Fig. 5
From: Long drives and red tape: mapping rural veteran access to primary care using causal-loop diagramming
Drifting goals archetype for VA provider staffing. Loop R1 is a reinforcing loop illustrating how high patient loads per provider leads to burnout and negatively impacts provider retention, which undermines efforts to recruit and retain providers to meet staffing needs (loop B9). Rurality further impacts patient load and difficulty of retention. Veterans expressed concern that by sending veterans to community care, the VA would downsize their own VA facilities (loop B11) and make less effort to hire their own providers (loop B10)