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Issues in Rural Health Programming: A Center Perspective
Author(s) -
Peterson Michael,
Dunnagan Tim
Publication year - 1998
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.1748-0361.1998.tb00857.x
Subject(s) - center (category theory) , perspective (graphical) , public relations , quality (philosophy) , rural area , health care , nursing , knowledge management , psychology , business , medicine , medical education , political science , computer science , philosophy , chemistry , epistemology , law , crystallography , pathology , artificial intelligence
The purpose of this conceptual paper is to review select issues associated with rural health programs that have a number of satellite sites (periphery) coordinated through a primary supervisory body (center). The paper provides suggestions for fostering more effective programming to rural populations and generating further dialogue about center‐periphery issues from diverse perspectives. Based on literature and interviews with four rural health professionals who administer programs from a central location, three common center‐periphery challenges are identified and discussed: control, communication, and competency. To address these challenges and facilitate high‐quality programming, suggestions, including the effective use of dialogue and discussion, consensual decision‐making, a communication of care, and a center's role in staff recruitment and retention, are discussed.