title: Access and quality: does rural America lag behind?
abstract: Numerous state and federal programs and policies aim to improve rural health care. This study compares access to and quality of medical care in urban and rural areas from the perspective of physicians and patients, using a broad set of indicators taken from the 2000-2001 Community Tracking Study (CTS) Physician and Household Surveys. Across most dimensions examined, access and quality in rural areas-even rural counties not adjacent to metropolitan areas-were either equivalent or superior to that provided in urban areas. However, rural residents have greater difficulty obtaining mental health services and generally face greater financial barriers to care.
authors: Center for Studying Health System Change in Washington, DC, USA. jreschovsky@hschange.org
authors: James D
authors: JD
authors: Reschovsky
authors: Andrea B
authors: AB
authors: Staiti
mesh_terms: D001291:Attitude of Health Personnel; D006297:Health Services Accessibility / Q000145:classification / Q000706:statistics & numerical data*; D006801:Humans; D008137:Longitudinal Studies; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010820:Physicians / Q000600:supply & distribution; D011365:Professional Practice Location / Q000706:statistics & numerical data; D011787:Quality of Health Care; D012044:Regression Analysis; D019035:Rural Health Services / Q000592:standards* / Q000706:statistics & numerical data; D014481:United States / Q000453:epidemiology; D019037:Urban Health Services / Q000592:standards* / Q000706:statistics & numerical data; D000078329:Workforce