Rural Vs Urban Ambulatory Health Care

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Rural Vs. Urban Ambulatory Health Care

Author : U. S. Department of Veterans Affairs
Publisher : Createspace Independent Pub
ISBN 13 : 9781489553348
Total Pages : 104 pages
Book Rating : 4.5/5 (533 download)

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Book Synopsis Rural Vs. Urban Ambulatory Health Care by : U. S. Department of Veterans Affairs

Download or read book Rural Vs. Urban Ambulatory Health Care written by U. S. Department of Veterans Affairs and published by Createspace Independent Pub. This book was released on 2013-05-23 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: Approximately 3 million veterans, slightly more than one-third of all veterans enrolled in the Department of Veterans Affairs (VA) health care system, live in rural areas. This pattern is likely to continue, as a comparable proportion of Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) veterans are from rural areas. The Rural Veterans Care Act of 2006 was signed into law to improve care for rural veterans. Ensuring that the health care needs of rural veterans are met has become a top priority for VA, resulting in a considerable expansion of community based outpatient clinics (CBOCs), inclusion of rural health/access as a research priority, and creation of the VA Office of Rural Health (ORH) in 2006. Although there have been reports comparing health quality of life (both physical and mental) for rural and urban veterans, it remains unclear whether the observed lower health quality of life in rural veterans is due to disparities in health care, differences in disease prevalence, or other population differences. This systematic review examines the evidence regarding potential disparities between rural and urban areas in health care provision and delivery, and how differences in health care may contribute to disparities in health outcomes. Differences in rural-urban prevalence rates of diseases and other health conditions are beyond the scope of this review. Because veterans who use VA health care have been found to use more non-VA health care overall, we expanded the focus of this review to include comparisons of rural vs. urban health care in non-VA health systems. Our first goal was to determine if a health care disparity exists across the urban-rural spectrum. For a disparity to exist, it would have to be demonstrated that health care outcomes of patients in rural areas differ from those of patients treated in urban areas for similar conditions. Because differences in health care process or delivery do not necessarily lead to disparities, we looked for evidence associating differences with poorer health outcomes. For the purposes of this review we conceptualized rural-urban disparities as differences in health care quality or availability. A second goal of the review was to identify areas for intervention should any disparities be found. In order to develop a meaningful intervention, specific information regarding differences in the structure of health care and the way it is administered (i.e., the process) would be critical. Since differences in health outcomes can occur for reasons other than differences in the health care systems themselves (e.g., accessibility), our third goal was to examine what, if any, nonhealth care factors (e.g., travel distance to a clinic) affected health outcomes. Because veterans who use VA health care actually use more non-VA health care overall,9 we expanded the focus of this review to include comparisons of rural vs. urban health care in non-VA health systems The key questions were: Key Question #1. Do adults with health care needs who live in rural areas have different intermediate (e.g., hemoglobin A1c [HbA1c], Blood pressure, etc.) or final health outcomes (i.e., mortality, morbidity, quality of life [QOL]) than those living in urban areas? Key Question #2. Is the structure (e.g., types of available providers) or the process (e.g., likelihood of referral) of health care different for adults with health care needs who live in urban vs. rural environments? Key Question #3. If there are differences in the structure or the process of health care in rural vs. urban environments, do those differences contribute to variation in overall or intermediate health outcomes for adults with health care needs? Key Question #4. If there are differences in intermediate or final health outcomes for adult patients with health care needs, what other systems factors moderate those differences (e.g., availability of specialists, type of treatment needed, travel distance)?

Health Care in Urban and Rural Areas, Combined Years 1998-2000

Author :
Publisher :
ISBN 13 :
Total Pages : 52 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis Health Care in Urban and Rural Areas, Combined Years 1998-2000 by :

Download or read book Health Care in Urban and Rural Areas, Combined Years 1998-2000 written by and published by . This book was released on 2004 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Building a Rural Health System

Author : United States. Health Services Administration. Bureau of Community Health Services
Publisher :
ISBN 13 :
Total Pages : 28 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Building a Rural Health System by : United States. Health Services Administration. Bureau of Community Health Services

Download or read book Building a Rural Health System written by United States. Health Services Administration. Bureau of Community Health Services and published by . This book was released on 1976 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Quality Through Collaboration

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309094399
Total Pages : 289 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Quality Through Collaboration by : Institute of Medicine

Download or read book Quality Through Collaboration written by Institute of Medicine and published by National Academies Press. This book was released on 2005-04-24 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: Building on the innovative Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Quality Through Collaboration: The Future of Rural Health offers a strategy to address the quality challenges in rural communities. Rural America is a vital, diverse component of the American community, representing nearly 20% of the population of the United States. Rural communities are heterogeneous and differ in population density, remoteness from urban areas, and the cultural norms of the regions of which they are a part. As a result, rural communities range in their demographics and environmental, economic, and social characteristics. These differences influence the magnitude and types of health problems these communities face. Quality Through Collaboration: The Future of Rural Health assesses the quality of health care in rural areas and provides a framework for core set of services and essential infrastructure to deliver those services to rural communities. The book recommends: Adopting an integrated approach to addressing both personal and population health needs Establishing a stronger health care quality improvement support structure to assist rural health systems and professionals Enhancing the human resource capacity of health care professionals in rural communities and expanding the preparedness of rural residents to actively engage in improving their health and health care Assuring that rural health care systems are financially stable Investing in an information and communications technology infrastructure It is critical that existing and new resources be deployed strategically, recognizing the need to improve both the quality of individual-level care and the health of rural communities and populations.

Defining "rural" Areas

Author : Maria Elizabeth Hewitt
Publisher :
ISBN 13 :
Total Pages : 72 pages
Book Rating : 4.3/5 (121 download)

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Book Synopsis Defining "rural" Areas by : Maria Elizabeth Hewitt

Download or read book Defining "rural" Areas written by Maria Elizabeth Hewitt and published by . This book was released on 1989 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Quality Through Collaboration

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309133475
Total Pages : 288 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Quality Through Collaboration by : Institute of Medicine

Download or read book Quality Through Collaboration written by Institute of Medicine and published by National Academies Press. This book was released on 2005-03-24 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: Building on the innovative Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Quality Through Collaboration: The Future of Rural Health offers a strategy to address the quality challenges in rural communities. Rural America is a vital, diverse component of the American community, representing nearly 20% of the population of the United States. Rural communities are heterogeneous and differ in population density, remoteness from urban areas, and the cultural norms of the regions of which they are a part. As a result, rural communities range in their demographics and environmental, economic, and social characteristics. These differences influence the magnitude and types of health problems these communities face. Quality Through Collaboration: The Future of Rural Health assesses the quality of health care in rural areas and provides a framework for core set of services and essential infrastructure to deliver those services to rural communities. The book recommends: Adopting an integrated approach to addressing both personal and population health needs Establishing a stronger health care quality improvement support structure to assist rural health systems and professionals Enhancing the human resource capacity of health care professionals in rural communities and expanding the preparedness of rural residents to actively engage in improving their health and health care Assuring that rural health care systems are financially stable Investing in an information and communications technology infrastructure It is critical that existing and new resources be deployed strategically, recognizing the need to improve both the quality of individual-level care and the health of rural communities and populations.

Health Care in Rural America

Author :
Publisher :
ISBN 13 :
Total Pages : 548 pages
Book Rating : 4.:/5 (31 download)

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Book Synopsis Health Care in Rural America by :

Download or read book Health Care in Rural America written by and published by . This book was released on 1990 with total page 548 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health needs and health services in rural America are key issues directly related to education as well as community well-being. This report examines rural America's access to basic health care services and discusses options for congressional consideration. The focus is on trends in availability of primary and acute rural health care and on factors affecting those trends. The report describes the characteristics of rural populations and health programs, the availability of rural health services and personnel, and delivery of rural maternal and infant health and mental health care services. On each subject, options for congressional action are examined. The federal government currently finances several different types of rural health care programs, and has a strong interest in health care trends. Major declines in inpatient utilization, compounded by increasing amounts of uncompensated care, have undermined the financial health of many rural hospitals, which also are faced with the outmigration of rural residents to urban areas for care. Policy reform options are presented in regard to: (1) improvement of rural health facilities; (2) availability and training of health professionals in rural areas; and (3) enhancing maternal and infant care programs and mental health care programs in rural areas. This document contains numerous charts, graphics, data tables, and appendices that present background information about the study. It also includes a 745-item bibliography and a subject index.

Rural Health in the United States

Author : Thomas C. Ricketts
Publisher : Oxford University Press
ISBN 13 : 0199759723
Total Pages : 233 pages
Book Rating : 4.1/5 (997 download)

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Book Synopsis Rural Health in the United States by : Thomas C. Ricketts

Download or read book Rural Health in the United States written by Thomas C. Ricketts and published by Oxford University Press. This book was released on 1999-10-07 with total page 233 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many of the 61 million people who live in rural America have limited access to health care. Almost a quarter of the nation's population lives in rural places yet only an eighth of our doctors work there. Sponsored by the U.S. Office of Rural Health Policy, this unique book provides the facts about this imbalance and interprets them in the context of government programs that promote the placement of doctors and the operation of hospitals in rural places while paying them less to treat Medicare and Medicaid beneficiaries. The authors' comprehensive analysis of rural health care delivery shows where there are differences in rates of death and disease between rural areas using maps, graphs, and plain-English descriptions. The book provides a thorough look at health care in rural America, giving a snapshot of how doctors, hospitals, and technology are unevenly distributed outside the nation's metropolitan areas.

Achieving Rural Health Equity and Well-Being

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309469082
Total Pages : 95 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Achieving Rural Health Equity and Well-Being by : National Academies of Sciences, Engineering, and Medicine

Download or read book Achieving Rural Health Equity and Well-Being written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-09-17 with total page 95 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rural counties make up about 80 percent of the land area of the United States, but they contain less than 20 percent of the U.S. population. The relative sparseness of the population in rural areas is one of many factors that influence the health and well-being of rural Americans. Rural areas have histories, economies, and cultures that differ from those of cities and from one rural area to another. Understanding these differences is critical to taking steps to improve health and well-being in rural areas and to reduce health disparities among rural populations. To explore the impacts of economic, demographic, and social issues in rural communities and to learn about asset-based approaches to addressing the associated challenges, the National Academies of Sciences, Engineering, and Medicine held a workshop on June 13, 2017. This publication summarizes the presentations and discussions from the workshop.

Health Services in Rural America

Author : United States. Department of Agriculture. Rural Development Service
Publisher :
ISBN 13 :
Total Pages : 52 pages
Book Rating : 4.3/5 (243 download)

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Book Synopsis Health Services in Rural America by : United States. Department of Agriculture. Rural Development Service

Download or read book Health Services in Rural America written by United States. Department of Agriculture. Rural Development Service and published by . This book was released on 1974 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care needs and services in rural areas are compared with those in urban areas, with the results indicating that rural people continue to have more health problems and less satisfactory care.

Physician Distribution and Health Care Challenges in Rural and Inner-city Areas

Author : Council on Graduate Medical Education (U.S.)
Publisher :
ISBN 13 :
Total Pages : 74 pages
Book Rating : 4.:/5 (327 download)

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Book Synopsis Physician Distribution and Health Care Challenges in Rural and Inner-city Areas by : Council on Graduate Medical Education (U.S.)

Download or read book Physician Distribution and Health Care Challenges in Rural and Inner-city Areas written by Council on Graduate Medical Education (U.S.) and published by . This book was released on 1998 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Regional Variations of Perceived Problems in Ambulatory Care from the Perspective of General Practitioners and Their Patients - an Exploratory Focus Group Study in Urban and Rural Regions of Northern Germany

Download Regional Variations of Perceived Problems in Ambulatory Care from the Perspective of General Practitioners and Their Patients - an Exploratory Focus Group Study in Urban and Rural Regions of Northern Germany PDF Online Free

Author : Raleigh Raleigh Press
Publisher :
ISBN 13 : 9781973878209
Total Pages : 42 pages
Book Rating : 4.8/5 (782 download)

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Book Synopsis Regional Variations of Perceived Problems in Ambulatory Care from the Perspective of General Practitioners and Their Patients - an Exploratory Focus Group Study in Urban and Rural Regions of Northern Germany by : Raleigh Raleigh Press

Download or read book Regional Variations of Perceived Problems in Ambulatory Care from the Perspective of General Practitioners and Their Patients - an Exploratory Focus Group Study in Urban and Rural Regions of Northern Germany written by Raleigh Raleigh Press and published by . This book was released on 2017-07-23 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patients from rural and urban regions should have equitable access to health care. In Germany, the physician-patient-ratio and the supply of medical services vary greatly between urban and rural areas. The aim of our study was to explore the regional variations of the perceived health care problems in ambulatory care from the perspective of affected professionals and laypersons i.e. general practitioners and their patients. Proceeds from the sale of this book go to support an elderly disabled person.

Rurality, Poverty, and Health; Medical Problems in Rural Areas

Author : Neville J. G. Doherty
Publisher :
ISBN 13 :
Total Pages : 24 pages
Book Rating : 4.:/5 (31 download)

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Book Synopsis Rurality, Poverty, and Health; Medical Problems in Rural Areas by : Neville J. G. Doherty

Download or read book Rurality, Poverty, and Health; Medical Problems in Rural Areas written by Neville J. G. Doherty and published by . This book was released on 1970 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health-Care Utilization as a Proxy in Disability Determination

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 030946921X
Total Pages : 161 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Health-Care Utilization as a Proxy in Disability Determination by : National Academies of Sciences, Engineering, and Medicine

Download or read book Health-Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Advances in Patient Safety

Author : Kerm Henriksen
Publisher :
ISBN 13 :
Total Pages : 526 pages
Book Rating : 4.7/5 (54 download)

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Book Synopsis Advances in Patient Safety by : Kerm Henriksen

Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.

Health Care for Veterans in Rural Areas

Author : United States. Congress. Senate. Committee on Veterans' Affairs
Publisher :
ISBN 13 :
Total Pages : 268 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Health Care for Veterans in Rural Areas by : United States. Congress. Senate. Committee on Veterans' Affairs

Download or read book Health Care for Veterans in Rural Areas written by United States. Congress. Senate. Committee on Veterans' Affairs and published by . This book was released on 1990 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Foundations of Rural Public Health in America

Author : Joseph N. Inungu
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284229890
Total Pages : 523 pages
Book Rating : 4.2/5 (842 download)

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Book Synopsis Foundations of Rural Public Health in America by : Joseph N. Inungu

Download or read book Foundations of Rural Public Health in America written by Joseph N. Inungu and published by Jones & Bartlett Learning. This book was released on 2021-02-03 with total page 523 pages. Available in PDF, EPUB and Kindle. Book excerpt: Foundations of Rural Public Health in America spans a wide variety of important issues affecting rural public health, including consumer and family health, environmental and occupational health, mental health, substance abuse, disease prevention and control, rural health care delivery systems, and health disparities. Divided into five sections, the book covers understanding rural communities, public health systems and policies for rural communities, health disparities in rural communities and among special populations, and advancing rural health including assessment, planning and intervention. Written by a multidisciplinary team of experienced scholars and practitioners, this authoritative text comprehensively covers rural health issues today.