Muskie School researchers have authored several chapters to the recently published book Rural Public Health: Best Practices and Preventive Models, a comprehensive text that examines rural health from the perspectives of public health and prevention. Their contributions include:
- “Access to Medical Care in Rural America,” authored by Erika Ziller: Rural residents face many barriers to accessing appropriate medical care, and they often have to coordinate care across long distances with few supportive resources. Ziller’s chapter highlights the barriers to optimal care for rural residents. Lower income, lower rates of health insurance coverage, and a lack of primary and specialty care in rural areas contribute to these barriers, and as a result, may compromise the health and well-being of rural residents.
- “Integrated Care in Rural Areas,” co-authored by David Lambert and John Gale: Over the past decade there has been a substantial push within the U.S. healthcare system to integrate physical (primary) and mental health care. Rural areas were early adopters of this integration out of necessity, since more than 80% of psychiatrists and doctoral-level psychologists reside and practice in urban areas. This chapter presents an overview of integration and describes models and barriers to integration in rural areas, providing current and best practices. Additionally, Lambert and Gale look at policy initiatives affecting integration of care in rural areas and offer practical strategies to do so.
- “Substance Use and Abuse in Rural America,” co-authored by Jennifer Lenardson, David Hartley, John Gale, and Karen Pearson: This chapter compares rural and urban areas and the rural continuum for prevalence of substance use and abuse, efforts to prevent substance abuse, treatment availability and accessibility, and continuing care and long term support for abstinence. It also presents models of service delivery that address resource limitations common to rural areas.
Suggested citations for the above:
Ziller EC. Access to Medical Care in Rural America. In: Warren JC, Smiley KB, eds. Rural Public Health: Best Practices and Preventive Models. New York: Springer Publishing Company; 2014:11-28.
Lambert D, Gale J. Integrated Care in Rural Areas. In: Warren JC, Smiley KB, eds. Rural Public Health: Best Practices and Preventive Models. New York: Springer Publishing Company; 2014:67-84.
Lenardson JD, Hartley D, Gale J, Pearson KB. Substance Use and Abuse in Rural America. In: Warren JC, Smiley KB, eds. Rural Public Health: Best Practices and Preventive Models. New York: Springer Publishing Company; 2014:95-114.