Crisis in Rural Healthcare: Solutions To Meet the Need for Rural Physicians

R. Terry, Teodor Kouzov, A. Ramsey
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Abstract

Rural healthcare has reached a precipitous point in rural America. Despite significant growth in the number of medical students enrolled in medical schools, fewer students are choosing to practice in rural primary care settings. Low reimbursement, closure of rural hospitals and clinics as well as physician burnout have exacerbated the stress on the healthcare delivery system in underserved areas. Yet diseases such as diabetes, heart disease, stroke, and cancer are more prevalent per capita in rural communities than in urban areas. COVID-19 mortality also remains substantially higher in rural areas compared with urban ones. While rural medicine has been ignored in recent times, the healthcare supply has reached critically low levels, and changes to the system need to be prioritized. Solutions to help alleviate the rural physician shortage include opening new medical schools in rural communities, increasing exposure of medical students to underserved areas during their clinical years, and engaging in specific recruitment strategies for applicants from rural regions.
农村医疗危机:满足农村医生需求的解决方案
在美国农村地区,农村医疗保健已经达到了一个险峻的地步。尽管在医学院注册的医学生人数显著增加,但选择在农村初级保健机构实习的学生却越来越少。低报销、农村医院和诊所的关闭以及医生的职业倦怠加剧了服务不足地区医疗保健服务系统的压力。然而,糖尿病、心脏病、中风和癌症等疾病在农村地区的人均发病率高于城市地区。农村地区的COVID-19死亡率也远高于城市地区。虽然近年来农村医疗一直被忽视,但医疗保健供应已达到极低水平,需要优先考虑对制度进行改革。帮助缓解农村医生短缺的解决办法包括在农村社区开设新的医学院,增加医学生在临床期间到服务不足地区的机会,以及为农村地区的申请者制定具体的招聘战略。
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