State offices of rural health sorhs and state rural health associations help rural communities build healthcare delivery systems by coordinating rural healthcare activities in the state collecting and disseminating information and providing technical assistance to public and non profit entities. The rapid pace of change in health care delivery in the united states has touched all parts of the nation including small and rural communities rural people have been affected by the revolutions in financing from fee for service to managed care in the use of technology where treatment is now. In 1977 congress passed the rural health clinic act or public law 95 210 to address the lack of access to primary medical care in rural communities and to assist with the financial challenges faced by rural healthcare facilities in addition this law focused on increasing the utilization of mid level practitioners in underserved areas. The state of health care in rural america a changing health care delivery landscape presents challenges and opportunities for rural states according to a new report. Rural health professions program background in the mid 1990s the arizona legislature acknowledged the chronic shortage of rural arizona physicians with a statute that requires medical students complete a rural educational experience
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