Hughes D, Rosenbaum S
J Rural Health. 1989 Oct;5(4):299-319. doi: 10.1111/j.1748-0361.1989.tb00992.x.
Economically disadvantaged rural families, like their urban counterparts, face significant difficulties obtaining adequate maternity and infant health care resulting, in part, from an unequal distribution of resources as well as economic and racial barriers to health care nationwide. Rural women and infants must contend with additional access problems that reflect the inherent constraints of rural existence as well as specific state policies that exacerbate the barriers associated with isolation. This article provides an overview of the availability and accessibility of maternal and infant health services in nonmetropolitan America and identifies policy reforms to improve access to care.
经济上处于不利地位的农村家庭,与城市家庭一样,在获得充足的孕产妇和婴儿保健服务方面面临重大困难,部分原因是全国范围内资源分配不均以及医疗保健存在经济和种族障碍。农村妇女和婴儿必须应对更多的就医问题,这些问题既反映了农村生活的固有限制,也反映了一些州的特定政策加剧了与隔离相关的障碍。本文概述了美国非大都市地区母婴保健服务的可获得性和可及性,并确定了改善就医机会的政策改革措施。