Rural areas and personal health services: current strategies.

Sheps, C G; Bachar, Miriam E.

doi:10.2105/ajph.71.1_suppl.71

Cited by 18 publications

(8 citation statements)

References 2 publications

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“…[4][5][6] The study sample includes 193 rural primary care organizations providing services since 1978 or earlier that received government or foundation financial support at some point in their history. These were randomly selected from 464 programs in the United States meeting our study criteria.…”

Section: Methodsmentioning

confidence: 99%

An evaluation of subsidized rural primary care programs: III. Stress and survival, 1981-82.

Ricketts¹,

Guild²,

Sheps³

et al. 1984

Am J Public Health

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Section: Methodsmentioning

confidence: 99%

An evaluation of subsidized rural primary care programs: III. Stress and survival, 1981-82.

Ricketts¹,

Guild²,

Sheps³

et al. 1984

Am J Public Health

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“…Access to family planning services is especially problematic throughout the South, where health departments provide the majority of rural contraceptive services, compared with a wider variety of providers and sites in urban and metropolitan areas (Firpo & Lewis, 1976). Sponsors of health programs and the general public think that the availability of an adequate range of primary care facilities directly affects the health status of the rural population (Sheps & Bachar, 1981).…”

Section: Education and Povertymentioning

confidence: 99%

An Overview of Adolescent Pregnancy in Rural Areas

Skatrud¹,

Bennett²,

Loda³

1998

The Journal of Rural Health

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Although explanations for high rates of adolescent pregnancy in the United States are not conclusive, adverse outcomes associated with early childbearing are well‐documented. Little is known about the specific circumstances and consequences of adolescent pregnancy in rural areas. This article summarizes a systematic review of literature relevant to pregnancy and pregnancy prevention for rural adolescents for 1980 to 1995. The primary focus of this study was on the eight southeastern states in Department of Health and Human Services Region IV From approximately 500 relevant citations in the database collected for this review, few dealt explicitly with adolescent pregnancy in rural areas, and an even smaller subset of the literature used empirical data. No data were found that indicated sexual activity was lower among rural teens, or that the risks of adolescent pregnancy and behaviors detrimental to pregnancy outcomes were less common in rural areas. Social isolation, lack of educational and economic opportunities, and limited access to health services are key issues with respect to rural youth and their healthy development. The relatively fewer numbers of health professionals in rural areas, weaker infrastructures for transportation and information, heightened concerns about confidentiality, low rates of insurance coverage, and reluctance to accept social services reduce the likelihood of rural teens receiving adequate preventive or reproductive care. Future research should address the social circumstances of rural adolescents to design effective interventions for teen pregnancy prevention and appropriate reproductive health services for young mothers and families in rural areas.

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“…As mentioned earlier, a number of programs have been undertaken in an effort to achieve equitable access to health services in rural areas. Access is something that cannot be observed directly; thus, in evaluating efforts to achieve this goal, utilization is often used as a proxy indicator (Sheps & Bachar, 1981). Actual utilization can beviewed as demonstrating that access has been achieved (Fiedler, 1981).…”

Section: Utilization Of Servicesmentioning

confidence: 99%

Availability and Accessibility of Rural Health Care*

Hicks¹

1990

The Journal of Rural Health

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The 1980s saw a retrenchment of the ideology that government intervention could solve the problems of inadequate access to health services in rural areas. Increased emphasis was placed on an ideology that promoted deregulation and competitive market solutions. During the 1980s, the gap in the availability of physicians in metropolitan versus nonmetropolitan areas widened. Also during that time period, the gap between metropolitan and nonmetropolitan populations' utilization of physician services widened. In addition, many indicators of the health status of nonmetropolitan residents versus metropolitan residents worsened during the 1980s. As we enter the 1990s, concern about equitable access to needed health care services and for the vulnerability and fragility of rural health systems has resurfaced. A number of national policies and a research agenda to improve accessibility and availability of health services in rural areas are being considered.

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Rural areas and personal health services: current strategies.

Cited by 18 publications

References 2 publications

An evaluation of subsidized rural primary care programs: III. Stress and survival, 1981-82.

An evaluation of subsidized rural primary care programs: III. Stress and survival, 1981-82.

An Overview of Adolescent Pregnancy in Rural Areas

Availability and Accessibility of Rural Health Care*

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