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HCMG250 Health Care Reform

Published : 26-Aug,2021  |  Views : 10


Analyze social and economic determinants that impact rural population health
Evaluate alternative services and programs to support and sustain rural population health


The health of rural people is an issue that has gained recent attention from the public as well as the political parties, owing to the fact that people living in remote and rural areas suffer from several health disorders that increases morbidity and mortality rates among them (Ahnquist, Wamala & Lindstrom, 2012). Health is generally considered as a basic right for all citizens. However, there are several inequalities in health levels that are experienced by people living in rural areas. In the US, around 19.3% of the population lives in rural regions (, 2017).

They have poor health outcomes than people who live in metropolitan areas. The differences principally arise as a result of several socio economic, demographic, and geographic, workplace and personal health factors (Adler et al., 2016). This assignment will focus on a reflective practice where I will illustrate on a strategy that I wish to implement in order to improve rural health.

The social determinants of health therefore encompass the educational attainment, race, ethnicity, and income level and health literacy of the rural people. Improper waste-water treatment facilities, exposure to agriculture chemicals and higher rates of tobacco and alcohol consumption are other determinants (Marmot et al., 2012). I realized that people living in such areas have fewer employment opportunities, which in turn reduces their standards of living and makes them prone to several diseases.

Therefore, in order to provide a consistent and patient centered emergency care to the rural people, I will promote the use of telehealth services. These services will focus on using telecommunication technology and electronic information to promote long distances clinical healthcare. They will also help in professional and patient health education and health administration.

The telehealth services will contain provisions for remote patient monitoring, and will store and forward medical information of the rural people (Ward, Ullrich & Mueller, 2014).  My role as a healthcare administrator will involve creating funding opportunities for implementation of the services. This will help to meet the shortage of doctors and staffing issues in remote areas (Perdew, Erickson & Litke, 2017). I will contact the local hospitals and help the authorities understand the benefits of telemedicine.

Thus, people living in the rural areas will not have to wait for days to travel to a hospital for appointments.  Therefore, physician consultations will be provided at a cheaper rate, at the remote locations (Brooks et al., 2012). I will collaborate with the local hospitals and community organizations for making people utilize the facility of in home monitoring.  This will help people previously diagnosed with chronic diseases to get monitored at their home by the telehealth service (, 2017).  Furthermore, it will also enable consultation with specialists. I intend to foster collaboration between technology and healthcare services.

To conclude, this telehealth system will help reducing rising healthcare cost and will also help in early intervention of chronic diseases. Therefore, by implementing telling healthcare services I will deliver healthcare solutions to the economic challenges that are faced by people living in remote areas. This approach will therefore help in changing the social determinants of health.

Thus, I will promote the use of technology to reach rural patients at their homes and collect relevant medical data for monitoring them.  This will subsequently improve their retention and will reduce burn-out and isolation among the rural people.  


Adler, N. E., Cutler, D. M., Jonathan, J. E., Galea, S., Glymour, M., Koh, H. K., & Satcher, D. (2016). Addressing Social Determinants of Health and Health Disparities. Discussion Paper, Vital Directions for Health and Health Care Series. National Academy of Medicine, Washington, DC.

Ahnquist, J., Wamala, S. P., & Lindstrom, M. (2012). Social determinants of health–a question of social or economic capital? Interaction effects of socioeconomic factors on health outcomes. Social Science & Medicine, 74(6), 930-939.

Brooks, E., Manson, S. M., Bair, B., Dailey, N., & Shore, J. H. (2012). The diffusion of telehealth in rural American Indian communities: A retrospective survey of key stakeholders. Telemedicine and e-Health, 18(1), 60-66. (2017). Determinants of Health | Healthy People 2020. Retrieved 18 December 2017, from (2017). Social Determinants of Health | Healthy People 2020. Retrieved 18 December 2017, from

Marmot, M., Allen, J., Bell, R., Bloomer, E., & Goldblatt, P. (2012). WHO European review of social determinants of health and the health divide. The Lancet, 380(9846), 1011-1029.

Perdew, C., Erickson, K., & Litke, J. (2017). Innovative models for providing clinical pharmacy services to remote locations using clinical video telehealth. American Journal of Health-System Pharmacy, 74(14), 1093-1098.

Ward, M. M., Ullrich, F., & Mueller, K. (2014). Extent of telehealth use in rural and urban hospitals. Rural policy brief, (2014 4), 1-4.

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