{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T01:48:32Z","timestamp":1784166512225,"version":"3.55.0"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2012,5,1]],"date-time":"2012-05-01T00:00:00Z","timestamp":1335830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Purpose:<\/jats:bold>\u2003 The landscape of education loan repayment programs for health care professionals has been turbulent in recent years, with doubling of the funding for the National Health Service Corps (NHSC) and cuts in funding for some states\u2019 programs. We sought to understand how this turbulence is being felt within the state offices involved in recruiting clinicians to rural and urban underserved communities.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> We conducted key informant telephone interviews with staff of state offices of rural health, primary care organizations, and\/or related organizations within 28 diverse states to answer questions about perceived changes and interplay among solely state\u2010funded loan repayment programs, joint state\u2010federal programs, and the NHSC federal program. Interviews were transcribed, formally analyzed, and key issues summarized.<\/jats:p><jats:p><jats:bold>Findings:<\/jats:bold> Informants reported that solely state\u2010funded and joint state\u2010federal loan repayment programs are greatly valued for their ability to target a state's particular needs and to complement the NHSC federal program. However, budgets for state programs have been threatened, reduced, or eliminated entirely in many cases. All informants positively perceived the NHSC's recent growth and changes, which they feel are helping fill important workforce needs for their states. Nevertheless, the much larger NHSC federal program now competes with some states\u2019 programs for clinicians and service sites; states\u2019 programs are pushed to adjust their operations to maintain a unique \u201cniche.\u201d<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> States\u2019 key recruiters lament reductions in funding for states\u2019 loan repayment programs, and welcome the NHSC's recent growth and changes. Better coordination is needed to minimize competition and maximize complementarity between state and federal programs.<\/jats:p>","DOI":"10.1111\/j.1748-0361.2012.00409.x","type":"journal-article","created":{"date-parts":[[2012,5,2]],"date-time":"2012-05-02T05:02:21Z","timestamp":1335934941000},"page":"408-415","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["States\u2019 Experiences With Loan Repayment Programs for Health Care Professionals in a Time of State Budget Cuts and NHSC Expansion"],"prefix":"10.1111","volume":"28","author":[{"given":"Donald E.","family":"Pathman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer Craft","family":"Morgan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas R.","family":"Konrad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynda","family":"Goldberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,5]]},"reference":[{"key":"e_1_2_5_2_2","volume-title":"Affordable Care Act Bolsters the Primary Care Workforce in Medically Underserved Communities","author":"US Department of Health and Human Services","year":"2011"},{"key":"e_1_2_5_3_2","unstructured":"US Department of Health and Human Services Health Resources and Services Administration.HRSA Data Warehouse. National Health Service Corps (NHSC) Current Provider FTE Summary by State Report. Available at:http:\/\/ersrs.hrsa.gov\/ReportServer?\/HGDW_Reports\/BCD_NHSC\/BCD_NHSC_FTE_State_Summary&rs:Format=HTML3.2. Accessed October 18 2011."},{"key":"e_1_2_5_4_2","unstructured":"US Department of Health and Human Services American Recovery and Reinvestment Act Community Healthcare Services.Health Resources and Services Administration: Health Professions Training Programs\u2014National Health Service Corps.Available at:http:\/\/www.hhs.gov\/recovery\/reports\/plans\/pdf20100610\/HRSA%20National%20Health%20Service%20Corps%20June%202010.pdf. Accessed October 18 2011."},{"key":"e_1_2_5_5_2","unstructured":"Association of the American Medical Colleges.FY2012National Health Services Corps. Available at:https:\/\/www.aamc.org\/advocacy\/meded\/nhsc\/176378\/fy_2012_national_health_service_corps_nhsc.html. Accessed October 18 2011."},{"key":"e_1_2_5_6_2","unstructured":"SpitzgoR.NHSC and Health Centers. Together Making a Difference. TA Conference Call. May 17 2010. Available at:http:\/\/nhsc.hrsa.gov\/loanrepayment\/healthcentercall.ppt#256 1 NHSC. Accessed October 18 2011."},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2009.05.090151"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.284.16.2084"},{"key":"e_1_2_5_9_2","unstructured":"Association of American Medical Colleges.Loan Repayment\/Forgiveness and Scholarship Programs. Available at:http:\/\/services.aamc.org\/fed_loan_pub\/index.cfm?fuseaction=public.welcome&CFID=7563505. Accessed October 18 2011."},{"key":"e_1_2_5_10_2","unstructured":"National Health Service Corps Health Resources and Services Administration.Grants to States for Loan Repayment (H56). Available at:http:\/\/granteefind.hrsa.gov\/searchbyprogram.aspx?select=H56&index=70&year=. Accessed October 18 2011."},{"key":"e_1_2_5_11_2","unstructured":"Banning T.Texas Health Bill Provides Building Blocks for Reform.Houston Chronicle. June 29 2011. Available at:http:\/\/www.chron.com\/disp\/story.mpl\/editorial\/outlook\/7633032.html. Accessed October 18 2011."},{"key":"e_1_2_5_12_2","unstructured":"Vermont State Dental Society.Position Statements of the Vermont State Dental Society. February 9 2010. Available at:http:\/\/www.vsds.org\/_ah\/editor\/documents\/PositionStatements2\u2010\u20109\u201010.pdf. Accessed October 18 2011."},{"key":"e_1_2_5_13_2","unstructured":"Oregon Rural Health Association.Oregon Rural Health Association Holds Rural Health Policy Summit. Available at:http:\/\/www.orha.org\/PolicySummit.htm. Accessed October 18 2011."},{"key":"e_1_2_5_14_2","unstructured":"National Conference of State Legislatures.State Budget Update: Summer 2011. Available at:http:\/\/www.ncsl.org\/documents\/fiscal\/SummerSBU2011FreeVersion.pdf. Accessed October 24 2011."},{"key":"e_1_2_5_15_2","unstructured":"National Health Service Corps.Loan Repayment. Available at:http:\/\/nhsc.hrsa.gov\/loanrepayment\/index.html. Accessed February 6 2012."},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004479-200007000-00008"}],"container-title":["The Journal of Rural Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1748-0361.2012.00409.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1748-0361.2012.00409.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T04:02:54Z","timestamp":1698638574000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1748-0361.2012.00409.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,5]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2012,9]]}},"alternative-id":["10.1111\/j.1748-0361.2012.00409.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1748-0361.2012.00409.x","archive":["Portico"],"relation":{},"ISSN":["0890-765X","1748-0361"],"issn-type":[{"value":"0890-765X","type":"print"},{"value":"1748-0361","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,5]]},"assertion":[{"value":"2012-05-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}