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Poor access to care and the impact on outcomes and government policy

By Thomas Bauer Moderator | 17 Apr, 2017

A Gordon Baird; in his article entitled “ Poor access to care: rural health deprivation?” states Mortality rates in the United Kingdom “for road traffic accidents, asthma, and cancer are worse in rural areas. Cancer is diagnosed at a later stage and intervention rates for coronary artery disease (key government targets for health improvement) are lower. Rural patients are admitted to hospital less frequently than urban patients. Neither the NHS improvement plan nor NHS cancer plans make specific mention of rurality or access, yet if overall healthcare gains are to be achieved, national planners should take note of such a large subset of our population.”
The writer details that rural healthcare needs are not inherently different. Social determinants such as poverty deprivation, social isolation, drug and alcohol abuse all exist in a rural practice, but are compounded by poor access to secondary and tertiary care. Baird argues that the lack of health care services and choices is the main difference between urban and rural care in the UK.
  
What are your thoughts on the impact of A Gordon Baird’s thoughts on the provision of care in economically challenged communities?

How do these thoughts impact government policies in the era of accountable care and population health management in countries like the United States in which there are vast rural areas?

Please see the full article that is attached below

Attached resource:
 

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This community is no longer active as of December 2018. Thanks to those who posted here and made this information available to others visiting the site.