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Access to Affordable, High-Quality Health Insurance for Rural Residents and Its Impact on Their Health and on Rural
Norbert I Goldfield1, Richard L Fuller
1Ask Nurses and Doctors Inc, Northampton, Massachusetts (Dr Goldfield); 3M Health Information Systems, Silver Spring, Maryland (Mr Fuller).
The Journal of Ambulatory Care Management
|February 7, 2019
Summary
Rural health care faces significant obstacles. This article proposes prepaid "rural convening entities" to manage telehealth hubs and improve access to care for country residents.
Area of Science:
- Health Services Research
- Rural Health Policy
- Healthcare Management
Background:
- Access to rural health care is a persistent challenge in America.
- Rural areas face obstacles including hospital closures, fragmented care, chronic illness, and poverty.
- These factors impede effective health reform in countryside communities.
Purpose of the Study:
- To identify major challenges in rural health care delivery.
- To propose financial and delivery policy options for strengthening rural health systems.
- To introduce the concept of "rural convening entities" as a solution.
Main Methods:
- Review of existing literature on rural health care challenges.
- Analysis of financial and delivery policy options.
- Conceptual framework development for rural convening entities.
Main Results:
- Identified key obstacles: hospital closures, fragmented systems, chronic illness, poverty.
- Proposed policy options focus on financial and delivery reforms.
- Introduced "rural convening entities" as a structural solution.
Conclusions:
- Rural health care requires innovative solutions to overcome systemic challenges.
- A prepaid model managed by "rural convening entities" can improve care delivery.
- These entities can function as centralized telehealth hubs, enhancing rural health access.
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