PROGRAM OF RURAL HEALTH DEMONSTRATION ACTIVITIES

内布拉斯加州农村健康研究中心（NCRHR）将建立一个 开展农村示范活动。 该方案将是 负责开展活动示范， 改善内布拉斯加州农村社区的管理式护理实践 和爱荷华州。 NCRHR、爱荷华州大学毕业生 医院和健康管理/健康服务中心 研究，内布拉斯加州农村卫生办公室，和爱荷华州办公室 农村卫生将负责设计和 实施本AHCPR中开展的具体示范- 赞助项目。每个州的农村社区都将成为目标， 基于这些标准的示范活动：1）现有活动 表明对变化的接受能力; 2）包括少数民族人口; 3)需要解决特殊的卫生保健问题; 4）需要克服 获得充分医疗保健的障碍; 5）与其他人融合的能力 程序.在每个区域内，示威活动将针对 初级保健医生和他们的做法。数据将在 这两个国家使用相同的资源， 分析.在每个州完成示威活动后，示威活动 将在内布拉斯加州和爱荷华州边境实施，届时， 来自堪萨斯州立大学和堪萨斯大学的调查人员 医学院-威奇托将被添加到项目团队。

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.