Institutional members access full text with Ovid®

The National Health Service Corps for the 21st Century

Politzer, Robert M. ScD, CAS; Trible, Lynn Q.; Robinson, Tira D. MPM, MBA; Heard, Desiree; Weaver, Donald L. MD; Reig, Sonia M. L. MA; Gaston, Marilyn MD

Journal of Ambulatory Care Management: July 2000 - Volume 23 - Issue 3 - p 70–85
Recent Developments In Integrated Delivery In California

The National Health Service Corps (NHSC) was created in 1970 to provide primary health care clinicians for the underserved. The article includes a review of the peer-reviewed and intragovernmental literature on the NHSC program from 1971 to 1998 and also presents a current profile of the program. Despite significant increases in NHSC field strength since 1991, the 2,439 clinicians meet only 12% of the need for primary health care providers in underserved areas. While the NHSC has successfully addressed clinician diversity and retention issues, community and site development remain barriers to increasing access. Most communities in need are not ready to recruit and support clinicians. The NHSC of the next millennium must work with the neediest communities to reach the appropriate stage of readiness. Only after completing the necessary “preplacement” activities can the NHSC assist in the recruitment and placement of clinicians to increase access.

Director, Office of Data Evaluation and Research, Department of Health and Human Resources, Bethesda, Maryland (Politzer)

Public Health Analyst, Division of the National Health Service Corps, Department of Health and Human Resources, Bethesda, Maryland (Trible) (Robinson)

Fellow, Division of the National Health Service Corps, Department of Health and Human Resources, Bethesda, Maryland (Heard)

Director, Division of the National Health Service Corps, Department of Health and Human Resources, Bethesda, Maryland (Weaver)

Director, Division of Scholarship and Loan Repayment Programs, Department of Health and Human Resources, Bethesda, Maryland (Reig)

Associate Administrator for Primary Health Care, Health Resources and Services Administration, Department of Health and Human Services, Bethesda, Maryland (Gaston)

The authors would like to thank Marion A. Jordan, Deputy Director, Division of the National Health Service Corps (NHSC), for her thoughtful comments and review of the manuscript; Michael Berry, Executive Secretary, National Advisory Council to the NHSC, for his assistance with program data and interpretation as well as his insights into the future of the NHSC; and Jean Yoon, Management Intern from the Johns Hopkins School of Hygiene and Public Health, Department of Health Policy and Management, for her development and production of the graphics and careful review of the manuscript. The views expressed by the authors are theirs alone and do not represent the Department of Health and Human Services or any of its components.

Copyright © 2000 by Aspen Publishers, Inc.