PROGRAM OF RURAL HEALTH DEMONSTRATION ACTIVITIES

内布拉斯加农村卫生研究中心(NCRHR)将建立一个 农村示范活动方案。该计划将是 负责实施旨在实现以下目的的活动演示 改善内布拉斯加州农村社区的管理式医疗实践 还有爱荷华州。爱荷华大学研究生NCRHR的一个联盟 医院和卫生管理/卫生服务中心课程 研究、内布拉斯加州农村卫生办公室和爱荷华州农村健康办公室 农村卫生将负责设计和管理 落实在本AHCPR中进行的具体示范-- 赞助项目。每个州的农村社区都将成为 基于以下标准的示范活动：1)现有活动 表明对变化的接受度；2)纳入少数群体； 3)需要解决特定的医疗保健问题；4)需要克服 适当医疗保健的障碍；以及5)与其他 程序。在每个区域内，示威活动将目标定为 初级保健从业者及其实践。数据将在以下位置收集 两个州使用相同的信号源，并被编程为比较 分析。在每个州完成示威后，示威活动 将在内布拉斯加州-爱荷华州边境实施，届时将有两个 来自堪萨斯州立大学和堪萨斯大学的研究人员 威奇托医学院将加入项目团队。

The Nebraska Center for Rural Health Research (NCRHR) will establish a Program for Rural Demonstration Activities. The Program would be responsible for implementing demonstrations of activities designed to improve the practice of managed care in the rural communities in Nebraska and Iowa. A consortium of the NCRHR, the University of Iowa Graduate Program in Hospital and Health Administration/Center for Health Services Research, the Nebraska Office of Rural Health, and the Iowa Office of Rural Health will have governing responsibility for designing and implementing the specific demonstrations carried out in this AHCPR- sponsored project. Rural communities in each state will be targeted for demonstration activities based on these criteria: 1) existing activities indicating a receptivity to change; 2) inclusion of minority populations; 3) need to address particular health care problems; 4) need to overcome barriers to adequate health care; and 5) ability to integrate with other programs. Within each area, the demonstration activates will target primary care practitioners and their practices. Data will be collected in both states using the same sources and programmed for comparative analysis. After completing demonstrations in each state, demonstrations will be implemented on the Nebraska-Iowa border, at which time two investigators from Kansas State University and the University of Kansas School of Medicine - Wichita will be added to the project team.