Access and quality: Does rural America lag behind?

Access and quality: Does rural America lag behind?
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DOI:
10.1377/hlthaff.24.4.1128
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发表时间:
2005-07-01
期刊:
影响因子:
9.7
通讯作者:
Staiti, AB
Staiti, AB
中科院分区:
医学1区
文献类型:
--
作者:
Reschovsky, JD;Staiti, AB

文献摘要

被引文献

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许多州和联邦的计划和政策旨在改善农村医疗保健。这项研究从医生和病人的角度比较了城市和农村地区获得医疗保健的机会和质量,使用了2000-2001年社区跟踪研究(CTS)医生和家庭调查中的一系列广泛指标。在大多数方面的审查,在农村地区,即使是农村县不毗邻大都市地区的访问和质量是等同或上级提供给城市地区。然而,农村居民在获得精神卫生服务方面面临更大的困难,而且一般面临更大的医疗财政障碍。
Numerous state and federal programs and policies aim to improve rural health care. This study compares access to and quality of medical care in urban and rural areas from the perspective of physicians and patients, using a broad set of indicators taken from the 2000-2001 Community Tracking Study (CTS) Physician and Household Surveys. Across most dimensions examined, access and quality in rural areas-even rural counties not adjacent to metropolitan areas-were either equivalent or superior to that provided in urban areas. However, rural residents have greater difficulty obtaining mental health services and generally face greater financial barriers to care.