Unenthusiastic to serve in villages. But this is a global phenomenon. There is no doubt that medical students should be unprotected to challenges of rural health care. This could be easily done through proper implementation of the up-to-date undergraduate medical curriculum and not through coercive tactics such as outspreading the 5.5 year-MBBS course to 6.5 years by making one year rural service binding and banning doctors from settling abroad. In ideal state both basic health and education needs of a citizen should be public sector programmes. But this has not been potential even in the most advanced nations such as US where the healthcare is a mix of community and private providers. In urban India, the private sector accounted for only eight per cent of health facilities sixty years ago. The urban health scenario only changed with the development of the private sector, which now accounts for more than 80 per cent of urban health care. Allopathic private sector is almost non-existent in villages. India now has a flourishing rural economy and a large number of villagers would want ...
In chapter 2, of Essentials of the U.S Health Care System, Shi and Singh both talk about focusing on determinants to improve health. Having adequate health insurance for everyone is a great start to improving one’s health, but the bigger issue is addressing the needs of the people who have low income or the needs for different ethnic groups. In the documentaries, Bad Sugar, Becoming American, Collateral Damage and In Sickness and In Wealth, they all touched on social determinants. It did not matter if you lived in the United States, a third world country or a reservation, they all expressed a need the can better their health.
This year, the applications to enroll in medical schools increased by 6.1 percent to more than 48,000, breaking records set in 1996 (Lopatto). Job openings for doctors and nurses sparked the interest of the younger generation, and this, I believe, is because of the enthralling and captivating experiences that result from these fields. The article “The Central Line” by Atul Gawande covers an example of what these future surgeons and medics learn while in the field. However, the student will not perform perfectly the first time. Of course, the techniques of using the tools and how to perform the procedures take practice and time to perfect, exhibited through Gawande’s writing. Repetition and training is needed to excel at any skill or act. In his article, Gawnde motivates his readers through the use of his credibility and emotional appeals to the learning curb.
Pasley, T., & Poole, P. (2009). Characteristics of university of Auckland medical students intending to work in the regional/rural setting. The New Zealand Medical Journal, 122(1292), 50-60.
Healthcare is a fundamental topic do to the wide range of topics to discuss and concerns that need to be address. Healthcare is forever changing and there are always new studies that show promising results. People who live in larger cities and town tend to have quicker access to better healthcare, also have better control of their health. However, even though our country is one of the leading healthcare providers, there are still people being left behind and have poor health management in our country still in this day, and age. Along with lack of healthcare those same people are facing ethical dilemmas with how well they are being cared for, treated, policies being maintained or enforce, and patient information is being management with in the
support medical practice in rural/remote regions: what are the conditions for success? Implement Sci. 2006 Aug 24;1:18.
Living in a remote area has always been thought to have negative influences on the individual. There are 35 % of the total population in Australia living in rural area(Phillips, 2009).Rural areas in Australia and all over the world are not geographically isolated and disadvantaged only but also culturally and economically deprived which has great consequences on the health status of the population. The main two factors that have a major effect on rural health are socioeconomic status and cultural issues(Beard, Tomaska, Earnest, Summerhayes, & Morgan, 2009).
In the United States the distribution of physician’s workforce is not regulate by geographical locations. Physicians can elect how and where to work, resulting in an unbalance of health care professionals in every location around the country. Rural communities normally have less physicians, nurses, specialists, and other health care staff, and the lesser population, making the loss of a physician a bigger impact.
All these processes will not only aid in creating a healthcare model based on the clinicians wants, but also based on better data from the research which will eventually help to direct them towards the right direction. For nurses to achieve a higher education for nurses the reasonable rate is a big factor for whether the nurse has to continue on higher education or not. The goal of IOM research is to increase the doctoral degree of nurses by 2020. The IOM research also points out the problems for a position in a rural area and recommends incentives for such traditional educational expenses which are going to benefit both the patient and the nurse.
National health systems are assessed by the extent to which expenditure and actions in public health and medical care contributes to the crucial social goals of improving health, increasing access to quality healthcare, reducing health disparities, protecting citizens from penury due to medical e...
In some way, public health is seen as a modern philosophical and ideological perspective based on ‘equity’ and aimed to determine inequitable in society. It seen as a ‘science’ and ‘art’ in the sense that it deals with the cause of disease, treatment of illness as well as it involves laboratory experiments, intervention and promoting of health of the population. Winslow (1920, p. 23) defined public health as ‘the science and art of preventing disease, prolonging life and promoting physical health and efficiency through organised community efforts for the sanitation of the environment, the control community infections, the education of the individual in principles of personal hygiene, the organisation of medical and nursing service for early diagnosis and preventive treatment of disease, and the development of social machinery which will ensure to every individual in the community a standard of living adequate for the maintenance of health. On the other hand, it is ‘the science and art of preventing disease, prolonging life and promoting health through organised effort of society’ (Acheson, 1998; in Cowley S, 2002, p. 261).
To achieve vision 2030, health sector is a key pillar through provision of accessible, quality and relevant health services to have a healthy workforce. Increasing allocation of resources, improvement in health personnel and facilities, better health management are among the strides made. However, challenges still exist due to infrastructural constraints, inadequate human resources, increasing cost of medical care, financial constraints, HIV/AIDS Pandemic, increasing non communicable diseases and high poverty levels.
...dilemma for young doctors." Medical Education 44.8 (2010): 805-813. Academic Search Premier. EBSCO. Web. 30 Nov. 2013.
Where a child grows up and which high school they attend greatly affects further education and employment. Higher education, including college and vocational schooling, factors into employment opportunity. Research has shown that schools in rural areas have far less resources for students interested in attending college, providing less opportunity for students pursuing higher education. Wilsonville High School, located the city of Wilsonville just south of Portland, Oregon, represents a typical urban high school in an upper-middleclass city. In contrast, Cottage Grove High School, located in the small rural town of Cottage Grove, southwest of Eugene, Oregon supports a much lower income community. Both schools differ greatly in regard to variables such as average income, test scores, availability of advanced and technical classes, architectural and technological resources, minority education, local junior college participation, and funding. The cities of Wilsonville and Cottage Grove also differ greatly in the lifestyles most citizens enjoy: Wilsonville supports a highly technological community, home to corporate offices of Xerox, Nike, Mentor Graphics, and Hollywood Entertainment, while Cottage Grove’s largest employers include Weyerhaeuser Company (the Northwest’s largest lumber supplier) and other lumber corporations, as well as industrial manufacturers such as Wright Machine Corporation. The two high schools present a tradeoff between providing educational opportunities for students in lower income, rural communities and the actual demand for higher education in an industrial and agricultural community.
A career in medicine has been a childhood dream for me. I was born and raised in a small and underdeveloped city in Sri Lanka, where hospitals and doctors were sparse. At the age of ten, I lost my father due to a lack of immediate medical care. Shortly thereafter, a civil war erupted and I witnessed countless deaths throughout my childhood. At a young age, I understood that many deaths could have been avoided, if the sick and injured had access to medical professionals. These experiences have fueled my passionate desire to live my life as a physician.
As a result, research and public policies are designed to try and solve the problems. Dye (2008, p 7) observed that, in the American context the problems faced by communities include; ingnorance, crime, poverty, racial conflict, inequality, poor housing and ill health. It follows that in attempting to resovle these issues there are limitations that disturb the good process of public policy for the benefit of the society. Dye (2008, p 7) said, “there are many reasons for tempering our enthusiasim for policy analysis, some of which are illustrated in the battle over education policy”. The reasons or limitaions include; limits on government power, disagreement over the problem and complexity of human behavior. Argawal and Somanathan (2005, p 13) has discussed the shortcomings to public policy in resovling economic and political issues as excessive overlap between policy making and implementation in the context of India and some of those are; excessive fragmentation in thinking and action, excessive overlap between policy making and implementation, lack of non-governmental inputs and informed debate, lack of systematic analysis and integration prior to policy-making and reforming the policy-making