Care Across the Continuum: Access to Health Care Services in Rural America (2006)

Journal of Rural Health
Proposes a continuum of care that serves as a framework with which to assess public and private policies designed to ensure that rural residents receive appropriate healthcare services, in a timely manner, and in a place that optimizes care effectiveness. Community leaders and policymakers can use this healthcare continuum as a design framework to help reduce system complexity and implement a patient- and community-focused, rather than provider-focused, healthcare system. The article is divided into 3 sections: 1) basic principles that determine services to be included in the continuum and how success in providing those services is judged; 2) definition of the continuum and its basic stages based on the health systems research literature; 3) applications of the continuum and policy implications of the framework.
RUPRI Center for Rural Health Policy Analysis
Keith Mueller, A. Clinton MacKinney