HEALTHY LIVING
Health care solutions for rural Americans
(Family Features) Heart disease, cancer, unintentional injuries, chronic lower respiratory disease and stroke. These top five causes of death in the United States all have a higher incidence of death among rural residents and research points to lack of access to health care as a culprit.
Today, rural hospitals are closing at a rapid pace, expanding an already vast health care desert (defined as inhabited areas more than 60 minutes away from an acute care hospital) across the country.
According to the University of North Carolina’s Rural Health Research Program, since 2010, more than 105 of America’s 1,700 rural hospitals have closed. Additionally, a Navigant report found that 21% of rural hospitals are at high risk of closing unless their financial situations improve.
Every day, rural Americans find themselves farther from medical care.
Practical challenges facing patients
Fatal injuries and illnesses aside, rural residents face other practical concerns related to the health care in their communities.
- Doctors are more concentrated in urban areas, while there are shortages in rural communities. A shortage of doctors can mean less availability for appointments, difficulty capturing enough attention from a busy provider, longer distances to reach a physician and limited access to specialists.
- Statistically, rural residents tend to be older and need more frequent visits to their primary doctors and other specialists.
- Pregnant women have to travel even farther to deliver a baby, leading to an increased risk of complications at birth. Similarly, pre-natal and post-natal care are harder to access.
- Rural residents often enjoy more outdoor activities (such as hunting, hiking and riding ATVs) than urban residents and therefore are at a greater risk of injury that requires treatment at a trauma center.
Airborne answer
One solution to fill the gap in rural health care is air medical services, which transport patients to critical care facilities in minutes. With nearly 90% of patients transported living in rural areas, air ambulance services are an essential part of health care access in these communities.
However, just like rural hospitals, air ambulances are threatened as well. Medicare and Medicaid reimbursement rates have remained steady for decades, while operational costs required for air medical services have increased, creating a financially unsustainable situation. Some private insurers also refuse to cover air medical services or pay minimal costs, requiring patients to assume the balance.
How to take action
The challenges facing rural health care access may be significant, but rural residents can take individual actions to make a difference for themselves, their families and even their communities.
- Express support to elected officials. Rural residents can call or write letters to their senators and representatives and demand they keep local hospitals open and protect access to air medical services. Reaching members of Congress at their local offices may be more effective than contacting their federal offices.
- Support efforts to secure grants. Some universities have been given grants from the Health Resources & Services Administration, an agency of the U.S. Department of Health and Human Services, to create or expand community health initiatives and facilities in rural areas.
- Explore alternative sources of care. Many rural areas have community health workers who complete home visits to assist people with chronic diseases like diabetes and high blood pressure. Although their training is limited compared to that of a doctor or nurse, their service increases health care access and they’re able to spend more time with patients.
- Get educated about your care. One role of community health workers is teaching patients about how to manage their own medical needs. This education helps residents be proactive and preventative in their health care, which can reduce the need for hospitalizations in certain cases, such as learning how to properly manage diabetes.
- Make an emergency plan. For families who reside in a rural community, it’s a smart idea to have a plan in place for how to respond in the event a medical emergency. The plan should include information about the location of the closest hospital, emergency contact information in the community and other details necessary to gain emergency care.
- Consider remote access care. Another option for both rural and urban residents alike is telemedicine, which allows patients to connect with a doctor or nurse virtually using technology and without having to travel. The two-way communication can facilitate evaluation and treatment for minor conditions. The service is offered as a cost-saving incentive through some insurance plans, as well as private providers.
Protecting Patients Against the Unexpected
With increasing frequency, insurance companies are not covering the full cost of medical emergencies, leaving families with out-of-pocket expenses they didn’t expect.
If you need medical transport and a physician or first responder determines air evacuation is the best – or only – option to get you to care, you shouldn’t have to worry about the bill you’ll receive afterward. Many emergency service providers have support efforts in place to help you focus on recovery, not finances.
For example, many air medical companies provide patients access to their patient advocates, who work with the patient’s insurance provider to properly cover air medical transport, taking the patient out of the middle. This process can result in significantly lower costs for the patient, often amounting to just the usual copay and deductible.
Visit globalmedicalresponse.com/protect-patients to learn more about these services in your area.
Photos courtesy of Getty Images (doctor and man, woman speaking with doctor on computer)
SOURCE:
Global Medical Response
(Family Features) Breathing: You may take it for granted, but your lungs are important, and so is protecting them. No matter how old you are, you can take action to prevent certain lung conditions, like chronic obstructive pulmonary disease, or COPD.
It’s a serious lung disease that makes breathing difficult and gets worse over time. COPD is less common in younger adults, but anyone can have it. People with a genetic condition known as Alpha-1 may have symptoms as early as age 20.
Consider these steps to lower your risk for COPD:
- If you smoke, get help quitting. Most people with COPD have a history of smoking. It’s not easy to quit, but your health care provider can share resources to support you.
- Try to avoid exposure to lung irritants like air pollution, dusts and chemical fumes. Some occupations put you at higher risk for COPD.
Most people are 40 or older when symptoms start. If you have shortness of breath, coughing, wheezing, chest tightness or fatigue, talk to your health care provider. Tell them about your smoking habits, any family history of COPD and exposure to lung irritants and ask if you should be tested for COPD.
If you have COPD, the sooner you learn how to manage it, the sooner you can start to breathe better.Don’t wait. Protect your lungs for life.
To learn more, visit nhlbi.nih.gov/BreatheBetter.
Watch video to find out how!
(Family Features) The holidays often bring colder weather and more indoor gatherings. Respiratory viruses like flu, COVID-19 and RSV are common this time of year.
Illness from these viruses can be dangerous for pregnant people and newborns. Staying up to date on vaccines for flu, COVID-19 and RSV during pregnancy can offer protection, and now is the time to get vaccinated if you haven’t already.
“During the holidays, pregnant people can help protect their health and the health of their baby by getting updated vaccines,” said Dr. Rachel Levine, assistant secretary for health at the U.S. Department of Health and Human Services (HHS). “During the holidays, you’re more likely to be exposed to flu, COVID-19 and RSV. Vaccination not only helps build up your immune system but can give protection for your little one.”
Here are some tips from the HHS Risk Less. Do More. public education campaign for a safe and festive holiday season:
Get vaccinated against flu and COVID-19. Getting sick with flu or COVID-19 can be dangerous for people who are pregnant and young infants. During pregnancy, there is a greater risk of flu or COVID-19 infections becoming severe and leading to hospitalization. Babies are also at risk of severe flu and COVID-19, but they cannot get vaccines until they are 6 months old. By getting vaccinated during pregnancy, you pass on antibodies that help protect your baby during the first few months of life.
Get vaccinated against RSV if you’re eligible. RSV is a common cause of severe respiratory illness in infants. In fact, it is the top reason babies in the United States are hospitalized each year. You can get an RSV vaccine if you are 32-36 weeks pregnant between September and January, the months when RSV spreads the most. The RSV vaccine helps your baby build protection from severe RSV before birth. If you do not get an RSV vaccine during pregnancy, your newborn can still get protection through a preventive antibody immunization soon after birth.
Stay home or change plans when ill. If you are not feeling well, stay home to avoid spreading illness. Also, if someone you plan to see is sick or respiratory viruses are surging in your community, consider staying home. You can also wear a mask or, if weather permits, move the gathering outdoors.
If you have questions or concerns, talk to your doctor. Knowing the facts about vaccines and pregnancy can offer confidence and comfort. Visit cdc.gov/RiskLessDoMore to learn more about getting your flu, COVID-19 and RSV vaccines before the holidays. Or visit vaccines.gov to get started.
Photo courtesy of Shutterstock
SOURCE:
United States Department of Health and Human Services
(Family Features) The holidays are coming up, and many people will be celebrating with family and friends. The start of colder months also means flu, COVID-19 and RSV can surge. That can be dangerous for older adults.
“Holidays are a time to gather with family and friends,” said Charlene Wong, MD, MSHP, senior advisor for health strategy at the Centers for Disease Control and Prevention (CDC), “but for older people, this can come with risk of serious respiratory illness. Get your updated flu, COVID-19 and RSV vaccines to reduce your risk and do more together.”
Before heading to holiday gatherings, check out these tips from the Risk Less. Do More. vaccine education campaign. They can help you and your older loved ones enjoy a happy holiday season while lowering the risk of serious illness from flu, COVID-19 and RSV.
Get Vaccinated Against Respiratory Illnesses
Older adults are at higher risk of getting seriously ill, ending up in the hospital or dying from flu, COVID-19 or RSV. Vaccines are the best protection against severe disease from these common respiratory illnesses. The CDC recommends that all adults ages 65 and older get the updated flu and COVID-19 vaccines. An RSV vaccine is also available to help protect older people from severe RSV. It is recommended for all people 75 and older, and for those ages 60-74 with certain health conditions, like heart or lung disease or diabetes, or who live in a nursing home. If you are a caregiver or help an older adult with their medical decisions, encourage them to talk to their doctor about the vaccines that are right for them.
Gather Safely
Respiratory illnesses often thrive in indoor spaces where people are in close contact. If the weather permits, try hosting holiday gatherings outside. When gatherings are inside, think about keeping windows open or using fans for ventilation. If you are going to a large indoor gathering, consider wearing a mask. Washing your hands frequently, or using hand sanitizer, also helps reduce the spread of germs. Encourage your older loved ones to take these precautions as well.
Stay Home If You’re Sick
No one wants to miss out on festivities, but it’s important to stay home if you are not feeling well. Encourage your family and friends to do the same. Remind them about the impact flu, COVID-19 and RSV can have, especially on older adults. If you’re a caregiver of an older adult, monitor any respiratory symptoms that may develop. Testing for flu and COVID-19 can also help inform your plans. All U.S. households can now receive four free COVID tests. Order them for your family and your loved ones at COVIDTests.gov.
For many older people, the fall and winter holidays are an important time to connect with others. Be sure to include vaccinations in your holiday planning. Go to vaccines.gov to get started today.
You can also learn more about flu, COVID-19 and RSV at cdc.gov/RiskLessDoMore or by talking to your doctor about which vaccines are right for you this season.
Photo courtesy of Shutterstock
SOURCE:
United States Department of Health and Human Services
-
NEWS2 years ago2 hurt, 1 jailed after shooting incident north of Nocona
-
NEWS1 year agoSuspect indicted, jailed in Tia Hutson murder
-
NEWS2 years agoSO investigating possible murder/suicide
-
NEWS2 years agoWreck takes the life of BHS teen, 16
-
NEWS1 year agoMurder unsolved – 1 year later Tia Hutson’s family angry, frustrated with no arrest
-
NEWS2 years ago
Sheriff’s office called out to infant’s death
-
NEWS2 years agoBowie Police face three-hour standoff after possible domestic fight
-
NEWS2 years ago
Driver stopped by a man running into the street, robbed at knifepoint