title: Surviving in rural America. Providers must adapt to the changing healthcare environment.
abstract: As the rural healthcare environment changes, the abilities to assess the situation quickly and to implement decisions under conditions of uncertainty are crucial success factors. Rural healthcare providers and rural communities must examine certain assumptions underlying the delivery of healthcare services in rural areas, including the following: The rural renaissance of the 1970s will return. Rural communities need and want hospitals. Local physicians are the backbone of rural healthcare delivery. Transportation is a major barrier to healthcare service delivery. Competition in the delivery of healthcare services is appropriate for rural areas. The questionable validity of these assumptions implies that the current infrastructures for delivering rural healthcare services may no longer be appropriate. To adapt to changes, providers must (1) ensure changes fit with local conditions, (2) consider regionalization, (3) integrate all human services, not just health services, into a cooperative arrangement, (4) consider alternative configurations for providing physician services, and (5) place greater emphasis on transportation and telecommunication systems as means for ensuring timely access.
authors: College of Medicine and Graduate College, University of Iowa, Iowa City.
authors: R L
authors: RL
authors: Ludke
mesh_terms: D003659:Decision Making, Organizational; D004465:Economic Competition; D006271:Health Facility Closure / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand / Q000639:trends*; D006780:Hospitals, Rural / Q000458:organization & administration*; D006801:Humans; D008505:Medical Staff, Hospital / Q000600:supply & distribution; D009936:Organizational Innovation; D014481:United States