SUS Rural Pediatrics by David Keller reviewed by John Walburn Tom Tonniges SUS

SUS What is Rural America?? Census: rural areas are located outside urbanized areas with population no greater than 2500 Only 28% of Americans live in rural areas

SUS Serving the Underserved: Urban vs. Rural Common Assets –Family –Community institutions Common Barriers –Poverty –Lack of providers –Transportation –Inadequate agency resources Rural Assets –Land. –Food Rural Barriers –Seasonal labor –Lack of sub- specialists –Distance –Inadequate agencies

SUS Provider Availability by Population Densit

SUS Federal Efforts to Improve Rural Health Care Hill-Burton Act Community/ Migrant Health Centers National Health Service Corps

SUS Pediatricians in Rural America: From Randolph GD. Pathman DE. Trends in the rural-urban distribution of general pediatricians. Pediatrics. 107(2):E18, 2001 Feb.

SUS Rural Counties without Pediatricians: 1996 From Randolph GD. Pathman DE. Trends in the rural-urban distribution of general pediatricians. Pediatrics. 107(2):E18, 2001 Feb.

SUS Formulate a Problem List Traditional Problem List –Problems by System Extended Problem List –Transportation –Health insurance –Social Services –Educational services

SUS Formulate a Problem List Problem List –Down syndrome –Heart murmur –IDDM –Developmental delay Extended Problem List –Transportation –Health insurance –Lack of specialists –Inadequate educational services

SUS Skills for Rural Pediatrics Community Assessment: –What is available out there? –What do we need to build? Collaboration: –Finding the time –Putting together the team.