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April 15, 1983

Rural Health Care

Author Affiliations

University of North Carolina at Chapel Hill

JAMA. 1983;249(15):2094-2095. doi:10.1001/jama.1983.03330390086046

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The nation's attention to the problems of rural health care seems to go in cycles. World War II interrupted an era of major growth in rural public health departments, and after the war a second cycle of attention led to such actions as the Hill-Burton program, state programs of fellowships to medical students in exchange for subsequent rural settlement, several attempts at regionalization of rural hospitals, and a number of new medical schools in rural states. This activity had declined by the mid-1950s, but a new cycle of concern and activity started in the 1970s. Now, following a decade of rural-related interventions (National Health Services Corps, grants for community-sponsored rural practice, another wave of new medical schools, Area Health Education Center programs, training programs for new health practitioners), attention to problems in rural health is once again on a downward course.

The publication of Rural Health Care is a part

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