Alternative Models for the Delivery of Rural Health Services
Bibliographic Data
| ID | 19431663 |
|---|---|
| Authors | Jon B Christianson (University of Minnesota), Colleen M Grogan (University of Minnesota, Duluth) |
| Year | 1990 |
| Volume | 6 |
| Issue | 4 |
| Pages | 419-436 |
| Publication date | 1990-10-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | The Journal of Rural Health (JOURNAL) |
| Journal identifiers | ISSN: 0890-765X • E-ISSN: 1748-0361 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/j.1748-0361.1990.tb00681.x |
| PMID | 10107683 |
| OpenAlex | W1999217514 |
| Language | EN |
| Citations received | 5 |
| References cited | 24 |
A number of alternatives to the solo, fee‐for‐service physician model have been pursued in an attempt to alleviate some of the specific problems associated with the delivery of primary care in rural areas. This article reviews and critiques the literature published in the 1980s for four alternative models: organized group practices, community health centers, community‐oriented primary care and managed care systems. The review examines the strengths and shortcomings of the existing literature, and identifies high‐priority research areas for each model. These four alternative models were introduced and promoted during the 1970s with little in the way of research evidence to support them. The subsequent literature pertaining to their performance was primarily descriptive. Of the quantitative studies, many utilized 1970s data. Therefore, the effects of the many environmental changes in rural areas during the 1980s on the viability of these models is unknown. In addition, little, if anything, is known about the life cycle of these models. While longitudinal, cross‐organizational studies present several logistic difficulties and require considerable resources for data collection, they hold the promise of extending the existing knowledge concerning alternative models beyond its present state
Business · Data collection · Economic growth · Economics · Health care · Management science · Rural area · Service delivery framework · Social science · Sociology · Global Health Workforce Issues · Medicine · Nursing Roles and Practices · Primary Care and Health Outcomes · Marketing
Competition, Professional Synergism, and the Geographic Distribution of Rural Physicians
Self‐Care and Illness Response Behaviors in a Frontier Area
State Legislation and Policy Affecting Rural Hospital Conversion and Closure
A Multivariate Assessment of the Effects of Residence on Infant Mortality
Determinants of Rural Hospital Conversion
A University Rural Teaching Practice
Policies To Influence the Spatial Distribution of Physicians
An evaluation of subsidized rural primary care programs
An evaluation of subsidized rural primary care programs
Rural health care delivery amidst federal retrenchment
Rural areas and personal health services
The Effect of Preceptorship and Rural Training Programs on Physicians?? Practice Location Decisions
The Role of Group Practice in the Distribution of Physicians in Nonmefcropolitan Areas
The Effect of a Group Practice on Rural Health Attitudes and Behavior
Nurse Practitioner and Physician Assistant Satellite Health Centers
| Unique citing works | 5 |
|---|---|
| Citations per year | 0,14 |
| Citation span | 1991 - 1996 (6) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 4 |