title: Meeting the health care needs of medically underserved, uninsured, & underinsured Appalachians.
abstract: There is the need for critical changes in the United States health care system to meet the rising costs of health care and the massive number of people without health insurance. The Berea Health Ministry Rural Health Clinic (BHMRHC) is a nurse-managed, rural primary health care clinic that was designed to respond to the health care needs of the underserved, uninsured, and underinsured populations in a designated nine county area of Appalachian Kentucky. The process used in the development and implementation of BHMRHC is described as a model to assist in the future development of similar clinics.
authors.affiliation: Department of Baccalaureate & Graduate Nursing, Eastern Kentucky University, Richmond, KY, USA. bhmpres@yahoo.com
authors.forename: Cora Withrow
authors.initials: CW
authors.lastname: Fletcher
authors.forename: Ida L
authors.initials: IL
authors.lastname: Slusher
authors.forename: Mary
authors.initials: M
authors.lastname: Hauser-Whitaker
mesh_terms: D001061:Appalachian Region; D003151:Community Health Centers / Q000458:organization & administration*; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D007629:Kentucky; D008507:Medically Underserved Area; D017057:Medically Uninsured / Q000706:statistics & numerical data*; D016294:Models, Nursing; D009722:Nurse Practitioners / Q000458:organization & administration*; D015403:Nursing Evaluation Research; D011320:Primary Health Care / Q000458:organization & administration*; D015397:Program Evaluation; D019035:Rural Health Services / Q000458:organization & administration*