Chapter 30: Rural Health Care
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Questions and Answers

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?

<p>They play a vital role in rural healthcare (C)</p> Signup and view all the answers

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

<p>Smoking cigarettes (A)</p> Signup and view all the answers

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

<p>Obstetric patients (B)</p> Signup and view all the answers

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

<p>No major difficulties (D)</p> Signup and view all the answers

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

<p>Transportation (C)</p> Signup and view all the answers

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

<p>Washington (B)</p> Signup and view all the answers

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

<p><strong>Republic</strong> (B)</p> Signup and view all the answers

What type of hospital does Republic have?

<p>Critical access hospital (B)</p> Signup and view all the answers

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

<p><strong>Helicopter transport</strong> (C)</p> Signup and view all the answers

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

<p><strong>Three-fourths (75%)</strong> (A)</p> Signup and view all the answers

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

<p><strong>Dermatology, radiology, and pathology</strong> (C)</p> Signup and view all the answers

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

<p><strong>Geographic proximity, availability of services, and ability to pay for services</strong> (C)</p> Signup and view all the answers

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

<p>Rural Healthy People 2010 (C)</p> Signup and view all the answers

Where can one find information on family medicine facts?

<p><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> (A)</p> Signup and view all the answers

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

<p>Maternal, infant, and child health in rural areas (A)</p> Signup and view all the answers

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

<p>Surgery 2008 (B)</p> Signup and view all the answers

What research agenda was established by IS Moscovice in 1989?

<p>Rural hospitals (D)</p> Signup and view all the answers

Which study characterized the general surgery workforce in rural America?

<p>Characterizing the general surgery workforce in rural America (A)</p> Signup and view all the answers

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

<p><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> (A)</p> Signup and view all the answers

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

<p>J. Heneghan SJ (B)</p> Signup and view all the answers

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

<p>Educating the children of migrant workers in America (A)</p> Signup and view all the answers

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

<p>Dolea C, Stormont L, Shaw D, Zurn P, Braichet J (C)</p> Signup and view all the answers

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

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

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

<p>Subsidies and Structure: The Lasting Impact of the Hill­Burton Program on the Hospital Industry (C)</p> Signup and view all the answers

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

<p>Coward RT, Cutler SJ (D)</p> Signup and view all the answers

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

<p>Increasing diversity in rural America by Hispanics (A)</p> Signup and view all the answers

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

<p>To conduct real-time telehealth consultations among patients and medical specialists. (A)</p> Signup and view all the answers

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

<p>To perform a cesarean section. (A)</p> Signup and view all the answers

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

<p>Stood by on speakerphone for consultation. (B)</p> Signup and view all the answers

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

<p>To transport the newborn to a tertiary care facility. (C)</p> Signup and view all the answers

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

<p>It facilitates appropriate referrals for tertiary care. (C)</p> Signup and view all the answers

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

<p>Called and consulted with the remote obstetrician back-up. (C)</p> Signup and view all the answers

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

<p>The patient was too unstable to be transferred. (D)</p> Signup and view all the answers

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