Pa. college 'masters' rural health needs

1982 ◽  
Author(s):  
Carol Turkington
Keyword(s):  
Rural Health ◽  
Health Needs

scholarly journals From surviving to community benefit: A proposed rural health services research agenda

2014 ◽  
Vol 3 (5) ◽  
pp. 104
Author(s):  
Asa B. Wilson ◽  
Bernard J. Kerr ◽  
Nathaniel Bastian ◽  
Lawrence V. Fulton
Keyword(s):  
Health Services ◽  
Rural Health ◽  
Phase Ii ◽  
Research Agenda ◽  
Rural Hospitals ◽  
Health Needs ◽  
Rural America ◽  
Community Benefit ◽  
Health Safety ◽  
Closure Conversion

Background: The research history of rural hospitals from 1980 forward is reviewed. This summary, in turn, becomes a foundation for proposing an updated applied research agenda; one focused on ensuring health services for rural America. Research history: From 1980 to 1997 rural hospitals closed at a disproportionally higher rate than non-rural facilities. This trend prompted an academic search (Phase I) for the factors associated with the closure-conversion threat to hospitals. The public policy response was the Balanced Budget Act of 1997 and the creation of the Critical Access Hospital (CAH). Once the closure-conversion threat diminished as a result, the research focus (Phase II) shifted from survival to financial performance monitoring, economic efficiency, quality of care, and patient safety of CAHs. Phase II research demonstrates that CAHs can sustain themselves and are not necessarily victims of adverse rural circumstances. Today, CAHs, Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC) exist as an established rural health safety net. Also, the 1332 CAHs are considered the hub of health services for rural communities. Significance: The rural environment remains a changing, challenging arena in which to ensure care for it residents. As such, the expanded Internal Revenue Service (IRS) definition of Community Benefit, specifically the periodic Community Health Needs Assessment (CHNA), provides a template for assessing the rural health safety net’s capacity to meet local health needs and improve the health status of its communities. This rubric also balances fiscal stewardship with positive health service outcomes. It is argued that the CHNA expansion of Community Benefit is an ideal research template and performance standard for all rural hospitals. It enables one to offer researched answers to the enduring question, “What is the best way to ensure health services for rural America?”

International rural health needs and services research: A nursing and midwifery response

2004 ◽  
Vol 20 (4) ◽  
pp. 251-259 ◽  
Author(s):  
Rita M. Carty ◽  
Wael Al-zayyer ◽  
Lesley L. Arietti ◽  
Angela S. Lester
Keyword(s):  
Rural Health ◽  
Health Needs ◽  
Services Research

Building a Rural Health Service in the People's Republic of China

1972 ◽  
Vol 2 (3) ◽  
pp. 377-383 ◽  
Author(s):  
J. S. Horn
Keyword(s):  
Rural Health ◽  
Medical Training ◽  
Venereal Disease ◽  
Medical Personnel ◽  
Health Needs ◽  
Republic Of China ◽  
Rural Health Service ◽  
The People ◽  
Medical Teams ◽  
The City

Prior to the revolution in China, rural health services were virtually nonexistent. The countryside was ravaged by epidemics and millions of landless peasants suffered from gross malnutrition. Venereal disease and schistosomiasis were rampant. Solution of the problems arising from insufficient medical personnel in the countryside was sought by the following means: Redistribution of existing medical forces was accomplished by encouraging volunteer doctors, nurses, and health technicians to move from the city to the countryside; the People's Liberation Army established a network of medical schools, hospitals, and clinics to bring medical services to the people; and mobile medical teams from city hospitals worked on a rotational basis in the countryside. A key element in the creation of new rural health forces has been the training by mobile medical teams of paramedical workers from among the peasantry. Young peasants selected by their fellow villagers receive basic and continuing medical training and live and work among the people as peasant—doctors. By this means, it is hoped that within a few decades China will have a huge army of medical workers, firmly rooted in the countryside, dedicated to serving the health needs of 500 million peasants.

Report: Rural Resilience and Community Connections in Health: Outcomes of a Community Workshop

2020 ◽  
Author(s):  
Alexa Mahling ◽  
Michelle LeBlanc ◽  
Paul A. Peters
Keyword(s):  
Rural Communities ◽  
Community Engagement ◽  
Rural Health ◽  
Health Care Professionals ◽  
Policy Development ◽  
Health Needs ◽  
Rural And Remote ◽  
Remote Communities ◽  
Effective Community ◽  
Research And Policy

Canadians living in rural communities are diverse, with individual communities defined by unique strengths and challenges that impact their health needs. Understanding rural health needs is a complex undertaking, with many challenges pertaining to engagement, research, and policy development. In order to address these challenges, it is imperative to understand the unique characteristics of rural communities as well as to ensure that the voices of rural and remote communities are prioritized in the development and implementation of rural health research programs and policy. Effective community engagement is essential in order to establish rural-normative programs and policies to improve the health of individuals living in rural, remote, and northern communities. This report was informed by a community engagement workshop held in Golden Lake, Ontario in October 2019. Workshop attendees were comprised of residents from communities within the Madawaska Valley, community health care professionals, students and researchers from Carleton University in Ottawa, Ontario, and international researchers from Australia, Sweden, and Austria. The themes identified throughout the workshop included community strengths and initiatives that are working well, challenges and concerns faced by the community in the context of health, and suggestions to build on strengths and address challenges to improve the health of residents in the Madawaska Valley.

Rural health care looks to the future Issues in the institutionalization and management of rural health care: making technology appropriate

1980 ◽  
Vol 209 (1174) ◽  
pp. 173-180 ◽  
Keyword(s):  
Health Care ◽  
Rural Health ◽  
Rural Health Care ◽  
Large Scale ◽  
Health Workers ◽  
Professional Community ◽  
Health Needs ◽  
Health Care Technology ◽  
Management Procedures ◽  
Care Technology

Experimental projects have demonstrated the technical feasibility of systems of accessible, affordable health care. These projects have relied extensively on non-professional community health workers. However, large-scale implementation of these schemes will require new management procedures that are both responsive to rural health needs and congruent with national institutions. This paper identifies the need to establish institutional mechanisms to mobilize essential inputs, promote accept­ance by beneficiaries, maintain quality standards, recruit and retain field staff, and achieve accountability for resources. It then outlines methods for developing these institutions. It stresses the need for both formal, bureaucratic organizations and informal organizations of clients. It also identifies the need to consider administrative and institutional resources in determining the appropriateness of a health care technology.

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