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Do targeted efforts for the rural underserved help kill comprehensive reform?

Publication ,  Journal Article
Taylor, DH
Published in: The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
January 1999

There has been a shift during the past 60 years from a broad notion of the entire nation as underserved to a more focused effort to identify particular areas (often rural) thought to be underserved. This approach was formalized with the advent of the war on poverty. This focused approach has been cemented during the past 30 years, in part by the success of various federal health center programs that have remained funded during this period in spite of opposition. This paper concludes that the consensus view that rural underserved areas represent an "exception" phenomenon that is properly addressed with special responses (organizations or physicians) has had two major effects: (1) the political survivability of focused programmatic responses (such as Community Health Centers) has been enhanced; and (2) the existence of an "elastic net" policy network to advocate for the expansion of such remedial efforts may play a contributory role in helping to defeat comprehensive health reform.

Duke Scholars

Published In

The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association

DOI

EISSN

1748-0361

ISSN

0890-765X

Publication Date

January 1999

Volume

15

Issue

1

Start / End Page

55 / 60

Related Subject Headings

  • United States
  • Rural Health Services
  • Public Health
  • Poverty
  • Politics
  • Needs Assessment
  • Medically Underserved Area
  • Humans
  • Health Services Research
  • Health Policy
 

Citation

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ICMJE
MLA
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Taylor, D. H. (1999). Do targeted efforts for the rural underserved help kill comprehensive reform? The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association, 15(1), 55–60. https://doi.org/10.1111/j.1748-0361.1999.tb00598.x
Taylor, D. H. “Do targeted efforts for the rural underserved help kill comprehensive reform?The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association 15, no. 1 (January 1999): 55–60. https://doi.org/10.1111/j.1748-0361.1999.tb00598.x.
Taylor DH. Do targeted efforts for the rural underserved help kill comprehensive reform? The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association. 1999 Jan;15(1):55–60.
Taylor, D. H. “Do targeted efforts for the rural underserved help kill comprehensive reform?The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association, vol. 15, no. 1, Jan. 1999, pp. 55–60. Epmc, doi:10.1111/j.1748-0361.1999.tb00598.x.
Taylor DH. Do targeted efforts for the rural underserved help kill comprehensive reform? The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association. 1999 Jan;15(1):55–60.
Journal cover image

Published In

The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association

DOI

EISSN

1748-0361

ISSN

0890-765X

Publication Date

January 1999

Volume

15

Issue

1

Start / End Page

55 / 60

Related Subject Headings

  • United States
  • Rural Health Services
  • Public Health
  • Poverty
  • Politics
  • Needs Assessment
  • Medically Underserved Area
  • Humans
  • Health Services Research
  • Health Policy