Rural Community And Health Care

However, contrary to the expected success of these provisions involving healthcare coverage to rural areas, healthcare coverage to rural areas did not change as much as expected due to several other factors. The same judicial decision in June 2012 that deemed one of the act’s most controversial provisions constitutional also dealt a large setback to extending healthcare coverage in rural areas. The decision ruled that expansion of Medicaid, a state government, become optional for states because Congress had “exceeded its constitutional authority by coercing states into participating in the expansion by threatening them with the loss of existing federal payments” (Supreme Court). Two years later, twenty-four states were not implementing the Medicaid expansion. The states that are not expanding their Medicaid program are primarily the states with Republican-led state governments: Midwestern and Southern states (Weiner 9/15/15). In addition, many states are defining coverages areas differently. When a region chosen as a coverage area combines rural areas and nearby urban areas, the number of insurers and number of coverage plans available to the rural areas increases. As a result, the costs of insurance due to competition and other factors are lowered. Therefore, this is beneficial to both urban and rural residents. However, some states, due to the discretion that they have, are not defining coverage areas that way (Dickstein). One example is Texas, which has created regions

AIM: How can we improve the quality of healthcare across the country, if the rural population is being left behind in resources?

I enjoyed reading your post and loved the part where you said we could empower the community and foster help seeking behaviors. I believe as we begin to understand these obstacles as social workers we can advocate for the Hispanic communities in these areas. “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. “ (Rural health in the United States, 1999). There are six major ethical barriers that attribute to health care providers choosing larger cities to work in versus more rural areas in the US. “Obstacles to rural mental health services include shortages of qualified mental health professionals;

And by doing so, these mutable factors would be changed for the better outcomes for both sides. Further, these two Professors from School of Medicine in Texas, conducted a study “Rural Residence and Migration for Specialty Physician Care” through a random mail survey of people residing in Iowa’s rural counties. The focus of the study was to look for the factors that associate “with migration for specialty physician care” (Borders and Rohrer, 2001).

From the above article reviews, it can be inferred that the shortage of primary care workforce is projected to be even more in the futures. There is a huge gap in the access to primary health care between rural and urban areas of the US and the projected shortage of primary care professionals will make the situation even worst. There are several ways to address these shortages and the articles have proposed a few of them. Use of nurse practitioners, access to electronic health records, increasing the wages of physicians willing to work in remote areas, and providing initiatives for working in the underserved areas are some of the ways of mitigating the primary care workforce. However, there is still a lot to research, owing to increasing shortage

Sixty million people or 19% of the total US population reside in rural communities that continually face numerous challenges to health care that remains too fragmented, making the healthcare system too costly, less effective and less accessible (Enthoven, 2009). One of the approaches to address the fragmentation (Enthoven, 2009) is creating healthcare delivery system that is organized, coordinated, and working in a collaborative network linking various healthcare providers to addresses behavioral, social, economic, and environmental determinants of health. The residents in the rural communities face what some refer to as “double disparities”: they tend to exhibit risky health behaviors, and are characterized by limited resources, which in turn lead to poor health outcomes, (Harris, JK, et al. 2016). In addition, deficits in infrastructures and capacities mean many have limited access to the available opportunities in terms of funding through private, federal, or state grants (Berkowitz, 2004); this in turn increases the gaps in public health capacities between rural and urban communities. Even after accounting for differences in poverty and health care supply, compared to urban residents, residents in rural areas are also less likely to have access to preventive care measures such as cholesterol, cervical cancer, and dental screening (Caldwell JT, et al., 2016). Access to high quality population health services is further limited to residents in rural

This case study focuses on the challenges faced when providing healthcare in Ashe County, a rural area located in North Carolina. The county has a history of economic difficulty and after the recession of 2008 and the departure of several manufacturing plants, the economic situation has continued to decline. This has led to a shift in demographics leaving Ashe County with a proportion of children and elderly that is higher than the national average. These two groups are the least likely to be able to fund their health care expenses. This consideration, coupled with the low economic prospects for working aged adults has led Ashe County to become very dependent on charity care and government subsidies for healthcare. As the reimbursements from Medicare/Medicaid are very low, physicians and other providers who have practiced in that area, have not been able to reach financial prosperity causing a shortage of healthcare professionals.

The reason could be that there are many patients to handle due to the amount of doctors, and the doctors know that they need more aid; but due to the population or small pay, there are a few doctors interested in helping. The goal of this performance-based assessment is to emphasize the significant factors of a health care in a rural setting with limited access to doctors and medicine. The setting will focus on rural communities of Hawaii because “On the neighbor islands, especially for the Big Island and West Hawaii, the No. 1 issue is access to health care”(E). Through local and nation resources, factors include economic, social, education, cultural and language differences, transportation, and recognition are discussed regarding health care with limited access to medicine or doctors.

The first thing that I noticed is that there is a shortage of healthcare providers in Southwest Oregon. This is problematic because there are not enough healthcare providers to meet the healthcare needs of everyone who lives in rural communities (Rutledge, Haney, Bordelon, Renaud, & Fowler, 2014). My nursing diagnosis for this would be ineffective health maintenance related to insufficient resources. The members of the rural community are unable to identify, manage, and/or seek out help to maintain their health.

In order for these rural communities to maintain a positive, functioning health care system, more physicians and nurses need to be recruited to work in the rural setting. This means encouraging more health care physicians and staff to choose rural settings to work (NRHA 2003). With all of the definite downfalls of a rural community, there are many reasons rural communities are struggling to maintain adequate staff at hospitals. Students in the medical

What are Some Important Factors when Considering Health Care for a Rural Community with Limited Access to Medicine or Doctors?

Medical care in rural areas is greatly needed as life in rural areas especially those where farming, mining, and fishing are how people make their living. The median age of rural America is older but the reasons differ across communities (out-migration of youth vs. in-migration of retirees).

Healthcare in Rural Areas Ro Ann Viloria Ju Hyun “Katie” Park Maui High School February 23, 2015 Table of Contents Abstract................................................................................................... 2 Introduction. ............................................................................................. 3 Transportation............................................................................................ 3-4 Emergency Medical Situations................................................................ 4

Historically, health care professionals believed rural populations had a health advantage. They frequently sent tuberculosis patients and others into the country for fresh air and a change of scenery (Lourenço 2012). However, as the scientific understanding of disease expanded and urban population and political power grew, these advantages diminished. Today, staggering disparities exist across the globe in the health status of rural populations compared to their urban counterparts, both between and within every country, making this a truly global issue. As is the case with many other global health issues, developing countries experience these inequalities with greater severity due to a lack of infrastructure and resources, especially when considering maternal and infant health. For example, in Burundi, as of 2014, the urban infant mortality rate was 49 deaths per 1000 live births, while the rural infant mortality rate was 81. In 2014, Laos had an urban infant mortality rate of 39 but a rural infant mortality rate of 85. Finally, in Bolivia in 2014, the urban infant mortality rate was 43 while the rural mortality rate was 75 (Population Reference Bureau 2014). These data demonstrate the dramatic inequity between urban and rural areas and indicate disparate access to health care for women and children. Action must be taken to alleviate these disparities in developing countries with regards to maternal and infant health. The global health community must first collaborate to

It has been a problem to discuss the medical needs of rural areas simply because there are