Critical issues in reforming rural mental health service delivery systems under health care reform are outlined.
It is argued that the exclusive focus on health care financing reform fails to include obstacles to effective mental health service delivery in rural areas, which should focus on issues of availability, accessibility, and acceptability, as well as financing and accountability.
Characteristics of rural areas are delineated and three assumptions about the structure of rural communities which are shaping the dialogue on rural health and mental health service delivery are examined.
These assumptions include the notion that rural communities are more closely knit than urban ones, that rural services can be effectively delivered through urban hubs, and that rural dwellers represent a low risk population which can be effectively served through existing facilities and by extending existing services.
Mots-clés Pascal : Santé mentale, Milieu rural, Etats Unis, Amérique du Nord, Amérique, Système santé, Service santé, Psychiatrie communautaire, Secteur public, Minorité, Pauvreté, Article synthèse, Homme
Mots-clés Pascal anglais : Mental health, Rural environment, United States, North America, America, Health system, Health service, Community psychiatry, Public sector, Minority, Poverty, Review, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0039295
Code Inist : 002B18H05B. Création : 01/03/1996.