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The CTSA program’s role in improving rural public health: Community-engaged disease prevention and health care innovation

机译:CTSA计划在改善农村公共卫生方面的作用:社区从事疾病预防和医疗保健创新

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摘要

Rural–urban health inequities have been recognized and extensively documented for several decades [1–4]. In recent years, changing demographics and emerging epidemics including the opioid crisis and COVID-19 pandemic have further underscored the need to address health care access and quality disparities facing rural populations. Socioeconomic constraints, health care provider shortages, and a lack of health insurance contribute to higher mortality rates relative to their urban counterparts [5]. Although certain barriers can be addressed at federal or state levels, regional or community-level interventions including preventive practice and early disease detection and treatment may be more effective and efficient to improve rural health outcomes in a timely manner [6]. The Secretary of Health and Human Services (HHS) identified rural health as a Department priority and established the Rural Health Task Force in late 2018. The goal of the task force is to bring together disparate efforts across HHS and develop the best understanding of where policy and program changes can effect transformation.
机译:农村城市健康不公平现已得到认可和广泛记录了几十年[1-4]。近年来,改变了人口统计数据和新兴流行病,包括阿片类药物危机和Covid-19大流行,进一步强调了解决农村人口面临的医疗保健获取和优质差异的必要性。社会经济限制,医疗保健提供者短缺以及缺乏健康保险,促进了相对于其城市同行的更高死亡率[5]。虽然某些障碍可以在联邦或州水平上解决,但包括预防实践和早期疾病检测和治疗的区域或社区水平干预措施可能更有效和有效地及时改善农村卫生成果[6]。卫生和人类服务秘书(HHS)确定了农村卫生作为部门优先权,并在2018年底成立了农村卫生工作队。工作组的目标是汇集在HHS上的各种努力,并培养对政策的最佳理解程序变化可以实现转换。

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