Providing Health Care In A Rural Setting: Aragon And AJ Alway

Transportation is one of critical social determinants of health and the availability of convenient transportation impacts individuals’ ability to access quality healthcare (Canadian Institutes of Health Research, 2011). One of the major challenges that rural Canadians face is the lack or limited of public transportation which results in delaying access to health-care services (Canadian Institutes of Health Research, 2011). Canadians who reside in rural communities or small towns generally have to travel long distance to get the health care they need. Transportation is a significant issue for access to health care services, particularly in rural areas where travel distances are required and access to substitute means such as public transit or taxi services is limited or lack (Rural Assistance Center, 2015). Transportation services play an essential role in assisting residents in rural communities, particularly those who are vulnerable and most in need of this assistance to maintain their health and well-being.

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,

Many of the individuals who live within these communities are elderly, immigrants, farmers and migrants. They work and live off their land and lack the needed funds to purchase health insurance, because it is not affordable and they do not have transportation or a way of getting on bus routes, because they live so far out. The nearest local hospital is about 50 miles away and if they get seriously injured they must wait for an ambulance or life flight to arrive with an additional ride of about an hour before they receive adequate care in case of an emergency.

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

Researchers interviewed 1,699 adults that included primary caretakers for 811 children. And they investigated five factors: health conditions, health behaviors and attitudes, health care access, quality of life, and social or environmental factors. The communities were largely minority. One of the discoveries was that:

The Australian government realized that there is something different about rural health that requires special actions. This realization was the reason for the development of rural health policies. The aim of the policies is to insure ‘equivalent’ access to good health and health care for people in rural places. The implementation of this policies was highly challenged by different factors including political and community reactions and therefore the outcome of the policy is affected also (Farmer & Currie, 2009) .

Learning that this problem is not unique to my community, but is a statewide issue. I have seen first-hand the metaphorical ladder or hierarchy of the proper care you receive based on your residence. Coming from a small community makes things hard enough to receive care, but if you are also from an underserved state--compared to other states in the US—the odds of getting better are even more stacked up against you. This is why the call for better health care is so important in the state of New Mexico, especially in rural communities such as

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

Fort Frances only has one clinic and La Vendrye Hospital, both are situated close to each other and near the core of the town. However, waitlists for appointments to see a doctor range from four to six weeks and there are only two nurse practitioners located in town. Many medical needs are not met by the doctors and medical programs available for which patients are constantly sent to more urban areas such as Winnipeg or Thunder Bay for medical assistance. The article called Services for Seniors in Small-Town Canada examines the issue of medical resources or lack there of in rural communities. The article explains that“there was clear evidence of an association between quality of life and health status in rural Canada. The informants demonstrated a sophisticated understanding of the underlying issue of rural health (Skinner, 92).” I believe that this is an issue that needs to be addressed promptly to ensure the health and safety of all members of the

As an intern for the National Multiple Sclerosis Society –Gateway Area Chapter, the lack of access to care for individuals with Multiple Sclerosis (MS) living in rural areas is very low. Due to MS affecting everyone different, some people with MS may not be able to drive. Individuals with MS may not be able to attend their doctor appointments regularly due to the lack of transportation. The county may offer transportation for people with disabilities but at a high price due the mileage from a rural area to the city, where most physicians are located.

The sustainability of an average family in Nigeria is valued at less than 5 dollars a day. Notwithstanding the government’s preposition on the establishment of a health care system that is promotive, protective, preventive, restorative and rehabilitative to every citizen of the country within the available resources so that individuals and communities are assured of productivity, social well-being and enjoyment of living (F.M.H. 1988), the system, as is currently practiced is very inadequate in comparison to the Nigerian growing population and slow-paced economic development. According to the health manpower statistics, the ratio of the registered medical doctors as against the population’s need is put at 1:1,100 with modern medical facilities being administered in mega cities and little or none made available at the rural areas. As a result of lack of supervision or adequate provision for the essential needs of medical practitioners, doctors often times are faced with the conscientious decision to commute to the rural areas to administer Medicare on out-of-pocket expenses, which after a while becomes impossible to carry on. Thus the people in the rural area are left in the care of the traditional healer, who eventually cure their diseases with less charges than the bio-medical practice thereby saving the patients some money. The news of the efficacy of the traditional medical administration soon spreads to the urban cities and an

Primary health care evolves from the economic, cultural, social, and political conditions of a country, and it is described as an essential part of health care that is universally provided to individuals in a community at the country's and community's expense (World Health Organisation [WHO], 1978). The goal of primary health care is to address the main local health problems, but it involves community education about these problems in addition to providing disease treatments (WHO, 1978). Furthermore, primary health care is concerned with nutrition promotion, sanitation standards, family planning, immunisation, disease control and prevention, and it promotes and relies on community and individual participation in primary health