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Injuries and Emergency Response in Rural Areas
How can nursing make a difference in your chosen topic of injuries and emergency response in rural areas?
Injuries on farms involving machinery and animals, emergencies in areas that are socially isolated, and deaths amongst populations where guns are commonly used for hunting spell a recipe for disaster for many medically underserved communities in rural America. According to the National AG Safety Database article "Rural emergency response: The safety and health safety net," nearly 40% of the rural population is deemed to live in what is described as a medically underserved area. While 1 in 5 Americans live in rural areas, only about 1 in 10 physicians practice in a rural location. 43 rural counties in the United States lack any physician at all.
Agricultural occupations have the highest accidental work death rate of any major occupational group. 38% of all machinery related deaths occur on a farm and rural residents are more likely to be self-employed and lack comprehensive health care coverage. Additionally, 60% of all motor vehicle deaths occur in rural areas.
Several 'action plans' could address this problem. First of all, clinical community care-style settings staffed with nurses could dispense primary care, ideally at a subsidized cost. A cheaper 'per item' cost might actually be more financially feasible for largely uninsured communities, than paying to have the bureaucracy of health insurance and administrative staff. The staff could be specifically trained in the needs of the community, whether this was primary care or agriculturally-related injuries. The clinics could offer some emergency care, or act as transportation hubs to hospitals when necessary. Doctors, in exchange for medical school tuition reimbursement, could staff the clinics, or doctors could make scheduled appearances at the clinic, on a rotating basis.
Works Cited
Rural emergency response: The safety and health safety net (2001). National Ag Safety
Database. (NASD). Retrieved February 17, 2009 at http://www.cdc.gov/nasd/docs/d001701-d001800/d001781/d001781.html
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