Skip to main content

Advertisement

Log in

Rural–Urban Health Care Provider Disparities in Alaska and New Mexico

  • Published:
Administration and Policy in Mental Health and Mental Health Services Research Aims and scope Submit manuscript

Abstract

Compared to their urban counterparts, rural residents face numerous disparities in obtaining health care, including limited access to care providers. We assessed disparities in provider availability in rural versus urban Alaska and New Mexico, with emphasis on professionals likely to provide mental health care. Using lists of licenses, we categorized physical and mental health care providers into rural versus urban and calculated rural versus urban disparity ratios. Rural residents had significantly less access to health care providers and discrepancies grew with level of required provider education and specialization. Addressing disparities via creative strategies is crucial to improving rural care delivery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • American Psychological Association. Office of Rural Health. (1995). Caring for the rural community: an interdisciplinary curriculum. American Psychological Association, Washington, DC

    Google Scholar 

  • Barry M.M., Doherty A., Hope A., Sixsmith J., and Kelleher C.C. (2000). A community needs assessment for rural mental health promotion. Health Education Research 15(3):293–304

    Article  PubMed  CAS  Google Scholar 

  • Bull, C. N., Krout, J. A., Rathbone-McCuan, E., & Shreffler, M. J. (2001). Access and issues of equity in remote/rural areas. The Journal of Rural Health, 17, 356–359

    Article  PubMed  CAS  Google Scholar 

  • Ciarlo, J. A., & Zelarney, P. T. (2000). Focusing on “Frontier”: Isolated rural America. Journal of the Washington Academy of Science, 86(3), 1–24

    Google Scholar 

  • Fortney J., Rost K., and Warren J. (2000). Comparing alternative methods of measuring geographic access to health services. Heath Services & Outcome Research methodology 1(2):173–184

    Article  Google Scholar 

  • Fox J.C., Blank M., Rovnyak V.G., and Barnett R.Y. (2001). Barriers to help seeking for mental disorders in a rural impoverished population. Community Mental Health Journal 37(5):421–436

    Article  PubMed  CAS  Google Scholar 

  • Geller, J. M., Beeson, P., & Rodenhiser, R. (2000). Frontier mental health strategies: Integrating, reaching out, building up, and connecting. Journal of the Washington Academy of Science, 86, 117–129

    Google Scholar 

  • Geller J.M., and Muus K.J. (2000). The role of rural primary care physicians in the provision of mental health services. Journal of the Washington Academy of Sciences 86:131–142

    Google Scholar 

  • Geyman J.P., Hart L., and Norris T. (2001). Textbook of rural medicine. McGraw-Hill, New York

    Google Scholar 

  • Guralnick S., Kemele K., Stamm B.H., and Sister Grieving A.M. (2003). Rural geriatrics and gerontology. In: Stamm B.H. (eds). Rural behavioral health care: an interdisciplinary guide (1st ed. ed.). American Psychological Association, Washington DC, pp. 193–2002

    Chapter  Google Scholar 

  • Holzer C.E., Goldsmith H.F., and Ciarlo J.A. (2000). The availability of health and mental health providers by population density. Journal of the Washington Academy of Sciences 86:25–33

    Google Scholar 

  • Jensen G.M., and Royeen C.B. (2002). Improved rural access to care: Dimensions of best practice. Journal of Interprofessional Care 16:117–128

    Article  PubMed  Google Scholar 

  • Mathews-Cowey, S. (2000). Too much responsibility, too little help: family carers and the rural mental health care system. Journal of Family Studies, 6, 267–271.

    Google Scholar 

  • Merwin E.I., Goldsmith H.F., and Manderscheid R. (1995). Human resource issues in rural mental health services. Community Mental Health Journal 31:525–537

    Article  PubMed  CAS  Google Scholar 

  • Mohatt D.F. (2000). Access to mental health services in frontier America. Journal of the Washington Academy of Sciences 86:35–47

    Google Scholar 

  • Morgan, D. G., Semchuk, K. M., Stewart, N. J., & D'Arcy, C. (2002). Rural families caring for a relative with dementia: barriers to use of formal services. Social Science & Medicine, 55, 1129–1142.

    Article  Google Scholar 

  • National Center for Health Statistics. Health, United States, (2001). With Urban and Rural Health Chartbooks, Hyattsville, Maryland: 2001

  • National Rural Health Association. (May 1999). The scope of mental health. Mental Health in Rural America [On-line]. http://www.nrharural.org/pagefile/issuepapers/ipaperl4.html.

  • Ricketts T.C. III (ed). (1999). Rural health in the United States. Oxford University Press, New York, NY

    Google Scholar 

  • Rost K., Fortney J., Fischer E., and Smith J. (2002). Use, quality, and outcomes of care for mental health: the rural perspective. Medical Care Research and Review 59(3):231–265

    Article  PubMed  Google Scholar 

  • Stamm B.H. (2003). Rural behavioral health care: An interdisciplinary guide. American Psychological Association, Washington, DC

    Google Scholar 

  • Strasser R. (2003). Rural health around the world: Challenges and solutions. Family Practice 20:457–463

    Article  PubMed  Google Scholar 

  • Williams A.M., and Cutchin M.P. (2002). The rural context of health care provision. Journal of Interprofessional Care16:108–115

    Google Scholar 

Download references

Acknowledgments

The research was supported in part by grant 1RO1DA13139 from the National Institute on Drug Abuse. Dr. Roberts also gratefully acknowledges the support of a Career Development Award (1KO2MH01918) from the National Institute of Mental Health.

Appreciation is expressed to Marcine Mullen at the University of Alaska Anchorage and Dr. Pamela Monaghan and Audrey Solimon at the University of New Mexico School of Medicine for their invaluable assistance.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mark E. Johnson.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Johnson, M.E., Brems, C., Warner, T.D. et al. Rural–Urban Health Care Provider Disparities in Alaska and New Mexico. Adm Policy Ment Health 33, 504–507 (2006). https://doi.org/10.1007/s10488-005-0001-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10488-005-0001-7

Keywords

Navigation