New Hampshire Establishes Public-Private Entities to Enhance Primary Care Development Strategies

From 1993 to 1997, staff from the State of New Hampshire Department of Health and Human Services enhanced its efforts to recruit and retain primary care providers in underserved areas.

The project was part of the Robert Wood Johnson Foundation (RWJF) Practice Sights: State Primary Care Development Strategies national program.

Key Results

  • The state launched the New Hampshire Primary Care Recruitment Center to document openings for primary care physicians and mid-level practitioners, conduct outreach and advertising campaigns, and help communities develop their own recruitment initiatives.
  • During the project, the center placed 41 primary care physicians, 22 of them in Health Professional Shortage Areas or Medically Underserved Areas; it also placed 30 nurse practitioners, 18 physician assistants, and one certified nurse midwife, 25 of them in designated underserved areas.
  • The state contracted with Boston-based JSI Research and Training Institute, a public health consulting firm, to establish the Community Health Institute to assist and support primary care providers, academic programs, community hospitals, community primary care provider agencies, and community and regional planning groups.
  • State and federal loan repayment programs administered by the Community Health Institute placed 35 physicians and mid-level providers in underserved areas during the project.
  • The Department of Health and Human Services established preceptorship programs at the Office of Generalist Education at Dartmouth Medical School and the Nurse Practitioner Program at the University of New Hampshire.