chapter one: defining rurality Flashcards
who is credited as the father of medicine?
hippocrates
what are the five action areas for health promotion identified by the ottawa charter?
1) build healthy public policy, 2) create supportive environments, 3) strengthen community action, 4) develop personal skills, and 5) reorient health services
true or false:
RUCA can identify the rural portions of metropolitan counties and the urban portions of nonmetropolitan counties
true
what does the index of relative rurality (IRR) measure?
county’s degree of rurality based on size, density, remoteness, and built-up area
what city was the first to establish a board of health?
philadelphia (1794)
what was the emphasis (focus) of public health in the late 19th and early 20th centuries?
epidemic control
hill-burton act
idea to build hospitals where they were needed and where they would be sustainable once their doors were open
what has rural america been transformed by?
continued out-migration of increasingly educated young adults, in-migration of ethnic minorities, and growing numbers of retirees
what are some of the challenges faced by rural america?
poverty, lack of access to care (limited number of healthcare practitioners), lack of health insurance, lack of access to public health infrastructures (having to travel long distances), ill equipped in responding to health disparities, systems are understaffed or employ staff with little formal public health training, hospital and clinic closures (leaves many without easy access to essential medical service), lack of public health capacities, historical racism and language, cultural or other barriers