What are the top two biggest barriers to providing excellent care in rural settings?

  • Recruitment/retention of physicians
  • Distance/travel time to facilities
  • Adverse social determinants of health
  • Primary care physician availability
  • Recruitment/retention of nurses
  • Suboptimal use of telehealth
  • Lack of or inadequate health insurance
  • Difficulty of patient engagement
  • Higher incidence of chronic diseases (e.g., type 2 diabetes)
  • High cost of capital

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