RURAL HEALTH AND MIGRANTS 4
Rural Health andMigrants
Rural populations and migrants usually experience barriers toaccessing quality healthcare. Equitable access to healthcare remainsa fundamental human right. Therefore, the government should ensureevery citizen can get the desired Medicare in times of emergency andduring normal checkups. Various barriers in the rural hinder theaccess and convenience of the access to the care they need. Accordingto Hartley, appropriate and necessary services should be available torural residents for them to have sufficient access to health care.Moreover, to have a constant supply of health services in thesociety, there are several factors, which contribute to ruralpopulations and migrants healthcare accessibility. For example, toaccess better healthcare, rural residents should have finances to payfor health services such as health insurance cover that is used bythe providers (Hartley, 2012).
There are various factors, which hinder healthcare access in ruralareas. Firstly, shortage of healthcare employees can affectaccessibility to services by inhibiting the availability of thesecrucial services. This is a major problem in the countryside. Therural population can address these professional shortages byenhancing partnership with other healthcare institutions, increasingstaff salaries, and creating a favorable working environment toretain healthcare providers and use telehealth services. Secondly,most rural populations and migrants do not have health insurancecover, which hinders them from accessing health services. Hartleyargues that there are a bigger number of rural communities withouthealthcare insurance as compared to the urban population. Also, thepoorest rural community is the least likely to have healthcareinsurance cover. Derose highlights that the rural residents have abigger percentage of low-income residents who could majorly benefitfrom the affordable care act. However, almost two-thirds of uninsuredrural residents live in a county, which has not expanded Medicaid.This shows that rural residents have fewer affordable healthcareinsurance cover (Derose, Escarce & Lurie, 2010).
Thirdly, rural residents face the problem of traveling for extendeddistances to access healthcare services, especially expert services.This is a big problem in regards to money and time. Moreover, theunavailability of consistent transportation is a hindrance to care.In urban regions, there is usually a reliable transport system totake patients for medical consultations. These transport systems areunavailable in rural areas. Most aging populations who might haveterminal illnesses are frequently in rural societies therefore, theymight require several visits to outpatient healthcare institutions,which need a sustainable source of transport (Derose, Escarce &Lurie, 2010).
Fourthly, privacy concerns and social stigma affect the healthcareaccess in rural areas due to weak anonymity. Residents may feelafraid about consulting about problems related to sexual health,substance abuse, mental diseases, pregnancy or even other terminaldiseases due to privacy distresses. This may be because of closerelationships with the healthcare physicians or others working in thehealthcare institution. Also, concerns about other people noticingthem accessing healthcare services such as sexual health might be aconcern. Integrating the behavioral health services with primary carecan help solve privacy issues (Hartley, 2012). Lastly, healthliteracy, which affects a person`s ability to comprehend the healthinstructions and information from the healthcare physicians, is ahindrance to the provision of healthcare services. This is a majorconcern in rural areas, where there is low literacy level, and higherpoverty levels often affect people.
Hartley, D. (2012). Rural health disparities, population health, andrural culture. American Journal of Public Health, 94(10), 1675-1678.
Derose, K. P., Escarce, J. J., & Lurie, N. (2010). Immigrants andhealth care: sources of vulnerability. Health Affairs, 26(5),1258-1268.