Enhancing the Care Continuum in Rural Areas: Survey of Community Health Center–Rural Hospital Collaborations

Samuels, Michael E.; Xirasagar, Sudha; Elder, Keith; Probst, Janice C.

doi:10.1111/j.1748-0361.2008.00133.x

Cited by 13 publications

(29 citation statements)

References 20 publications

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“…Hospitals are the health-care and socialservice lynchpin to the local community and in many instances act as 'a counter weight against the economic erosion that has befallen many rural communities' (Gregg and Moscovice 2003, p. 161). Research has shown that CHC/CAH collaborations expand the market of specialty care, as well as hospital and laboratory services, while mitigating shortages in training, staffing and specialisation of healthcare workers (Samuels et al 2008). The policy implications of collaborative networks are broad for rural areas, specifically with detecting and responding to epidemiological outbreaks.…”

Section: Epidemiological Surveillance and Intervention In Urban And Rmentioning

confidence: 97%

“…Collaborative federalism in the USA has allowed rural health-care recruitment and resource deficiencies to be addressed by the creation of Community Health Centers (CHCs), supported partly by federal grants. These centres have played key roles in providing preventative services to rural and inner-city residents on a reduced or no-cost basis for those without health insurance (Samuels et al 2008). Critical Access Hospitals (CAHs) have similarly enhanced the services provided in rural areas by offering specialised care and inpatient surgery.…”

Section: Epidemiological Surveillance and Intervention In Urban And Rmentioning

confidence: 98%

“…Access to healthcare facilities, newer technologies and medical staff is more limited. Geographical distance and financial disparities in comparison to wealthier metropolitan areas make rural Americans more prone to suffer from chronic diseases and premature death (Samuels et al 2008).…”

Section: Epidemiological Surveillance and Intervention In Urban And Rmentioning

confidence: 99%

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How federal health-care policies interface with urban and rural areas: A comparison of three systems

Baracskay

2012

Global Public Health

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Global public health policies span national borders and affect multitudes of people. The spread of infectious disease has neither political nor economic boundaries, and when elevated to a status of pandemic proportions, immediate action is required. In federal systems of government, the national level leads the policy formation and implementation process, but also collaborates with supranational organisations as part of the global health network. Likewise, the national level of government cooperates with sub-national governments located in both urban and rural areas. Rural areas, particularly in less developed countries, tend to have higher poverty rates and lack the benefits of proper medical facilities, communication modes and technology to prevent the spread of disease. From the perspective of epidemiological surveillance and intervention, this article will examine federal health policies in three federal systems: Australia, Malaysia and the USA. Using the theoretical foundations of collaborative federalism, this article specifically examines how collaborative arrangements and interactions among governmental and non-governmental actors help to address the inherent discrepancies that exist between policy implementation and reactions to outbreaks in urban and rural areas. This is considered in the context of the recent H1N1 influenza pandemic, which spread significantly across the globe in 2009 and is now in what has been termed the 'post-pandemic era'.

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Section: Epidemiological Surveillance and Intervention In Urban And Rmentioning

confidence: 97%

Section: Epidemiological Surveillance and Intervention In Urban And Rmentioning

confidence: 98%

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How federal health-care policies interface with urban and rural areas: A comparison of three systems

Baracskay

2012

Global Public Health

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“…More recently, this safety net has been enhanced by an increasing number of FQHCs in rural underserved or areas designated Health Professional Shortage Areas (HPSA). The addition of rural FQHCs creates a safety net that is a continuum of care consisting of CAHs, FQHCs, Emergency Medical Services, SNFs, and RHCs [6] . Even though these policies have had a positive impact on rural health care services, a sustaining answer to the core question remains to be achieved.…”

Section: Background -The Rural Healthcare Safety Netmentioning

confidence: 99%

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

Wilson

Kerr

Bastian

et al. 2014

JHA

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“…HIV care in rural areas is inferior to HIV care in urban areas: rural patients cite greater obstacles to care, see less experienced HIV providers, and are less likely to receive antiretroviral treatment or prophylaxis against Pneumocystis jiroveci pneumonia (PCP) than their urban counterparts [5,6]. Accordingly, we recently found that rural patients with HIV have higher mortality rates [7].…”

Section: Introductionmentioning

confidence: 99%

Living in rural New England amplifies the risk of depression in patients with HIV

2009

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BackgroundThe importance of depression as a complication of HIV infection is increasingly understood, and people living in rural areas are at increased risk for depression. However, it is not known whether living in rural areas amplifies the risk of depression in patients with HIV.MethodsWe compared the prevalence of depression between rural and metropolitan HIV patients seen at the Dartmouth-Hitchcock HIV Program in a retrospective cohort study. Using the validated Rural-Urban Commuting Area Score, we categorized patients as living in small town/rural areas, micropolitan or metropolitan towns. Then, using a multivariate logistic regression model to adjust for demographic factors that differed between rural and metropolitan patients, we estimated the impact of living in rural areas on the odds of depression.ResultsAmong 646 patients with HIV (185 small town/rural, 145 micropolitan, 316 metropolitan), rural patients were older, white, male, and men who have sex with men (ANOVA, F-statistic < 0.05). The prevalence of depression was highest in rural patients (59.5 vs. 51.7 vs. 41.2%, F statistic < 0.001), particularly rural patients on antiretroviral therapy (72.4 vs. 53.5 vs. 38.2%, F-statistic < 0.001. A multivariate logistic regression model showed that the odds of depression in rural patients with HIV were 1.34 (P < 0.001).ConclusionHIV-infected patients living in rural areas, particularly those on antiretroviral therapy, are highly vulnerable to depression.

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Enhancing the Care Continuum in Rural Areas: Survey of Community Health Center–Rural Hospital Collaborations

Cited by 13 publications

References 20 publications

How federal health-care policies interface with urban and rural areas: A comparison of three systems

How federal health-care policies interface with urban and rural areas: A comparison of three systems

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

Living in rural New England amplifies the risk of depression in patients with HIV

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