title: The rural health care enterprise: keeping up with the city slickers.
abstract: As the managed care juggernaut rolls into rural America, numerous communities appear to be following the strategies adopted by their urban counterparts. But rural areas are different. There are several key dynamics that must be considered for rural communities to be successful in responding to the considerable challenges of the brutal market forces of managed care. The author presents practical suggestions for success in rural health care systems.
authors.affiliation: St. Joseph Healthcare Delivery System, Albuquerque, NM, USA.
authors.forename: B R
authors.initials: BR
authors.lastname: Silbaugh
mesh_terms: D018672:Community Health Planning; D003710:Demography; D006279:Health Maintenance Organizations / Q000458:organization & administration*; D006801:Humans; D007857:Leadership; D010821:Physicians, Family / Q000600:supply & distribution; D010934:Planning Techniques; D011216:Practice Management, Medical; D011365:Professional Practice Location; D012308:Risk Management; D019035:Rural Health Services / Q000458:organization & administration*; D014481:United States