policy & funding issues in rural health
DESCRIPTION
Policy & Funding Issues in Rural Health Saginaw Valley State University NUR 642, Fall 2014 Ashley GardnerTRANSCRIPT
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Ashley Gardner
Saginaw Valley State University
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Tremendously Diverse Lifestyle & Culture
Distinct Challenges & Needs
Community Collaboration
Ambiguous definition
“The populations served are different in every rural community. So is the way they rural patients define health and the way they receive care”
-Deana Molinari
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Cons “Blurring of relationships” Fewer Resources Lower Pay Lateral rather than
Administrative Growth Geography Fewer insurance options Higher costs of care
Pros Variety
Autonomy
“Extended Family”
Job Satisfaction
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Higher Poverty Rates
7.5 million rural residents live below poverty line
Almost 76% of U.S. counties are rural
$644/pp more spent on urban citizens
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Political activity is low
Funding appears to play significant role
Creative, Innovative, Resourceful
Return on Investment
Healthcare Access
Access Dimensions
Need a Voice
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Retention & Recruitment play significant role in access issues
Research is unclear
Important Factors for Retention:
Personal & Professional Support
Education
Regulation & Safety
Financial Compensation
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No “one-size-fits-all” solution
Increase Access, Reduce Costs, Improve Quality
WHO Suggestions
828 Federal programs initiated directed at assisting rural areas (2002)
Affordable Care Act
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Housing & Community Development Programs
Rural Housing Service (RHS)
Rural Business-Cooperative Service (RBS)
Distance learning & Telemedicine Grants & Loans
Community Access Program (CAP)
Rural Health Outreach Program
Office of Rural health Policy (ORHP)
Bureau of Health Resources Development
The Foundation Center Cooperating Collection Network
General Fund Raising Resources
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Improvement in public health is closely related with political participation
Healthcare providers are called to be the voice for these communities
Increase involvement in policy-making, seek available funding, utilize retention strategies to change the story of rural healthcare
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References
Beal, E. (2012). Pros and cons of rural nursing. Retrieved from http://career-news.healthcallings.com/2012/09/19/pros-and-cons-of-rural-nursing/.
Buchan, J., Couper, I. D., Tangcharoensathien, V., Thepannya, K., Jaskiewicz, W., Perfilieva, G., & Colea, C. (2013). Early implementation of WHO recommendations for the retention of health workers in remote and rural areas. Policy & Practice, 91, 834-840. doi: http://dx.doi.org/10.2471/BLT.13.119008.
Buykx, P., Humphreys, J., Wakerman, J., & Pashen, D. (2010). Systematic review of effective retention incentives for health workers in rural and remote areas: Towards evidence-based policy. The Australian Journal of Rural Health, 18, 102-109. doi: 10.1111/j.1440-1584.2010.01139.x.
Fluharty, C. W. (2002). Refrain or reality: A United States rural policy? Implications for rural health care. The Journal of Legal Medicine, 23, 57-72.
Harris, J. K., & Mueller, N. L. (2013). Policy activity and policy adoption in rural, suburban, and urban local health departments. Journal of Public Health Management Practice, 19(2), E1-E8. doi: 10.1097/PHH.0b013e318252ee8c.
Health and Human Services. (2013). The affordable care act-What it means for rural America. Retrieved from http://www.hhs.gov/healthcare/facts/factsheets/2013/09/rural09202013.html.
Morgan, A. (2012). The rural health care tundra. In D. J. Mason, J. K. Leavitt, & M. W. Chaffee (Eds.), Policy & politics in nursing and health care (pp.200-205). St. Louis: Elsevier Saunders.
National Agricultural Library. (2013). Capital assistance funding: A rural health resource guide. Retrieved from http://pubs.nal.usda.gov/sites/pubs.nal.usda.gov/files/capital_assistance.html.
Russell, D. J., Humphreys, J. S., Ward, B., Chisholm, M., Buykx, P., McGrail, M., & Wakerman, J. (2013). Helping policy-makers address rural health access problems. The Australian Journal of Rural Health, 21, 61-71.
**All pictures found via google image search