Skip to main content

Main menu

  • Home
  • Content
    • Current
    • Archive
    • Podcast: NC Health Policy Forum
    • Upcoming Scientific Articles
  • Info for
    • Authors
    • Reviewers
    • Advertisers
    • Subscribers
  • About Us
    • About the North Carolina Medical Journal
    • Editorial Board
  • More
    • Alerts
    • Feedback
    • Help
    • RSS
  • Other Publications
    • North Carolina Medical Journal

User menu

  • My alerts
  • Log in

Search

  • Advanced search
North Carolina Medical Journal
  • Other Publications
    • North Carolina Medical Journal
  • My alerts
  • Log in
North Carolina Medical Journal

Advanced Search

  • Home
  • Content
    • Current
    • Archive
    • Podcast: NC Health Policy Forum
    • Upcoming Scientific Articles
  • Info for
    • Authors
    • Reviewers
    • Advertisers
    • Subscribers
  • About Us
    • About the North Carolina Medical Journal
    • Editorial Board
  • More
    • Alerts
    • Feedback
    • Help
    • RSS
  • Follow ncmj on Twitter
  • Visit ncmj on Facebook
Research ArticlePolicy Forum

Developing a Workforce for Health in North Carolina

Planning for the Future

Erin Fraher, Rukmini Balu, Peter Buerhaus, Julie George, Crystal L. Murillo and A. Eugene Washington
North Carolina Medical Journal May 2020, 81 (3) 185-190; DOI: https://doi.org/10.18043/ncm.81.3.185
Erin Fraher
associate professor, Department of Family Medicine and research assistant professor, Department of Surgery, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina; director, Carolina Health Workforce Research Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Rukmini Balu
chief of staff to chancellor for health affairs, Duke University and Duke University Health System, Durham, North Carolina; adjunct associate professor, Duke Global Health Institute, Duke University, Durham, North Carolina
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: Rukmini.balu@duke.edu
Peter Buerhaus
professor, College of Nursing and director, Center for Interdisciplinary Health Workforce Studies, Montana State University, Bozeman, Montana
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Julie George
CEO, North Carolina Board of Nursing, Raleigh, North Carolina
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Crystal L. Murillo
director, Clinical Simulation Laboratory and clinical assistant professor, University of South Carolina College of Nursing, Columbia, South Carolina
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
A. Eugene Washington
chancellor for health affairs, Duke University, Durham, North Carolina; president and CEO, Duke University Health System, Durham, North Carolina
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

References

  1. ↵
    1. Cosby AG,
    2. McDoom-Echebiri MM,
    3. James W,
    4. Khandekar H,
    5. Brown W,
    6. Hanna HL
    Growth and persistence of place-based mortality in the United States: the rural mortality penalty. Am J Public Health. 2019;2(3):155-162. doi: 10.2105/AJPH.2018.304787
    OpenUrl
  2. ↵
    1. McClellan MB,
    2. Alexander M,
    3. Japinga M,
    4. Saunders RS
    North Carolina: The New Frontier for Health Care Transformation. HealthAffairs.org. https://www.healthaffairs.org/do/10.1377/hblog20190206.576299/full/. Published February 7, 2019. Accessed March 18, 2020.
  3. ↵
    1. Fraher EP,
    2. Ricketts TC
    Building a value-based workforce in North Carolina. N C Med J. 2016;2(3):94-98. doi: 10.18043/ncm.77.2.94
    OpenUrl
  4. ↵
    1. National Academies of Sciencies, Engineering, and Medicine, Health and Medicine Division, Board on Health Care Services
    , Committee on Integrating Social Needs Care into the Delivery of Health Care to Improve the Nation's Health. Washington, DC: National Academies; 2019.
  5. ↵
    1. Turner A,
    2. Roehrig C,
    3. Hempstead K
    What's Behind 2.5 Million New Jobs? HealthAffairs.org. https://www.healthaffairs.org/do/10.1377/hblog20170317.059235/full/. Published March 17, 2017. Accessed March 18, 2020.
  6. ↵
    1. North Carolina Department of Health and Human Services
    Report on Telemedicine Study and Recommendations: SL 0217-133, Section 2. Raleigh, NC: NC DHHS; 2017. https://www.ncleg.gov/documentsites/committees/JLOCHHS/Handouts%20and%20Minutes%20by%20Interim/2017-18%20Interim%20JLOC-HHS%20Handouts/Reports%20to%20JLOC-HHS/October%202017/SL%202017-133%20Section%202%20DHHS%20Study%20and%20Recommend%20a%20Telemedicine%20Policy.pdf. Accessed March 18, 2020.
  7. ↵
    1. Blythe A
    NC's rural-urban divide reveals ‘classic tale of two Carolinas’ at N&O forum. NewsObserver.com. https://www.newsobserver.com/news/local/article207180999.html. Published March 29, 2018. Accessed March 18, 2020.
  8. ↵
    1. NC Rural Health Research Program,
    2. Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill
    168 Rural Hospital Closures: January 2005 – Present (126 since 2010). Sheps Center website. https://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/. Updated 2014. Accessed March 18, 2020.
  9. ↵
    1. HRSA Data Warehouse
    Shortage Areas. Health Resources & Services Administration website. https://data.hrsa.gov/topics/health-workforce/shortage-areas. Accessed March 18, 2020.
  10. ↵
    1. Spero JC,
    2. Fraher EP
    Workforce Outcomes of North Carolina Medical School Graduates: A Report to the Joint Legislative Oversight Committee on Health and Human Services and the Joint Legislative Education Oversight Committee. Chapel Hill, NC: Cecil G. Sheps Center for Health Services Research; 2018. https://www.shepscenter.unc.edu/wp-content/uploads/2018/02/NC_UME_Report_Sheps_January2018.pdf. Published January 10, 2018. Accessed April 6, 2020.
  11. ↵
    1. Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill
    NC's physician-to-population ratio is increasing, but most of the growth is in urban areas. Sheps Health Workforce NC website. https://nchealthworkforce.unc.edu/physician_growth_metro/. Updated March 4, 2020. Accessed March 18, 2020.
  12. ↵
    1. Altman SH,
    2. Butler AS,
    3. Shern L
    , eds. Assessing Progress on the Institute of Medicine Report The Future of Nursing. Washington, DC: National Academies Press; 2016.
  13. ↵
    1. Cecil G. Sheps Center for Health Services Research
    Physicians per 10,000 Population for Metropolitan and Nonmetropolitan Counties, North Carolina, 1979 – 2018. Sheps Health Workforce website. https://nchealthworkforce.unc.edu/images/posts/md_metro_nonmetro_line_chart_1979-2018.png. Accessed March 18, 2020.
  14. ↵
    1. Fraher E,
    2. Spero J,
    3. Thomas S,
    4. Galloway E,
    5. Wilson H
    How Data and Evidence Can (and Should!) Inform Scope of Practice. Oral presentation at: North Carolina Institute of Medicine Legislative Policy Health Fellows; December 9, 2019; Morrisville, NC. https://www.shepscenter.unc.edu/workforce_product/19577/. Accessed March 18, 2020.
    1. Frogner BK,
    2. Fraher EP,
    3. Spetz J, et al.
    Modernizing scope of practice regulations – time to prioritize patients. N Engl J Med. 2020;2(3):591-593. doi: 10.1056/NEJMp1911077
    OpenUrl
    1. Davis MA,
    2. Anthopolos R,
    3. Tootoo J,
    4. Titler M,
    5. Bynum JPW,
    6. Shipman SA
    Supply of healthcare providers in relation to county socioeconomic and health status. J Gen Intern Med. 2018;2(3):412-414. doi: 10.1007/s11606-017-4287-4.
    OpenUrl
    1. Xue Y,
    2. Smith JA,
    3. Spetz J
    Primary care nurse practitioners and physicians in low-income and rural areas 2010-2016. JAMA. 2019;2(3):102-105. doi: 10.1001/jama.2018.17944
    OpenUrl
  15. ↵
    1. Graves JA,
    2. Mishra P,
    3. Dittus RS,
    4. Parikh R,
    5. Perloff J,
    6. Buerhaus P
    Role of geography and nurse practitioner scope-of-practice in efforts to expand primary care system capacity: health reform and the primary care workforce. Med Care. 2016;2(3):81-89. doi: 10.1097/MLR.0000000000000454
    OpenUrl
  16. ↵
    1. North Carolina Area Health Education Centers
    About Us. NC AHEC website. https://www.ncahec.net/about-nc-ahec/about-us/. Accessed March 18, 2020.
  17. ↵
    1. Spero JC
    Does North Carlona's health care workforce reflect the diversity of the state's population? N C Med J. 2016;2(3):141-145. doi: 10.18043/ncm.77.2.141
    OpenUrl
  18. ↵
    1. Fraher E,
    2. Brandt B
    Toward a system where workforce planning and interprofessional practice and education are designed around patients and populations not professions. J Interprof Care. 2019;2(3):389-397. doi: 10.1080/13561820.2018
    OpenUrl
  19. ↵
    1. Fraser MW,
    2. Lombardi BM,
    3. Wu S,
    4. Zerden LD,
    5. Richman EL,
    6. Fraher EP
    Integrated primay care and social work: a systematic review. J Soc Social Work Res. 2018;2(3):175-215. https://doi.org/10.1086/697567
    OpenUrl
PreviousNext
Back to top

In this issue

North Carolina Medical Journal: 81 (3)
North Carolina Medical Journal
Vol. 81, Issue 3
May-June 2020
  • Table of Contents
  • Index by author
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on North Carolina Medical Journal.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Developing a Workforce for Health in North Carolina
(Your Name) has sent you a message from North Carolina Medical Journal
(Your Name) thought you would like to see the North Carolina Medical Journal web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
5 + 6 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Developing a Workforce for Health in North Carolina
Erin Fraher, Rukmini Balu, Peter Buerhaus, Julie George, Crystal L. Murillo, A. Eugene Washington
North Carolina Medical Journal May 2020, 81 (3) 185-190; DOI: 10.18043/ncm.81.3.185

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Developing a Workforce for Health in North Carolina
Erin Fraher, Rukmini Balu, Peter Buerhaus, Julie George, Crystal L. Murillo, A. Eugene Washington
North Carolina Medical Journal May 2020, 81 (3) 185-190; DOI: 10.18043/ncm.81.3.185
del.icio.us logo Digg logo Reddit logo Twitter logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Value-based Care and Population Health Management
    • Community-based Care and Education
    • Vulnerability of Rural Health Care
    • Shaping the Future of North Carolina's Workforce
    • Conclusion
    • Acknowledgments
    • References
  • Figures & Data
  • Info & Metrics
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

Policy Forum

  • Health Policy Gets Personal
  • Breaking the Cycle
  • Breaking the Cycle
Show more Policy Forum

INVITED COMMENTARIES AND SIDEBARS

  • Sidebar: Community-driven Approaches to Preventing Overdoses Among American Indians
  • Sidebar: History Shaping the Future: How History Influences Health in North Carolina Native American Communities
  • Sidebar: Impact of Racial Misclassification of Health Data on American Indians in North Carolina
Show more INVITED COMMENTARIES AND SIDEBARS

Similar Articles

About & Contact

  • About the NCMJ
  • Editorial Board
  • Feedback

Info for

  • Advertisers
  • Authors
  • Reviewers
  • Subscribers

Articles & Alerts

  • Archive
  • Current Issue
  • Get Alerts
  • Upcoming Articles

Additional Content

  • Current NCIOM Task Forces
  • NC Health Data & Resources
  • NCIOM Blog
North Carolina Medical Journal

ISSN: 0029-2559

© 2022 North Carolina Medical Journal

Powered by HighWire