In the health care system, safety-net facilities — a patchwork of programs and providers that serves Californians with low incomes — struggle with recruiting and retaining staff. These facilities may be more susceptible to provider shortages because of size, location, and pay competition. Given these staffing challenges, the temporary workforce can fulfill short-term needs. Safety-net hospitals are more likely to utilize registry nurses to fill staffing gaps, and high-registry-use safety-net hospitals are more likely to be rural and critical access hospitals. Safety-net clinics are also more likely to utilize contract physicians than other types of contract providers. This snapshot outlines data on key characteristics of vacancies, perceived recruitment challenges, and hiring of registry and contract providers in the safety net.
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