Reimagining America's Rural Health: Challenges and Opportunities.

IF 1.7 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Herd-Health Environments Research & Design Journal Pub Date : 2024-04-01 Epub Date: 2023-11-26 DOI:10.1177/19375867231209501
Debajyoti Pati, Pariya Sheykhmaleki, Daphne A U Chilaka
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Abstract

Objectives: The objective of this inquiry was to identify (a) rural health challenges in the United States, especially in the context of the COVID-19 pandemic and (b) to identify opportunities within the disruptions caused by the pandemic.

Background: Rural healthcare challenges in the United States are not the same as those faced in urban and suburban communities. Nor are rural hospitals a miniature version of larger urban hospitals. Urban healthcare and hospital-centric policies and solutions, hence, do not help address or optimize the unique health challenges of rural communities. Furthermore, the challenges previously faced by rural hospitals were further exacerbated by COVID-19.

Methods: Key points from public deliberations among experts in a 1-day symposium on rural health, attended by 65 professionals representing 18 west Texas institutions, were captured by the authors. The data were subsequently analyzed to identify common areas of information.

Findings: Four clusters of challenges and opportunities were identified: healthcare delivery, healthcare infrastructure/building, community health, and public administration.

Conclusions: Symposium data suggest that rural health faced numerous unique challenges, which were further compounded by the COVID-19 pandemic. However, the pandemic also helped discover the resiliency of clinicians working in rural areas. For rural health optimization, rural health buildings also need to be flexible. While funds are not easily available, some innovative community collaborations with healthcare institutions may generate novel solutions. In the meantime, telemedicine promises a radical change in rural community health services in the future.

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重塑美国农村健康:挑战与机遇。
目的:本次调查的目的是确定(a)美国农村卫生挑战,特别是在COVID-19大流行的背景下;(b)在大流行造成的中断中确定机会。背景:美国农村医疗保健面临的挑战与城市和郊区社区面临的挑战不同。农村医院也不是大型城市医院的微缩版。因此,城市保健和以医院为中心的政策和解决方案无助于解决或优化农村社区独特的卫生挑战。此外,2019冠状病毒病进一步加剧了农村医院此前面临的挑战。方法:在为期1天的农村卫生研讨会上,由代表18个西德克萨斯州机构的65名专业人员参加的专家公开讨论的关键点被作者捕获。随后对数据进行分析,以确定信息的共同领域。研究结果:确定了四组挑战和机遇:医疗保健服务、医疗保健基础设施/建设、社区卫生和公共管理。结论:研讨会数据表明,农村卫生面临许多独特的挑战,COVID-19大流行进一步加剧了这些挑战。然而,大流行也有助于发现在农村地区工作的临床医生的复原力。为了优化农村卫生,农村卫生建筑也需要具有灵活性。虽然资金不容易获得,但与医疗保健机构的一些创新社区合作可能会产生新的解决方案。与此同时,远程医疗有望在未来彻底改变农村社区卫生服务。
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来源期刊
Herd-Health Environments Research & Design Journal
Herd-Health Environments Research & Design Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.10
自引率
22.70%
发文量
82
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