Tjaden Kim
Minn Med. 2015 Oct;98(10):40-3.
With much discussion about health disparities in Minnesota in recent years, there has been growing awareness about the inequities between rich and poor and between majority and minority groups. Attention also needs to be paid to the disparities between women who live in rural areas and those who live in urban parts of the state. Rural women are poorer, older and less likely to have adequate health insurance than their urban counterparts, which can compromise their health status. They also fare worse on a number of health indicators and face barriers to adequate health care that can exacerbate disparities. This article describes the root causes of health disparities between women living in rural and urban parts of the state and explores strategies to mitigate them that include increasing the rural physician workforce, improving access to primary and specialty care through telehealth services, and expanding health insurance options.
近年来，随着对明尼苏达州健康差距的讨论增多，人们越来越意识到贫富之间以及多数群体与少数群体之间的不平等。还需要关注该州农村地区妇女与城市地区妇女之间的差距。农村妇女比城市妇女更贫穷、年龄更大，且更不可能拥有足够的医疗保险，这可能会损害她们的健康状况。她们在一些健康指标上的表现也更差，并且面临获得充分医疗保健的障碍，这些障碍可能会加剧差距。本文描述了该州农村和城市地区妇女健康差距的根本原因，并探讨了缓解这些差距的策略，包括增加农村医生劳动力、通过远程医疗服务改善获得初级和专科护理的机会，以及扩大医疗保险选择。
