In 1993 and 1994, Maine developed a five-part strategy to improve the distribution of primary care providers in underserved areas.
The strategy included upgrading statewide needs assessment, providing statewide coordination and integration of recruitment programs, developing a variety of retention programs, reducing practice barriers and promoting service expansion. It also included establishing a loan program for practitioner debt consolidation, start-up, and capital costs.
The project, which did not receive funding for the implementation stage, was part of the Robert Wood Johnson Foundation (RWJF) national program Practice Sights: State Primary Care Development Strategies.
The state created four work modules—covering needs assessment, recruitment and retention, policy and financing, and the loan fund—to address the various initiatives of the project.