The United States is grappling with a simultaneous shortage of primary care physicians and a rural health care crisis.
According to Conroy, patients can already feel the impact of the crisis, noting that some women in New Hampshire need to drive two hours to deliver their babies. Other effects include fewer available beds in emergency rooms, delays for elective surgery and longer wait times for prescriptions or ambulance pickups.
An increasing number of students are entering medical school programs that focus on rural medicine. In 2019, theissued grants to create 32 newly accredited rural residency programs, supplementing the preexisting programs. "We know that students and residents who live in an area [and] who train in an area are more likely to practice in that area in the future," Whitesell said.Liv Fauver, a Tufts student who matched with a University of Vermont residency program, grew up in rural New Hampshire and said she felt motivated to work in a similar community where she could positively impact the local residents.
Greg Sawin, a PCP who has practiced in Massachusetts and Maine as well as Duke University School of Medicine professor, said he worries that the goals of primary and long-term preventative care can sometimes be at odds with larger health care systems.
"You need basic things at certain intervals in your life," he told ABC News. "If you don't have a primary care provider, you can't get that and you can't get the referrals you need, so it's really, really difficult."
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