Assistance, needed by rural communities, 6

Association of American Medical Colleges, 122

Attracting rural students to health careers, 91–92

Availability, of parks and recreational facilities, 45

Availability of mental health and substance abuse services in rural areas, 12–13, 142

B

Balanced Budget Act of 1997, 130, 133

Beale, Calvin, 194

Behavioral Risk Factors Surveillance System surveys, 131

Behaviors. See Health behaviors and health threats in rural communities;

Social behaviors

Benefits Improvement and Protection Act of 2000, 130–131, 134

“Bottom-up” approach to health system reform, 5, 177

Bridges to Excellence program, 121

Broadband networks, 14

expanding federal efforts to extend into rural areas, 15, 172

Burdick Program. See Quentin Burdick Rural Program for Interdisciplinary Training

Bureau of Economic Analysis, 212

Bureau of Health Professions, 9, 111

Bureau of Indian Affairs, 9, 111

Bureau of Primary Health Care, 124, 140, 238

Bureau of the Census, 17, 200–201

Bush, George W., 159

C

California HealthCare Foundation, 121

Capital support, for rural health care institutions, 27

Cardiac care link, in Bridges to Excellence, 121

Caucasian Americans, 91

Center for Tracking Health System Change, 129

Centers for Disease Control and Prevention (CDC), 4, 101

Health Alert Networks, 159

Centers for Medicare and Medicaid Services (CMS), 7, 11, 16, 66– 72, 75, 104, 121n, 122, 136, 141, 174, 225

Centers of Excellence program, 8, 110

Certification programs, 72–73

Challenges facing rural providers, 123– 124

Changes

fundamental, in existing payment programs for physicians, 95

in the health care system, 12, 109

in rural populations, 204–207

Children’s Health Insurance Program, provider payments under, 12, 141

Choices, zero-sum, 43

Chronic disease management, 20, 72, 152–153

role of residents in, 107

Clinical knowledge and associated tools, 63

Coburn, Andrew, 194

Cochrane Collaboratives, 84

Code classifications, for the rural-urban continuum, 206

Collaboration

in improving population health and personal health care, 51–52

propensity toward, 20

Committee on the Future of Rural Health Care, 2, 22, 25, 89, 193–199

Committee on the Quality of Health Care in America, 159

Communications technologies in information networks, 166

resource centers for, 17, 178–180



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