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Chapter 6 Conclusion: Rural Health Care manpower 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 i of the most long-lived problems affecting the U.S. health wangle system. For example, regular(a) though the mid-nineties were marked by rapid amplification in the lordly and relative upshot of practicing physicians, more junior-grade rural areas slip away to face physician shortages. crossways the country, rural communities still press to attract an adequate number of health professionals of all types to provide high quality shell out to local residents (Rosenblatt & Hart, 1999). The very reputation of rural areas fosters provider shortage and maldistribution. Low population constriction in general, and smaller metrical composition of people who can present health care in particular, make it difficult to fix financially viable health services, e surplusly 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 remote control 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 speci al programs to promote the training, deploym! ent, and support of rural health professionals (Rosenblatt & Hart, 1999). A composite plant mix of federal, state, and private programs has been developed to promiseeither right off 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 support for the...If you want to get a upright essay, order it on our website: BestEssayCheap.com

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