Which of the following factors results in rural residents having less access to health care than urban dwellers? (Select all that apply.)
a. Employment opportunities may be low paying and seasonal.
b. There are greater distances to travel and limited choice of health care providers.
c. Health care providers prefer to work in higher-paying urban settings.
d. Rural residents are less likely to have health insurance.
e. Rural persons' economic resources are tied up in land, not easily accessible cash.
f.
Rural persons believe in self-sufficiency and self-care, not asking others for help.
ANS: A, B, C, D
A recent Institute of Medicine study reported rural medical access problems in these areas, with some hospital and pharmacy closures; greater distances to travel for physician services; and limited, if any, choice of providers. Rural residents were more likely than urban residents to lack insurance. Two thirds of the persons living in the most rural counties are low-income families. Having economic resources invested in land and believing in self-sufficiency and self-care are not reasons why rural residents have less access to health care than urban dwellers.
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