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Rural Pediatrics

S. U. S. Rural Pediatrics. by David Keller reviewed by John Walburn Tom Tonniges. What is ‘Rural America?’?. Census: rural areas are “located outside urbanized areas with population no greater than 2500” Only 28% of Americans live in rural areas. Common Assets Family

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Rural Pediatrics

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  1. S U S Rural Pediatrics by David Keller reviewed by John Walburn Tom Tonniges

  2. What is ‘Rural America?’? • Census: rural areas are “located outside urbanized areas with population no greater than 2500” • Only 28% of Americans live in rural areas

  3. Common Assets Family Community institutions Common Barriers Poverty Lack of providers Transportation Inadequate agency resources Rural Assets Land. Food Rural Barriers Seasonal labor Lack of sub-specialists Distance Inadequate agencies Serving the Underserved: Urban vs. Rural

  4. Provider Availability by Population Densit

  5. Federal Efforts to Improve Rural Health Care • Hill-Burton Act • Community/ Migrant Health Centers • National Health Service Corps

  6. Pediatricians in Rural America: 1981-1996 From Randolph GD. Pathman DE. Trends in the rural-urban distribution of general pediatricians. Pediatrics. 107(2):E18, 2001 Feb.

  7. Rural Counties without Pediatricians: 1996 From Randolph GD. Pathman DE. Trends in the rural-urban distribution of general pediatricians. Pediatrics. 107(2):E18, 2001 Feb.

  8. Traditional Problem List Problems by System Extended Problem List Transportation Health insurance Social Services Educational services Formulate a Problem List

  9. Problem List Down syndrome Heart murmur IDDM Developmental delay Extended Problem List Transportation Health insurance Lack of specialists Inadequate educational services Formulate a Problem List

  10. Skills for Rural Pediatrics • Community Assessment: • What is available out there? • What do we need to build? • Collaboration: • Finding the time • Putting together the team.

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