000000918 001__ 918 000000918 005__ 20251216151328.0 000000918 0247_ $$2DOI$$a10.6083/M40C4STD 000000918 037__ $$aETD 000000918 245__ $$aHealth care feasibility assessment in Columbia County: Vernonia focus 000000918 260__ $$bOregon Health and Science University 000000918 269__ $$a2012 000000918 336__ $$aDissertation 000000918 502__ $$bPh.D. 000000918 520__ $$aFollowing the Patient Protection and Affordable Care Act (PPACA) and ongoing challenges in sustaining rural health care, an environmental scan was conducted in Vernonia, Oregon to assess barriers, resources, and strategies for maintaining primary care. Findings highlight local and systemic obstacles, including provider recruitment, financial sustainability, and policy limitations. Recommendations include short-term actions—such as scholarships, recruitment packages, and community task forces—and long-term policy changes to expand nurse practitioner scope and revise federal requirements. Results emphasize that sustainable rural health care depends on community partnerships, resource development, and supportive policy frameworks. 000000918 540__ $$fCC BY 000000918 542__ $$fIn copyright - single owner 000000918 650__ $$aClinical Nursing Research$$028382 000000918 650__ $$aRural Population$$025633 000000918 650__ $$aNurse Practitioners$$023075 000000918 650__ $$aEvidence-Based Nursing$$038239 000000918 650__ $$aFeasibility Studies$$018922 000000918 650__ $$aNursing$$023082 000000918 650__ $$aDelivery of Health Care$$017452 000000918 650__ $$aRural Health Services$$031299 000000918 650__ $$aNurse Anesthetists$$023072 000000918 650__ $$aAdvanced Practice Nursing$$038882 000000918 650__ $$aResearch$$025336 000000918 650__ $$aMidwifery$$022307 000000918 651__ $$aOregon$$041094 000000918 6531_ $$aclinical inquiry report 000000918 6531_ $$acase reports 000000918 691__ $$aSchool of Nursing$$041370 000000918 7001_ $$aRoberts, Tera$$uOregon Health and Science University$$041354 000000918 7201_ $$aWright, Cheryl$$uOregon Health and Science University$$041354$$7Personal$$eChair 000000918 8564_ $$9938924e9-15ed-4b54-ad20-bdd0fd5e1580$$s1081096$$uhttps://digitalcollections.ohsu.edu/record/918/files/921_etd.pdf$$ePublic$$2d711631fa0d7c85f8564d4094a2f9da2$$31 000000918 905__ $$a/rest/prod/70/79/57/73/707957731 000000918 909CO $$ooai:digitalcollections.ohsu.edu:918$$pstudent-work 000000918 980__ $$aTheses and Dissertations