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Chapter 6 Conclusion: Rural Health Care hands 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 bingle of the most long-lived problems affecting the U.S. health finagle system. For example, even so though the mid-nineties were marked by rapid intricacy in the lordly and relative tot up of practicing physicians, numerous delicate rural areas slip away to face physician famines. across the country, rural communities still press to attract an adequate number of health professionals of all types to provide high quality sell to local residents (Rosenblatt & Hart, 1999). The very reputation of rural areas fosters provider shortage and maldistribution. Low population constriction in general, and smaller amount of people who can present health care in particular, make it difficult to fix financially viable hea lth services, e sparely 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 removed 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, look 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 training, deployment, and support of rural health pro! fessionals (Rosenblatt & Hart, 1999). A thickening mix of federal, state, and private programs has been developed to promiseeither straightway or indirectlyrural health professional shortages. federal official 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 reinforcement for the...If you want to get a upright essay, order it on our website: BestEssayCheap.com

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