Texas statewide behavioral health fiscal years 2017 2021 strategic plan update and the foundation for the idd strategic plan provides a five year behavioral health strategic plan for the texas legislature addressing behavioral health needs in the state current services provided by state agencies and recommendations for future investments. A north carolina rural health research program 2018 findings brief access to care populations in counties with no fqhc rhc or acute care hospital describes the scope of limited primary care access in rural areas in the us and covers three facility types that provide primary care services to rural communities including federally qualified health centers fqhcs rural health clinics . Improving access to primary care services in underserved rural communities and utilizing a team approach to health care delivery are still the main focuses of the rhc program. However empirical evidence to account for the failure of implementation of rural health policy4 the lack of sustainability of rural primary health care phc services5 and the failure to generalise successful programs6 7 is lacking. The patient to primary care physician ratio in rural areas is only 398 physicians per 100000 people compared to 533 physicians per 100000 in urban areas this uneven distribution of physicians has an impact on the health of the population
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