Rural-urban health care provider disparities in Alaska and New Mexico

被引:45
作者
Johnson, Mark E.
Brems, Christiane
Warner, Teddy D.
Roberts, Laura Weiss
机构
[1] Univ Alaska, Behav Hlth Res & Serv, Anchorage, AK 99508 USA
[2] Univ New Mexico, Sch Med, Albuquerque, NM 87131 USA
[3] Med Coll Wisconsin, Dept Psychiat & Behav Med, Milwaukee, WI 53226 USA
来源
ADMINISTRATION AND POLICY IN MENTAL HEALTH | 2006年 / 33卷 / 04期
关键词
health care disparities; provider shortages; rurality; rural; urban;
D O I
10.1007/s10488-005-0001-7
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Compared to their urban counterparts, rural residents face numerous disparities in obtaining health care, including limited access to care providers. We assessed disparities in provider availability in rural versus urban Alaska and New Mexico, with emphasis on professionals likely to provide mental health care. Using lists of licenses, we categorized physical and mental health care providers into rural versus urban and calculated rural versus urban disparity ratios. Rural residents had significantly less access to health care providers and discrepancies grew with level of required provider education and specialization. Addressing disparities via creative strategies is crucial to improving rural care delivery.
引用
收藏
页码:504 / 507
页数:4
相关论文
共 23 条
[1]  
*AM PSYCH ASS OFF, 1995, CAR RUR COMM INT CUR
[2]   A community needs assessment for rural mental health promotion [J].
Barry, MM ;
Doherty, A ;
Hope, A ;
Sixsmith, J ;
Kelleher, CC .
HEALTH EDUCATION RESEARCH, 2000, 15 (03) :293-304
[3]   Access and issues of equity in remote/rural areas [J].
Bull, CN ;
Krout, JA ;
Rathbone-McCuan, E ;
Shreffler, MJ .
JOURNAL OF RURAL HEALTH, 2001, 17 (04) :356-359
[4]  
CIARLO JA, 2000, J WASHINGTON ACAD SC, V86, P1
[5]  
Fortney J., 2000, Health Services Outcomes Research Methodology, V1, P173, DOI DOI 10.1023/A:1012545106828
[6]   Barriers to help seeking for mental disorders in a rural impoverished population [J].
Fox, JC ;
Blank, M ;
Rovnyak, VG ;
Barnett, RY .
COMMUNITY MENTAL HEALTH JOURNAL, 2001, 37 (05) :421-436
[7]  
GELLER JM, 2000, J WASHINGTON ACAD SC, V86, P117
[8]  
Geller JM, 2000, J WASH ACAD SCI, V86, P131
[9]  
Geyman JP, 2001, TXB RURAL MED
[10]  
GURALNICK S, 2003, RURAL BEHAV HLTH CAR, V1, P193