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?

Expert Solution

   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 2 years ago

Several factors have resulted in the shift in utilization from inpatient hospitalization to ambulatory care services....

Several factors have resulted in the shift in utilization from inpatient hospitalization to ambulatory care services. What are the implications of this shift for hospitals, consumers, and the health care delivery system as a whole? Is the increase in outpatient care and corresponding decrease in inpatient care a positive for patients?

Is it ethical for the nurse to shift from “patient-centered care” to emphasizing the “public good”...

Is it ethical for the nurse to shift from “patient-centered care” to emphasizing the “public good” during a crisis? Why or why not? How would you respond if you were caring for a patient with COVID-19 whose death was imminent? Would you enter the room? Why or why not? In a crisis, PPE is being used differently from manufacturers’ recommendation. Does the nurse have the right to refuse an assignment if they believe that the PPE may be inadequate because...

Identify common vulnerabilities and healthcare issues in the rural population. Describe challenges of patient care from...

Identify common vulnerabilities and healthcare issues in the rural population. Describe challenges of patient care from a perspective of the patient, provider, and the health system. Discuss strategies to improve health care outcomes in the rural setting

The use of non-physician clinicians mainly nurse practitioners and physician assistants in ambulatory care is increasing....

The use of non-physician clinicians mainly nurse practitioners and physician assistants in ambulatory care is increasing. Should these two types of clinicians be allowed to practice independently or should they remain under the supervision of a board certified physician. What are the strengths and pitfalls of each road.

1. Write a brief definition for the following terms: in-patient out-patient ambulatory care service 2. Discuss...

1. Write a brief definition for the following terms: in-patient out-patient ambulatory care service 2. Discuss the importance of, and give two examples of each, disaster and emergency preparedness plans for: fires natural disasters large-scale accidents pandemics Clarification: You need to give two examples that you would find in a disaster or emergency preparedness plan for each of the bulleted items. fires: an item in a disaster plan may be that all fire doors are held open by magnets and...

How are the costs associated with the implementation of the Affortable care act impacting the hospitals...

How are the costs associated with the implementation of the Affortable care act impacting the hospitals which provide tertiary care services such as transplant?

To preserve capital in a declining share market, a portfolio manager should: a. Shift funds from...

To preserve capital in a declining share market, a portfolio manager should: a. Shift funds from cash markets into share markets. b. Buy call options on the share index. c. Sell put options on the share index. d. Buy share index futures. e. Sell share index futures. Which of the following is a FALSE statement? a. The S&P500 is a popular benchmark for evaluating portfolio performance in the US. b. Dollar-weighted returns are appropriate for portfolio managers. c. Superior performance...

Manufacturing jobs in the United States have been declining. How has this shift away from industry...

Manufacturing jobs in the United States have been declining. How has this shift away from industry affected your local economy? Your local identity?

Day care is a serious problem for many families. Legislators are aware of the increasing demand...

Day care is a serious problem for many families. Legislators are aware of the increasing demand by working parents of young children to do something about day care. Assume you are evaluating two subsidy programs. Program 1: A family receives a per unit subsidy for each day a child attends an authorized day care facility. Program 2: Each family with a child registered in an authorized day care facility receives a lump sum subsidy. An association which represents day care...

Health Econ Question: How do hospitals and physicians contribute to the rising costs of health care?

Question