Chapter 6 Conclusion: Rural Health Care men Issues for the twenty-first Century L . G A R Y H A R T, P H . D . D E N I S E M . L I S H N E R , M . S . W. K A R I N E . J O H N S O N , P H . D . The geographic maldistribution of health earmarkrs is cardinal of the most long-lived problems affecting the U.S. health business organisation system. For example, blush though the mid-nineties were marked by rapid elaboration in the lordly and relative morsel of practicing physicians, many miniscule rural areas slip away to face physician deficits. across the country, rural communities still press to attract an adequate number of health professionals of all types to provide high quality dread to local residents (Rosenblatt & Hart, 1999). The very reputation of rural areas fosters provider shortage and maldistribution. Low population constriction in general, and smaller number of people who can present health care in particular, make it difficult to fix financially viable health services, e pickyly in the mise en scene of the trend toward managed care. In addition, long distances to health care facilitiesespecially to tertiary care hospitalsand scarcity of a variety of specialists reject providers from practicing in aloof rural locations because these factors limit providers options for referrals, emergency care, and omen coverage.
Finally, while many health providers enjoy living in rural areas, question shows that the majority of providers, especially female providers, choose to live in urban areas. These structural barriers create a need for special programs to promote the train ing, deployment, and support of rural health! professionals (Rosenblatt & Hart, 1999). A interwoven mix of federal, state, and private programs has been developed to promiseeither in a flash or indirectlyrural health professional shortages. national and state health policies play an substantial role in supporting local rural health care systems and the providers whom they employ. For example, without Medicare living for the...If you want to get a upright essay, order it on our website: OrderCustomPaper.com
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