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Differences between urban and rural
Physician shortages in rural areas
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People throughout their lives hear about “city folks” and “country folks”. Whether it was that city people were snobby or country people were dumb, there have been biases against both. However, many people do not know the definition of urban and rural, nor do they know about how healthcare differentiates between the two. According to Merriam-Webster Dictionary, the definition of urban is “of, relating to, characteristic of, constituting a city. (Merriam-Webster). Rural is defined as “of or relating to the country.” (Merriam-Webster).
There are 312,486,525 people living in America as of October 24, 2011 at 4:20p.m. (Unknown). Approximately 65 million Americans live where there are not enough primary care providers. (Herzer and Seshamani). Of this number, almost 50 million live in rural areas. (Herzer and Seshamani). But what is shocking is that although all these people live in rural areas, only 9 percent of the United States’ physicians practice in those areas. (Quality). This is due to the fact that physicians in urban areas make more money and have more chance at advancement in their careers.
Just as their definitions are complete opposite, so are they differences in health care. In urban areas and cities, there are hospitals in almost every town. The hospitals in these areas are known to have top of the line equipment and have top-notch medications. They are also first to get the newest advancements in technology. This is a huge help in the ability to treat huge numbers of people as quickly and efficiently as they do. Urban hospitals also have the profits to have many research programs, which help boosts their popularity and efficiency. Rural hospitals on the opposite side are not so lucky. In a lot of rural areas there ...
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Herzer, Kurt and Meena Seshamani. A Success Story in Ameican Health Care. n.d. 16 09 2011.
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Ormond, Barbara A. and Stephen, Lhila, Aparna Zuckerman. "Rual/ Urban Differences in Health Care Are Not Uniform Across America." "New Federalism: Natinal Survey of America's Families 01 May 2000: B-11.
Quality, Agency for Healthcare Research and. "Health Care Disparities in Rural Areas." Healthcare Disparities . 2005.
Reschovsky, Staiti A J. "Access and Quality of Medical Care in Urban and Rural Areas." Academy Health Meeting (2005): abstract 3021.
Unknown. U.S. Census Bureau. 24 October 2011. 2011 October 2011 .
...les, M., & Taylor, J. (2009). Boundary crossers, communities, and health: Exploring the role of rural health professionals. Health & Place, 15(1), 284-290.
McGlynn, E, Asch, S, Adams, J, Keesey, J, & Hicks, J. (2003). The quality of health care delivered to adults in the united states. The New England Journal of Medicine, 248(26), 2635-2645.
Kovner, A.R & Knickman, J.R (2011) Jonas & Kovner’s Health Care Delivery in the United States, 10th Edition. New York: Springer Publishing.
Health disparity is one of the burdens that contributes to our healthcare system in providing equal healthcare to everyone regarding of race, age, race, sexual orientation, and socioeconomic status to achieve good health. Research reveals that racial and ethnic minorities are likely to receive lower quality of healthcare services than white Americans.
The purpose of this paper is to examine the status of health care reform implementation in the state of Ohio. Throughout the paper, I will discuss if the health care reform has been effective as well as name some of the positive and negative outcomes. Furthermore, I will discuss how the health care reform is impacting community health. Discussion on the effect of health care reform on the economics in Ohio will conclude this paper.
"Eliminating Racial and Ethnic Disparities in Health." Public Health Reports. July/August 1998: 372 EBSCOhost. Available <http://www.epnet.com/ehost/login.html>. (11 February 1999)
The number of doctors that present in the United States of America directly affects the communities that these doctors serve and plays a large role in how the country and its citizens approach health care. The United States experienced a physician surplus in the 1980s, and was affected in several ways after this. However, many experts today have said that there is currently a shortage of physicians in the United States, or, at the very least, that there will be a shortage in the near future. The nation-wide statuses of a physician surplus or shortage have many implications, some of which are quite detrimental to society. However, there are certain remedies that can be implemented in order to attempt to rectify the problems, or alleviate some of their symptoms.
U.S. Department of Health and Human Services (2012). 2012 National health care disparities report (13-0003). Retrieved from Agency for Health Care Research and Quality website: http://ahrq.gov-research-findings-nhqrdr-nhdr12-2012nhdr.pdf
According to the federal Agency for Healthcare Research and Quality, they have assessed the nation’s health system annually since 2003, reported that, in 2015 the health care delivery system has made progress to achieve the three aims of better care, smarter spending, and healthier people (City of White Plains Health Equity Report, 2017). However, they continue to promote health equality and reach the goal of New York State being the healthiest. But most importantly aiming to reduce or eliminate racial, ethnic, and socioeconomic health
While those clinics and patients located in close proximity to UUMC are able to enjoy sub-specialty services, there is a growing concern that patients living in the rural sections of the state have either no access to such services in outlying clinics or must travel hundreds of mile...
It is no secret that the current healthcare reform is a contentious matter that promises to transform the way Americans view an already complex healthcare system. The newly insured population is expected to increase by an estimated 32 million while facing an expected shortage of up to 44,000 primary care physicians within the next 12 years (Doherty, 2010). Amidst these already overwhelming challenges, healthcare systems are becoming increasingly scrutinized to identify ways to improve cost containment and patient access (Curits & Netten, 2007). “Growing awareness of the importance of health promotion and disease prevention, the increased complexity of community-based care, and the need to use scarce human healthcare resources, especially family physicians, far more efficiently and effectively, have resulted in increased emphasis on primary healthcare renewal.” (Bailey, Jones & Way, 2006, p. 381).
The US health system has both considerable strengths and notable weaknesses. With a large and well-trained health workforce, access to a wide range of high-quality medical specialists as well as secondary and tertiary institutions, patient outcomes are among the best in the world. But the US also suffers from incomplete coverage of its population, and health expenditure levels per person far exceed all other countries. Poor measures on many objective and subjective indicators of quality and outcomes plague the US health care system. In addition, an unequal distribution of resources across the country and among different population groups results in poor access to care for many citizens. Efforts to provide comprehensive, national health insurance in the United States go back to the Great Depression, and nearly every president since Harry S. Truman has proposed some form of national health insurance.
Niles, N. J. (2011). Basics of the U.S. health care system. Sudbury, MA: Jones and Bartlett.
There is a strong correlation with an individual or group SES and the quality of health care received. Social Economic Class relates to what group of class an individual fit in based on their income, which can include wages, investments or other source. The quality of care depends on the facilities that is offering the services, the staff, accessibility to the service and the kind of health insurance that the person has. Affording health care is expensive and the lower or poor class has to decide between being able to afford food or other daily needs and going to a clinic for screening. Most of the time, individuals who fall in the class will ignore the health signs while continue to work to feed the family. Individual who are in the middle class or upper class will have more access to resources such as better health insurance, access to better health facilities because they have cars and able to take a day from work, and having and higher education give you an advantage over other class. We can look at the southern belt to see how individuals with living in the southern states of the United States have deteriorating health and are more prone to diabetes, coronary heart disease, cancer and death.
“Americans are not healthier than some of the other developed nations, regardless of these extensive costs” (WHO, 2007). “Almost 40 million Americans are uninsured and about 18% of Americans under the age of 65 receive half of the recommended healthcare services” (Goldman, and McGlynn, 2005). “Though, quality of care was