Despite the urbanization of the united states the rural population exceeds 60 million and the provision of health services to these people remains a difficult problem this volume addresses one cruc. While having a rural background may make a physician more likely to take up practice in a rural community it does not seem to affect his or her decision to stay in such a community research . Provider shortages in rural america many rural americans have limited access to health care this problem stems from 2 characteristics of the health care system the many americans without health care insurance and the tendency of health care professionals to locate and practice in relatively affluent urban and suburban areas. Despite the urbanization of the united states the rural population exceeds 60 million and the provision of health services to these people remains a difficult problem. Rome and rural practicums at other medical schools are responding to a pressing need to address health disparities in rural communities and to encourage physicians to practice in these underserved areas the agency for healthcare research and quality has found that rural populations are more likely to be poorer sicker older uninsured and medically underserved than urban populations
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