Arizona Report

The University of Arizona Center for Rural Health AzCRH 2015 Safety Net Health Care in Arizona Report comes at a time of breathtaking change and upheaval in the nation’s and in Arizona’s health systems. Safety net providers are those “that organize and deliver a significant level of health care and other health-related services to uninsured, Medicaid and other vulnerable patients.”

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2015 Arizona Pharmacist Supply & Demand Report

AzCRH 2015 Arizona Pharmacist Supply and Demand Report

The AzCRH 2015 Pharmacist Supply and Demand Study Report examines Arizona pharmacist, pharmacy technician, and pharmacy trends over an eight-year period (2006-13). Data trends were analyzed to forecast potential changes in pharmacist and pharmacy technician demand and supply over the next five years. The Report includes recommendations to address pharmacist supply, demand and distribution challenges in Arizona’s rural areas.

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On The Edge of Opportunity

The AzSORH has developed a project to review the current status of rural behavioral health care in Arizona. On the edge of opportunity: A review of the public behavioral health system in rural Arizona represents the first phase of that project. The report provides important views on ways in which the rural Arizona public behavioral health care system is working well and where there are challenges and opportunities for improvement, with nine key recommendations.

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Rural Health Plan 2005-2007

The Arizona Rural Health Plan 2005-07

 The Arizona Rural Health Plan 2005-2007 provides a road map on how to strengthen the rural health infrastructure in the state as well as how to enhance access to health services by rural residents. It reflects Arizona's unique rural, cultural, and geographic characteristics, including 21 federally recognized America Indian tribes and the state's 350-mile wide contiguous border with Mexico.

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Rural Behavioral Health Review

The National Community Health Advisor Study

Community Health Advisors (CHA) help people take greater control over their health and their lives. They promote healthy living by educating about how to prevent disease and injury as well as how to access health and human service systems. The National Community Health Advisory Study identified steps to strengthen outreach services of CHAs across the country.

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Arizona Rural Health Workforce Trends Analysis

Access to healthcare services is a top priority for policy makers at federal, state, and local levels. This report provides rural and urban healthcare workforce comparisons and multi-year trends that can be used to examine changes in access to care that can be used to develop new or revise existing workforce related policies and programs.

Learn more>
Download 2007-2010 Report (PDF)
Download accompanying policy brief (PDF)

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Community Health Worker Training Needs Assessment

Four U.S. Border States' Community Health Worker Training Needs Assessment

The purpose of this assessment study was to identify the training needs of CHWs to help design effective training programs in the U.S.-Mexico border region. It is hoped that improving the effectiveness of those programs could lead to better health outcomes for the populations served by CHWs.

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Pima County Women's Health Review

Pima County Women's Health Review

The Women’s Health Review was initiated to identify health issues and concerns that are specific to women who live in Pima County and/or Tucson with a particular interest in sexual and reproductive health needs.

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Socioeconomic Impact of Mandated Health Coverage on Telemedicine

Socioeconomic Impact of Mandated Health Coverage for Telemedicine

This report provides background information on telemedicine, its effectiveness and applications with an analysis of the expected impact of mandated telemedicine health coverage on telemedicine in Arizona.

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Building Partnerships

Building Partnerships to Leverage Available USDA Resources for Rural Providers

Building Partnerships to Leverage Available Resources for Rural Providers aimed to bring together key players from three southwestern states (Arizona, Nevada, and Utah) to enable them to leverage USDA resources so that Critical Access Hospitals (CAHs), other small rural hospitals, and rural health clinics can rebuild/modernize their facilities.

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Arizona Community Leader Focus Group Report

On behalf of the National Organization of State Offices of Rural Health, an in person community leader focus group was organized as a pre-session to the annual 2012 Arizona statewide rural health conference.

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Border ProjectsMel and Enid Zuckerman College of Public Health Collaborations at the U.S.-Mexico Border (2010-2012)

One of the strongest areas of focus of the University of Arizona’s Mel and Enid Zuckerman College of Public Health is our collaboration with communities to strengthen the public health infrastructure in the U.S.-Mexico border region. This report highlights the numerous partnerships and collaborations in the region.

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The Rural Health Professions Program Annual Report (2012)

The overall goal of the Rural Health Professions Program is to increase the numbers of public health students who practice in rural and underserved communities in the state of Arizona. This report covers the program activities in 2012.

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Workforce ReportThe Supply of Physician Assistants, Nurse Practitioners, and Certified Nurse Midwives in Arizona

As the Patient Protection and Affordable Care Act (ACA) coverage provisions are progressing, demand for health care is growing. This report estimates the supply of physician assistants (PAs), nurse practitioners (NPs), and certified nurse midwives (CNMs) as crucial components of the state’s health provider capacity. The study used licensing board data, training and graduation numbers from PA and NP colleges, and interviews with providers. The study calculates Arizona’s provider to population ratio, compares it to the national average, reports the number of PA, NP, and CNM providers attending Arizona schools by specialty and primary care, and estimates the number needed in Arizona to meet national benchmarks. 

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Publications Quick Links

  • Creating an Arizona Health Workforce Data System
  • Arizona County Health Insurance Coverage Profiles - 2017
  • AzCRH 2015 Supply and Demand Study of Arizona Health Practitioners and Professionals
  • AzCRH 2015 Safety Net Health Care in Arizona Report
  • CRH Newsletter

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