Meeting the Primary Care Needs of Rural America: …

New analysis from the University of Minnesota Rural Health Research Center puts the situation in dire terms: “More than two thirds of rural counties in Florida, Nevada and South Dakota have no in-county obstetrical services,” says one of the study’s authors, Carrie Henning-Smith, a research associate at the center. The analysis, which has not yet been published, finds that this was true from 2004 through 2014 (the latest year analyzed). That means these counties had absolutely no hospitals providing obstetrical care—forcing women to travel to other counties.

Reinventing Rural Health Care | Bipartisan Policy Center

Telehealth plays growing role for patient access to care in rural America

What oral health disparities are present in rural America

The disappearing maternal care problem is common across rural America. Only about 6 percent of the nation’s ob–gyns work in rural areas, according to the latest survey numbers from the American Congress of Obstetricians and Gynecologists (ACOG). Yet 15 percent of the country’s population, or 46 million people, live in rural America. As a result, of rural women live within a 30-minute drive of the nearest hospital offering obstetric services. Only about 88 percent of women in rural towns live within a 60-minute drive, and in the most isolated areas that number is 79 percent.

Exploring rural health care today for future practitioners

Maternal mortality is also significantly higher in rural areas. Scientific American analyzed public mortality data from the U.S. Centers for Disease Control and Prevention, and found that in 2015 the maternal mortality rate in large central metropolitan areas was 18.2 per 100,000 live births—but in the most rural areas it was 29.4. Exactly why this happens is unclear. Underlying health conditions such as hypertension or diabetes could be factors, alongside poor prenatal care and geographic access. But the numbers are troubling, and the same trend holds true for infant mortality rates, according to the analysis of .

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Health care in rural America | Farm Forum

But obstetrics–gynecology care is particularly vulnerable because delivering a baby is such a pricey business, accounting for more . Why is it so expensive? Unlike a hip replacement, it is hard to anticipate exactly how long it will take to deliver a baby, so the number of nurses, doctors, surgeons and anesthesiologists that must be available throughout delivery adds up. Rural Americans are also less likely to be insured, and more likely to pay for their care using Medicaid—which reimburses doctors at lower rates than private insurance, making it difficult for doctors and hospitals to recover costs and make profits. Low birth volumes make the economics of obstetrical units harder still: Rural communities are generally graying, a demographic fact that reduces the number of births and makes it difficult for hospitals to financially justify having maternity wards at all. And when those wards cannot make adequate money, it leads to their shutdown.

Delivery Of Health Care In Rural America

Maternal Health Care Is Disappearing in Rural America – …

Yet this is only one program, with only one resident expected for 2017. Rural health care advocates are also pushing for policy action to help fuel further changes and to incentivize work in rural America. The , which has already passed the House but has not yet been introduced in the Senate, would require further data collection by the Department of Health and Human Services about which geographical areas need these maternity care professionals and provide student loan forgiveness for ob-gyn work there—a benefit that is currently offered for dentists and primary care physicians in some underserved communities.

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America Has A Rural Healthcare Crisis. Technology Can Help

To understand how the U.S. got here is not a simple task. Rural health care in general has taken a hit in the past few decades as hospitals have closed and fewer doctors have sought to practice in rural areas. hospitals have been shuttered nationwide since 2010, and about a third of the country’s remaining rural facilities are vulnerable to closure as they continue to operate under tight margins, according to findings from the latest annual Rural Relevance Study. Half of Mississippi’s rural providers operate at a loss, for example, according to the report, which was presented last week at the annual National Rural Health Association (NRHA) conference in Washington, D.C. Rural communities, however, are in desperate need of care: They tend to be poorer, older and than their urban counterparts.