Provider Retention in High Need Areas. Distances of Providers’ Moves

12/22/2014

As described in the previous chapter, we constructed a variable measuring the distance of the provider’s move from one location to another by calculating the distance (in miles) between the zip code centroids of the initial and final location. In Table III.4, we present the mean distance of moves by the four retention metrics and by years since separation from NHSC service.

Table III. 4: Average Distance (in Miles) between NHSC Service Location and Current Location, by Retention Metrics and Years since Separation from NHSC

Years Since Separation

HPSA &
same county

HPSA &
other county

Non-HPSA &
same county

Non-HPSA &
other county

Primary Care

1

5.0

228.5

6.4

309.2

2

5.1

280.2

6.1

411.1

3

4.9

349.6

6.2

394.0

4

4.7

370.8

5.7

431.9

5

4.6

398.6

5.5

362.2

6

5.2

400.6

5.4

373.8

>6

4.8

388.8

5.0

378.4

Mental Health

1

3.8

201.4

5.5

301.7

2

3.7

182.2

6.3

292.7

3

4.5

237.6

6.4

345.9

4

3.3

294.0

5.9

384.6

5

3.7

254.1

6.5

318.3

6

3.0

275.6

8.4

503.6

>6

2.9

250.9

7.0

333.5

NHSC participants who remained in the same HPSA same county were, not surprisingly, located on average within 3 to 5 miles from their original NHSC service location, while those who moved to a non-HPSA in the same county were located on average within 5 to 8 miles from their initial NHSC location. Providers who moved to a HPSA outside the county where they served while in NHSC tended to be located further and further away as time since separation went by. For instance, primary care providers moved on average 229 miles away within one year since NHSC separation, 371 miles 4 years since separation and 401 miles 6 years since separation. This trend was less pronounced for mental health providers, who moved within shorter distances to HPSAs in other counties. Finally, all providers going to non-HPSAs in other counties had moves at greater distances than the providers who moved to HPSAs in other counties.

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