@janprobst.bsky.social

@janprobst.bsky.social

2345 Followers 1364 Following

Jan Probst ~ 40 years health services research, mostly into rural issues Guardian of Sam the rural health advoCATe. Bibliography: https://www.ncbi.nlm.nih.gov/myncbi/1HMPkKfOyD5kE/bibliography/public/

A highway fades into the distance between open grazing country. On the left, mountains. Clouds hover over the mountains, creating alternating areas of bright sun and shade.
Map of US states, showing drops ranging from -25% in Arizona to =3% in Texas.
Picture of aTabby cat in the sun, mouth open in horror.
“The elusive character of information asymmetry precludes effective a commodity suggests that it departs considerably from the usual marketability assumptions about markets. That risk and uncertainty are, in fact, the most significant elements in medical care hardly needs argument. I will hold that virtually all the special features of this industry, in fact, stem from the prevalence of uncertainty.”
Closeup of a grey tabby cat with his head pensively resting on his cat tree. Gorgeous white whiskers.
Ambulance Deserts (ADs) and Health Care Deserts (HCDs) Across 41 states in 2020-2021, 4.5m people live in ADs. In rural areas, 3.7m live in ADs, 2.7m live in HCDs and 1.5m live in AD & HCDs.
Picture of a small green frog with a white racing stripe.
Image: a path next to cleqr mountain lake. The sky is deep blue with a few fluffy clouds. Clouds and the mountain forests are reflected in the lake. #RMNP
Map of the US at the ZCTA level, indicating the number of facilities reporting that they serve patients in that ZIP Code. Note that large area of North Dakota and Montana are served by a single provider or no provider at all. Source: 5. Probst JC, Yell N, Benavidez G, Hung P, Crouch E. Benefits for some: are rural hospice gaps ethical? Poster presentation, National Rural Health Association Annual Meeting, May 2023.
Unfortunately, I was part of the Washington Post's layoffs yesterday. I know I was speaking with some of you for stories. I was hoping to follow up with many more of you.
Improving Rural Health: Solutions for Persistent Rural Public Health Challenges Public health challenges have been documented in rural geographic areas and remain barriers to delivering public health, clinical, and allied health services to communities in these areas. These challenges include limited health care access, excessive tobacco use in economically poor counties, limited physical activities, and high prevalences of behavioral and mental health conditions and chronic diseases. PCD welcomes manuscripts that will help advance the discourse on public health solutions to persistent conditions that exacerbate poor health outcomes in rural settings. Example topics include Community–clinical linkages to improve population health in rural settings. Community engagement efforts to improve child and adolescent health. Community engagement approaches to address chronic disease prevention. Community health workers to address access to care in rural settings. Opportunities and challenges for rural local health departments to improve population health in rural settings. Submission Due Date: Monday, June 15, 2026
Fungi and lichens in a decaying log of a forest floor.
Little brown lizard with cute little toes on a bright yellow flower.
RHTP state policy actions: 25 states Nutrition CME 25 states Presidential Fitness Test 21 states SNAP Waiver 19 states Interstate compacts 11 states Scope of practices 7 states CON regulations
Image of a small bird, black wings head and beak, white chest, looking back over its shoulder while perched on a pole.
A two lane road stretches from the foreground to the distance, with hills on the left and sunny grazing land in the center/right.
Paper entitled “the impact of rural hospital closures and mergers of health system ecologies: a scoping review” is noted to be among the top 1% of article views by the journal Medical Care Research and Review.
Face of a grey tabby cat, looking alarmed
Headline: the new H-1B visa fee is upending health care in rural America.
Picture of a tabby cat, sitting up but with one paw held over his face.
The picture on the left shows a single level small store with a pickup next to it and 3-story building in the background. The picture on the right shows a very large building of approximately 10 stories, with a taller (20 story) building in the background.
Census tracts with rural-urban commuting codes of 1.0 or 1.1 are characterized as urban. …tracts coded 10.0 are highly rural
Picture of a grey tabby cat looking downcast.
Picture of a tabby cat,winking, while one paw rests on a National Rural Health Day pin.
Screen shot of a manuscript review page, showing that Sam's guardian has been assigned Reviewer Number 2.
Picture of a brown anole with white skin coming off. Looks like he’s wearing a lab coat.
Tabby cat, white whiskers.
Image of a medium sized brown dog with a white chest, sitting on a porch and wearing a National Rural Health Day bandana.
Picture of a sleeping grey tabby cat on a plaid fleece blanket
Picture of a tabby cat stretched over warm laundry.
Tabby cat by a window, one paw raised at something outside the window.
Sustainable access: Help rural providers become long-term access points for care by improving efficiency and sustainability. With RHT Program support, rural facilities work together—or with high-quality regional systems—to share or coordinate operations, technology, primary and specialty care, and emergency services.
A dramatic view of a road disappearing to the horizon, with mountains to the left but flat land closer to the road. Dramatic clouds overhead.
A graphic showing social ecology (left) and institutional ecology (right) as ways of categorizing findings regard access, health/wellbeing, utilization, worforce and financing.
Tabby cat licking his back right leg
Picture of a tabby cat curled up on a lap.