Increasing costs and declining populations caused many rural hospitals to shift from in-patient to ambulatory care...

Increasing costs and declining populations caused many rural hospitals to shift from in-patient to ambulatory care and, sometimes, long-term care services. Regulations regarding staffing and other service requirements are relaxed in rural settings. Is a two-tiered system of care being created that denies rural citizens access to the same quality of care available in urban areas?

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   Past research between urban and rural health care,usually by health care access and utilization cost,and geographic distribution of providers and services..new research focus on population health,environmental health and difference between urban and rural health behaviour..Environmental factors contribute to different health out comes for urban and rural residents..there is environmental and social changes in urbam population across the world..urban population will be healthier than rural populations..however it is rarely true..because people shift from rural to urban area they are economically ill..they are living in crowded area..but urban areas health relatively sparse but often indicates increased health hazards..
   A past conception regarding rural versus urban health idea is'epidemiological transition' that occur when polulations move from undevelped areas to urban areas..so burden of diseases shifted from infectious to chronic causes..Most of the death occured due to infectious disease,degenerative diseases and violence..so people can not live longer with cardiac and diabetes illness..so there is a double burden of diseases,both infectious and chronic..It was more experienced with rapid urbanization..highly transmissible infectious diseases for long time is possible..Because people living closer to each other in unsanitary environments,it make high infection..high urbanization lead to poor living condition those who shift from rural..live in moldy apartments as a poor urban individuals get asthma kind of diseases and work related injury and environmental pollution..
   To address this urbanization we must do something to maketheir disease outcomes away and forward urban exposures influence health and well-being..relevant study of urban health including epidemiology,health policy,and urban planning,moreover practical issues for developing healthy cities should be focused like preventive strategies the provision of health services and education..Two-tiered health system include 24hours-a-day,seven days a week with basic emergency services,every day family medicine,an ambulance services,home-care nurse,dental care and medical diagnostic services and lab testing and X-rays...The reality is that there is two-tiered medicine,but it is not a private-public split,it is an urban-rural split..

Nightingale answered 1 year ago

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