Rural healthcare is affected by factors not seen in urban areas, such as limited broadband internet access and technological infrastructure, and a higher patient-to-primary care provider ratio. According to the National Rural Health Association (NRHA) rural areas have 39.8 physicians per 100,000 people, as opposed to 53.3 physicians per 100,000 in urban areas.
Other health inequities plague rural America. According to the NRHA, mental health is less likely to be treated in rural areas due to a lack of availability of mental health specialists and a higher level of stigma in seeking treatment. Conversely, suicide among rural youth is twice as likely to occur. Rural areas have higher occurrences of diabetes and coronary disease. Tobacco usage is higher in rural areas than in non-rural areas. Combine problems such as these with a per capita income that is about $9200 less than in non-rural areas, and we have the perfect recipe for a healthcare pandemic in America.
While telemedicine is not the sole solution to these problems, it can reduce the patient-to-primary care physician ratio, and make healthcare more accessible to rural areas. Telemedicine is a viable alternative for those living in the heartlands of America. According to a Health Data Management article written by Greg Slabodkin, the Government Accountability Office (GAO) interviewed Medicaid officials in six states and the results indicated those located in rural areas use telemedicine more frequently than in urban states. The GAO auditors found that in Montana, telemedicine is leveraged to help patients see specialists, not only in Montana but out-of-state as well.
Telemedicine as method of medical practice is not new. Telemedicine has been around as long as weve had telephones. What is new is the technology and resources available that make using telemedicine an attractive solution to the healthcare shortage we see happening.
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