title: An assessment of two upstate New York rural counties to determine unmet health needs of the Medicaid population.
abstract: Despite an influx of new providers in the primary care arena, there remains a documented need in rural areas for additional services. Using Health People 2000 as an organizing framework, data from two upstate rural counties were analyzed to develop county profiles focusing on demographics, economics, morbidity, mortality, unemployment, and available health-related services. A survey based on these data was designed to examine reports of perceived health status and utilization of health care services. Results indicate a lack of providers and transportation, inaccessible office hours, unavailability of child/elder care, and excessive waiting time at the office or clinic as the greatest barriers perceived by rural Medicaid patients to receiving health care.
authors.affiliation: United Managed Correctional Care, Coxsackie, NY, USA.
authors.forename: J K
authors.initials: JK
authors.lastname: Shaw
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006304:Health Status; D006801:Humans; D008297:Male; D008484:Medicaid; D008875:Middle Aged; D009518:New York; D011320:Primary Health Care / Q000592:standards; D019035:Rural Health Services / Q000592:standards*; D014481:United States