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With the existing trend of shortages in healthcare providers and professionals, the recruitment and retention of this type of staff in a rural area may

The negative impacts of limited or lack transportation services on rural population include rescheduled or missed appointments, delayed care and missed or delayed medication use (Syed, Gerber & Sharp, 2013). Mattson (2010) claimed that the delay in medical appointment for rural clients not only resulted in missing the care at the time they most need it, but it also can be more serious and costly

One area where access to care is a problem is in the rural communities. Healthcare professionals including physicians, nurse practitioners, and nurses all affect the quality and cost of care (Derksen, & Whelan, 2009). Going forward importance needs to be placed on using recourses more efficiently and effectively; these resources include but are not limited to tests, prescriptions,

Traditionally, it is custom that patients to travel to the provider. Although it is possible to create an establishment for patients to visit providers, Mullin & Stenger (2013), advise patients choose home care in which the provider travels to them. According to Buchan, Couper, Tangcharoensathien, Thepannya, Jaskiewicz, Perfilieva, & Dolea (2013), the World Health Organization provides favorable recommendations to procure health care professionals into the rural environment. These recommendations include providing further education opportunities, improved living conditions, career development programs, incentives such as public recognition, and a safe and supportive work environment. Another essential recommendation is to implement jobs for multiple scopes of practices and varieties of health care workers. It is important that health care providers have the support of a multidisciplinary work staff to implement safe and efficient

I believe a good thing about current health care in rural areas is The Royal Flying Doctors Service, which delivers primary health care and emergency services to those in rural areas (Flyingdoctor.org.au, 2015).

‘Some counties don't have certain types of doctors” (Leonard 2). If an individual only has one insurer that supports that area, that insurer may not cover that doctor or hospital in that area, which can result to that individual driving far out of their area, just so they can see a doctor or get their medical treatment for a reasonable price. Individuals are also being limited with options because their insurers may see them as costly, and they could force the individual to go to under resourced hospitals (Goodnough 3). This shows that even if an individual does not live in a rural area and has plenty of options to choose from, they can still be limited in location because their medical treatment can be seen as too expensive, and the insurance company has to figure out a way to save money.

Another threat is the current state of rural hospitals nationwide. According to the case study, about 25% of Americans live in rural areas and only about 10% of physicians actually practice in rural areas. There is a 15% gap in the ratio of rural citizens to available practicing physicians. This is a threat to ELH’s need to attract and hire more physicians. In relation to rural hospitals, citizens have longer drive times to their medical facilities. This causes them to delay routine visits which subsequently exacerbates

People living in rural areas are experiencing highly limited excess to health care facilities either because they are not aware of the disease symptoms as a

Significant health disparities between rural and urban populations have been a major concern in the United States. One prominent factor contributing to the disparities is lack of access to quality care in rural areas which is closely associated with challenges faced by rural health care providers (National Rural Health Association, 2007). Rural hospitals are the key health care provider in rural areas, offering essential health care services to nearly 54 million people (American Hospital Association, 2006). They face a series of challenges such as workforce shortages, rise in health care costs, difficulty in finding access to capital, difficulty in

The morbidity and mortality rates are higher in the rural areas than in the urban areas partly due to the high rates of chronic illness and poor health behaviors. The health care disparities of the rural population have led to negative bias. The bias within the health care field have affected clinical judgment and decision making (Blair, Steiner, & Havranek, 2011). Bias further lead and exponentiate health disparities, continuing the trends and challenges among the rural population. Economic status is another negative impact of health care disparities among the rural population. Their low economic status continues to effect the availability of resources to improve the health care infrastructure and specialization. Health reform is needed to improve the effects of the health care disparities and their negative impacts on the rural

In rural areas, the hospitals are basic and inefficient, sometimes they are not even there when people need them. Most people in Fiji have to drive hours to get to a hospital. Pharmacies in Fiji do not always have the right kind of medication for people, and it can be a long process to get them there. It is also very hard to find a pharmacy in rural areas. Healthcare programs have faltered in the past, but they got better in the 1970s. Primary healthcare was brought to the villages of Fiji, and has reduced sicknesses and diseases in the

Rural Americans face an exclusive combination of issues that create disparities in health care that are not found in urban areas. Many complications met by healthcare providers and patients in rural arears are massively different than those located in urban areas. Financial factors, cultural and social variances, educational deficiencies, lack of acknowledgement by delegates and the absolute isolation of living in remote rural areas all combined to hinder rural Americans in their struggle to lead a normal, healthy life. Rural hospitals located in rural areas faces many disadvantages, such as; minimum resources, shortcoming or unprepared professionals, and financial disparities. Although many of these challenges could be solved

In 1980 roughly 17,500 patients were flown growing to approximately 192,000 in 2000 (Barr, 2012). By the year 2012 the number of patient transports was predicted to double, escalating to 400,000 patients (Barr, 2012). Today the number of air transports continues to grow. Studies have proven the timeliness of air transports delivering patients to trauma centers significantly increases their chances of survival (Galvango et al., 2012). Patients being flown to trauma centers have about a 15% higher chance of survival than those being transported by ground (Barr, 2012). Not only is air transport beneficial because it decreases travel time, sometimes it is the only medical care available. Air evacuation is needed in rural areas. For the rural population it increases access to emergency health care and gets people to the hospital in a timely fashion (Barr, 2012). Nurse practitioner, Mary Teresa Bagshaw has been a flight nurse in Colorado for twenty-eight years. She states that in places such as Colorado, Utah, and Wyoming flight transportation may be the only way to get to some patients. whether if they’re caught in a snow storm or injured hiking, ground transportation just is not realistic in every situation (M. T. Bagshaw, personal communication, October 10,

There are two principal conditions leading to physician shortages in rural communities according to Wright and colleagues. They are “demand-deficient”, meaning they have insufficient populations and resources to support a physician practice, they are “ambiance-challenged,” meaning they are isolated, lack quality services and amenities, and/or are in geographically unattractive settings, or a combination of the two sets of conditions. Inner-city physician shortages are a more recently recognized issue. They are affected by the same conditions, though the specifics are different (Wright, Andrilla, and Hart 2001).

Geographic maldistribution has creates barriers of care to people living in rural areas. Although there is an oversupply of physician specialists in many of the urban healthcare areas around the world, while the inner cities and rural community are struggling to attract healthcare physician professional to provide high quality care to the local population. “The supply of specialties has increased more than 100% over the last 20 years, while supply of generalists has increased only 18%” (Niles,2014). Any shortage of health workers can prevent good access to health services and is a barrier to universal coverage. The issue of the matter is that maldistribution of health workers between urban and rural is consider to be virtual concern around