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The utility of rural and underserved designations in geospatial assessments of distance traveled to healthcare services: Implications for public health research and practice
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نویسنده
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smith m.l. ,dickerson j.b. ,wendel m.l. ,ahn s. ,pulczinski j.c. ,drake k.n. ,ory m.g.
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منبع
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journal of environmental and public health - 2013 - دوره : 2013 - شماره : 0
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چکیده
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Health disparities research in rural populations is based on several common taxonomies identified by geography and population density. however,little is known about the implications of different rurality definitions on public health outcomes. to help illuminate the meaning of different rural designations often used in research,service delivery,or policy reports,this study will (1) review the different definitions of rurality and their purposes; (2) identify the overlap of various rural designations in an eight-county brazos valley region in central texas; (3) describe participant characteristic profiles based on distances traveled to obtain healthcare services; and (4) examine common profile characteristics associated with each designation. data were analyzed from a random sample from 1,958 texas adults participating in a community assessment. k-means cluster analysis was used to identify natural groupings of individuals based on distance traveled to obtain three healthcare services: medical care,dental care,and prescription medication pick-up. significant variation in cluster representation and resident characteristics was observed by rural designation. given widely used taxonomies for designating areas as rural (or provider shortage) in health-related research,this study highlights differences that could influence research results and subsequent program and policy development based on rural designation. © 2013 matthew lee smith et al.
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آدرس
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university of georgia,college of public health,department of health promotion and behavior,330 river road,athens,ga 30602,united states,texas a and m health science center,school of rural public health,department of health promotion and community health sciences,college station, United States, hsr health services,llc,p.o. box 571357,murray, United States, texas a and m health science center,school of rural public health,department of health policy and management,college station, United States, university of memphis,school of public health,division of health systems management and policy,memphis, United States, texas a and m health science center,school of rural public health,department of health promotion and community health sciences,college station, United States, texas a and m health science center,school of rural public health,center for community health development,college station, United States, texas a and m health science center,school of rural public health,department of health promotion and community health sciences,college station, United States
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Authors
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