Rural Communities

Urban area ancillary servicesAncillary services in urban areas can be a very profitable business. Due to the demographics, cultural background, high tempo and social norms in an urban environment patients will always pay for the convenience of the location. As an example, services like Optometry, Pharmacy and Physical Therapy, can be found in or around the same parking lot of a big grocery store like Fred Myers, Super Walmart or Costco. It gives the patient the convenience of multitasking which in an urban environment is essential. Ancillary services that can be found in an urban area not only provides the basic services but also the convenience. If the patient requires special treatment or diagnostic modality, they can go to a hospital or treatment facility in their network within their local area. Additionally, Urgent care centers or clinics provides the majority of the ancillary services the patients needs. Again, it is a one-stop shopping and prevents the patient from sitting around for hours in the hospital. Majority of these services accepts most medical insurance which is great for the patient and good business for the services.Rural area ancillary servicesAncillary services in a rural community can be isolated and austere. They are normally very limited, operating with bare essentials and sometimes none existent. These services are normally collocated within the medical clinic and with limited hours of operations. Since the services are limited, patients tend not to use them or just make do of what they have. For example, patients will travel long distance just to get their medicine.Disadvantages of patients living in rural areasIt is a challenge for the patients and the providers. From the patient side, it can be frustrating because the time and distance it takes to travel to the medical facility. Limited hours of operations and services they offer, sometimes it is better making the effort of traveling to the urban community just to get the services they need. That means spending time and money which can be hard for the families. From the provider side, it is also a challenge. The issue are volume and cost to operations. Even though the rural providers would like to get the state-of-the-art diagnostic or therapeutic machines and the highly trained staff to operate it is not cost-effective. Rural areas normally do not have the patient load compared to the urban areas. Therefor, the providers must balance on what type and volume of patients they normally have, what modalities or treatment they can perform and the cost to business operations.Recommendations to providers in rural areasOne recommendation which has been validated during the current COVID 19 pandemic is the use of telemedicine (Weisgrau. 1995). From the basic primary care patient visit to specialty appointments like allergy, dermatology appointments. Also, it is currently being used effectively by the military and the Veterans Healthcare system for mental health services. It was initially used in the Philippines and Iraq (Chen. 2016).Invest in basic diagnostic equipment that is portable, easy to use, can conduct multiple test and cost-effective like the i-STAT-1 Handheld Blood analyzer (Abbott. n.d.). It will save lives and good for business.Lastly, keep it simple and basic. Always remember to goal of healthcare (even in the most austere environment) is the same…save lives (U.S. Army. 2020).For more information on Rural Communities check on:

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