Provider Retention in High Need Areas. Characteristics of clinicians


  • Physicians and mental health clinicians are more likely to remain in their service sites than nurse practitioners, physician assistants, or dentists at five and ten years beyond the service term agreement. The anticipated retention rate among dentists increases over time relative to other disciplines, and matches that of physicians and mental health practitioners 10 years post service terms.

  • Clinicians who are older than 29 years, non-Hispanic White, have children, and grew up and/or trained in the state where they serve are more likely to anticipate remaining in their service sites than younger, minority, childless, and out-of-state clinicians. Anticipated retention was not found to be associated with gender or marital status.

  • Clinicians primarily motivated by the financial support aspect of program are less likely to anticipate remaining in their service sites over time. Those in the NHSC LRP are more likely to rate their desire to serve underserved populations as an equal or higher motivation than financial assistance, compared to SP or state program participants.

  • Variation in satisfaction with the NHSC Loan Repayment Program exists among states. Participants in California and Kentucky are more likely to report having their expectations exceeded, while those in North Carolina, North Dakota, and Nebraska are more likely to report that their expectations were not met.

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