Self-reported vs RUCA rural-urban classification among North Carolina pharmacists

Authors

DOI:

https://doi.org/10.18549/PharmPract.2021.3.2406

Keywords:

Rural Population, Rural Health, Delivery of Health Care, Resource Allocation, Workplace, Pharmacists, Pharmacies, Pharmaceutical Services, Surveys and Questionnaires, North Carolina

Abstract

Background: The various ways in which rurality is defined can have large-scale implications on the provision of healthcare services.

Objective: The purpose of this study was to identify the relationship between self-perceived urban-rural distinction and the United States (US) Census tract-based Rural-Urban Commuting Area (RUCA) scheme that defines rurality among pharmacists.

Methods: This was a secondary analysis of data collected through a web-based survey of licensed pharmacists in North Carolina. Respondents self-reported their workplace settings, zip codes, and the pharmacy services offered in their place of work. Zip codes were replaced with the corresponding RUCA codes. The relationship between self-reported classification and RUCA codes was analyzed and a chi square test was performed to measure statistical significance.

Results: Of the original survey, 584 participants reported their workplace zip code and 579 reported their workplace setting (urban, rural). A significant difference was found between pharmacists who self-reported working in rural areas and the RUCA classifications – 94 (56.6%) of the 166 participants who reported working in “rural” areas were considered “urban” according to RUCA.

Conclusions: A significant discordance between pharmacists’ self-reported classification and the RUCA codes was found, with more respondents self-reporting their workplace area as “rural” as compared to the RUCA classification. Decision-makers examining the pharmacy workforce and pharmacy services should be aware of this discordance and its implications for resource allocation. We recommend the use of standardized metrics, when possible.

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Published

2021-08-21

How to Cite

1.
Castle ME, Tak CR. Self-reported vs RUCA rural-urban classification among North Carolina pharmacists. Pharm Pract (Granada) [Internet]. 2021 Aug. 21 [cited 2021 Oct. 16];19(3):2406. Available from: https://pharmacypractice.org/index.php/pp/article/view/2406

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Original Research

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