Adaptations to Health Care Barriers as Reported by Rural and Urban Providers (original) (raw)
Related papers
Exposing some important barriers to health care access in the rural USA
Public Health, 2015
Objectives: To review research published before and after the passage of the Patient Protection and Affordable Care Act (2010) examining barriers in seeking or accessing health care in rural populations in the USA. Study design: This literature review was based on a comprehensive search for all literature researching rural health care provision and access in the USA. Methods: Pubmed, Proquest Allied Nursing and Health Literature, National Rural Health Association (NRHA) Resource Center and Google Scholar databases were searched using the Medical Subject Headings (MeSH) 'Rural Health Services' and 'Rural Health.' MeSH subtitle headings used were 'USA,' 'utilization,' 'trends' and 'supply and distribution.' Keywords added to the search parameters were 'access,' 'rural' and 'health care.' Searches in Google Scholar employed the phrases 'health care disparities in the USA,' inequalities in 'health care in the USA,' 'health care in rural USA' and 'access to health care in rural USA.' After eliminating non-relevant articles, 34 articles were included. Results: Significant differences in health care access between rural and urban areas exist. Reluctance to seek health care in rural areas was based on cultural and financial constraints, often compounded by a scarcity of services, a lack of trained physicians, insufficient public transport, and poor availability of broadband internet services. Rural residents were found to have poorer health, with rural areas having difficulty in attracting and retaining physicians, and maintaining health services on a par with their urban counterparts. Conclusions: Rural and urban health care disparities require an ongoing program of reform with the aim to improve the provision of services, promote recruitment, training and career development of rural health care professionals, increase comprehensive health insurance coverage and engage rural residents and healthcare providers in health promotion.
Health care issues in rural areas
2007
"Healthcare in rural areas is an important topic of study; quality healthcare is a need of all people, both rural and urban. Proper first-response care and the transportation of trauma victims to emergency hospitals are extremely important for the victim’s chances of survival. Physician quality and availability, as well as availability of services are also important concerns in rural areas. Based on health research literature, this paper provides a review of concerns and status of the quality of emergency service personnel; transport issues, such as response time and instances of inappropriate transport; and the quality and availability of trained personnel at the receiving hospital. Current literature concerning issues related to healthcare in rural areas is reviewed below, with an emphasis on rural-urban differences. Topics examined include the types of trauma that are more prevalent in rural areas compared to urban areas and how these types of trauma are handled by emergency service personnel. Specific medical conditions such as myocardial infarctions and strokes also are examined, as well as healthcare issues related to children and adolescents. The review concludes by examining issues related to hospital quality, financial viability, and implementation of new technologies in rural areas. The major goal of this paper is to cover the broad spectrum of healthcare as a rural resource, and note the challenges facing rural areas."
Chapter 11 Rural clinical practice: a population health approach
Learning objectives • Describe how different health workers can use available resources and expertise to form service networks for optimal rural health care. • Understand and describe the impact of distance on rural clinical practice. • Describe how electronic data systems allow health workers to share information and improve client safety. • Identify the processes that rural health workers use to access evidence for decision making.
A Sample of Rural and Global Health Issues
2010
United States, and even internationally. The outstanding students who compiled the present book enrich the previous editions and represent diverse backgrounds, geographic settings, cultural perspectives, and professional experiences.
Continuing Challenges in Rural Health in the United States
Journal of environment and health sciences, 2019
Estimates of the total U.S. population living in non-metropolitan (rural) counties vary from 46.2 million to 59 million people. This represents 14% to 19% of the U.S. population. A recent AAMC report (Warshaw, 2017) addresses some of the challenges of rural health and associated health disparities affecting millions in the U.S. Rural populations are culturally heterogeneous, are spread broadly across large areas of the U.S., and have different demographics (Douthit et al., 2015). Compared to urban areas, rural communities face higher poverty rates, lower educational attainment, lack of transportation, a higher proportion of elderly individuals, and lack of access to health services (Hunsaker & Kantayya, 2010; Ricketts, 2000). Owing to these factors, rural communities face elevated rates of morbidity and mortality and greater percentages of excess deaths from the five leading causes of death including cancer and cardiovascular disease (Garcia et al., 2019).
Distance is Relative: Unpacking a Principal Barrier in Rural Healthcare
Journal of General Internal Medicine, 2011
BACKGROUND: Distance to healthcare services is a known barrier to access. However, the degree to which distance is a barrier is not well described. Distance may impact different patients in different ways and be mediated by the context of medical need. OBJECTIVE: Identify factors related to distance that impede access to care for rural veterans. APPROACH: Mixed-methods approach including surveys, in-depth interviews, and focus groups at 15 Veterans Health Administration (VHA) primary care clinics in 8 Midwestern states. Survey data were compiled and interviews transcribed and coded for thematic content. PARTICIPANTS: Surveys were completed by 96 patients and 88 providers/staff. In-depth interviews were completed by 42 patients and 64 providers/staff. A total of 7 focus groups were convened consisting of providers and staff. KEY RESULTS: Distance was identified by patients, providers, and staff as the most important barrier for rural veterans seeking healthcare. In-depth interviews revealed specific examples of barriers to care such as long travel for common diagnostic services, routine specialty care, and emergency services. Patient factors compounding the impact of these barriers were health status, functional impairment, travel cost, and work or family obligations. Providers and staff reported challenges to healthcare delivery due to distance. CONCLUSIONS: Distance as a barrier to healthcare was not uniformly defined. Rather, its importance was relative to the health status and resources of patients, complexity of service provided, and urgency of service needed. Improved transportation, flexible fee-based services, more structured communication mechanisms, and integration with community resources will improve access to care and overall health status for rural veterans.
Evaluation and Program Planning, 2019
This rubric can be used by providers, decision makers, policymakers, agencies, communities themselves, and other key stakeholders in rural areas to standardize and prioritize strategies to improve access to care in their communities. Use of the rubric can inform decision making processes by providing evidence-based, comparable results pertaining to the impact and feasibility of pertinent access to care improvement strategies. The rubric can be further modified to meet the specific population and/or health needs of each community. In the long-term, this rubric could facilitate discussions of strategy implementation successes and opportunities for improvement between rural communities.
Access to health care among rural population
International journal of health sciences
Background: Good health is very important to human productivity and the “development” process, economic and technological development of the individual as well as for the nation. A healthy community is an asset to nation. The progress of nation is measured by health of its people because healthy people can contribute for the betterment and progress of the nation. Objectives: Toassess the existing status, adequacy and utilization of health services under NRHM in the selected areas in Mayurbhanj & Jagatsinghpur district of the state, Methodology: This is a mixed-method study conducted at Erasama block of Jagatsinghpur District & Baripada Block of Mayurbhanj district in Odisha. Both Primary and secondary data has been used for the study. As a part of qualitative component, n-depth interview and Focussed group discussion were conducted among a subgroup of study participants. Study was conducted from April-2018 to March -2019inAmbiki village and Rangamatia of Erasama and Baripada Blocks ...