background: job satisfaction remains as an important concern for both employer and employee. the leaving of work­place and migration to city centers is one of the main results of job dissatisfaction among the primary health care (phc) provid­ers in rural setting of iran, behvarzes. determining the predictor's factors of the phc providers' job dissatisfac­tion and provid­ing appropriate strategi...

Beginning with a brief overview of national health care quality improvement efforts, this article describes national initiatives to improve the quality of care and patient safety, along with the challenges of measuring quality of care in rural settings. Next, the article analyzes the performance of rural Minnesota hospitals in the Hospital Compare and Leapfrog initiatives and compares the resul...

This brief describes Medicaid’s role for 52 million nonelderly children and adults living in the most rural areas in the United States and discusses how expansions or reductions in Medicaid could affect rural areas. It shows:  Rural populations face significant challenges to their health care coverage and access. People who live in the most rural counties of America are spread across almost 2,...

background: health care systems in rural areas face numerous challenges in meeting the community’s needs and adequate attention has not been paid to this problem. the aim of this study was to describe the outcomes of health care process in rural society. materials and methods: twenty-six participants including twenty-one rural health care providers and five clients were selected according to pu...

background and purpose: equity in access to health care has become a desirable policy objective. therefore, accessibility to health care should be provided based on health needs rather than socio- demographic variables. this will lead to a better utilization of health care and improvement of equity in health. the aim of this paper is to examine the effects of family socio-economic status as an ...

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...

This article summarizes the perspectives gained in the course of evaluating a 4-year demonstration program that supported rural hospital networks as mechanisms for improving rural health care delivery. Findings include: (1) joining a network is a popular, low-cost strategic response for rural hospitals in an uncertain environment; (2) rural hospital network survival is enhanced by the mutual re...

There is a paucity of research demonstrating how best to address inequalities in health and access to specialist care faced by rural disadvantaged populations in high HIV-prevalent settings in Sub Saharan Africa. Delivering equitable and cost-effective specialist clinical services in many parts of Africa is challenging, given human resource shortages, poor transport infrastructure and competing...

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...

Consulting psychologists have recognized the importance of providing comprehensive consultation and clinical services for consumers with special needs. Often because of distance and access to consultation services, remote and underserved populations may not have the necessary access to consultant specialists in psychology and other disciplines. Such services are now available through an innovat...