Access to health care for the rural elderly.

Access to health care for the rural elderly.
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农村老年人享受医疗服务。

DOI:
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发表时间:
2000
期刊:
Journal of the American Medical Association (JAMA)
影响因子:
--
通讯作者:
C. Fox
C. Fox
中科院分区:
--
文献类型:
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作者:
T. Rosenthal;C. Fox

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除了通常面临的慢性病和功能衰退的挑战外,农村老年人还面临着地理上的孤立。6100万人生活在美国农村,这个数字超过了英国、西班牙、意大利或法国的总人口。近15%的美国农村人口年龄在65岁或以上。随着年龄的增长,农村老年人在获得医疗保健方面面临着几个障碍。与城市同行相比,农村初级保健医生在更大程度上被期望为他们的患者提供紧急护理、康复、外展和专科护理(与遥远的城市专家合作)。与美国其他群体一样,农村老年人的医疗保健结果更多地受到社会地位、保险状况、临床医生机会和经济状况的影响,而不是地理位置。当农村和城市卫生保健之间的结果差异被证明时,它们通常与数量、工作人员支持、设备和选择的不平衡有关。在这篇文章中,我们考察了实践模式,并描述了影响农村老年人护理的社会、政策和研究问题。
IN ADDITION TO THE USUAL CHALlenges of chronic disease and functional decline, the rural elderly also face geographic isolation. Sixty-one million people live in the rural United States, a number that exceeds the entire population of the United Kingdom, Spain, Italy, or France. Nearly 15% of the US rural population is aged 65 years or older. As they age, the rural elderly confront several barriers to obtaining medical care. To a far greater degree than their urban counterparts, rural primary care physicians are expected to provide urgent care, rehabilitation, outreach, and specialty care (in collaboration with distant urban specialists) for their patients. Health care outcomes for the rural elderly, as with other groups in the United States, are influenced more by social position, insurance status, clinician access, and economic status than by geography. When differences in outcomes between rural and urban health care have been demonstrated, they generally relate to an imbalance of volume, staff support, equipment, and choice. In this article, we examine practice patterns and describe social, policy, and research issues influencing care for the rural elderly.
DOI: 10.1097/00005650-199807000-00004
发表时间: 1998-07
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影响因子: 3
作者:
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期刊: Geriatric nursing (New York, N.Y.)
影响因子: --
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影响因子: --
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发表时间: 1997-07-01
影响因子: 12.7
作者:
Goodman, DC;Fisher, E;Chang, CH
通讯作者: Chang, CH