A look at health care provisions in rural areas of the US.
Written in 2008; 3,237 words; 15 sources; APA; $ 93.95
Paper Summary:
This paper discusses health care provision in rural areas of the USA. It provides a comprehensive literature review and presents a multifaceted approach in understanding how the past shaped and evolved into the current state of health care affairs. The author concludes the paper with some recommendations for the future.
Outline:
Introduction
Theoretical Approach
Objectives
Literature Review
Discussion and Implications for Nursing
Conclusion and Recommendations
From the Paper:
"Primary care in the setting of developed countries such as the United States, especially in rural and underserved areas, still remains a large hurdle for the health care system to clear (Kippenbrock, Stacy & Gilbert-Palmer, 2004). Primary care aims to provide basic health services to patients. Some of these services include patient education, counseling and health maintenance, aside from detection of and treatment of diseases (American Academy of Family Physicians, 2006). One of these services involves primary prevention of diseases (e.g. lung cancer, cervical cancer, colon cancer, breast cancer, prostate cancer, etc.) through screening and regular examinations.
Rural communities are at a distinct disadvantage as far as health care is concerned. As the health care system became increasingly market-oriented, economic growth in this sector grew, in large part due to technological advances in health care provision, an orientation towards more meticulous health care economics management (e.g. managed care) and the diversification of the health care professional work force (Ricketts, 2000). However, these milestones in the evolution of the health care system were founded and dictated by market forces as a result. The rural population comprises only 20% of the total U.S. population. In being more concentrated in more "cost-effective" areas such as cities, large health care provider entities inadvertently exclude less populated rural areas to the detriment of the communities in these areas. This is exemplified by the U.S. Department of Health and Human Services' 2000 report that discloses 1,182 non-metropolitan areas as Health Professional Shortage Areas (HPSA) (Ricketts, 2000)."
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