primary care physicians' visit services for diabetes management are now widely delivered in china's rural public health care. current studies mainly focus on supply but risk factors from patients' view have not been previously explored. this study aims to present the utilization of rural primary care physicians' visit services for diabetes management in the last 12 months in southwestern china,...

People living in rural and remote communities often have among the greatest health needs but the most limited access to healthcare services, including specialist care. One solution for increasing access to specialist services is visiting-specialist services or specialist outreach clinics - that is, planned, regular visits by specialist physicians from their usual practice location to see patien...

Rural hospitals continue to face the threat of closure. Congress passed legislation in 1989 and 1990 to offer an alternative for small rural hospitals; the legislation encourages hospitals to form networks comprising an essential access community hospital (EACH) and one or more rural primary care hospitals. This legislation is a tightly focused program that will affect no more than an estimated...

OBJECTIVE To evaluate whether rural consumer preferences for health services have changed over time or vary across communities with different models of health service delivery. DESIGN Questionnaire survey replicating a 1989 study, with ranking of seven different healthcare services. PARTICIPANTS AND SETTING Adult occupants from a 20% sample of private residences, in towns and on farms, in t...

background & purpose: since 2005, a reform known as rural insurance and family medicine scheme has introduced to primary health care network in iran in rural areas and small towns. the content of the reform implies a substantial change in those aspects of health centers that mainly could be categorized as structural quality. although, this is the requirement of all health care providers, they a...

Background & purpose: Since 2005, a reform known as Rural Insurance and Family Medicine Scheme has introduced to primary health care network in Iran in rural areas and small towns. The content of the reform implies a substantial change in those aspects of health centers that mainly could be categorized as structural quality. Although, this is the requirement of all health care providers, they a...

n This overview of rural health care today shows the role that internal medicine can and should play in delivering primary care to rural populations. The American College of Physicians recommends changes to improve access to and delivery of primary care in rural areas. There are six specific recommendations. 1. Implementing universal health care coverage through a system that makes primary care...

BACKGROUND AND OBJECTIVES Evidence suggests that rural experiences can positively influence students' preferences for rural practice. This study examined changes in students' perceptions toward rural primary care following a required rural clerkship. METHODS Third-year students completed pre- and post-clerkship questionnaire items assessing their beliefs about primary care physicians who prac...

In this policy brief, we estimate and document the regional magnitudes of charges associated with hospitalizations due to ambulatory care sensitive conditions (ACSCs) in rural hospitals. This research will inform policy makers about the regional magnitudes of rural preventable hospitalizations and the associated potential savings in hospital resource utilization when rural patients receive time...