Rural health priorities in America: Where you stand depends on where you sit
Rural health priorities in America: Where you stand depends on where you sit
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DOI：
10.1111/j.1748-0361.2003.tb00563.x
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发表时间：
2003-06-01
影响因子：
4.9
通讯作者：
Hutchison, L
中科院分区：
文献类型：
--
作者：
Gamm, L;Hutchison, L
目的：评估全国各州和地方农村卫生领导人对优先领域的一致性水平。方法：对999名农村卫生负责人的501份答复进行了邮件调查。受访者被要求对《2010年健康人》中提到的重点领域对农村健康的重要性进行排名。调查结果：在50个州的州和地方农村卫生领导人之间，对农村卫生的首要任务有实质性的一致意见。“获得优质保健服务”是国家级农村机构和卫生协会、地方农村公共卫生机构、农村卫生诊所和社区卫生中心以及农村医院领导人的首要任务。这也是全国4个主要人口普查地区的首要任务。在大多数群体和地区，三分之一或更多的受访者将接下来的4个最优先的农村优先事项----“心脏病和中风”、“糖尿病”、“心理健康和精神障碍”以及“口腔健康”----选为5个最优先的农村优先事项之一。与此同时，一些观察到的农村卫生优先事项的差异表明，社区伙伴关系战略或区域多州政策倡议的国家共享类似的农村卫生优先事项的机会。
Purpose: To assess levels of agreement on priority areas among state and local rural health leaders nationwide. Methods: Analysis of responses to a mail survey sent to 999 rural health leaders, with 501 responses. Respondents were asked to rank importance to rural health of focus areas named in Healthy People 2010. Findings: There was substantial agreement on top rural health priorities among state and local rural health leaders across the 50 states. "Access to quality health services" was the top priority among leaders of state-level rural agencies and health associations, local rural public health agencies, rural health clinics and community health centers, and rural hospitals. It was the top priority across all 4 major census regions of the nation as well. The next 4 top-ranking rural priorities-"heart disease and stroke," "diabetes," "mental health and mental disorders," and "oral health"-were selected as 1 of the top 5 rural priorities by one third or more of respondents across most groups and regions. At the same time, some observed differences in rural health priorities suggest opportunities for community partnership strategies or for regional multistate policy initiatives by states sharing similar rural health priorities.