Chapter 30: Rural Health Care

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What role did the obstetric consultant play during the cesarean surgery?

Stood by on the speakerphone (correct)

Reviewed the technical aspects

Delivered the newborn

Performed the surgery

How was the newborn transported after the cesarean surgery?

By boat

By car

By ambulance

By helicopter (correct)

Why was R.S. referred to the local general surgeon?

For physical therapy

For blood transfusion

For endoscopy (correct)

For medication prescription

What does the text suggest about rural general surgeons?

They play a vital role in rural healthcare Signup and view all the answers

In R.S.'s case, what was a contributing factor to his anemia?

Smoking cigarettes Signup and view all the answers

What type of patients are mentioned to have uncomplicated deliveries in the text?

Obstetric patients Signup and view all the answers

What difficulties do most obstetrical patients face according to the text?

No major difficulties Signup and view all the answers

What is a key element in defining access to services in rural communities?

Transportation Signup and view all the answers

In which state is Ferry County, one of the most isolated regions, located?

Washington Signup and view all the answers

Which community is considered the main population center in Ferry County?

Republic Signup and view all the answers

What type of hospital does Republic have?

Critical access hospital Signup and view all the answers

Which method is sometimes the only way to move critical patients to a tertiary hospital in rural areas?

Helicopter transport Signup and view all the answers

What percentage of Ferry County's land mass is federal/state lands?

Three-fourths (75%) Signup and view all the answers

What are some common specialties where store and forward telemedicine is common?

Dermatology, radiology, and pathology Signup and view all the answers

What are some criteria for adequate access to services mentioned in the text?

Geographic proximity, availability of services, and ability to pay for services Signup and view all the answers

Which document discussed maternal, infant, and child health in rural areas?

Rural Healthy People 2010 Signup and view all the answers

Where can one find information on family medicine facts?

<a href="http://www.aafp.org/about/the%C2%ADaafp/family%C2%ADmedicine%C2%ADfacts/table%C2%AD17.html">http://www.aafp.org/about/theaafp/familymedicinefacts/table17.html</a> Signup and view all the answers

What was the focus of the literature review by Peck J. and Alexander K.?

Maternal, infant, and child health in rural areas Signup and view all the answers

In which document can one find information on rural hospitals' general surgery?

Surgery 2008 Signup and view all the answers

What research agenda was established by IS Moscovice in 1989?

Rural hospitals Signup and view all the answers

Which study characterized the general surgery workforce in rural America?

Characterizing the general surgery workforce in rural America Signup and view all the answers

Where can one access information on general surgery at rural hospitals?

<a href="http://www.aafp.org/about/the%C2%ADaafp/general%C2%ADsurgery%C2%ADruralhospitals.html">http://www.aafp.org/about/theaafp/generalsurgeryruralhospitals.html</a> Signup and view all the answers

Who compared urban and rural general surgeons in terms of motivations for practice location?

J. Heneghan SJ Signup and view all the answers

What is the focus of the article 'The undocumented: Educating the children of migrant workers in America'?

Educating the children of migrant workers in America Signup and view all the answers

Which paper presented recommendations to increase access to health workers in remote and rural areas through improved retention?

Dolea C, Stormont L, Shaw D, Zurn P, Braichet J Signup and view all the answers

Where can information on American Indian & Alaska Native populations be accessed?

<a href="http://www.cdc.gov/minorityhealth/populations/REMP/aian.html">http://www.cdc.gov/minorityhealth/populations/REMP/aian.html</a> Signup and view all the answers

Which publication discusses subsidies and structure's lasting impact on the hospital industry?

Subsidies and Structure: The Lasting Impact of the HillBurton Program on the Hospital Industry Signup and view all the answers

Which paper highlights informal and formal health care systems for the rural elderly?

Coward RT, Cutler SJ Signup and view all the answers

What is the subject matter of Amber Waves 2011;9(4):10?

Increasing diversity in rural America by Hispanics Signup and view all the answers

What is the main purpose of the program described in the text?

To conduct real-time telehealth consultations among patients and medical specialists. Signup and view all the answers

Why did the family physician need to assemble the operating room team?

To perform a cesarean section. Signup and view all the answers

What was the role of the remote obstetrician back-up during the cesarean section?

Stood by on speakerphone for consultation. Signup and view all the answers

Why did the helicopter carrying the NICU team arrive at the scene?

To transport the newborn to a tertiary care facility. Signup and view all the answers

What is the significance of the 24/7 patient/provider call center mentioned in the text?

It facilitates appropriate referrals for tertiary care. Signup and view all the answers

How did the family physician handle his lack of recent experience in performing cesarean sections?

Called and consulted with the remote obstetrician back-up. Signup and view all the answers

Why did the patient need to be delivered via a cesarean section?

The patient was too unstable to be transferred. Signup and view all the answers