关键词: Loan repayment Nurse faculty Nurse practitioner Registered nurse Scholarship Shortages Workforce

来  源:   DOI:10.1016/j.outlook.2024.102233

Abstract:
BACKGROUND: The registered nurse (RN) workforce experienced critical pre-pandemic and pandemic shortages of labor in some areas in the United States. People living in these health professional shortage areas (HPSAs) may have less access to health services. The Bureau of Health Workforce within the Health Resources and Services Administration administers Nurse Corps scholarship and loan repayment programs to increase healthcare access by increasing the supply and distribution of RNs, nurse practitioners, and nurse faculty to HPSAs. The American Rescue Plan Act of 2021 (ARPA) made available considerable new resources for the program.
OBJECTIVE: This paper reports on Nurse Corps applications, awards, and distribution in 2 cohorts in the period 2017 to 2022 to assess the impact of receiving an additional $200 million appropriated in 2021.
CONCLUSIONS: Additional funds through ARPA were associated with nearly threefold increases in the number of Nurse Corps awards. Program participants worked in a total of 1,316 counties (42% of all U.S. counties) in 2020 to 2022, a 76% increase from 749 counties in 2017 to 2019.
CONCLUSIONS: Increased funding for scholarship and loan repayment can help to improve the distribution of nurse labor to a greater number of critical shortage areas in the United States.
摘要:
背景:在美国某些地区,注册护士(RN)劳动力经历了严重的大流行前和大流行劳动力短缺。生活在这些卫生专业人员短缺地区(HPSA)的人们可能获得的卫生服务较少。卫生资源和服务管理局内的卫生局工作人员管理护士团奖学金和贷款偿还计划,以通过增加RN的供应和分配来增加医疗保健服务,执业护士,和护理教师到HPSA。2021年美国救援计划法案(ARPA)为该计划提供了大量新资源。
目的:本文报道了护士团的应用,奖项,并在2017年至2022年期间分布在2个队列中,以评估2021年获得额外2亿美元拨款的影响。
结论:通过ARPA获得的额外资金与护士团队奖励数量增加近三倍相关。从2020年到2022年,项目参与者总共在1316个县(占美国所有县的42%)工作,比2017年到2019年的749个县增加了76%。
结论:增加奖学金和贷款偿还资金可以帮助改善护士劳动力在美国更多严重短缺地区的分布。
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