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A Novel Gap Staffing Metric for Primary Care in the Veterans Health Administration and Implications for Rural and Urban Clinics
Journal article   Open access   Peer reviewed

A Novel Gap Staffing Metric for Primary Care in the Veterans Health Administration and Implications for Rural and Urban Clinics

Amy M. J. O'Shea, Bjarni Haraldsson, Ariana F. Shahnazi, Ryan A. Sterling, Edwin S. Wong and Peter J. Kaboli
The Journal of ambulatory care management, Vol.46(1), pp.25-33
01/2023
DOI: 10.1097/JAC.0000000000000429
PMCID: PMC10510806
PMID: 35943352
url
https://doi.org/10.1097/JAC.0000000000000429View
Published (Version of record) Open Access

Abstract

Primary care providers (PCPs), including physicians and advanced practice providers, are the front line of medical care. Patient access must balance PCP availability and patient needs. This work develops a new PCP staffing metric using panel size and full-time equivalent data to determine whether a clinic is adequately staffed and describes variation by clinic rurality. Data were from the Veterans Health Administration, 2017-2021. Results describe the gap staffing metric, provide summary graphics, and compare the gap staffing between rural and urban clinics. This novel gap staffing metric can inform strategic clinic staffing in health care systems.

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