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Alternative Models for the Delivery of Rural Health Care: A Case Study of a Western Frontier State *
Author(s) -
Witt De,
Rowley Beverley Davies
Publication year - 1990
Publication title -
the journal of rural health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.439
H-Index - 57
eISSN - 1748-0361
pISSN - 0890-765X
DOI - 10.1111/j.1748-0361.1990.tb00666.x
Subject(s) - outreach , frontier , variety (cybernetics) , legislature , mandate , health care , service delivery framework , business , nursing , rural area , subsidy , medicine , service (business) , economic growth , political science , marketing , pathology , artificial intelligence , computer science , law , economics
This is a case study illustrating the wide variety of models for rural health care delivery found in a western “frontier” state. In response to a legislative mandate, the University of Nevada School of Medicine created the Office of Rural Health in 1977. Utilizing a cooperative, community development approach, this office served as a resource, as well as a catalyst, in the development and expansion of a variety of alternative practice models for health care delivery to small, underserved rural communities. These models included small, single, and multispecialty group practices; self‐supporting and subsidized solo practices; contract physicians; midlevel practitioners; and National Health Service Corps personnel. The rural health care System that was created featured regional and consortial arrangements, urban and medical school outreach programs, and a “flying doctor” service.