Beginning with a brief overview of national health care quality improvement efforts, this article describes national initiatives to improve the quality of care and patient safety, along with the challenges of measuring quality of care in rural settings. Next, the article analyzes the performance of rural Minnesota hospitals in the Hospital Compare and Leapfrog initiatives and compares the resul...

INTRODUCTION Little evidence exists about the impact of strategies to increase rural retention in developing countries. To address Thailand's long-lasting critical shortage of doctors, two new government-funded projects to increase the production of rural doctors have been employed through collaboration between the Ministry of Education and the Ministry of Public Health (MOPH). The present stud...

BACKGROUND Due to large geographical distances, the telephone is central to enabling rural Australian communities to access care from their local health service. While there is a history of rural nurses providing care via the telephone, it has been a highly controversial practice that is not routinely documented and little is known about how the practice is governed. The lack of knowledge regar...

Consulting psychologists have recognized the importance of providing comprehensive consultation and clinical services for consumers with special needs. Often because of distance and access to consultation services, remote and underserved populations may not have the necessary access to consultant specialists in psychology and other disciplines. Such services are now available through an innovat...

This paper makes an analysis of subsidies in Chile’s public utilities. Rates rebalancing have practically eliminated cross subsidies, and current programs are funded from the national budget. Over the last decade in particular, significant efforts have been made to extend public services to rural populations, and a consumption subsidy for potable water currently benefits 17% of the population. ...

A key proposition set out in Setting Priorities for the B.C. Health System and a subsequent document on B.C. Health System Strategy Implementation: A Collaborative and Focused Approach is that the current utilization of hospitals is neither sustainable nor the best delivery system for meeting the needs of several key populations. The documents argue the need to radically rethink and reposition ...

PURPOSE China's Ministry of Health has enacted Rural Primary Health Care Program (2001-2010) (HCP) guidelines to improve the quality of people's health. However, the program's success in Western China remains unevaluated. Thus, this study aims to begin to fill that gap by analyzing the provision and utilization of Rural Primary Health Care (RPHC) in Western China. METHODS A cross-sectional st...

introduction: in order to fulfill the health and medical needs of rural people, iran's medical services insurance organization approved a plan to provide rural health insurance in 2005. the plan aimed to make an appropriate context for the activities of private health care service providers in the rural areas and to meet public expectations for access to specialized medical services. in this st...

INTRODUCTION Chest pain is common in emergency department (ED) patients and represents a considerable burden for rural health services. Health services reforms to improve access to care need appropriately skilled and supported clinicians in the delivery of safe and effective care, including the use of emergency nurse practitioners (ENPs). Despite increasing use of ENPs, little is known about th...

Health care access issues present significant challenges for rural populations and health providers. Psychology can support improved access and quality of rural health services through the development of integrated behavior health programs within primary care settings. This article reviews a clinical training and service delivery program, the Rural Hawai’i Behavioral Health Program, which has e...