Ninety-one out of ninety-five counties in Tennessee are rural; the remaining 4 counties (Shelby, Davidson, Hamilton and Knox) are urban. “Urban counties are were core areas containing a large population nucleus together and adjacent communities with a high degree of economic and social integration, whereas rural areas are residual locations that fall outside of urban statistical areas”(James, 2014, p. 2122) Although, clinicians often prefer living in urbanized areas where they have the convenience of specialists nearby with well-staffed hospitals, the reality is that health professionals such as physicians, nurse practitioners and physician assistants are needed in rural. The demographic or the country doesn’t differ much.
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