Challenges Faced by Rural Primary Care Providers When Caring for COPD Patients in the Western United States

Valle, Fernando Diaz del; Koff, Patricia B.; Min, Sung‐Joon; Zakrajsek, Jonathan K; Zittleman, Linda; Fernald, Douglas H.; Nederveld, Andrea; Nease, Donald E.; Hunter, Alexis R; Moody, Eric J.; Temple, Kay Miller; Niblock, Jenny; Grund, Chrysanne; Oser, Tamara K.; Greiner, K. Allen; Vandivier, R. William

doi:10.15326/jcopdf.2021.0215

Cited by 1 publication

(2 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, recruitment and retention of health care providers in rural regions is an ongoing challenge, and just 12% of U.S. physicians practice in rural areas 27, 28. These communities need more critical health care professionals (such as NPs and social workers)28 and specialty services (such as pulmonary care) 29. In recent years, many rural hospitals have closed or are at risk for closure due to declining patient volume and staff shortages 28…”

Section: The Challengesmentioning

confidence: 99%

“…27,28 These communities need more critical health care professionals (such as NPs and social workers) 28 and specialty services (such as pulmonary care). 29 In recent years, many rural hospitals have closed or are at risk for closure due to declining patient volume and staff shortages. 28 People living in rural areas frequently travel farther distances to see primary care and specialty providers, and rural public transit options are limited.…”

Section: The Challengesmentioning

confidence: 99%

See 1 more Smart Citation

Palliative Care in Rural Communities

Fasolino,

Mayfield,

Valentine

et al. 2024

AJN, American Journal of Nursing

View full text Add to dashboard Cite

Rural communities in the United States are frequently marginalized and misrepresented. These communities face unique challenges, such as limited access to health care, nutritious food, and clean water, that contribute to persistent health disparities. This article presents the CARE (Complex, Access, Resourceful, Extraordinary) framework, which illustrates the dichotomy of rurality—its negative and positive aspects—in order to inform the development of palliative care delivery in rural settings. Various palliative care models are described that address access gaps, bolster provider capacity, and increase the provision of specialty palliative care. However, workforce shortages and reimbursement structures restrict the expansion of these services. Nurses, the largest segment of the health care workforce and the most trusted professionals, must partner with interdisciplinary colleagues and rural communities to advocate for equitable and inclusive care.

show abstract

Section: The Challengesmentioning

confidence: 99%