TEXAS JOURNAL OF RURAL HEALTH

PREVIOUS

ISSUE 20(4), 2002

TABLE OF CONTENTS
 
Editor’s Comments
James E. Rohrer, Ph.D.
FULL TEXT

Interview

Interview with Don McBeath
Lee Paradise
Texas Journal of Rural Health 2002; 20(4): 2-4.
ABSTRACT

Notes From the Field

A Framework for Integrating Rural Development and Community Health Policy: The Rural Economic and Community Health (REACH) Partnership
Lu Ann Aday, Ph.D.
Texas Journal of Rural Health 2002; 20(4): 5-17.
ABSTRACT
Health Care Delivery in the Lower Rio Grande Valley
H. Shelton Brown, III, Ph.D., Monica Anzaldua, Alix Flores, Antonio Jayoma, Dalia Lovera, Pat McIntyre, Nora Montalvo, Yvette Salinas, Passion Sparrow, Paul Topete, Rosamar Torres, Consuelo Villalon
Texas Journal of Rural Health 2002; 20(4): 18-24.
ABSTRACT
Geographic Information Systems and Rural Cancer Disparities
Cynthia Warrick, Ph.D., William Spears, Ph.D., Donald P. Albert, Ph.D., Bakama BakamaNume, Ph.D., Leonard Roes, R.Ph.
Texas Journal of Rural Health 2002; 20(4): 25-34.
ABSTRACT

Policy and Law

Health-centered Rural Policy: Integrating Economic and Community Development
Kathryn M. Cardarelli, M.P.H., Lu Ann Aday, Ph.D.
Texas Journal of Rural Health 2002; 20(4): 35-43.
ABSTRACT
The Rural Community Health System: A Managed Care Model for Rural Texas
Sheryl Tatar Dacso, J.D., Dr.P.H., Charles E. Begley, Ph.D.
Texas Journal of Rural Health 2002; 20(4): 44-51.
ABSTRACT
Decision-making for Rural Community Sustainability: The Role of Social Capital in Mediating the Limitations of Market and Planning Models
Sondip K. Mathur, Ph.D., Lu Ann Aday, Ph.D.
Texas Journal of Rural Health 2002; 20(4): 52-61.
ABSTRACT

Research

Information for Rural Economic Development and Community Health: Progress Toward an Integrated System
James B. Speer, Jr., Ph.D., J.D., William D. Spears, Ph.D., K. Stephen Blanchard, M.P.H., Ph.D., Cynthia Warrick, Ph.D., Thomas F. Reynolds, M.S.
Texas Journal of Rural Health 2002; 20(4): 62-70.
ABSTRACT
Feasibility Determination for Rural Long-term Care Facilities: Methodology and Case Study
Rachel Lynn Westheimer, Lu Ann Aday, Ph.D., Osama I. Mikhail, Ph.D., Yuki Murakami
Texas Journal of Rural Health 2002; 20(4): 71-83.
ABSTRACT

Commentary

The Decline of Rural Texas: Policy Implications and the Role of Area Health Education Centers
Steven R. Shelton, M.B.A., PA-C, Michael Denis, M.H.A.
Texas Journal of Rural Health 2002; 20(4): 84-87.
ABSTRACT

ABSTRACTS

Interview with Don McBeath
Lee Paradise
Texas Journal of Rural Health 2002; 20(4): 2-4.

Don McBeath is Director of Telemedicine for the Texas Tech University Health Sciences Center in Lubbock, Texas, and responsible for the operations of the Tech telemedicine network. Don is also responsible for rural health initiatives with community and regional leaders. He has a Bachelor of Arts degree from Texas Tech University and is an outstanding alumnus of the School of Mass Communications. Don is also a member of ATA and ATSP.

LP: As President of the Texas Rural Health Association, you know the value of successful advocacy. Do you think there are areas of rural health care that are not getting enough public attention? If so, what are they?

DM: I believe the general public, which resides in mostly urban areas, and the leadership of this state and country need to have a more complete understanding of the inadequacies of health care in many rural areas and the significance of that issue to them. In Texas alone, more than 80% of the population resides in urban and suburban areas - mostly in the eastern half of the state. So, does that mean that the 20% that live in rural areas should have lesser access to and lower levels of health care? I think not. Besides the moral implications, common sense, and "doing the right thing," there is the fact that the rural land mass and rural citizens are equally important to all of us. I am often amused by urbanites that live with little appreciation for where the gasoline in their car, the food on their table, and the clothes on their back came from. We should strive for more equalized access to health care in all regions of Texas.

Author Affiliation

  • Lee Paradise, Managing Editior, Texas Journal of Rural Health, Texas Tech University Health Sciences Center, Lubbock, Texas

A Framework for Integrating Rural Development and Community Health Policy: The Rural Economic and Community Health (REACH) Partnership
Lu Ann Aday, Ph.D.
Texas Journal of Rural Health 2002; 20(4): 5-17.

Abstract

The Rural Economic and Community Health (REACH) project is a policy-oriented academic-state/regional-community partnership directed toward enhancing and evaluating the impact of rural development and community health policy on the health of individuals and communities. This article presents and illustrates the application of an innovative and integrative framework for addressing the role of community and economic development on rural health and health care disparities based on the REACH project.

Key words: health policy, REACH, rural development, rural health. (Texas Journal of Rural Health 2002; 20(4): 5-17)

Author Affiliation

  • Lu Ann Aday, Ph.D., Lorne Bain Distinguished Professo in Public Health and Medicine, University of Texas School of Public Health, Houston, Texas

Health Care Delivery in the Lower Rio Grande Valley
H. Shelton Brown, III, Ph.D., Monica Anzaldua, Alix Flores, Antonio Jayoma, Dalia Lovera, Pat McIntyre, Nora Montalvo, Yvette Salinas, Passion Sparrow, Paul Topete, Rosamar Torres, Consuelo Villalon
Texas Journal of Rural Health 2002; 20(4): 18-24.

Abstract

Health care in the Lower Rio Grande Valley (LRGV) of Texas is unique due to the poverty in the area as well as the income disparity between people in the two nations. To explore the health care system, we held a seminar of local professionals working on their master's degrees in public health. An open academic seminar format was used in an attempt to avoid the biases inherent in traditional surveys where providers and patients have incentives to conceal their behavior. The seminar discussions revealed that the migration of patients across the border for care is greater than traditional surveys reveal, but that the exchange of information between health professionals on either side of the border providing care to them is minimal or non-existent in many cases.

Key words: border health, Rio Grande Valley, rural health, Texas. (Texas Journal of Rural Health 2002; 20(4): 18-24)

Author Affiliation

  • H. Shelton Brown, III, Ph.D., Professor, University of Texas School of Public Health, Brownsville, Texas
  • Monica Anzaldua, Alix Flores, Antonio Jayoma, Dalia Lovera, Pat McIntyre, Nora Montalvo, Yvette Salinas, Passion Sparrow, Paul Topete, Rosamar Torres, Consuelo Villalon, Master's Students, University of Texas School of Public Health, Brownsville Regional Access Health Center, Brownsville, Texas

Geographic Information Systems and Rural Cancer Disparities
Cynthia Warrick, Ph.D., William Spears, Ph.D., Donald P. Albert, Ph.D., Bakama BakamaNume, Ph.D., Leonard Roes, R.Ph.
Texas Journal of Rural Health 2002; 20(4): 25-34.

Abstract

Secretary Tommy Thompson of the United States Department of Health and Human Services recently announced the availability of $46 million in funding to improve health care for rural residents. One of the department's new actions will include the use of geographic information systems (GIS) to identify the Health and Human Services' investments in specific communities and populations and to identify communities with unmet needs. This article describes how GIS can be used to identify racial and ethnic cancer disparities for selected cancers in rural counties in Texas and demonstrates its application in guiding the development of strategies for improving the distribution of cancer screening and treatment services in rural areas.

Key words: cancer disparities, cancer screening, information systems, rural health. (Texas Journal of Rural Health 2002; 20(4): 25-34)

Author Affiliation

  • Cynthia Warrick, Ph.D., Assistant Professor, Management & Policy Sciences, University of Texas School of Public Health, Center for Health Promotion & Prevention Research, Houston, Texas
  • William Spears, Ph.D., Assistant Professor, Management & Policy Sciences, University of Texas School of Public Health, Regional Campus, San Antonio, Texas
  • Donald P. Albert, Ph.D., Assistant Professor, Department of Geography and Geology, Sam Houston State University, Huntsville, Texas
  • Bakama BakamaNume, Ph.D., Associate Professor, Department of Geography, Prairie View A&M University, Prairie View, Texas
  • Leonard Roes, R.Ph., Clinical Pharmacist, University of Texas, M.D. Anderson Cancer Center, Houston, Texas

Health-centered Rural Policy: Integrating Economic and Community Development
Kathryn M. Cardarelli, M.P.H., Lu Ann Aday, Ph.D.
Texas Journal of Rural Health 2002; 20(4): 35-43.

Abstract

This article presents an approach to health-centered rural policy, which is grounded in research on the social and economic determinants of population health. It reviews related strategies for sustaining and supporting rural communities through a fuller integration of rural development and health policy as well as selected state models for implementing a health-centered rural policy agenda.

Key words: economic development, physical environment, rural policy, social environment. (Texas Journal of Rural Health 2002; 20(4): 35-43)

Author Affiliation

  • Kathryn M. Cardarelli, M.P.H., Research Associate, Center for Society and Population Health, University of Texas School of Public Health, Houston, Texas
  • Lu Ann Aday, Ph.D., Lorne Bain Distinguished Professor in Public Health and Medicine, University of Texas School of Public Health, Houston, Texas

The Rural Community Health System: A Managed Care Model for Rural Texas
Sheryl Tatar Dacso, J.D., Dr.P.H., Charles E. Begley, Ph.D.
Texas Journal of Rural Health 2002; 20(4): 44-51.

Abstract

The Rural Community Health System of Texas (RCHS) was developed by the Texas State Legislature to facilitate the organization of rural provider networks and the establishment of payment rules and insurance products for rural counties and communities. This article discusses the evolving role of the RCHS as a vehicle for enhancing rural economic development and access to services.

Key words: economic development, insurance, managed care, RCHS, rural Texas, STAR program. (Texas Journal of Rural Health 2002; 20(4): 44-51)

Author Affiliation

  • Sheryl Tatar Dacso, J.D., Dr.P.H., General Counsel, Rural Community Health System of Texas, Houston, Texas
  • Charles E. Begley, Ph.D., Professor, Management and Policy Sciences, University of Texas School of Public Health, Houston, Texas

Decision-making for Rural Community Sustainability: The Role of Social Capital in Mediating the Limitations of Market and Planning Models
Sondip K. Mathur, Ph.D., Lu Ann Aday, Ph.D.
Texas Journal of Rural Health 2002; 20(4): 52-61.

Abstract

This article presents an approach to formulating sustainable development strategies in rural and related business communities. Key implications include the following: (1) economic development is not the same as sustainable development; (2) sustainable development requires that local needs, priorities, and resources be taken into account; (3) both small and large businesses may be important allies in promoting sustainable development; and (4) to forge and sustain these possibilities, businesses and the community must "profit" in both material and non-material ways from the resulting investments.

Key words: economic development, planning models, rural communities, social capital, sustainability. (Texas Journal of Rural Health 2002; 20(4): 52-61)

Author Affiliation

  • Sondip K. Mathur, Ph.D., Assistant Professor, School of Public Health, University of Texas Health Science Center, Houston, Texas
  • Lu Ann Aday, Ph.D., Lorne Bain Distinguished Professor in Public Health and Medicine, University of Texas School of Public Health, Houston, Texas

Information for Rural Economic Development and Community Health: Progress Toward an Integrated System
James B. Speer, Jr., Ph.D., J.D., William D. Spears, Ph.D., K. Stephen Blanchard, M.P.H., Ph.D., Cynthia Warrick, Ph.D., Thomas F. Reynolds, M.S.
Texas Journal of Rural Health 2002; 20(4): 62-70.

Abstract

This article presents the policy, research, and design considerations in developing a prototypical statewide Internet-based information system to support integrated rural development and health planning activities. The article describes the conceptual framework, database parameters, analytic potential, and spatial display components of such a system.

Key words: database parameters, Internet-based information system, research, rural economics. (Texas Journal of Rural Health 2002; 20(4): 62-70)

Author Affiliation

  • James B. Speer, Jr., Ph.D., J.D., Director, Rural Health Research and Policy Analysis, Office of Rural and Community Health, Texas Tech University Health Sciences Center, Lubbock, Texas
  • William D. Spears, Ph.D., Assistant Professor, Management and Policy Sciences, University of Texas School of Public Health, San Antonio, Texas
  • K. Stephen Blanchard, M.P.H., Ph.D., Associate Professor, Department of Sociology, Our Lady of the Lake University, San Antonio, Texas
  • Cynthia Warrick, Ph.D., Assistant Professor, Management and Policy Sciences, University of Texas School of Public Health, Houston, Texas
  • Thomas F. Reynolds, M.S., Research Associate, Center for Health Policy Studies, University of Texas School of Public Health, Houston, Texas

Feasibility Determination for Rural Long-term Care Facilities: Methodology and Case Study
Rachel Lynn Westheimer, Lu Ann Aday, Ph.D., Osama I. Mikhail, Ph.D., Yuki Murakami
Texas Journal of Rural Health 2002; 20(4): 71-83.

Abstract

This article describes and applies a methodology for carrying out a feasibility study for a long-term care facility in a rural environment and demonstrates the specific application of these methods in conducting a feasibility study in a frontier county, Morton, Cochran County, Texas. The article is intended to provide guidance for performing comparable long-term care feasibility studies in other rural counties and communities.

Key words: Cochran County, long-term care, rural health, Texas. (Texas Journal of Rural Health 2002; 20(4): 71-83)

Author Affiliation

  • Rachel Lynn Westheimer, Graduate Research Assistant, University of Texas School of Public Health, Houston, Texas
  • Lu Ann Aday, Ph.D., Lorne Bain Distinguished Professor in Public Health and Medicine, University of Texas School of Public Health, Houston, Texas
  • Osama I. Mikhail, Ph.D., Professor, Management and Policy Sciences, University of Texas School of Public Health, Houston, Texas
  • Yuki Murakami, Graduate Research Assistant, University of Texas School of Public Health, Houston, Texas

The Decline of Rural Texas: Policy Implications and the Role of Area Health Education Centers
Steven R. Shelton, M.B.A., PA-C, Michael Denis, M.H.A.
Texas Journal of Rural Health 2002; 20(4): 84-87.

Abstract

The East Texas Area Health Education Center (AHEC), based at the University of Texas Medical Branch at Galveston, serves 111 counties of the state through eight community-based regional operations centers. Five centers have predominately rural populations. Over the past 11 years, East Texas AHEC has provided a variety of health workforce and community health systems support activities. These activities have engaged hundreds of community business and organizational partners, especially in the health sector. Programmatic efforts have involved thousands of citizens as participants or collaborators in community-oriented programs. It is from this experience that the following observations and perspectives are offered.

Key words: community health, East Texas AHEC, rural policy, rural Texas. (Texas Journal of Rural Health 2002; 20(4): 84-87)

Author Affiliation

  • Steven R. Shelton, M.B.A., PA-C, Executive Director, East Texas Area Health Education Center, University of Texas Medical Branch, Galveston, Texas
  • Michael Denis, M.H.A., Executive Director, DFW AHEC, Irving, Texas
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